Test Bank for Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 3rd Edition 2026–2027 | Complete Drug Therapy Review & Exam Prep

Test bank for Lehne’s PharmacotheraPeutics for
Advanced Practice Nurses and Physician Assistants –
Complete Study Guide, Drug Therapy Review & Exam
Prep 2026–2027
All chapters covered




1

,Chapter 1: Prescriptive Authority Test
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Bank
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Multiple Choices m




1. An APRN works in a urology clinic under the supervision of a physician who does not restrict the
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types of medications the APRN is allowed to prescribe. State law does not require the APRN to
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practice under physician supervision. How would the APRN’s prescriptive authority be
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described?
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a. Full authority m




b. Independent
c. Without limitation m




d. Limited authority m




ANS: B m




The APRN has independent prescriptive authority because the regulating body does not require that
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the APRN work under physician supervision. Full prescriptive authority gives the provider the right
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to prescribe independently and without limitation. Limited authority places restrictions on the types
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of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing
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Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
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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. m m m m m m m




c. Physician’s assistants are being utilized less often. m m m m m m




d. APRN education is more complex than education for physicians.
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ANS: A m




Implementation of the Affordable Care Act has increased the number of individuals with health care
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coverage, and thus the number who have access to health care services. The increase in the number
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of patients creates the need for more providers with prescriptive authority. APRNs can fill this
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practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process:
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Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
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Parenteral Therapies
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3. Which factors could be attributed to limited prescriptive authority for APRNs?
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Select all that apply.
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2

, a. Inaccessibility of patient care m m m




b. Higher health care costs m m m




c. Higher quality medical treatment m m m




d. Improved collaborative care m m




e. Enhanced health literacy m m




ANS: A , B m m m




Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
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patient care. It may also lead to poor collaboration among providers and higher health care costs. It
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would not directly impact patient’s health literacy.DIF: Cognitive Level: ComprehensionREF:
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p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
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Integrity: Pharmacologic and Parenteral Therapies
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4. Which aspects support the APRN’s provision for full prescriptive authority?
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Select 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 safetystandards.
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e. Limiting provision can decrease health care affordability.
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ANS: A , C , D m m m m m




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 compliance
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with standards to promote public health and safety. Limited prescriptive authority creates numerous
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barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
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ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
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Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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5. Which aspects support the APRN’s provision for full prescriptive authority?
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Select 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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ANS: A , C , D m m m m m




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 compliance
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with standards to promote public health and safety. Limited prescriptive authority creates numerous
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barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
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3

, ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client m m m m m m m




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 lines in
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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 newposition.
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d. The APRN’s authority will depend on federalregulations.
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ANS: A m




Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
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practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
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Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
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Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed. Chapter
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2: Rational Drug Selection and Prescription Writing
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Test Bank m




Multiple Choice
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7. How can collaboration with a pharmacist improve positive outcomes for patients?
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Select all that apply.
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a. Pharmacists can suggest foods that will help with the patient’s condition. m m m m m m m m m m




b. Pharmacists have additional information on drug interactions. m m m m m m




c. The pharmacist can suggest adequate medication dosing.
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d. Pharmacists have firsthand knowledge of the facility formulary. m m m m m m m




e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
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ANS: B , C , D m m m m m




Providers should collaborate with pharmacists because they will likely have additional information on
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formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can make
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foods recommendations to treat the patient’s condition. The pharmacist can contact the prescriber
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about questionable prescriptions, but cannot alter the prescription without notification of and
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approval by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing Process:
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Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk
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Potential
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