Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
Edition Rosenthal Test Bank
t0 t0 t0 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
t0 t0 t0 0t
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND E
t0 t0 t0 t0 t0 t0
DITION ROSENTHAL TEST BANK
t0 t0 t0
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
Edition Rosenthal Test Bank t0 t0 t0 2
Chapter 1: Prescriptive Authority Test Ban t0 t0 t0 t0 t0
kMultiple Choice
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1. An APRN works in a urology clinic under the supervision of a physician who does not r
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
estrict the types of medications the APRN is allowed to prescribe. State law does not require the
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
APRN to practice under physician supervision. How would the APRN‘s prescriptive authority be
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
described?
a. Full authority t0
b. Independent
c. Without limitation t0
d. Limited authority t0
ANS: B t0
The APRN has independent prescriptive authority because the regulating body does not require
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
that the APRN work under physician supervision. Full prescriptive authority gives the provider
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
the right to prescribe independently and without limitation. Limited authority places restrictions
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
on the types of drugs that can be prescribed .DIF: Cognitive Level: Comprehension REF: p.
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity:
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
Pharmacologic and Parenteral Therapies t0 t0 t0
2. Which factors increase the need for APRNs to have full prescriptive authority?
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a. More patients will have access to health care.
t0 t0 t0 t0 t0 t0 t0
b. Enrollment in medical schools is predicted to decrease. t0 t0 t0 t0 t0 t0 t0
c. Physician‘s assistants are being utilized less often. t0 t0 t0 t0 t0 t0
d. APRN education is more complex than education for physicians.
t0 t0 t0 t0 t0 t0 t0 t0
ANS: A t0
Implementation of the Affordable Care Act has increased the number of individuals with healt t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
hcare coverage, and thus the number who have access to health care services. The increase in th
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
enumber of patients creates the need for more providers with prescriptive authority. APRNs ca
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
n fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursing Process:
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t
0Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic t0 t0 t0 t0 t0 t0 t0 t0 t0
and Parenteral Therapies
t0 t0
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
Edition Rosenthal Test Bank t0 t0 t0 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select all
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
that apply. t0
a. Inaccessibility of patient care t0 t0 t0
b. Higher health care costs t0 t0 t0
c. Higher quality medical treatment
t0 t0 t0
d. Improved collaborative care t0 t0
e. Enhanced health literacy t0 t0
ANS: A , B t0 t0 t0
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessi
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
ble patient care. It may also lead to poor collaboration among providers and higher healthcare cos
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
ts. It would not directly impact patient‘s health literacy.DIF: Cognitive Level: ComprehensionR
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
EF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: PhysiologicI
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
ntegrity: Pharmacologic and Parenteral Therapies
t0 t0 t0 t0
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select all
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
that apply. t0
a. Clinical education includes prescription of medications and disease processes.
t0 t0 t0 t0 t0 t0 t0 t0
b. Federal regulations support the provision of full authority for APRNs.
t0 t0 t0 t0 t0 t0 t0 t0 t0
c. National examinations provide validation of the APRN‘s ability to provide safecare.
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
d. Licensure ensures compliance with health care and safety standards.
t0 t0 t0 t0 t0 t0 t0 t0
e. Limiting provision can decrease health care affordability.
t0 t0 t0 t0 t0 t0
ANS: A , C , D t0 t0 t0 t0 t0
APRNs are educated to practice and prescribe independently without supervision. National e
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
xaminations validate the ability to provide safe and competent care. Licensure ensures compl
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
iance with standards to promote public health and safety. Limited prescriptive authoritycreate
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
s numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
ComprehensionREF: pp. 1- t0 t0
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
Integrity: Pharmacologic and Parenteral Therapies
t0 t0 t0 t0
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
Edition Rosenthal Test Bank
t0 t0 t0 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select all
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
that apply.
t0
a. Clinical education includes prescription of medications and disease processes.
t0 t0 t0 t0 t0 t0 t0 t0
b. Federal regulations support the provision of full authority for APRNs.
t0 t0 t0 t0 t0 t0 t0 t0 t0
c. National examinations provide validation of the APRN‘s ability to provide safecare.
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
d. Licensure ensures compliance with health care and safety standards.
t0 t0 t0 t0 t0 t0 t0 t0
ANS: A , C , D t0 t0 t0 t0 t0
APRNs are educated to practice and prescribe independently without supervision. National exa
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
minations validate the ability to provide safe and competent care. Licensure ensures compliance
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t
with standards to promote public health and safety. Limited prescriptive authoritycreates numer
0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
ous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation t0 t0 t 0 t0 t0 t0
MSC: NCLEX Client t0 t0 t0
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
t0 t0 t0 t0 t0 t0 t0
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
Virginia. Which aspect of practice may change for the APRN?
t0 t0 t0 t0 t0 t0 t0 t0 t0
a. The APRN will have less prescriptive authority in the new position.
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
b. The APRN will have more prescriptive authority in the new position.
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
c. The APRN will have equal prescriptive authority in the new position.
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
d. The APRN‘s authority will depend on federal regulations.
t0 t0 t0 t0 t0 t0 t0 t0
ANS: A t0
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive L
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
evel: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client Ne
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
eds Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
t0 t0 t0 t0 t0 t0 t0
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
Edition Rosenthal Test Bank
t0 t0 t0 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
t0 t0 t0 0t
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND E
t0 t0 t0 t0 t0 t0
DITION ROSENTHAL TEST BANK
t0 t0 t0
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
Edition Rosenthal Test Bank t0 t0 t0 2
Chapter 1: Prescriptive Authority Test Ban t0 t0 t0 t0 t0
kMultiple Choice
0t t0
1. An APRN works in a urology clinic under the supervision of a physician who does not r
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
estrict the types of medications the APRN is allowed to prescribe. State law does not require the
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
APRN to practice under physician supervision. How would the APRN‘s prescriptive authority be
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
described?
a. Full authority t0
b. Independent
c. Without limitation t0
d. Limited authority t0
ANS: B t0
The APRN has independent prescriptive authority because the regulating body does not require
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
that the APRN work under physician supervision. Full prescriptive authority gives the provider
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
the right to prescribe independently and without limitation. Limited authority places restrictions
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
on the types of drugs that can be prescribed .DIF: Cognitive Level: Comprehension REF: p.
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity:
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
Pharmacologic and Parenteral Therapies t0 t0 t0
2. Which factors increase the need for APRNs to have full prescriptive authority?
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
a. More patients will have access to health care.
t0 t0 t0 t0 t0 t0 t0
b. Enrollment in medical schools is predicted to decrease. t0 t0 t0 t0 t0 t0 t0
c. Physician‘s assistants are being utilized less often. t0 t0 t0 t0 t0 t0
d. APRN education is more complex than education for physicians.
t0 t0 t0 t0 t0 t0 t0 t0
ANS: A t0
Implementation of the Affordable Care Act has increased the number of individuals with healt t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
hcare coverage, and thus the number who have access to health care services. The increase in th
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
enumber of patients creates the need for more providers with prescriptive authority. APRNs ca
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
n fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursing Process:
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t
0Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic t0 t0 t0 t0 t0 t0 t0 t0 t0
and Parenteral Therapies
t0 t0
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
Edition Rosenthal Test Bank t0 t0 t0 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select all
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
that apply. t0
a. Inaccessibility of patient care t0 t0 t0
b. Higher health care costs t0 t0 t0
c. Higher quality medical treatment
t0 t0 t0
d. Improved collaborative care t0 t0
e. Enhanced health literacy t0 t0
ANS: A , B t0 t0 t0
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessi
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
ble patient care. It may also lead to poor collaboration among providers and higher healthcare cos
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
ts. It would not directly impact patient‘s health literacy.DIF: Cognitive Level: ComprehensionR
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
EF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: PhysiologicI
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
ntegrity: Pharmacologic and Parenteral Therapies
t0 t0 t0 t0
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select all
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
that apply. t0
a. Clinical education includes prescription of medications and disease processes.
t0 t0 t0 t0 t0 t0 t0 t0
b. Federal regulations support the provision of full authority for APRNs.
t0 t0 t0 t0 t0 t0 t0 t0 t0
c. National examinations provide validation of the APRN‘s ability to provide safecare.
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
d. Licensure ensures compliance with health care and safety standards.
t0 t0 t0 t0 t0 t0 t0 t0
e. Limiting provision can decrease health care affordability.
t0 t0 t0 t0 t0 t0
ANS: A , C , D t0 t0 t0 t0 t0
APRNs are educated to practice and prescribe independently without supervision. National e
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
xaminations validate the ability to provide safe and competent care. Licensure ensures compl
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
iance with standards to promote public health and safety. Limited prescriptive authoritycreate
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
s numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
ComprehensionREF: pp. 1- t0 t0
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
Integrity: Pharmacologic and Parenteral Therapies
t0 t0 t0 t0
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
Edition Rosenthal Test Bank
t0 t0 t0 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select all
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
that apply.
t0
a. Clinical education includes prescription of medications and disease processes.
t0 t0 t0 t0 t0 t0 t0 t0
b. Federal regulations support the provision of full authority for APRNs.
t0 t0 t0 t0 t0 t0 t0 t0 t0
c. National examinations provide validation of the APRN‘s ability to provide safecare.
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
d. Licensure ensures compliance with health care and safety standards.
t0 t0 t0 t0 t0 t0 t0 t0
ANS: A , C , D t0 t0 t0 t0 t0
APRNs are educated to practice and prescribe independently without supervision. National exa
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
minations validate the ability to provide safe and competent care. Licensure ensures compliance
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t
with standards to promote public health and safety. Limited prescriptive authoritycreates numer
0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
ous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation t0 t0 t 0 t0 t0 t0
MSC: NCLEX Client t0 t0 t0
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
t0 t0 t0 t0 t0 t0 t0
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
Virginia. Which aspect of practice may change for the APRN?
t0 t0 t0 t0 t0 t0 t0 t0 t0
a. The APRN will have less prescriptive authority in the new position.
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
b. The APRN will have more prescriptive authority in the new position.
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
c. The APRN will have equal prescriptive authority in the new position.
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
d. The APRN‘s authority will depend on federal regulations.
t0 t0 t0 t0 t0 t0 t0 t0
ANS: A t0
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive L
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
evel: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client Ne
t0 t0 t0 t0 t0 t0 t0 t0 t0 t0
eds Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
t0 t0 t0 t0 t0 t0 t0
