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) evaluates a 56-year-old patient with
newly diagnosed hypertension. Before initiating pharmacotherapy,
which action best reflects evidence-based prescribing?
A. Prescribe the newest antihypertensive medication available.
B. Evaluate the patient's diagnosis, comorbidities, medication history,
and treatment goals before selecting therapy.
C. Select the medication most commonly prescribed by colleagues.
D. Delay treatment until symptoms develop.
Correct Answer: B
Rationale: Evidence-based prescribing integrates the best available
evidence with clinical expertise and patient-specific factors, including
comorbidities, concurrent medications, allergies, renal function, and
patient preferences. Prescribing based solely on popularity or novelty is
inappropriate, and hypertension should not remain untreated while
awaiting symptoms.
Question 2
An APRN discusses treatment options with a patient newly diagnosed
with type 2 diabetes mellitus. Which approach best demonstrates
shared decision-making?
,A. Selecting the medication with the lowest acquisition cost without
discussion.
B. Presenting treatment options, discussing risks and benefits, and
incorporating the patient's preferences into the final plan.
C. Allowing the patient to choose any medication without guidance.
D. Choosing the medication based solely on the clinician's experience.
Correct Answer: B
Rationale: Shared decision-making combines evidence, clinician
expertise, and patient values. Patients should receive balanced
information regarding efficacy, adverse effects, cost, administration,
and monitoring before making informed treatment decisions.
Question 3
An APRN plans to prescribe a Schedule II stimulant for a patient with
attention-deficit/hyperactivity disorder (ADHD). Which responsibility is
essential before issuing the prescription?
A. Confirm the patient has private insurance.
B. Verify prescribing authority under applicable federal and state
regulations and review the prescription drug monitoring program
(PDMP) when required.
C. Obtain written approval from the dispensing pharmacist.
D. Limit prescriptions to a 7-day supply regardless of state law.
Correct Answer: B
Rationale: Prescribers must practice within applicable federal and state
regulations, including DEA registration (when required), state scope-of-
, practice laws, and PDMP requirements. Insurance status and
pharmacist approval are not legal prerequisites for prescribing.
Question 4
A patient develops generalized urticaria shortly after beginning an
antibiotic. What is the APRN's priority action?
A. Continue therapy because the rash may resolve spontaneously.
B. Evaluate the severity of the reaction, discontinue the suspected
medication, and initiate appropriate management.
C. Reduce the medication dose by half.
D. Recommend taking the medication with food.
Correct Answer: B
Rationale: Suspected allergic reactions require prompt assessment and
discontinuation of the offending agent when clinically appropriate.
Management depends on severity, with emergency treatment
warranted if anaphylaxis is suspected.
Question 5
Which prescribing practice most effectively reduces medication errors?
A. Using nonstandard abbreviations to shorten documentation.
B. Issuing verbal prescriptions whenever possible.
C. Confirming allergies, reviewing current medications, and using
complete, unambiguous prescription instructions.
D. Avoiding medication reconciliation during follow-up visits.
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) evaluates a 56-year-old patient with
newly diagnosed hypertension. Before initiating pharmacotherapy,
which action best reflects evidence-based prescribing?
A. Prescribe the newest antihypertensive medication available.
B. Evaluate the patient's diagnosis, comorbidities, medication history,
and treatment goals before selecting therapy.
C. Select the medication most commonly prescribed by colleagues.
D. Delay treatment until symptoms develop.
Correct Answer: B
Rationale: Evidence-based prescribing integrates the best available
evidence with clinical expertise and patient-specific factors, including
comorbidities, concurrent medications, allergies, renal function, and
patient preferences. Prescribing based solely on popularity or novelty is
inappropriate, and hypertension should not remain untreated while
awaiting symptoms.
Question 2
An APRN discusses treatment options with a patient newly diagnosed
with type 2 diabetes mellitus. Which approach best demonstrates
shared decision-making?
,A. Selecting the medication with the lowest acquisition cost without
discussion.
B. Presenting treatment options, discussing risks and benefits, and
incorporating the patient's preferences into the final plan.
C. Allowing the patient to choose any medication without guidance.
D. Choosing the medication based solely on the clinician's experience.
Correct Answer: B
Rationale: Shared decision-making combines evidence, clinician
expertise, and patient values. Patients should receive balanced
information regarding efficacy, adverse effects, cost, administration,
and monitoring before making informed treatment decisions.
Question 3
An APRN plans to prescribe a Schedule II stimulant for a patient with
attention-deficit/hyperactivity disorder (ADHD). Which responsibility is
essential before issuing the prescription?
A. Confirm the patient has private insurance.
B. Verify prescribing authority under applicable federal and state
regulations and review the prescription drug monitoring program
(PDMP) when required.
C. Obtain written approval from the dispensing pharmacist.
D. Limit prescriptions to a 7-day supply regardless of state law.
Correct Answer: B
Rationale: Prescribers must practice within applicable federal and state
regulations, including DEA registration (when required), state scope-of-
, practice laws, and PDMP requirements. Insurance status and
pharmacist approval are not legal prerequisites for prescribing.
Question 4
A patient develops generalized urticaria shortly after beginning an
antibiotic. What is the APRN's priority action?
A. Continue therapy because the rash may resolve spontaneously.
B. Evaluate the severity of the reaction, discontinue the suspected
medication, and initiate appropriate management.
C. Reduce the medication dose by half.
D. Recommend taking the medication with food.
Correct Answer: B
Rationale: Suspected allergic reactions require prompt assessment and
discontinuation of the offending agent when clinically appropriate.
Management depends on severity, with emergency treatment
warranted if anaphylaxis is suspected.
Question 5
Which prescribing practice most effectively reduces medication errors?
A. Using nonstandard abbreviations to shorten documentation.
B. Issuing verbal prescriptions whenever possible.
C. Confirming allergies, reviewing current medications, and using
complete, unambiguous prescription instructions.
D. Avoiding medication reconciliation during follow-up visits.
