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 begins practicing in a primary care clinic and is
reviewing responsibilities associated with independent prescribing.
Which action best demonstrates safe and evidence-based prescribing
practice?
A. Prescribe medications primarily according to personal clinical
experience once licensed.
B. Base prescribing decisions on current evidence, patient-specific
factors, applicable state regulations, and shared decision-making.
C. Select medications primarily based on patient preference, regardless
of guideline recommendations.
D. Use the least expensive medication for every patient to improve
adherence.
Correct Answer: B
Rationale:
Safe APRN prescribing integrates current evidence, patient preferences,
comorbidities, medication history, allergies, organ function, cost
considerations, state scope-of-practice laws, and clinical guidelines.
Shared decision-making improves adherence while ensuring that
therapy aligns with the patient's goals and values.
• Option A: Clinical experience is valuable but should never replace
evidence-based practice.
• Option C: Patient preference is important but should not
supersede efficacy and safety.
, • Option D: Cost influences adherence but is only one consideration
among many when selecting therapy.
Question 2
A 69-year-old woman with hypertension, chronic kidney disease stage
3, osteoarthritis, and depression presents for medication review. She
receives prescriptions from multiple specialists. Which prescribing
action by the APRN is most appropriate before initiating a new
antihypertensive medication?
A. Add the medication immediately because hypertension requires
prompt treatment.
B. Perform comprehensive medication reconciliation, assess for drug
interactions, review renal function, and determine whether the
medication is clinically indicated.
C. Discontinue all medications except antihypertensives before making
changes.
D. Delay treatment until every consulting physician approves the
medication.
Correct Answer: B
Rationale:
Medication reconciliation is a core prescribing responsibility. Reviewing
all prescription medications, over-the-counter drugs, supplements,
allergies, renal function, and potential interactions helps reduce
medication-related harm and supports individualized prescribing
decisions.
• Option A: Initiating therapy without reviewing existing
medications increases the risk of adverse events.
, • Option C: Abrupt discontinuation of chronic medications may be
harmful.
• Option D: Collaboration is important, but treatment should not be
unnecessarily delayed when adequate clinical information is
available.
Question 3
An APRN is preparing to prescribe an oral antibiotic for a patient with
uncomplicated bacterial sinusitis. Before sending the prescription
electronically, which action represents the highest priority?
A. Confirm the patient's preferred pharmacy.
B. Verify the patient's allergies, diagnosis, medication history, and
appropriate dose based on clinical characteristics.
C. Ask whether the patient prefers tablets or capsules.
D. Determine whether the medication has generic availability.
Correct Answer: B
Rationale:
Before prescribing any medication, the APRN should verify the
indication, allergy history, current medications, renal/hepatic function
when appropriate, pregnancy status when relevant, and dosing
considerations. These steps help prevent avoidable medication errors
and improve patient safety.
• Option A: Pharmacy preference is important but secondary to
patient safety.
• Option C: Dosage form preferences may improve adherence but
are considered after determining safe therapy.
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 begins practicing in a primary care clinic and is
reviewing responsibilities associated with independent prescribing.
Which action best demonstrates safe and evidence-based prescribing
practice?
A. Prescribe medications primarily according to personal clinical
experience once licensed.
B. Base prescribing decisions on current evidence, patient-specific
factors, applicable state regulations, and shared decision-making.
C. Select medications primarily based on patient preference, regardless
of guideline recommendations.
D. Use the least expensive medication for every patient to improve
adherence.
Correct Answer: B
Rationale:
Safe APRN prescribing integrates current evidence, patient preferences,
comorbidities, medication history, allergies, organ function, cost
considerations, state scope-of-practice laws, and clinical guidelines.
Shared decision-making improves adherence while ensuring that
therapy aligns with the patient's goals and values.
• Option A: Clinical experience is valuable but should never replace
evidence-based practice.
• Option C: Patient preference is important but should not
supersede efficacy and safety.
, • Option D: Cost influences adherence but is only one consideration
among many when selecting therapy.
Question 2
A 69-year-old woman with hypertension, chronic kidney disease stage
3, osteoarthritis, and depression presents for medication review. She
receives prescriptions from multiple specialists. Which prescribing
action by the APRN is most appropriate before initiating a new
antihypertensive medication?
A. Add the medication immediately because hypertension requires
prompt treatment.
B. Perform comprehensive medication reconciliation, assess for drug
interactions, review renal function, and determine whether the
medication is clinically indicated.
C. Discontinue all medications except antihypertensives before making
changes.
D. Delay treatment until every consulting physician approves the
medication.
Correct Answer: B
Rationale:
Medication reconciliation is a core prescribing responsibility. Reviewing
all prescription medications, over-the-counter drugs, supplements,
allergies, renal function, and potential interactions helps reduce
medication-related harm and supports individualized prescribing
decisions.
• Option A: Initiating therapy without reviewing existing
medications increases the risk of adverse events.
, • Option C: Abrupt discontinuation of chronic medications may be
harmful.
• Option D: Collaboration is important, but treatment should not be
unnecessarily delayed when adequate clinical information is
available.
Question 3
An APRN is preparing to prescribe an oral antibiotic for a patient with
uncomplicated bacterial sinusitis. Before sending the prescription
electronically, which action represents the highest priority?
A. Confirm the patient's preferred pharmacy.
B. Verify the patient's allergies, diagnosis, medication history, and
appropriate dose based on clinical characteristics.
C. Ask whether the patient prefers tablets or capsules.
D. Determine whether the medication has generic availability.
Correct Answer: B
Rationale:
Before prescribing any medication, the APRN should verify the
indication, allergy history, current medications, renal/hepatic function
when appropriate, pregnancy status when relevant, and dosing
considerations. These steps help prevent avoidable medication errors
and improve patient safety.
• Option A: Pharmacy preference is important but secondary to
patient safety.
• Option C: Dosage form preferences may improve adherence but
are considered after determining safe therapy.
