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