Question 1

The primary care NP is prescribing a medication for an off-label use.To help prevent a medication error,the NP should:

Accepted Answer

A)  write "off-label use" on the prescription and provide a rationale. 
B)  call the pharmacist to explain why the instructions deviate from common use. 
C)  write the alternative drug regimen on the prescription and send it to the pharmacy. 
D)  tell the patient to ignore the label directions and follow the verbal instructions given in the clinic. 
A)  write "off-label use" on the prescription and provide a rationale. 
B)  call the pharmacist to explain why the instructions deviate from common use. 
C)  write the alternative drug regimen on the prescription and send it to the pharmacy. 
D)  tell the patient to ignore the label directions and follow the verbal instructions given in the clinic. A

Question 2

When prescribing a medication for a chronic condition,the primary care NP should tell the patient:

Accepted Answer

A)  to contact the pharmacy whenever refills are needed. 
B)  that it is necessary to return to the clinic for each monthly refill of the medication. 
C)  about the frequency of clinic visits necessary for the number of refills authorized. 
D)  to ask the pharmacist to supply several months' worth of the medication at a time. 
A)  to contact the pharmacy whenever refills are needed. 
B)  that it is necessary to return to the clinic for each monthly refill of the medication. 
C)  about the frequency of clinic visits necessary for the number of refills authorized. 
D)  to ask the pharmacist to supply several months' worth of the medication at a time. C

Question 3

The primary care NP sees a patient covered by Medicaid,writes a prescription for a medication,and is informed by the pharmacist that the medication is "off-formulary." The NP should:

Accepted Answer

A)  inform the patient that an out-of-pocket expense will be necessary. 
B)  write the prescription for a generic drug if it meets the patient's needs. 
C)  call the patient's insurance provider to advocate for this particular drug. 
D)  contact the pharmaceutical company to see if medication samples are available. 
A)  inform the patient that an out-of-pocket expense will be necessary. 
B)  write the prescription for a generic drug if it meets the patient's needs. 
C)  call the patient's insurance provider to advocate for this particular drug. 
D)  contact the pharmaceutical company to see if medication samples are available. B

Question 4

The primary care nurse practitioner (NP)writes a prescription for an antibiotic using an electronic drug prescription system.The pharmacist will fill this prescription when:

Accepted Answer

A)  the electronic prescription is received. 
B)  the patient brings a written copy of the prescription. 
C)  a copy of the written prescription is faxed to the pharmacy. 
D)  the pharmacist accesses the patient's electronic record to verify. 
A)  the electronic prescription is received. 
B)  the patient brings a written copy of the prescription. 
C)  a copy of the written prescription is faxed to the pharmacy. 
D)  the pharmacist accesses the patient's electronic record to verify.

Question 5

A patient who has chronic pain and who takes oxycodone (Percodan)calls the clinic to ask for a refill of the medication.The primary care NP notes that the medication refill is not due for 2 weeks.The patient tells the NP that the refill is needed because he is going out of town.The NP should:

Accepted Answer

A)  fill the prescription and document the patient's explanation of the reason. 
B)  review the patient's chart to see if this is a one-time or repeat occurrence. 
C)  call the patient's pharmacist and report suspicion of drug-seeking behaviors. 
D)  confront the patient about misuse of narcotics and refuse to fill the prescription. 
A)  fill the prescription and document the patient's explanation of the reason. 
B)  review the patient's chart to see if this is a one-time or repeat occurrence. 
C)  call the patient's pharmacist and report suspicion of drug-seeking behaviors. 
D)  confront the patient about misuse of narcotics and refuse to fill the prescription.

Question 6

The neighbor of a primary care NP asks the NP to write a prescription for an antibiotic.The NP should tell the neighbor:

Accepted Answer

A)  a prescription will be written one time only. 
B)  she will ask a colleague to write the prescription. 
C)  that it is illegal to write prescriptions for friends. 
D)  that it is best if the neighbor sees a health care provider before obtaining a prescription. 
A)  a prescription will be written one time only. 
B)  she will ask a colleague to write the prescription. 
C)  that it is illegal to write prescriptions for friends. 
D)  that it is best if the neighbor sees a health care provider before obtaining a prescription.

Question 7

A patient who has asthma and who is known to the primary care NP calls the NP after hours and asks for a refill of an albuterol metered-dose inhaler.The patient has not been seen in the clinic for more than a year.The NP should:

Accepted Answer

A)  call the pharmacy to order the medication with several refills. 
B)  send an electronic prescription to the pharmacy for one time only. 
C)  send the patient to the emergency department for evaluation of symptoms. 
D)  refill the drug and tell the patient that an office visit is necessary for further refills. 
A)  call the pharmacy to order the medication with several refills. 
B)  send an electronic prescription to the pharmacy for one time only. 
C)  send the patient to the emergency department for evaluation of symptoms. 
D)  refill the drug and tell the patient that an office visit is necessary for further refills.

Exam 10: Practical Tips on Writing Prescriptions

The primary care NP is prescribing a medication for an off-label use.To help prevent a medication error,the NP should:

When prescribing a medication for a chronic condition,the primary care NP should tell the patient:

The primary care NP sees a patient covered by Medicaid,writes a prescription for a medication,and is informed by the pharmacist that the medication is "off-formulary." The NP should:

The primary care nurse practitioner (NP)writes a prescription for an antibiotic using an electronic drug prescription system.The pharmacist will fill this prescription when:

A patient who has chronic pain and who takes oxycodone (Percodan)calls the clinic to ask for a refill of the medication.The primary care NP notes that the medication refill is not due for 2 weeks.The patient tells the NP that the refill is needed because he is going out of town.The NP should:

The neighbor of a primary care NP asks the NP to write a prescription for an antibiotic.The NP should tell the neighbor:

A patient who has asthma and who is known to the primary care NP calls the NP after hours and asks for a refill of an albuterol metered-dose inhaler.The patient has not been seen in the clinic for more than a year.The NP should:

Prescriptive Authority and Role Implementation: Tradition vs.Change

Historical Review of Prescriptive Authority: The Role of Nurses (NPs, CNMs, CRNAs, and CNSs)and Physician Assistants

General Pharmacokinetic and Pharmacodynamic Principles

Special Populations: Geriatrics

Special Populations: Pediatrics

Special Populations: Pregnant and Nursing Women

Over-the-Counter Medications

Complementary and Alternative Therapies

Establishing the Therapeutic Relationship

Evidence-Based Decision Making and Treatment Guidelines

Design and Implementation of Patient Education

Dermatologic Agents

Eye, Ear, Throat, and Mouth Agents

Upper Respiratory Agents

Asthma and Chronic Obstructive Pulmonary Disease Medications

Hypertension and Miscellaneous Antihypertensive Medications

Coronary Artery Disease and Antianginal Medications

Heart Failure and Digoxin

Beta-Blockers

Calcium Channel Blockers

ACE Inhibitors and Angiotensin Receptor Blockers

Antiarrhythmic Agents

Antihyperlipidemic Agents

Agents that Act on Blood

Antacids and the Management of GERD

Histamine-2 Blockers and Proton Pump Inhibitors

Laxatives

Antidiarrheals

Antiemetics

Medications for Irritable Bowel Syndrome and Other Gastrointestinal Problems

Diuretics

Male Genitourinary Agents

Drugs for Urinary Incontinence and Urinary Analgesia

Acetaminophen

Aspirin and Nonsteroidal Antiinflammatory Drugs

Disease-Modifying Antirheumatic Drugs and Immune Modulators

Gout Medications

Osteoporosis Treatment

Muscle Relaxants

Medications for Attention Deficit/Hyperactivity Disorder

Medications for Dementia

Analgesia and Pain Management

Migraine Medications

Antiepileptics

Antiparkinson Agents

Antidepressants

Antianxiety and Insomnia Agents

Antipsychotics

Substance Abuse

Glucocorticoids

Thyroid Medications

Diabetes Mellitus Agents

Contraceptives

Hormone Replacement Therapy

Drugs for Breast Cancer

Principles for Prescribing Antiinfectives

Treatment of Specific Infections and Miscellaneous Antibiotics

Penicillins

Cephalosporins

Tetracyclines

Macrolides

Fluoroquinolones

Aminoglycosides

Sulfonamides

Antitubercular Agents

Antifungals

Antiretroviral Medications

Antiviral and Antiprotozoal Agents

The Immune System and Immunizations

Weight Management

Smoking Cessation

Vitamins and Minerals