LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS
2ND EDITION ROSENTHAL TEST BANK
1. An APRN works in an environment with unrestricted prescriptive
authority. How is this described? a. Limited authority
b. Independent authority
c. Full authority
d. Restricted authority
ANS: C Full authority
2. What factor is most important in justifying the need for APRNs to have
full prescriptive authority? a. Cost of healthcare
b. Decrease in medical school enrollment
c. Increase in patient access to healthcare
d. Insufficient physician supply
ANS: C Increase in patient access to healthcare
3. Which of the following barriers could be attributed to limited
prescriptive authority for APRNs? (Select all that apply) a. Increased
healthcare costs
b. Reduced patient care accessibility
c. Higher-quality medical treatment
d. Collaborative care improvements
ANS: A, B
4. Which of the following aspects support an APRN's full prescriptive
authority? (Select all that apply) a. Education in medication prescription
b. Federal regulations supporting full authority
c. Compliance through licensure
d. National examinations for validation
ANS: A, B, C, D
5. If an APRN moves from a state with full authority to one with limited
authority, what will likely change? a. More autonomy
b. Equal authority
c. Decreased prescriptive authority
d. Improved collaboration
ANS: C Decreased prescriptive authority
6. How can collaboration with pharmacists improve patient outcomes?
(Select all that apply) a. Advising on food interactions
b. Providing drug interaction information
c. Suggesting dosing adjustments
, LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS
2ND EDITION ROSENTHAL TEST BANK
d. Accessing formulary knowledge
ANS: B, C, D
7. Which nurse action is most appropriate for a patient experiencing
delirium tremens? a. Wait for a written order
b. Obtain a telephone order
c. Contact the on-call physician
d. Obtain order from the charge nurse
ANS: B Obtain a telephone order
8. When a patient requests an opioid refill, which action is most
appropriate? a. Schedule an appointment
b. Fax an order
c. Verify adherence to medication
d. Check the current dosage
ANS: A Schedule an appointment
9. If a patient develops a rash after starting amoxicillin, what is the
priority action? a. Change the prescription
b. Discontinue the medication
c. Assess for respiratory symptoms
d. Apply antihistamine cream
ANS: B Discontinue the medication
10.What should be the initial action before prescribing medications for a
COPD patient also on hypertension medication? a. Assess liver function
b. Check complete medication history
c. Conduct baseline lab work
d. Confirm insurance coverage
ANS: B Check complete medication history
Questions on Medication Management
11. A chronic pain patient loses their job and cannot afford medications.
What should the APRN do first? a. Decrease their dosage
b. Provide sample medications
c. Contact a new pharmacy
d. Prescribe a different drug
ANS: B Provide sample medications
12. What could hinder a patient from filling a hydrocodone prescription?
(Select all that apply) a. Missing DEA number
b. High dosage
2ND EDITION ROSENTHAL TEST BANK
1. An APRN works in an environment with unrestricted prescriptive
authority. How is this described? a. Limited authority
b. Independent authority
c. Full authority
d. Restricted authority
ANS: C Full authority
2. What factor is most important in justifying the need for APRNs to have
full prescriptive authority? a. Cost of healthcare
b. Decrease in medical school enrollment
c. Increase in patient access to healthcare
d. Insufficient physician supply
ANS: C Increase in patient access to healthcare
3. Which of the following barriers could be attributed to limited
prescriptive authority for APRNs? (Select all that apply) a. Increased
healthcare costs
b. Reduced patient care accessibility
c. Higher-quality medical treatment
d. Collaborative care improvements
ANS: A, B
4. Which of the following aspects support an APRN's full prescriptive
authority? (Select all that apply) a. Education in medication prescription
b. Federal regulations supporting full authority
c. Compliance through licensure
d. National examinations for validation
ANS: A, B, C, D
5. If an APRN moves from a state with full authority to one with limited
authority, what will likely change? a. More autonomy
b. Equal authority
c. Decreased prescriptive authority
d. Improved collaboration
ANS: C Decreased prescriptive authority
6. How can collaboration with pharmacists improve patient outcomes?
(Select all that apply) a. Advising on food interactions
b. Providing drug interaction information
c. Suggesting dosing adjustments
, LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS
2ND EDITION ROSENTHAL TEST BANK
d. Accessing formulary knowledge
ANS: B, C, D
7. Which nurse action is most appropriate for a patient experiencing
delirium tremens? a. Wait for a written order
b. Obtain a telephone order
c. Contact the on-call physician
d. Obtain order from the charge nurse
ANS: B Obtain a telephone order
8. When a patient requests an opioid refill, which action is most
appropriate? a. Schedule an appointment
b. Fax an order
c. Verify adherence to medication
d. Check the current dosage
ANS: A Schedule an appointment
9. If a patient develops a rash after starting amoxicillin, what is the
priority action? a. Change the prescription
b. Discontinue the medication
c. Assess for respiratory symptoms
d. Apply antihistamine cream
ANS: B Discontinue the medication
10.What should be the initial action before prescribing medications for a
COPD patient also on hypertension medication? a. Assess liver function
b. Check complete medication history
c. Conduct baseline lab work
d. Confirm insurance coverage
ANS: B Check complete medication history
Questions on Medication Management
11. A chronic pain patient loses their job and cannot afford medications.
What should the APRN do first? a. Decrease their dosage
b. Provide sample medications
c. Contact a new pharmacy
d. Prescribe a different drug
ANS: B Provide sample medications
12. What could hinder a patient from filling a hydrocodone prescription?
(Select all that apply) a. Missing DEA number
b. High dosage
