Test Bank For
Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and
Physician Assistants 1st Edition by Rosenthal
Contents
and Writing Skills: Business exams may require students to present ideas clearly and concisely. Students must convey complex concepts in a way that demonstrates their understanding of business
principles.1.4. Preparing for Business ExamsPreparing for business exams involves mastering both conceptual understanding and practical application. Students
Chapter 1: Prescriptive Authority
Chapter 2: Rational Drug Selection and Prescription Writing
Chapter 3: Promoting Positive Outcomes of Drug Therapy
Chapter 4: Pharmacokinetics, Pharmacodynamics, and Drug Interactions
Chapter 5: Adverse Drug Reactions and Medication Errors
Chapter 6: Individual Variation in Drug Responses
Chapter 7: Drug Therapy During Pregnancy and Breast-Feeding
Chapter 8: Drug Therapy in Pediatric Patients
Chapter 9: Drug Therapy in Geriatric Patients
Chapter 10: Basic Principles of Neuropharmacology
Chapter 11: Physiology of the Peripheral Nervous System
Chapter 12: Muscarinic Agonists and Antagonists
Chapter 13: Adrenergic Agonists
Chapter 14: Adrenergic Antagonists
Chapter 15: Indirect-Acting Antiadrenergic Agents
Chapter 16: Introduction to Central Nervous System Pharmacology
Chapter 17: Drugs for Parkinson's Disease
Chapter 18: Drugs for Alzheimer's Disease
Chapter 19: Drugs for Epilepsy
Chapter 20: Drugs for Muscle Spasm and Spasticity
Chapter 21: Local Anesthetics
Chapter 22: Opioid Analgesics, Opioid Antagonists, and Nonopioid Centrally Acting Analgesics
Chapter 23: Drugs for Headache
Chapter 24: Antipsychotic Agents and Their Use in Schizophrenia
Chapter 25: Antidepressants
Chapter 26: Drugs for Bipolar Disorder
Chapter 27: Sedative-Hypnotic Drugs
Chapter 28: Management of Anxiety Disorders
Chapter 29: Central Nervous System Stimulants and Attention-Deficit/Hyperactivity
Chapter 30: Drug Abuse I: Basic Considerations
Chapter 31: Drug Abuse II: Alcohol
Chapter 32: Drug Abuse III: Nicotine and Smoking
Chapter 33: Drug Abuse IV: Major Drugs of Abuse Other Than Alcohol and Nicotine
Chapter 34: Review of Hemodynamics
Chapter 35: Diuretics
Chapter 36: Drugs Acting on the Renin-Angiotensin-Aldosterone System
Chapter 37: Calcium Channel Blockers
Chapter 38: Vasodilators
Chapter 39: Drugs for Hypertension
Chapter 40: Drugs for Heart Failure
Chapter 41: Antidysrhythmic Drugs
Chapter 42: Prophylaxis of Atherosclerotic Cardiovascular Disease: Drugs That Help Normalize Cholesterol and
Triglyceride Levels
Chapter 43: Drugs for Angina Pectoris
Chapter 44: Anticoagulant, Antiplatelet, and Thrombolytic Drugs
Chapter 45: Drugs for Deficiency Anemias
Chapter 46: Drugs for Diabetes Mellitus
Chapter 47: Drugs for Thyroid Disorders
Chapter 48: Estrogens and Progestins: Basic Pharmacology and Noncontraceptive Applications
Chapter 49: Birth Control
Chapter 50: Androgens
Chapter 51: Drugs for Erectile Dysfunction and Benign Prostatic Hyperplasia
Chapter 52: Review of the Immune System
Chapter 53: Childhood Immunization
,Chapter 54: Antihistamines
Chapter 55: Cyclooxygenase Inhibitors: Nonsteroidal Anti-inflammatory Drugs and Acetaminophen
Chapter 56: Glucocorticoids in Nonendocrine Disorders
Chapter 57: Drug Therapy of Rheumatoid Arthritis
Chapter 58: Drug Therapy of Gout
Chapter 59: Drugs Affecting Calcium Levels and Bone Mineralization
Chapter 60: Drugs for Asthma and Chronic Obstructive Pulmonary Disease
Chapter 61: Drugs for Allergic Rhinitis, Cough, and Colds
Chapter 62: Drugs for Peptic Ulcer Disease
Chapter 63: Laxatives
Chapter 64: Other Gastrointestinal Drugs
Chapter 65: Vitamins
Chapter 66: Drugs for Weight Loss
Chapter 67: Complementary and Alternative Therapies
Chapter 68: Basic Principles of Antimicrobial Therapy
Chapter 69: Drugs That Weaken the Bacterial Cell Wall I: Penicillins
Chapter 70: Drugs That Weaken the Bacterial Cell Wall II: Other Drugs
Chapter 71: Bacteriostatic Inhibitors of Protein Synthesis
Chapter 72: Aminoglycosides: Bactericidal Inhibitors of Protein Synthesis
Chapter 73: Sulfonamides and Trimethoprim
Chapter 74: Drug Therapy of Urinary Tract Infections
Chapter 75: Antimycobacterial Agents
Chapter 76: Miscellaneous Antibacterial Drugs
Chapter 77: Antifungal Agents
Chapter 78: Antiviral Agents I: Drugs for Non-HIV Viral Infections
Chapter 79: Antiviral Agents II: Drugs for HIV Infection and Related Opportunistic Infections
Chapter 80: Drug Therapy of Sexually Transmitted Diseases
Chapter 81: Anthelmintics, Antiprotozoal Drugs, and Ectoparasiticides
Chapter 82: Supportive Care of Patients Receiving Anticancer Drugs
Chapter 83: Drugs for Cancer Pain
Chapter 84: Drugs for the Eye
Chapter 85: Drugs for the Skin
Chapter 86: Drugs for the Ear
Chapter 87: Agents Affecting the Volume and Ion Content of Body Fluids
Chapter 88: Management of ST-Elevation Myocardial Infarction
Chapter 89: Additional Acute Care Drugs and Writing Skills: Business exams may require students to present ideas clearly and concisely. Students must convey complex
concepts in a way that demonstrates their understanding of business principles.1.4. Preparing for Business ExamsPreparing for business exams involves mastering both conceptual understanding and
practical application. Students
, Chapter 1: Prescriptive Authority
Test Bank
Multiple Choice
1 An. PARN 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
A: NS 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: ComprehensionREF: p.
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity:
Pharmacologic and Parenteral Therapies
and Writing Skills: Business exams may require students to present ideas clearly and concisely. Students must convey complex concepts in a way that demonstrates their understanding of business
principles.1.4. Preparing for Business ExamsPreparing for business exams involves mastering both conceptual understanding and practical application. Students
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.
A: NS 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: ComprehensionREF: p. 2TOP: Nursing Process:
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
and Parenteral Therapies 3ch.
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select all
that apply.
a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy
ANS: A , B
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
accessible patient care. It may also lead to poor collaboration among providers and higher health
care costs. It would not directly impact patient’s health literacy.DIF: Cognitive Level:
, ComprehensionREF:
p. 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.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN’s ability to provide safe care.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability.
ANS: A , C , D
APRNs are educated to practice and prescribe independently without supervision. National
examinations validate the ability to provide safe and competent care. Licensure ensures
compliance with standards to promote public health and safety. Limited prescriptive authority
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
and Writing Skills: Business exams may require students to present ideas clearly and concisely. Students must convey complex concepts in a way that demonstrates their understanding of business
principles.1.4. Preparing for Business ExamsPreparing for business exams involves mastering both conceptual understanding and practical application. Students
5. 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.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN’s ability to provide safe care.
d. Licensure ensures compliance with health care and safety standards.
ANS: A , C , D
APRNs are educated to practice and prescribe independently without supervision. National
examinations validate the ability to provide safe and competent care. Licensure ensures
compliance with standards to promote public health and safety. Limited prescriptive authority
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
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?
a. The APRN will have less prescriptive authority in the new position.
b. The APRN will have more prescriptive authority in the new position.
c. The APRN will have equal prescriptive authority in the new position.
d. The APRN’s authority will depend on federal regulations.
ANS: A
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 1 st Ed.
Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and
Physician Assistants 1st Edition by Rosenthal
Contents
and Writing Skills: Business exams may require students to present ideas clearly and concisely. Students must convey complex concepts in a way that demonstrates their understanding of business
principles.1.4. Preparing for Business ExamsPreparing for business exams involves mastering both conceptual understanding and practical application. Students
Chapter 1: Prescriptive Authority
Chapter 2: Rational Drug Selection and Prescription Writing
Chapter 3: Promoting Positive Outcomes of Drug Therapy
Chapter 4: Pharmacokinetics, Pharmacodynamics, and Drug Interactions
Chapter 5: Adverse Drug Reactions and Medication Errors
Chapter 6: Individual Variation in Drug Responses
Chapter 7: Drug Therapy During Pregnancy and Breast-Feeding
Chapter 8: Drug Therapy in Pediatric Patients
Chapter 9: Drug Therapy in Geriatric Patients
Chapter 10: Basic Principles of Neuropharmacology
Chapter 11: Physiology of the Peripheral Nervous System
Chapter 12: Muscarinic Agonists and Antagonists
Chapter 13: Adrenergic Agonists
Chapter 14: Adrenergic Antagonists
Chapter 15: Indirect-Acting Antiadrenergic Agents
Chapter 16: Introduction to Central Nervous System Pharmacology
Chapter 17: Drugs for Parkinson's Disease
Chapter 18: Drugs for Alzheimer's Disease
Chapter 19: Drugs for Epilepsy
Chapter 20: Drugs for Muscle Spasm and Spasticity
Chapter 21: Local Anesthetics
Chapter 22: Opioid Analgesics, Opioid Antagonists, and Nonopioid Centrally Acting Analgesics
Chapter 23: Drugs for Headache
Chapter 24: Antipsychotic Agents and Their Use in Schizophrenia
Chapter 25: Antidepressants
Chapter 26: Drugs for Bipolar Disorder
Chapter 27: Sedative-Hypnotic Drugs
Chapter 28: Management of Anxiety Disorders
Chapter 29: Central Nervous System Stimulants and Attention-Deficit/Hyperactivity
Chapter 30: Drug Abuse I: Basic Considerations
Chapter 31: Drug Abuse II: Alcohol
Chapter 32: Drug Abuse III: Nicotine and Smoking
Chapter 33: Drug Abuse IV: Major Drugs of Abuse Other Than Alcohol and Nicotine
Chapter 34: Review of Hemodynamics
Chapter 35: Diuretics
Chapter 36: Drugs Acting on the Renin-Angiotensin-Aldosterone System
Chapter 37: Calcium Channel Blockers
Chapter 38: Vasodilators
Chapter 39: Drugs for Hypertension
Chapter 40: Drugs for Heart Failure
Chapter 41: Antidysrhythmic Drugs
Chapter 42: Prophylaxis of Atherosclerotic Cardiovascular Disease: Drugs That Help Normalize Cholesterol and
Triglyceride Levels
Chapter 43: Drugs for Angina Pectoris
Chapter 44: Anticoagulant, Antiplatelet, and Thrombolytic Drugs
Chapter 45: Drugs for Deficiency Anemias
Chapter 46: Drugs for Diabetes Mellitus
Chapter 47: Drugs for Thyroid Disorders
Chapter 48: Estrogens and Progestins: Basic Pharmacology and Noncontraceptive Applications
Chapter 49: Birth Control
Chapter 50: Androgens
Chapter 51: Drugs for Erectile Dysfunction and Benign Prostatic Hyperplasia
Chapter 52: Review of the Immune System
Chapter 53: Childhood Immunization
,Chapter 54: Antihistamines
Chapter 55: Cyclooxygenase Inhibitors: Nonsteroidal Anti-inflammatory Drugs and Acetaminophen
Chapter 56: Glucocorticoids in Nonendocrine Disorders
Chapter 57: Drug Therapy of Rheumatoid Arthritis
Chapter 58: Drug Therapy of Gout
Chapter 59: Drugs Affecting Calcium Levels and Bone Mineralization
Chapter 60: Drugs for Asthma and Chronic Obstructive Pulmonary Disease
Chapter 61: Drugs for Allergic Rhinitis, Cough, and Colds
Chapter 62: Drugs for Peptic Ulcer Disease
Chapter 63: Laxatives
Chapter 64: Other Gastrointestinal Drugs
Chapter 65: Vitamins
Chapter 66: Drugs for Weight Loss
Chapter 67: Complementary and Alternative Therapies
Chapter 68: Basic Principles of Antimicrobial Therapy
Chapter 69: Drugs That Weaken the Bacterial Cell Wall I: Penicillins
Chapter 70: Drugs That Weaken the Bacterial Cell Wall II: Other Drugs
Chapter 71: Bacteriostatic Inhibitors of Protein Synthesis
Chapter 72: Aminoglycosides: Bactericidal Inhibitors of Protein Synthesis
Chapter 73: Sulfonamides and Trimethoprim
Chapter 74: Drug Therapy of Urinary Tract Infections
Chapter 75: Antimycobacterial Agents
Chapter 76: Miscellaneous Antibacterial Drugs
Chapter 77: Antifungal Agents
Chapter 78: Antiviral Agents I: Drugs for Non-HIV Viral Infections
Chapter 79: Antiviral Agents II: Drugs for HIV Infection and Related Opportunistic Infections
Chapter 80: Drug Therapy of Sexually Transmitted Diseases
Chapter 81: Anthelmintics, Antiprotozoal Drugs, and Ectoparasiticides
Chapter 82: Supportive Care of Patients Receiving Anticancer Drugs
Chapter 83: Drugs for Cancer Pain
Chapter 84: Drugs for the Eye
Chapter 85: Drugs for the Skin
Chapter 86: Drugs for the Ear
Chapter 87: Agents Affecting the Volume and Ion Content of Body Fluids
Chapter 88: Management of ST-Elevation Myocardial Infarction
Chapter 89: Additional Acute Care Drugs and Writing Skills: Business exams may require students to present ideas clearly and concisely. Students must convey complex
concepts in a way that demonstrates their understanding of business principles.1.4. Preparing for Business ExamsPreparing for business exams involves mastering both conceptual understanding and
practical application. Students
, Chapter 1: Prescriptive Authority
Test Bank
Multiple Choice
1 An. PARN 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
A: NS 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: ComprehensionREF: p.
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity:
Pharmacologic and Parenteral Therapies
and Writing Skills: Business exams may require students to present ideas clearly and concisely. Students must convey complex concepts in a way that demonstrates their understanding of business
principles.1.4. Preparing for Business ExamsPreparing for business exams involves mastering both conceptual understanding and practical application. Students
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.
A: NS 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: ComprehensionREF: p. 2TOP: Nursing Process:
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
and Parenteral Therapies 3ch.
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select all
that apply.
a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy
ANS: A , B
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
accessible patient care. It may also lead to poor collaboration among providers and higher health
care costs. It would not directly impact patient’s health literacy.DIF: Cognitive Level:
, ComprehensionREF:
p. 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.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN’s ability to provide safe care.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability.
ANS: A , C , D
APRNs are educated to practice and prescribe independently without supervision. National
examinations validate the ability to provide safe and competent care. Licensure ensures
compliance with standards to promote public health and safety. Limited prescriptive authority
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
and Writing Skills: Business exams may require students to present ideas clearly and concisely. Students must convey complex concepts in a way that demonstrates their understanding of business
principles.1.4. Preparing for Business ExamsPreparing for business exams involves mastering both conceptual understanding and practical application. Students
5. 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.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN’s ability to provide safe care.
d. Licensure ensures compliance with health care and safety standards.
ANS: A , C , D
APRNs are educated to practice and prescribe independently without supervision. National
examinations validate the ability to provide safe and competent care. Licensure ensures
compliance with standards to promote public health and safety. Limited prescriptive authority
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
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?
a. The APRN will have less prescriptive authority in the new position.
b. The APRN will have more prescriptive authority in the new position.
c. The APRN will have equal prescriptive authority in the new position.
d. The APRN’s authority will depend on federal regulations.
ANS: A
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 1 st Ed.
