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