Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
Edition Rosenthal Test Bank 1 Edition Rosenthal Test Bank 2
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED Chapter 1: Prescriptive Authority Test Bank
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND Multiple Choice
EDITION ROSENTHAL TEST BANK 1. An APRN works in a urology clinic under the supervision of a physician who does not
restrict the types of medications the APRN is allowed to prescribe. State law does not require the
APRN to practice under physician supervision. How would the APRN‘s prescriptive authority be
described?
a. Full authority
b. Independent
c. Without limitation
d. Limited authority
ANS: B
The APRN has independent prescriptive authority because the regulating body does not require
that the APRN work under physician supervision. Full prescriptive authority gives the provider
the right to prescribe independently and without limitation. Limited authority places restrictions
on the types of drugs that can be prescribed .DIF: Cognitive Level: Comprehension REF: p.
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity:
Pharmacologic and Parenteral Therapies
2. Which factors increase the need for APRNs to have full prescriptive authority?
a. More patients will have access to health care.
b. Enrollment in medical schools is predicted to decrease.
c. Physician‘s assistants are being utilized less often.
d. APRN education is more complex than education for physicians.
ANS: A
Implementation of the Affordable Care Act has increased the number of individuals with health
care coverage, and thus the number who have access to health care services. The increase in the
number of patients creates the need for more providers with prescriptive authority. APRNs can
fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursing Process:
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
and Parenteral Therapies
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
Edition Rosenthal Test Bank 3 Edition Rosenthal Test Bank 4
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select all 5. Which aspects support the APRN‘s provision for full prescriptive authority? Select all
that apply. that apply.
a. Inaccessibility of patient care
b. Higher health care costs a. Clinical education includes prescription of medications and disease processes.
c. Higher quality medical treatment b. Federal regulations support the provision of full authority for APRNs.
d. Improved collaborative care c. National examinations provide validation of the APRN‘s ability to provide safecare.
e. Enhanced health literacy d. Licensure ensures compliance with health care and safety standards.
ANS: A , B ANS: A , C , D
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and APRNs are educated to practice and prescribe independently without supervision. National
accessible patient care. It may also lead to poor collaboration among providers and higher health examinations validate the ability to provide safe and competent care. Licensure ensures
care costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level: compliance with standards to promote public health and safety. Limited prescriptive authority
ComprehensionREF: creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
Level:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
Integrity: Pharmacologic and Parenteral Therapies
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select all
that apply.
a. Clinical education includes prescription of medications and disease processes. 6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in
Virginia. Which aspect of practice may change for the APRN?
b. Federal regulations support the provision of full authority for APRNs.
a. The APRN will have less prescriptive authority in the new position.
c. National examinations provide validation of the APRN‘s ability to provide safecare.
b. The APRN will have more prescriptive authority in the new position.
d. Licensure ensures compliance with health care and safety standards.
c. The APRN will have equal prescriptive authority in the new position.
e. Limiting provision can decrease health care affordability.
d. The APRN‘s authority will depend on federal regulations.
ANS: A
ANS: A , C , D
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
APRNs are educated to practice and prescribe independently without supervision. National
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
examinations validate the ability to provide safe and competent care. Licensure ensures
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
compliance with standards to promote public health and safety. Limited prescriptive authority
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX
Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
Edition Rosenthal Test Bank 5 Edition Rosenthal Test Bank 6
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed. In an emergency situation, such as delirium tremens with seizure activity, it is acceptable to
Chapter 2: Rational Drug Selection and Prescription Writing provide a telephone order. Contacting the on-call hospitalist or waiting for a written order would
take more time than available for a patient with high seizure risk. Writing an order is outside the
Test Bank Multiple Choice
scope of practice for the charge nurse.DIF: Cognitive Level: ApplicationREF: p. 7TOP: Nursing
Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity:
Reduction of Risk Potential
7. How can collaboration with a pharmacist improve positive outcomes for patients? Select
all that apply.
a. Pharmacists can suggest foods that will help with the patient‘s condition. 9. A patient with chronic pain calls the provider‘s office to request a refill on their
oxycontin. Which action is most appropriate?
b. Pharmacists have additional information on drug interactions.
c. The pharmacist can suggest adequate medication dosing.
a. Fax an order to the pharmacy.
d. Pharmacists have firsthand knowledge of the facility formulary.
b. Schedule an appointment with the patient.
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
c. Verify the patient‘s adherence to drug regimen.
d. Determine the patient‘s current medication dosage.
ANS: B , C , D
Providers should collaborate with pharmacists because they will likely have additional
information on formulary, drug interactions, and suggestions for adequate medication dosing. ANS: B
Dietitians can make foods recommendations to treat the patient‘s condition. The pharmacist can
Schedule II medications are not eligible for refills, and prescriptions must be handwritten. It is
contact the prescriber about questionable prescriptions, but cannot alter the prescription without
important to verify the patient‘s adherence to the drug regimen and determine the current dosage
notification of and approval by the provider.DIF: Cognitive Level: ComprehensionREF: p.
of medication; however, this can be accomplished by scheduling an appointment and evaluating
9TOP: Nursing Process: Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity:
the patient in person.DIF: Cognitive Level: ApplicationREF: p. 8TOP: Nursing Process:
Reduction of Risk Potential
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk
Potential
8. A patient presents with deliriumtremens requiring Ativan administration. The provider
ofcare is not in the facility. Which action by the nurse is most appropriate?
10. A patient prescribed amoxicillin for streptococcal pharyngitis reports new onset ofa flat,
a. Obtain a telephone order. itchy red rash on the chest and neck. Which action is most important?
b. Contact the on-call hospitalist.
c. Obtain an order from the charge nurse. a. Provide a different prescription.
d. Wait for a written Ativan order. b. Discontinue the medication.
c. Prescribe an antihistamine cream.
ANS: A d. Assess for respiratory compromise.
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
Edition Rosenthal Test Bank 7 Edition Rosenthal Test Bank 8
a. Provide a 7-day sample pack.
ANS: B b. Decrease the daily dose by half.
The priority action is to discontinue the medication to prevent worsening of the patient‘s c. Contact a different pharmacy.
symptoms. A different prescription would be provided, topical antihistamine may be
d. Prescribe a different medication.
administered, and the patient would be assessed for respiratory involvement, but these actions
would not be
ANS: C
performed first.DIF: Cognitive Level: ApplicationREF: p. 6TOP: Nursing Process: Providing a 7-day sample will address the patient‘s immediate need, but will not help with the
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk patient‘s long-term need for medication. Decreasing the daily dose will diminish the
Potential effectiveness of the medication. Selecting a different pharmacy could decrease the cost of the
medication, as costs vary based on the location and the pharmacy dispensing the medication.
Prescribing a different medication would be the last option.DIF: Cognitive Level:
ApplicationREF: p. 5TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
Category: Physiologic Integrity: Reduction of Risk Potential
11. A patient taking three medications for hypertension is diagnosed with COPD. Which
action should be taken prior to prescribing medications to treat COPD?
a. Obtain baseline laboratory values. 13. Apatient recentlyprescribed hydrocodone calls to report theyare unable to fillthe
prescription. Which factors could contribute to the inability to fill the prescription?
b. Obtain a complete medication history.
Select all that apply.
c. Assess liver enzyme levels.
d. Determine if patient has insurance coverage.
a. DEA number missing from prescription
ANS: B
b. Prescription sent via electronic messenger
Prior to adding medications to the treatment regimen, it is essential to assess for any potential
drug- drug interactions through a complete medical history. Baseline laboratory values are not c. Dose higher than typically prescribed
necessary for COPD treatment. Liver enzyme levels may give insight into the possibility of
d. Prescriber license number not included
altered metabolism but would not be the first action. The presence of insurance coverage would
affect the patient‘s access to treatment but may not affect the type of medication prescribed.DIF: e. Patient name and date of birth were handwritten
Cognitive Level: ApplicationREF: p. 6TOP: Nursing Process: Implementation MSC: NCLEX
Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
ANS: A , B , D
In order to fill a hydrocodone prescription, the prescriber name, license number, DEA number,
and contact information must be included. Schedule II medications, such as narcotics, must be
12. A patient with diabetes reports losing their job and an inability to purchase required prescribed using written prescriptions. Though the pharmacist may question the high dosing, that
medications. Which action is most appropriate? would not prevent filling the prescription. The patient‘s name and date of birth must be included
on the prescription, but there are no regulations that the name cannot be handwritten.DIF:
Edition Rosenthal Test Bank 1 Edition Rosenthal Test Bank 2
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED Chapter 1: Prescriptive Authority Test Bank
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND Multiple Choice
EDITION ROSENTHAL TEST BANK 1. An APRN works in a urology clinic under the supervision of a physician who does not
restrict the types of medications the APRN is allowed to prescribe. State law does not require the
APRN to practice under physician supervision. How would the APRN‘s prescriptive authority be
described?
a. Full authority
b. Independent
c. Without limitation
d. Limited authority
ANS: B
The APRN has independent prescriptive authority because the regulating body does not require
that the APRN work under physician supervision. Full prescriptive authority gives the provider
the right to prescribe independently and without limitation. Limited authority places restrictions
on the types of drugs that can be prescribed .DIF: Cognitive Level: Comprehension REF: p.
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity:
Pharmacologic and Parenteral Therapies
2. Which factors increase the need for APRNs to have full prescriptive authority?
a. More patients will have access to health care.
b. Enrollment in medical schools is predicted to decrease.
c. Physician‘s assistants are being utilized less often.
d. APRN education is more complex than education for physicians.
ANS: A
Implementation of the Affordable Care Act has increased the number of individuals with health
care coverage, and thus the number who have access to health care services. The increase in the
number of patients creates the need for more providers with prescriptive authority. APRNs can
fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursing Process:
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
and Parenteral Therapies
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
Edition Rosenthal Test Bank 3 Edition Rosenthal Test Bank 4
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select all 5. Which aspects support the APRN‘s provision for full prescriptive authority? Select all
that apply. that apply.
a. Inaccessibility of patient care
b. Higher health care costs a. Clinical education includes prescription of medications and disease processes.
c. Higher quality medical treatment b. Federal regulations support the provision of full authority for APRNs.
d. Improved collaborative care c. National examinations provide validation of the APRN‘s ability to provide safecare.
e. Enhanced health literacy d. Licensure ensures compliance with health care and safety standards.
ANS: A , B ANS: A , C , D
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and APRNs are educated to practice and prescribe independently without supervision. National
accessible patient care. It may also lead to poor collaboration among providers and higher health examinations validate the ability to provide safe and competent care. Licensure ensures
care costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level: compliance with standards to promote public health and safety. Limited prescriptive authority
ComprehensionREF: creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
Level:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
Integrity: Pharmacologic and Parenteral Therapies
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select all
that apply.
a. Clinical education includes prescription of medications and disease processes. 6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in
Virginia. Which aspect of practice may change for the APRN?
b. Federal regulations support the provision of full authority for APRNs.
a. The APRN will have less prescriptive authority in the new position.
c. National examinations provide validation of the APRN‘s ability to provide safecare.
b. The APRN will have more prescriptive authority in the new position.
d. Licensure ensures compliance with health care and safety standards.
c. The APRN will have equal prescriptive authority in the new position.
e. Limiting provision can decrease health care affordability.
d. The APRN‘s authority will depend on federal regulations.
ANS: A
ANS: A , C , D
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
APRNs are educated to practice and prescribe independently without supervision. National
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
examinations validate the ability to provide safe and competent care. Licensure ensures
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
compliance with standards to promote public health and safety. Limited prescriptive authority
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX
Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
Edition Rosenthal Test Bank 5 Edition Rosenthal Test Bank 6
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed. In an emergency situation, such as delirium tremens with seizure activity, it is acceptable to
Chapter 2: Rational Drug Selection and Prescription Writing provide a telephone order. Contacting the on-call hospitalist or waiting for a written order would
take more time than available for a patient with high seizure risk. Writing an order is outside the
Test Bank Multiple Choice
scope of practice for the charge nurse.DIF: Cognitive Level: ApplicationREF: p. 7TOP: Nursing
Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity:
Reduction of Risk Potential
7. How can collaboration with a pharmacist improve positive outcomes for patients? Select
all that apply.
a. Pharmacists can suggest foods that will help with the patient‘s condition. 9. A patient with chronic pain calls the provider‘s office to request a refill on their
oxycontin. Which action is most appropriate?
b. Pharmacists have additional information on drug interactions.
c. The pharmacist can suggest adequate medication dosing.
a. Fax an order to the pharmacy.
d. Pharmacists have firsthand knowledge of the facility formulary.
b. Schedule an appointment with the patient.
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
c. Verify the patient‘s adherence to drug regimen.
d. Determine the patient‘s current medication dosage.
ANS: B , C , D
Providers should collaborate with pharmacists because they will likely have additional
information on formulary, drug interactions, and suggestions for adequate medication dosing. ANS: B
Dietitians can make foods recommendations to treat the patient‘s condition. The pharmacist can
Schedule II medications are not eligible for refills, and prescriptions must be handwritten. It is
contact the prescriber about questionable prescriptions, but cannot alter the prescription without
important to verify the patient‘s adherence to the drug regimen and determine the current dosage
notification of and approval by the provider.DIF: Cognitive Level: ComprehensionREF: p.
of medication; however, this can be accomplished by scheduling an appointment and evaluating
9TOP: Nursing Process: Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity:
the patient in person.DIF: Cognitive Level: ApplicationREF: p. 8TOP: Nursing Process:
Reduction of Risk Potential
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk
Potential
8. A patient presents with deliriumtremens requiring Ativan administration. The provider
ofcare is not in the facility. Which action by the nurse is most appropriate?
10. A patient prescribed amoxicillin for streptococcal pharyngitis reports new onset ofa flat,
a. Obtain a telephone order. itchy red rash on the chest and neck. Which action is most important?
b. Contact the on-call hospitalist.
c. Obtain an order from the charge nurse. a. Provide a different prescription.
d. Wait for a written Ativan order. b. Discontinue the medication.
c. Prescribe an antihistamine cream.
ANS: A d. Assess for respiratory compromise.
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
Edition Rosenthal Test Bank 7 Edition Rosenthal Test Bank 8
a. Provide a 7-day sample pack.
ANS: B b. Decrease the daily dose by half.
The priority action is to discontinue the medication to prevent worsening of the patient‘s c. Contact a different pharmacy.
symptoms. A different prescription would be provided, topical antihistamine may be
d. Prescribe a different medication.
administered, and the patient would be assessed for respiratory involvement, but these actions
would not be
ANS: C
performed first.DIF: Cognitive Level: ApplicationREF: p. 6TOP: Nursing Process: Providing a 7-day sample will address the patient‘s immediate need, but will not help with the
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk patient‘s long-term need for medication. Decreasing the daily dose will diminish the
Potential effectiveness of the medication. Selecting a different pharmacy could decrease the cost of the
medication, as costs vary based on the location and the pharmacy dispensing the medication.
Prescribing a different medication would be the last option.DIF: Cognitive Level:
ApplicationREF: p. 5TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
Category: Physiologic Integrity: Reduction of Risk Potential
11. A patient taking three medications for hypertension is diagnosed with COPD. Which
action should be taken prior to prescribing medications to treat COPD?
a. Obtain baseline laboratory values. 13. Apatient recentlyprescribed hydrocodone calls to report theyare unable to fillthe
prescription. Which factors could contribute to the inability to fill the prescription?
b. Obtain a complete medication history.
Select all that apply.
c. Assess liver enzyme levels.
d. Determine if patient has insurance coverage.
a. DEA number missing from prescription
ANS: B
b. Prescription sent via electronic messenger
Prior to adding medications to the treatment regimen, it is essential to assess for any potential
drug- drug interactions through a complete medical history. Baseline laboratory values are not c. Dose higher than typically prescribed
necessary for COPD treatment. Liver enzyme levels may give insight into the possibility of
d. Prescriber license number not included
altered metabolism but would not be the first action. The presence of insurance coverage would
affect the patient‘s access to treatment but may not affect the type of medication prescribed.DIF: e. Patient name and date of birth were handwritten
Cognitive Level: ApplicationREF: p. 6TOP: Nursing Process: Implementation MSC: NCLEX
Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
ANS: A , B , D
In order to fill a hydrocodone prescription, the prescriber name, license number, DEA number,
and contact information must be included. Schedule II medications, such as narcotics, must be
12. A patient with diabetes reports losing their job and an inability to purchase required prescribed using written prescriptions. Though the pharmacist may question the high dosing, that
medications. Which action is most appropriate? would not prevent filling the prescription. The patient‘s name and date of birth must be included
on the prescription, but there are no regulations that the name cannot be handwritten.DIF:
