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 newly certified APRN is preparing to begin prescribing medications in
a family practice clinic. Which action best reflects the APRN's
responsibility as a safe and accountable prescriber?
A. Prescribe medications based primarily on patient preference to
improve satisfaction
B. Delegate medication monitoring entirely to nursing staff
C. Integrate evidence, patient-specific factors, and regulatory
requirements when making prescribing decisions
D. Limit medication changes until reviewed by a collaborating
pharmacist
Correct Answer: C
Rationale:
Safe prescribing requires integration of current evidence, patient
characteristics, comorbidities, medication history, and applicable legal
requirements. APRNs are accountable for clinical decisions and
outcomes related to prescribing. Patient preference is important but
should not supersede evidence-based care. Monitoring cannot be
delegated entirely, and pharmacist collaboration is valuable but does
not replace APRN prescribing responsibility.
Question 2
,An APRN is evaluating a 72-year-old patient with hypertension, type 2
diabetes, chronic kidney disease, and osteoarthritis. Before prescribing
a new medication, which factor is most important to assess first?
A. Patient's preferred pharmacy
B. Current medication list including prescription, over-the-counter, and
herbal products
C. Insurance formulary tier
D. Distance from the clinic
Correct Answer: B
Rationale:
A complete medication reconciliation is essential before initiating
therapy because polypharmacy increases the risk of adverse drug
events, interactions, therapeutic duplication, and medication errors.
Pharmacy preference and formulary considerations are important but
secondary to patient safety. Distance from the clinic does not directly
affect prescribing decisions.
Question 3
A patient requests an antibiotic for symptoms of a viral upper
respiratory infection. Which response best demonstrates evidence-
based prescribing?
A. Prescribe an antibiotic because the patient expects treatment
B. Prescribe a broad-spectrum antibiotic to prevent secondary infection
C. Explain why antibiotics are not indicated and recommend
appropriate symptomatic management
, D. Prescribe a short course of antibiotics and discontinue if symptoms
improve
Correct Answer: C
Rationale:
Appropriate antimicrobial stewardship requires avoiding antibiotics for
viral infections. Patient education regarding the lack of benefit and
potential harms of unnecessary antibiotics supports evidence-based
care. Prescribing antibiotics for patient satisfaction or prevention of
secondary infection contributes to antimicrobial resistance and
unnecessary adverse effects.
Question 4
An APRN is prescribing a medication for a patient with limited health
literacy. Which intervention is most likely to improve medication
adherence and safety?
A. Provide written instructions using medical terminology
B. Ask the patient if they understand the instructions
C. Use plain language and employ the teach-back method
D. Limit counseling to the medication's major adverse effects
Correct Answer: C
Rationale:
The teach-back method verifies patient understanding and is associated
with improved medication adherence and reduced errors. Asking
whether a patient understands may not accurately assess
comprehension. Medical jargon and incomplete counseling can
compromise safe medication use.
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 newly certified APRN is preparing to begin prescribing medications in
a family practice clinic. Which action best reflects the APRN's
responsibility as a safe and accountable prescriber?
A. Prescribe medications based primarily on patient preference to
improve satisfaction
B. Delegate medication monitoring entirely to nursing staff
C. Integrate evidence, patient-specific factors, and regulatory
requirements when making prescribing decisions
D. Limit medication changes until reviewed by a collaborating
pharmacist
Correct Answer: C
Rationale:
Safe prescribing requires integration of current evidence, patient
characteristics, comorbidities, medication history, and applicable legal
requirements. APRNs are accountable for clinical decisions and
outcomes related to prescribing. Patient preference is important but
should not supersede evidence-based care. Monitoring cannot be
delegated entirely, and pharmacist collaboration is valuable but does
not replace APRN prescribing responsibility.
Question 2
,An APRN is evaluating a 72-year-old patient with hypertension, type 2
diabetes, chronic kidney disease, and osteoarthritis. Before prescribing
a new medication, which factor is most important to assess first?
A. Patient's preferred pharmacy
B. Current medication list including prescription, over-the-counter, and
herbal products
C. Insurance formulary tier
D. Distance from the clinic
Correct Answer: B
Rationale:
A complete medication reconciliation is essential before initiating
therapy because polypharmacy increases the risk of adverse drug
events, interactions, therapeutic duplication, and medication errors.
Pharmacy preference and formulary considerations are important but
secondary to patient safety. Distance from the clinic does not directly
affect prescribing decisions.
Question 3
A patient requests an antibiotic for symptoms of a viral upper
respiratory infection. Which response best demonstrates evidence-
based prescribing?
A. Prescribe an antibiotic because the patient expects treatment
B. Prescribe a broad-spectrum antibiotic to prevent secondary infection
C. Explain why antibiotics are not indicated and recommend
appropriate symptomatic management
, D. Prescribe a short course of antibiotics and discontinue if symptoms
improve
Correct Answer: C
Rationale:
Appropriate antimicrobial stewardship requires avoiding antibiotics for
viral infections. Patient education regarding the lack of benefit and
potential harms of unnecessary antibiotics supports evidence-based
care. Prescribing antibiotics for patient satisfaction or prevention of
secondary infection contributes to antimicrobial resistance and
unnecessary adverse effects.
Question 4
An APRN is prescribing a medication for a patient with limited health
literacy. Which intervention is most likely to improve medication
adherence and safety?
A. Provide written instructions using medical terminology
B. Ask the patient if they understand the instructions
C. Use plain language and employ the teach-back method
D. Limit counseling to the medication's major adverse effects
Correct Answer: C
Rationale:
The teach-back method verifies patient understanding and is associated
with improved medication adherence and reduced errors. Asking
whether a patient understands may not accurately assess
comprehension. Medical jargon and incomplete counseling can
compromise safe medication use.
