Pharmacotherapeutics for
Advanced Practice Nurse
Prescribers with Davis Edge
6th Edition
• Author(s)Teri Moser Woo; Wendy
L. Wright
TEST BANK
▪ The Foundation
▪ Pharmacotherapeutics with Single Drugs
▪ Pharmacotherapeutics with Multiple Drugs
▪ Special Drug Treatment Considerations
,Question 1
A family nurse practitioner (FNP) is preparing to prescribe a newly
approved medication for a 58-year-old patient with type 2 diabetes
mellitus and hypertension. Before issuing the prescription, the APRN
reviews the patient's medication list, laboratory values, renal function,
allergies, and relevant clinical practice guidelines. Which action best
demonstrates evidence-based prescribing?
A. Prescribing the newest medication because it offers the latest
therapeutic option
B. Selecting the medication with the lowest acquisition cost regardless
of clinical evidence
C. Integrating current evidence, patient-specific factors, clinical
expertise, and patient preferences before selecting therapy
D. Prescribing the medication most frequently used by colleagues in the
practice
Correct Answer: C
Rationale:
Evidence-based prescribing integrates the best available clinical
evidence with clinician expertise, patient characteristics, comorbidities,
values, preferences, and treatment goals. Safe prescribing requires
evaluation of efficacy, safety, contraindications, drug interactions,
monitoring needs, and patient adherence. Option A prioritizes novelty
rather than evidence. Option B focuses solely on cost without
considering effectiveness or safety. Option D relies on anecdotal
practice patterns rather than evidence-based decision-making.
Question 2
,A 74-year-old woman with chronic kidney disease, heart failure,
osteoarthritis, and insomnia presents for medication management. She
currently takes nine prescription medications prescribed by multiple
specialists. Which prescribing strategy should the APRN prioritize
during today's visit?
A. Add medications to treat every reported symptom immediately
B. Perform a comprehensive medication reconciliation to identify
therapeutic duplication, drug interactions, and opportunities for
deprescribing
C. Continue all current medications because they were prescribed by
specialists
D. Avoid modifying medications until every specialist agrees
simultaneously
Correct Answer: B
Rationale:
Medication reconciliation is essential in older adults with
polypharmacy. The APRN should evaluate medication appropriateness,
identify duplicate therapies, assess potential interactions, review
adherence, and consider deprescribing medications whose risks
outweigh benefits. This patient-centered approach reduces medication-
related harm. Option A increases polypharmacy risk. Option C assumes
previous prescriptions remain appropriate despite changing clinical
status. Option D unnecessarily delays needed interventions that fall
within the APRN's prescribing authority.
Question 3
, An AGPCNP evaluates a 63-year-old man with newly diagnosed
hypertension. The patient asks whether his treatment plan can reflect
his desire to minimize medication burden while maintaining an active
lifestyle. Which response best reflects shared decision-making?
A. "I'll prescribe what current guidelines recommend without discussing
alternatives."
B. "We'll review the available treatment options, expected benefits,
potential adverse effects, and your preferences before deciding
together."
C. "Because hypertension requires medication, lifestyle preferences
should not influence therapy."
D. "I'll prescribe the medication with the fewest adverse effects
regardless of your treatment goals."
Correct Answer: B
Rationale:
Shared decision-making is a cornerstone of advanced practice
prescribing. Patients should receive understandable information
regarding treatment options, benefits, risks, alternatives, and
monitoring requirements so therapy aligns with their values and
preferences. Option A excludes patient participation. Option C
disregards patient-centered care and the importance of lifestyle
modification. Option D fails to individualize therapy according to the
patient's overall goals and clinical circumstances.
Question 4
A psychiatric-mental health nurse practitioner (PMHNP) evaluates a
patient requesting a refill of a controlled medication prescribed by
Advanced Practice Nurse
Prescribers with Davis Edge
6th Edition
• Author(s)Teri Moser Woo; Wendy
L. Wright
TEST BANK
▪ The Foundation
▪ Pharmacotherapeutics with Single Drugs
▪ Pharmacotherapeutics with Multiple Drugs
▪ Special Drug Treatment Considerations
,Question 1
A family nurse practitioner (FNP) is preparing to prescribe a newly
approved medication for a 58-year-old patient with type 2 diabetes
mellitus and hypertension. Before issuing the prescription, the APRN
reviews the patient's medication list, laboratory values, renal function,
allergies, and relevant clinical practice guidelines. Which action best
demonstrates evidence-based prescribing?
A. Prescribing the newest medication because it offers the latest
therapeutic option
B. Selecting the medication with the lowest acquisition cost regardless
of clinical evidence
C. Integrating current evidence, patient-specific factors, clinical
expertise, and patient preferences before selecting therapy
D. Prescribing the medication most frequently used by colleagues in the
practice
Correct Answer: C
Rationale:
Evidence-based prescribing integrates the best available clinical
evidence with clinician expertise, patient characteristics, comorbidities,
values, preferences, and treatment goals. Safe prescribing requires
evaluation of efficacy, safety, contraindications, drug interactions,
monitoring needs, and patient adherence. Option A prioritizes novelty
rather than evidence. Option B focuses solely on cost without
considering effectiveness or safety. Option D relies on anecdotal
practice patterns rather than evidence-based decision-making.
Question 2
,A 74-year-old woman with chronic kidney disease, heart failure,
osteoarthritis, and insomnia presents for medication management. She
currently takes nine prescription medications prescribed by multiple
specialists. Which prescribing strategy should the APRN prioritize
during today's visit?
A. Add medications to treat every reported symptom immediately
B. Perform a comprehensive medication reconciliation to identify
therapeutic duplication, drug interactions, and opportunities for
deprescribing
C. Continue all current medications because they were prescribed by
specialists
D. Avoid modifying medications until every specialist agrees
simultaneously
Correct Answer: B
Rationale:
Medication reconciliation is essential in older adults with
polypharmacy. The APRN should evaluate medication appropriateness,
identify duplicate therapies, assess potential interactions, review
adherence, and consider deprescribing medications whose risks
outweigh benefits. This patient-centered approach reduces medication-
related harm. Option A increases polypharmacy risk. Option C assumes
previous prescriptions remain appropriate despite changing clinical
status. Option D unnecessarily delays needed interventions that fall
within the APRN's prescribing authority.
Question 3
, An AGPCNP evaluates a 63-year-old man with newly diagnosed
hypertension. The patient asks whether his treatment plan can reflect
his desire to minimize medication burden while maintaining an active
lifestyle. Which response best reflects shared decision-making?
A. "I'll prescribe what current guidelines recommend without discussing
alternatives."
B. "We'll review the available treatment options, expected benefits,
potential adverse effects, and your preferences before deciding
together."
C. "Because hypertension requires medication, lifestyle preferences
should not influence therapy."
D. "I'll prescribe the medication with the fewest adverse effects
regardless of your treatment goals."
Correct Answer: B
Rationale:
Shared decision-making is a cornerstone of advanced practice
prescribing. Patients should receive understandable information
regarding treatment options, benefits, risks, alternatives, and
monitoring requirements so therapy aligns with their values and
preferences. Option A excludes patient participation. Option C
disregards patient-centered care and the importance of lifestyle
modification. Option D fails to individualize therapy according to the
patient's overall goals and clinical circumstances.
Question 4
A psychiatric-mental health nurse practitioner (PMHNP) evaluates a
patient requesting a refill of a controlled medication prescribed by
