[Typen here]
LEHNE’SnPHARMACOTHERAPEUTICS nFOR nADVANCED nPRACTICEnNURSESnAND n
PHYSICIAN nASSISTANTSn2ND nEDITION nROSENTHAL nTESTnBANK
az
LEHNE’SnPHARMACOTHERAPEUTICS nFOR nADVANCED nPRACTICE nNURSESnANDnPH
YSICIAN nASSISTANTSn2ND nEDITION nROSENTHAL nTESTnBANK
Chaptern1:nPrescriptivenAuthoritynTes
tnBank
MultiplenChoice
1. Ann APRNn worksn inn an urologynclinicn undernthen supervisionn of nan physiciann whondoesn notn restrictn t
hen typesn ofn medicationsnthenAPRNn isn allowednton prescribe.n Staten lawndoesn notn requiren then APR
N nton practicen undern physiciannsupervision.n How nwouldnthenAPRN’snprescriptiven authorityn bende
scribed?
a. Fullnauthority
b. Independent
c. Without n limitation
d. Limited n authority
ANS:n B
Then APRNn hasn independentn prescriptiven authorityn becausen then regulatingn bodyndoesn notn requiren tha
t nthenAPRN nworkn undern physiciann supervision.n Fulln prescriptiven authorityn givesn then providern then ri
ght nton prescriben independentlyn andn withoutn limitation.n Limited n authorityn placesn restrictionsn onnthent
ypesn ofndrugsnthatn cann ben prescribed.DIF:n CognitivenLevel:n ComprehensionREF:n p.n 1TOP:n Nursing
n Process:n I n MSC:n NCLEXn Clientn NeedsnCategory:n Physiologicn Integrity:n Pharmacologicn and n Paren
teraln Therapies
2. Whichn factorsnincreasen then need n forn APRNsnton haven fullnprescriptiven authority?
a. Moren patientsn willnhaven accessn ton healthn care.
b. Enrollment n innmedicalnschoolsn isnpredicted n ton decrease.
c. Physician’snassistantsnarenbeingnutilized n lessn often.
d. APRN neducationn isn moren complexnthanneducationn forn physicians.
ANS:n A
Implementationn ofn then AffordablenCaren Act n hasn increased n then numbern ofn individualsn withn healthn ca
ren coverage,n andn thusn then numbern whon haven accessn ton healthn caren services.n Then increasen inn then num
bernofnpatientsncreatesnthenneedn forn morenprovidersnwithnprescriptiven authority.n APRNsncannfilln thisn p
racticen gap.DIF:nCognitiven Level:n ComprehensionREF:n p.n 2TOP:n Nursingn Process:n Implementatio
nnMSC:nNCLEX nClient nNeedsnCategory:n Physiologicn Integrity:n Pharmacologicn and n ParenteralnTher
apies
3. Whichnfactorsncould nbenattributednton limited nprescriptivenauthoritynforn APRNs?n
Select n alln that n apply.
,[Typen here]
LEHNE’SnPHARMACOTHERAPEUTICS nFOR nADVANCED nPRACTICEnNURSESnAND n
PHYSICIAN nASSISTANTSn2ND nEDITION nROSENTHAL nTESTnBANK
az
a. Inaccessibilitynof n patient n care
b. Highern healthncaren costs
c. Highern qualityn medicalntreatment
d. Improved ncollaborativen care
e. Enhanced n healthn literacy
ANS:n A n,n B
LimitingnprescriptivenauthoritynfornAPRNsncanncreatenbarriersntonquality,naffordable,n and naccessiblen
patient n care.nItn mayn alson leadn ton poorn collaborationn amongn providersn and n highern healthn caren costs.n It
n would n not n directlyn impact n patient’sn healthn literacy.DIF:n Cognitiven Level:n ComprehensionREF:
p.n 2TOP:n Nursingn Process:n Implementationn MSC:n NCLEXn Clientn NeedsnCategory:n Physiologicn In
tegrity:n Pharmacologicn and n Parenteraln Therapies
4. Whichnaspectsnsupport nthenAPRN’snprovisionnforn fullnprescriptivenauthority?n
Select n alln that n apply.
a. Clinicalneducationnincludesn prescriptionn of n medicationsn and n diseasenprocesses.
b. Federalnregulationsn support n then provisionnof n fullnauthorityn fornAPRNs.
c. Nationalnexaminationsn providen validationnof nthen APRN’sn abilitynton providen safecare.
d. Licensurenensuresncompliancen withnhealthncaren and n safetystandards.
e. Limitingnprovisionncanndecreasen healthncaren affordability.
ANS:n A n,n Cn ,n D
APRNsn aren educatedn ton practicen and n prescriben independentlynwithoutn supervision.n Nationaln exami
nationsn validatenthen abilityn ton providen safen andn competentn care.n Licensuren ensuresn compliancen withn
standardsnton promoten publicn healthn and n safety.n Limitedn prescriptiven authorityn createsnnumerousnbar
riersnton quality,n affordable,n and naccessiblenpatient n care.DIF:nCognitivenLevel:n ComprehensionREF:n
pp.n 1-
2TOP:n Nursingn Process:n Implementationn MSC:nNCLEXn Client nNeedsn Category:n Physiologicn Integ
rity:n Pharmacologicn and n Parenteraln Therapies
5. Whichnaspectsnsupport nthenAPRN’snprovisionnforn fullnprescriptivenauthority?n
Select n alln that n apply.
a. Clinicalneducationnincludesn prescriptionn of n medicationsn and n diseasenprocesses.
b. Federalnregulationsn support n then provisionnof nfulln authorityn fornAPRNs.
c. Nationalnexaminationsn providen validationnof nthen APRN’sn abilitynton providen safecare.
d. Licensurenensuresn compliancen withn healthncaren and n safetynstandards.
ANS:n A n,n Cn ,n D
APRNsn aren educatedn ton practicen and n prescriben independentlynwithoutn supervision.n Nationaln exami
nationsn validatenthen abilityn ton providen safen andn competentn care.n Licensuren ensuresn compliancen withn
standardsnton promoten publicn healthn and n safety.n Limitedn prescriptiven authorityn createsnnumerousnbar
riersnton quality,n affordable,n and naccessiblenpatient n care.DIF:n CognitivenLevel:
,[Typen here]
LEHNE’SnPHARMACOTHERAPEUTICS nFOR nADVANCED nPRACTICEnNURSESnAND n
PHYSICIAN nASSISTANTSn2ND nEDITION nROSENTHAL nTESTnBANK
az
ComprehensionREF:n pp.n 1-2TOP:n Nursingn Process:n Implementation
MSC:nNCLEX nClient
n Needsn Category:n Physiologicn Integrity:n Pharmacologicn and n Parenteraln Therapies
6. A nfamilynnursenpractitionern practicingn innMainen isnhired nat nanpracticenacrossn statenlinesn inn
Virginia.n Whichn aspect n of n practicen maynchangen forn then APRN?
a. ThenAPRN nwillnhaven lessnprescriptivenauthorityninnthen new n position.
b. ThenAPRN nwillnhaven morenprescriptiven authorityninnthennew nposition.
c. Then APRN n willn haven equalnprescriptiven authorityn innthen newposition.
d. Then APRN’sn authoritynwillndepend n onn federalregulations.
ANS:n A
Virginian allowsn limitedn prescriptiven authority,n whilen Mainen givesn fulln authorityn ton certified n nursen p
ractitioners.n Then federaln government ndoesn not n regulaten prescriptiven authority.DIF:nCognitiven Level
:n ComprehensionREF:n p.n 3TOP:n Nursingn Process:n Implementationn MSC:n NCLEXn Client nNeedsn C
ategory:n Physiologicn Integrity:n Pharmacologicn and n Parenteraln Therapies
Rosenthal:nLehne'snPharmacotherapeuticsnfornAdvancednPracticenProviders,n2ndnEd.nChap
tern2:nRationalnDrugnSelectionnandnPrescriptionnWriting
TestnBanknMultipl
enChoice
7. How ncanncollaborationnwithnanpharmacist n improvenpositivenoutcomesn fornpatients?n
Select n alln that n apply.
a. Pharmacistsncannsuggest n foodsnthat n willn helpn withnthen patient’sn condition.
b. Pharmacistsnhaven additionalninformationnonndrugn interactions.
c. Thenpharmacist n cannsuggest n adequatenmedicationn dosing.
d. Pharmacistsnhaven firsthand n knowledgen of nthen facilityn formulary.
e. Pharmacyncannaltern prescriptionsn whennnecessarynton prevent n patient n harm.
ANS:n Bn ,n Cn ,n D
Providersnshould ncollaboratenwithnpharmacistsnbecausentheynwillnlikelynhavenadditionalninformationn
onn formulary,n drugn interactions,n and n suggestionsnforn adequaten medicationndosing.nDietitiansn cann m
aken foodsn recommendationsn ton treatn then patient’sn condition.n Then pharmacist n cann contactn then prescri
bern about n questionablen prescriptions,n but n cannot n alternthen prescriptionn withoutn notificationn ofn and n a
pprovaln byn then provider.DIF:n Cognitiven Level:n ComprehensionREF:n p.n 9TOP:nNursingn Process:n Di
agnosisn MSC:n NCLEX n Client n NeedsnCategory:n Physiologicn Integrity:n Reductionn of n Riskn Potential
, [Typen here]
LEHNE’SnPHARMACOTHERAPEUTICS nFOR nADVANCED nPRACTICEnNURSESnAND n
PHYSICIAN nASSISTANTSn2ND nEDITION nROSENTHAL nTESTnBANK
az
8. A npatient n presentsnwithndeliriumtremensnrequiringn Ativannadministration.n Thenprovidern ofcaren i
sn not n innthen facility.n Whichn actionn bynthen nursen isn most n appropriate?
a. Obtainnan telephonen order.
b. Contact n then on-calln hospitalist.
c. Obtainnannordern fromnthen chargennurse.
d. Wait n forn anwrittennAtivann order.
ANS:n A
Innannemergencynsituation,nsuchnasndeliriumntremensnwithnseizurenactivity,nitnisnacceptablentonproviden a
ntelephonenorder.nContactingnthenon-
callnhospitalist nornwaitingn forn anwrittennordernwouldntakenmoren timen thann availablen forn an patient nwithn
highn seizuren risk.n Writingn ann ordern isn outsiden then scopen ofn practicen forn then chargen nurse.DIF:nCognit
iven Level:n ApplicationREF:n p.n 7TOP:n Nursingn Process:n Implementationn MSC:n NCLEX nClient n Nee
dsn Category:n Physiologicn Integrity:n Reductionn of n Riskn Potential
9. A npatient n withnchronicn painncallsnthen provider’snofficentonrequest n an refillnonntheirn oxycontin.n
Whichn actionn isn most n appropriate?
a. Faxnannordern ton thenpharmacy.
b. Schedulen annappointment n withnthen patient.
c. Verifynthen patient’sn adherencen ton drugn regimen.
d. Determinenthenpatient’sncurrent n medicationn dosage.
ANS:n B
SchedulenIIn medicationsn aren notn eligiblen forn refills,n and n prescriptionsn must n ben handwritten.nIt n isn imp
ortant nton verifynthen patient’sn adherencen ton thendrugn regimenn andndeterminen then current ndosagen ofn me
dication;n however,nthisn cann ben accomplished n byn schedulingn ann appointmentn andn evaluatingnthen pati
ent n inn person.DIF:n Cognitiven Level:n ApplicationREF:n p.n 8TOP:nNursingn Process:n Implementationn
MSC:n NCLEX n Client n Needsn Category:n Physiologicn Integrity:n Reductionn of n Riskn Potential
10. A npatient n prescribed namoxicillinn forn streptococcalnpharyngitisnreportsnnew nonset nofa nflat,nitchynr
ed n rashn onn then chest n and n neck.n Whichn actionn isn most n important?
a. Providenandifferent n prescription.
b. Discontinuen then medication.
c. Prescribenannantihistaminen cream.
d. Assessn forn respiratoryncompromise.
ANS:n B
Then priorityn actionn isntondiscontinuenthen medicationn ton preventn worseningn ofn then patient’sn symptom
s.nAndifferentnprescriptionnwouldnbenprovided,ntopicalnantihistaminen maynbenadministered,n andnthen pa
tient n would n benassessed n forn respiratoryn involvement,n but n thesen actionsn would n not n be
LEHNE’SnPHARMACOTHERAPEUTICS nFOR nADVANCED nPRACTICEnNURSESnAND n
PHYSICIAN nASSISTANTSn2ND nEDITION nROSENTHAL nTESTnBANK
az
LEHNE’SnPHARMACOTHERAPEUTICS nFOR nADVANCED nPRACTICE nNURSESnANDnPH
YSICIAN nASSISTANTSn2ND nEDITION nROSENTHAL nTESTnBANK
Chaptern1:nPrescriptivenAuthoritynTes
tnBank
MultiplenChoice
1. Ann APRNn worksn inn an urologynclinicn undernthen supervisionn of nan physiciann whondoesn notn restrictn t
hen typesn ofn medicationsnthenAPRNn isn allowednton prescribe.n Staten lawndoesn notn requiren then APR
N nton practicen undern physiciannsupervision.n How nwouldnthenAPRN’snprescriptiven authorityn bende
scribed?
a. Fullnauthority
b. Independent
c. Without n limitation
d. Limited n authority
ANS:n B
Then APRNn hasn independentn prescriptiven authorityn becausen then regulatingn bodyndoesn notn requiren tha
t nthenAPRN nworkn undern physiciann supervision.n Fulln prescriptiven authorityn givesn then providern then ri
ght nton prescriben independentlyn andn withoutn limitation.n Limited n authorityn placesn restrictionsn onnthent
ypesn ofndrugsnthatn cann ben prescribed.DIF:n CognitivenLevel:n ComprehensionREF:n p.n 1TOP:n Nursing
n Process:n I n MSC:n NCLEXn Clientn NeedsnCategory:n Physiologicn Integrity:n Pharmacologicn and n Paren
teraln Therapies
2. Whichn factorsnincreasen then need n forn APRNsnton haven fullnprescriptiven authority?
a. Moren patientsn willnhaven accessn ton healthn care.
b. Enrollment n innmedicalnschoolsn isnpredicted n ton decrease.
c. Physician’snassistantsnarenbeingnutilized n lessn often.
d. APRN neducationn isn moren complexnthanneducationn forn physicians.
ANS:n A
Implementationn ofn then AffordablenCaren Act n hasn increased n then numbern ofn individualsn withn healthn ca
ren coverage,n andn thusn then numbern whon haven accessn ton healthn caren services.n Then increasen inn then num
bernofnpatientsncreatesnthenneedn forn morenprovidersnwithnprescriptiven authority.n APRNsncannfilln thisn p
racticen gap.DIF:nCognitiven Level:n ComprehensionREF:n p.n 2TOP:n Nursingn Process:n Implementatio
nnMSC:nNCLEX nClient nNeedsnCategory:n Physiologicn Integrity:n Pharmacologicn and n ParenteralnTher
apies
3. Whichnfactorsncould nbenattributednton limited nprescriptivenauthoritynforn APRNs?n
Select n alln that n apply.
,[Typen here]
LEHNE’SnPHARMACOTHERAPEUTICS nFOR nADVANCED nPRACTICEnNURSESnAND n
PHYSICIAN nASSISTANTSn2ND nEDITION nROSENTHAL nTESTnBANK
az
a. Inaccessibilitynof n patient n care
b. Highern healthncaren costs
c. Highern qualityn medicalntreatment
d. Improved ncollaborativen care
e. Enhanced n healthn literacy
ANS:n A n,n B
LimitingnprescriptivenauthoritynfornAPRNsncanncreatenbarriersntonquality,naffordable,n and naccessiblen
patient n care.nItn mayn alson leadn ton poorn collaborationn amongn providersn and n highern healthn caren costs.n It
n would n not n directlyn impact n patient’sn healthn literacy.DIF:n Cognitiven Level:n ComprehensionREF:
p.n 2TOP:n Nursingn Process:n Implementationn MSC:n NCLEXn Clientn NeedsnCategory:n Physiologicn In
tegrity:n Pharmacologicn and n Parenteraln Therapies
4. Whichnaspectsnsupport nthenAPRN’snprovisionnforn fullnprescriptivenauthority?n
Select n alln that n apply.
a. Clinicalneducationnincludesn prescriptionn of n medicationsn and n diseasenprocesses.
b. Federalnregulationsn support n then provisionnof n fullnauthorityn fornAPRNs.
c. Nationalnexaminationsn providen validationnof nthen APRN’sn abilitynton providen safecare.
d. Licensurenensuresncompliancen withnhealthncaren and n safetystandards.
e. Limitingnprovisionncanndecreasen healthncaren affordability.
ANS:n A n,n Cn ,n D
APRNsn aren educatedn ton practicen and n prescriben independentlynwithoutn supervision.n Nationaln exami
nationsn validatenthen abilityn ton providen safen andn competentn care.n Licensuren ensuresn compliancen withn
standardsnton promoten publicn healthn and n safety.n Limitedn prescriptiven authorityn createsnnumerousnbar
riersnton quality,n affordable,n and naccessiblenpatient n care.DIF:nCognitivenLevel:n ComprehensionREF:n
pp.n 1-
2TOP:n Nursingn Process:n Implementationn MSC:nNCLEXn Client nNeedsn Category:n Physiologicn Integ
rity:n Pharmacologicn and n Parenteraln Therapies
5. Whichnaspectsnsupport nthenAPRN’snprovisionnforn fullnprescriptivenauthority?n
Select n alln that n apply.
a. Clinicalneducationnincludesn prescriptionn of n medicationsn and n diseasenprocesses.
b. Federalnregulationsn support n then provisionnof nfulln authorityn fornAPRNs.
c. Nationalnexaminationsn providen validationnof nthen APRN’sn abilitynton providen safecare.
d. Licensurenensuresn compliancen withn healthncaren and n safetynstandards.
ANS:n A n,n Cn ,n D
APRNsn aren educatedn ton practicen and n prescriben independentlynwithoutn supervision.n Nationaln exami
nationsn validatenthen abilityn ton providen safen andn competentn care.n Licensuren ensuresn compliancen withn
standardsnton promoten publicn healthn and n safety.n Limitedn prescriptiven authorityn createsnnumerousnbar
riersnton quality,n affordable,n and naccessiblenpatient n care.DIF:n CognitivenLevel:
,[Typen here]
LEHNE’SnPHARMACOTHERAPEUTICS nFOR nADVANCED nPRACTICEnNURSESnAND n
PHYSICIAN nASSISTANTSn2ND nEDITION nROSENTHAL nTESTnBANK
az
ComprehensionREF:n pp.n 1-2TOP:n Nursingn Process:n Implementation
MSC:nNCLEX nClient
n Needsn Category:n Physiologicn Integrity:n Pharmacologicn and n Parenteraln Therapies
6. A nfamilynnursenpractitionern practicingn innMainen isnhired nat nanpracticenacrossn statenlinesn inn
Virginia.n Whichn aspect n of n practicen maynchangen forn then APRN?
a. ThenAPRN nwillnhaven lessnprescriptivenauthorityninnthen new n position.
b. ThenAPRN nwillnhaven morenprescriptiven authorityninnthennew nposition.
c. Then APRN n willn haven equalnprescriptiven authorityn innthen newposition.
d. Then APRN’sn authoritynwillndepend n onn federalregulations.
ANS:n A
Virginian allowsn limitedn prescriptiven authority,n whilen Mainen givesn fulln authorityn ton certified n nursen p
ractitioners.n Then federaln government ndoesn not n regulaten prescriptiven authority.DIF:nCognitiven Level
:n ComprehensionREF:n p.n 3TOP:n Nursingn Process:n Implementationn MSC:n NCLEXn Client nNeedsn C
ategory:n Physiologicn Integrity:n Pharmacologicn and n Parenteraln Therapies
Rosenthal:nLehne'snPharmacotherapeuticsnfornAdvancednPracticenProviders,n2ndnEd.nChap
tern2:nRationalnDrugnSelectionnandnPrescriptionnWriting
TestnBanknMultipl
enChoice
7. How ncanncollaborationnwithnanpharmacist n improvenpositivenoutcomesn fornpatients?n
Select n alln that n apply.
a. Pharmacistsncannsuggest n foodsnthat n willn helpn withnthen patient’sn condition.
b. Pharmacistsnhaven additionalninformationnonndrugn interactions.
c. Thenpharmacist n cannsuggest n adequatenmedicationn dosing.
d. Pharmacistsnhaven firsthand n knowledgen of nthen facilityn formulary.
e. Pharmacyncannaltern prescriptionsn whennnecessarynton prevent n patient n harm.
ANS:n Bn ,n Cn ,n D
Providersnshould ncollaboratenwithnpharmacistsnbecausentheynwillnlikelynhavenadditionalninformationn
onn formulary,n drugn interactions,n and n suggestionsnforn adequaten medicationndosing.nDietitiansn cann m
aken foodsn recommendationsn ton treatn then patient’sn condition.n Then pharmacist n cann contactn then prescri
bern about n questionablen prescriptions,n but n cannot n alternthen prescriptionn withoutn notificationn ofn and n a
pprovaln byn then provider.DIF:n Cognitiven Level:n ComprehensionREF:n p.n 9TOP:nNursingn Process:n Di
agnosisn MSC:n NCLEX n Client n NeedsnCategory:n Physiologicn Integrity:n Reductionn of n Riskn Potential
, [Typen here]
LEHNE’SnPHARMACOTHERAPEUTICS nFOR nADVANCED nPRACTICEnNURSESnAND n
PHYSICIAN nASSISTANTSn2ND nEDITION nROSENTHAL nTESTnBANK
az
8. A npatient n presentsnwithndeliriumtremensnrequiringn Ativannadministration.n Thenprovidern ofcaren i
sn not n innthen facility.n Whichn actionn bynthen nursen isn most n appropriate?
a. Obtainnan telephonen order.
b. Contact n then on-calln hospitalist.
c. Obtainnannordern fromnthen chargennurse.
d. Wait n forn anwrittennAtivann order.
ANS:n A
Innannemergencynsituation,nsuchnasndeliriumntremensnwithnseizurenactivity,nitnisnacceptablentonproviden a
ntelephonenorder.nContactingnthenon-
callnhospitalist nornwaitingn forn anwrittennordernwouldntakenmoren timen thann availablen forn an patient nwithn
highn seizuren risk.n Writingn ann ordern isn outsiden then scopen ofn practicen forn then chargen nurse.DIF:nCognit
iven Level:n ApplicationREF:n p.n 7TOP:n Nursingn Process:n Implementationn MSC:n NCLEX nClient n Nee
dsn Category:n Physiologicn Integrity:n Reductionn of n Riskn Potential
9. A npatient n withnchronicn painncallsnthen provider’snofficentonrequest n an refillnonntheirn oxycontin.n
Whichn actionn isn most n appropriate?
a. Faxnannordern ton thenpharmacy.
b. Schedulen annappointment n withnthen patient.
c. Verifynthen patient’sn adherencen ton drugn regimen.
d. Determinenthenpatient’sncurrent n medicationn dosage.
ANS:n B
SchedulenIIn medicationsn aren notn eligiblen forn refills,n and n prescriptionsn must n ben handwritten.nIt n isn imp
ortant nton verifynthen patient’sn adherencen ton thendrugn regimenn andndeterminen then current ndosagen ofn me
dication;n however,nthisn cann ben accomplished n byn schedulingn ann appointmentn andn evaluatingnthen pati
ent n inn person.DIF:n Cognitiven Level:n ApplicationREF:n p.n 8TOP:nNursingn Process:n Implementationn
MSC:n NCLEX n Client n Needsn Category:n Physiologicn Integrity:n Reductionn of n Riskn Potential
10. A npatient n prescribed namoxicillinn forn streptococcalnpharyngitisnreportsnnew nonset nofa nflat,nitchynr
ed n rashn onn then chest n and n neck.n Whichn actionn isn most n important?
a. Providenandifferent n prescription.
b. Discontinuen then medication.
c. Prescribenannantihistaminen cream.
d. Assessn forn respiratoryncompromise.
ANS:n B
Then priorityn actionn isntondiscontinuenthen medicationn ton preventn worseningn ofn then patient’sn symptom
s.nAndifferentnprescriptionnwouldnbenprovided,ntopicalnantihistaminen maynbenadministered,n andnthen pa
tient n would n benassessed n forn respiratoryn involvement,n but n thesen actionsn would n not n be
