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 family nurse practitioner (FNP) is preparing to begin
prescribing medications in a primary care clinic. Which action best
reflects the professional responsibility of an advanced practice
registered nurse (APRN) prescriber?
A. Prescribe medications based primarily on personal clinical
experience once licensure is obtained.
B. Integrate current evidence, patient-specific factors, clinical
guidelines, and shared decision-making into prescribing decisions.
C. Select the least expensive medication regardless of effectiveness to
improve medication adherence.
D. Defer all complex prescribing decisions to the collaborating
physician.
Correct Answer: B
Rationale: Evidence-based prescribing requires integrating the best
available evidence, patient characteristics, comorbidities, preferences,
and current clinical guidelines into therapeutic decision-making. Shared
decision-making improves adherence and patient outcomes. Option A
ignores evidence-based practice. Option C places cost above efficacy
and safety. Option D does not reflect the independent clinical judgment
expected of APRNs within their legal scope of practice.
Question 2
,An APRN evaluates a 72-year-old patient with hypertension, stage 3
chronic kidney disease, type 2 diabetes, and osteoarthritis. Which
factor should have the greatest influence when selecting an
antihypertensive medication?
A. The patient's insurance formulary alone
B. The medication with the newest FDA approval
C. The patient's comorbidities, renal function, and potential adverse
effects
D. The medication with the lowest pill burden regardless of
contraindications
Correct Answer: C
Rationale: Safe prescribing requires individualized therapy based on
renal function, comorbidities, drug interactions, adverse-effect profiles,
and therapeutic goals. Insurance coverage and convenience are
important but should not supersede safety and efficacy. The newest
medication is not necessarily the best choice.
Question 3
An APRN is considering initiating pharmacotherapy for a patient. Which
step should always occur before writing the prescription?
A. Review the patient's medication list, allergies, and relevant medical
history.
B. Obtain pharmacy benefit information.
C. Determine whether the patient prefers a brand-name medication.
D. Schedule follow-up before discussing treatment.
, Correct Answer: A
Rationale: Medication reconciliation and assessment of allergies,
comorbidities, and concurrent medications are essential to prevent
prescribing errors and adverse drug events. Although insurance, patient
preferences, and follow-up are important, they occur after determining
that therapy is safe and appropriate.
Question 4
A patient asks why the APRN recommends one medication over
another that is heavily advertised on television. Which response best
demonstrates evidence-based prescribing?
A. "Television advertisements generally identify the best medications."
B. "I choose medications using research evidence, your medical history,
safety considerations, and treatment goals."
C. "Newer medications are always more effective."
D. "The decision is based primarily on medication cost."
Correct Answer: B
Rationale: APRNs should explain that prescribing decisions are
individualized and based on scientific evidence, clinical guidelines,
patient characteristics, safety, efficacy, and preferences. Advertising,
novelty, or cost alone should not drive prescribing decisions.
Question 5
An APRN prescribes a medication that requires laboratory monitoring.
Which follow-up plan best reflects safe prescribing?
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 family nurse practitioner (FNP) is preparing to begin
prescribing medications in a primary care clinic. Which action best
reflects the professional responsibility of an advanced practice
registered nurse (APRN) prescriber?
A. Prescribe medications based primarily on personal clinical
experience once licensure is obtained.
B. Integrate current evidence, patient-specific factors, clinical
guidelines, and shared decision-making into prescribing decisions.
C. Select the least expensive medication regardless of effectiveness to
improve medication adherence.
D. Defer all complex prescribing decisions to the collaborating
physician.
Correct Answer: B
Rationale: Evidence-based prescribing requires integrating the best
available evidence, patient characteristics, comorbidities, preferences,
and current clinical guidelines into therapeutic decision-making. Shared
decision-making improves adherence and patient outcomes. Option A
ignores evidence-based practice. Option C places cost above efficacy
and safety. Option D does not reflect the independent clinical judgment
expected of APRNs within their legal scope of practice.
Question 2
,An APRN evaluates a 72-year-old patient with hypertension, stage 3
chronic kidney disease, type 2 diabetes, and osteoarthritis. Which
factor should have the greatest influence when selecting an
antihypertensive medication?
A. The patient's insurance formulary alone
B. The medication with the newest FDA approval
C. The patient's comorbidities, renal function, and potential adverse
effects
D. The medication with the lowest pill burden regardless of
contraindications
Correct Answer: C
Rationale: Safe prescribing requires individualized therapy based on
renal function, comorbidities, drug interactions, adverse-effect profiles,
and therapeutic goals. Insurance coverage and convenience are
important but should not supersede safety and efficacy. The newest
medication is not necessarily the best choice.
Question 3
An APRN is considering initiating pharmacotherapy for a patient. Which
step should always occur before writing the prescription?
A. Review the patient's medication list, allergies, and relevant medical
history.
B. Obtain pharmacy benefit information.
C. Determine whether the patient prefers a brand-name medication.
D. Schedule follow-up before discussing treatment.
, Correct Answer: A
Rationale: Medication reconciliation and assessment of allergies,
comorbidities, and concurrent medications are essential to prevent
prescribing errors and adverse drug events. Although insurance, patient
preferences, and follow-up are important, they occur after determining
that therapy is safe and appropriate.
Question 4
A patient asks why the APRN recommends one medication over
another that is heavily advertised on television. Which response best
demonstrates evidence-based prescribing?
A. "Television advertisements generally identify the best medications."
B. "I choose medications using research evidence, your medical history,
safety considerations, and treatment goals."
C. "Newer medications are always more effective."
D. "The decision is based primarily on medication cost."
Correct Answer: B
Rationale: APRNs should explain that prescribing decisions are
individualized and based on scientific evidence, clinical guidelines,
patient characteristics, safety, efficacy, and preferences. Advertising,
novelty, or cost alone should not drive prescribing decisions.
Question 5
An APRN prescribes a medication that requires laboratory monitoring.
Which follow-up plan best reflects safe prescribing?
