1|Page
NURS 5334 ADVANCED PHARMACOLOGY &
PRESCRIPTIVE AUTHORITY ACTUAL
EXAM 2026 ALL QUESTIONS AND CORRECT
DETAILED ANSWERS ALREADY A GRADED
|NEW AND REVISED
Focus: Texas Board of Nursing (BON) Prescriptive Rules for
APRNs
1.
A Texas APRN may prescribe medications only when:
A. The APRN has malpractice insurance
B. The APRN has at least one year of experience
C. The APRN has prescriptive authority and practices within the
scope authorized by the prescriptive authority agreement
D. The APRN works in a hospital
Rationale: Texas APRNs must possess prescriptive authority and
prescribe only within the scope authorized by applicable agreements
and regulations.
2.
Which Texas BON rule primarily governs APRN prescriptive authority?
A. Chapter 217
B. Chapter 213
C. Chapter 222
D. Chapter 301
,2|Page
Rationale: Texas Administrative Code Chapter 222 addresses APRNs
with prescriptive authority.
3.
A Texas APRN seeking authority to prescribe controlled substances
must first obtain:
A. DEA registration only
B. DPS registration only
C. A BON prescriptive authority number before obtaining DEA
registration
D. Medical board approval
Rationale: Texas requires APRNs to have prescriptive authority before
applying for DEA registration. (Texas Board of Nursing)
4.
Which controlled substance schedules may generally be prescribed by
Texas APRNs under delegated authority in outpatient settings?
A. Schedule I and II
B. Schedule III–V
C. Schedule I–V without restriction
D. Schedule II only
Rationale: Texas law generally authorizes APRNs to prescribe
Schedule III–V controlled substances under delegated authority,
subject to requirements. (Justia)
5.
,3|Page
A prescription for a Schedule III controlled substance written by a Texas
APRN generally may not exceed:
A. 30 days
B. 60 days
C. 90 days
D. 180 days
Rationale: Texas rules limit Schedule III–V prescriptions, including
refills, to a maximum 90-day supply. (Justia)
6.
A patient has received Schedule IV medication continuously for 90 days.
Before additional refills are authorized, the APRN must:
A. Discontinue therapy automatically
B. Refer to a specialist
C. Consult with the delegating physician and document the
consultation
D. Obtain a court order
Rationale: Texas law requires physician consultation and
documentation after the initial 90-day supply and every 90 days
thereafter. (Texas Board of Nursing)
7.
When prescribing a controlled substance for a child younger than two
years of age, a Texas APRN must:
A. Obtain parental notarization
B. Contact the DEA
, 4|Page
C. Consult the delegating physician and document the consultation
D. Avoid prescribing controlled substances entirely
Rationale: Consultation and documentation are required for
controlled substances prescribed to children under two years old.
(Texas Board of Nursing)
8.
Which medication schedule has no accepted medical use and cannot be
prescribed?
A. Schedule II
B. Schedule III
C. Schedule IV
D. Schedule I
Rationale: Schedule I substances have no accepted medical use under
federal law.
9.
The primary purpose of a Prescriptive Authority Agreement (PAA) is to:
A. Replace APRN licensure
B. Establish hospital privileges
C. Define delegated prescribing authority and practice requirements
D. Determine salary
Rationale: The PAA is the legal mechanism through which
prescribing authority is delegated. (State of Texas)
NURS 5334 ADVANCED PHARMACOLOGY &
PRESCRIPTIVE AUTHORITY ACTUAL
EXAM 2026 ALL QUESTIONS AND CORRECT
DETAILED ANSWERS ALREADY A GRADED
|NEW AND REVISED
Focus: Texas Board of Nursing (BON) Prescriptive Rules for
APRNs
1.
A Texas APRN may prescribe medications only when:
A. The APRN has malpractice insurance
B. The APRN has at least one year of experience
C. The APRN has prescriptive authority and practices within the
scope authorized by the prescriptive authority agreement
D. The APRN works in a hospital
Rationale: Texas APRNs must possess prescriptive authority and
prescribe only within the scope authorized by applicable agreements
and regulations.
2.
Which Texas BON rule primarily governs APRN prescriptive authority?
A. Chapter 217
B. Chapter 213
C. Chapter 222
D. Chapter 301
,2|Page
Rationale: Texas Administrative Code Chapter 222 addresses APRNs
with prescriptive authority.
3.
A Texas APRN seeking authority to prescribe controlled substances
must first obtain:
A. DEA registration only
B. DPS registration only
C. A BON prescriptive authority number before obtaining DEA
registration
D. Medical board approval
Rationale: Texas requires APRNs to have prescriptive authority before
applying for DEA registration. (Texas Board of Nursing)
4.
Which controlled substance schedules may generally be prescribed by
Texas APRNs under delegated authority in outpatient settings?
A. Schedule I and II
B. Schedule III–V
C. Schedule I–V without restriction
D. Schedule II only
Rationale: Texas law generally authorizes APRNs to prescribe
Schedule III–V controlled substances under delegated authority,
subject to requirements. (Justia)
5.
,3|Page
A prescription for a Schedule III controlled substance written by a Texas
APRN generally may not exceed:
A. 30 days
B. 60 days
C. 90 days
D. 180 days
Rationale: Texas rules limit Schedule III–V prescriptions, including
refills, to a maximum 90-day supply. (Justia)
6.
A patient has received Schedule IV medication continuously for 90 days.
Before additional refills are authorized, the APRN must:
A. Discontinue therapy automatically
B. Refer to a specialist
C. Consult with the delegating physician and document the
consultation
D. Obtain a court order
Rationale: Texas law requires physician consultation and
documentation after the initial 90-day supply and every 90 days
thereafter. (Texas Board of Nursing)
7.
When prescribing a controlled substance for a child younger than two
years of age, a Texas APRN must:
A. Obtain parental notarization
B. Contact the DEA
, 4|Page
C. Consult the delegating physician and document the consultation
D. Avoid prescribing controlled substances entirely
Rationale: Consultation and documentation are required for
controlled substances prescribed to children under two years old.
(Texas Board of Nursing)
8.
Which medication schedule has no accepted medical use and cannot be
prescribed?
A. Schedule II
B. Schedule III
C. Schedule IV
D. Schedule I
Rationale: Schedule I substances have no accepted medical use under
federal law.
9.
The primary purpose of a Prescriptive Authority Agreement (PAA) is to:
A. Replace APRN licensure
B. Establish hospital privileges
C. Define delegated prescribing authority and practice requirements
D. Determine salary
Rationale: The PAA is the legal mechanism through which
prescribing authority is delegated. (State of Texas)
