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 32-year-old family nurse practitioner (FNP) student asks why
advanced practice registered nurses (APRNs) are expected to use
evidence-based prescribing rather than relying primarily on personal
clinical experience. Which response best reflects the primary rationale
for evidence-based prescribing?
A. It eliminates the need for individualized treatment decisions.
B. It integrates the best available research evidence, clinical expertise,
and patient values to optimize therapeutic outcomes.
C. It requires all clinicians to prescribe identical medications for the
same diagnosis.
D. It prevents adverse drug reactions by ensuring every patient receives
the newest medication.
Correct Answer: B
Rationale:
Evidence-based prescribing combines current scientific evidence,
clinician expertise, and patient preferences to support individualized
therapeutic decisions. This approach improves safety, efficacy, and
quality of care while accounting for patient-specific characteristics.
Option A is incorrect because individualized decision-making remains
essential. Option C is incorrect because treatment must be tailored to
each patient. Option D is incorrect because no prescribing strategy can
eliminate adverse drug reactions, and newer medications are not
always preferred.
,Question 2
An APRN is evaluating a newly established patient with hypertension.
Before selecting pharmacotherapy, which action is most important to
reduce the risk of medication-related harm?
A. Begin the medication most commonly prescribed for hypertension.
B. Review the patient's complete medication list, allergies,
comorbidities, and renal and hepatic function.
C. Prescribe the medication requested by the patient.
D. Delay treatment until all specialty consultations are completed.
Correct Answer: B
Rationale:
Safe prescribing begins with a comprehensive assessment that includes
current medications, allergies, comorbid conditions, organ function,
and factors that influence drug selection. This information helps
prevent contraindications, drug interactions, and inappropriate dosing.
Options A and C ignore individualized assessment. Option D may
unnecessarily delay treatment when appropriate evaluation has already
been completed.
Question 3
A 76-year-old woman takes eight prescription medications, two over-
the-counter products, and several herbal supplements. During a
medication review, the APRN's highest priority is to:
A. Continue all medications because multiple chronic diseases require
multiple therapies.
, B. Assess for therapeutic duplication, drug-drug interactions, and
potentially inappropriate medications.
C. Recommend discontinuing all nonprescription medications
immediately.
D. Replace all generic medications with brand-name products.
Correct Answer: B
Rationale:
Polypharmacy substantially increases the risk of adverse drug events,
drug interactions, medication nonadherence, and prescribing cascades.
Comprehensive medication reconciliation identifies unnecessary
therapies and improves safety. Option A assumes all medications
remain appropriate. Option C is overly broad because some OTC
medications may be appropriate. Option D offers no evidence-based
safety advantage.
Question 4
An APRN is considering prescribing a medication that is primarily
eliminated through the kidneys. Which patient factor has the greatest
influence on determining whether dosage adjustment is needed?
A. Hair color
B. Estimated renal function
C. Marital status
D. Educational level
Correct Answer: B
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 32-year-old family nurse practitioner (FNP) student asks why
advanced practice registered nurses (APRNs) are expected to use
evidence-based prescribing rather than relying primarily on personal
clinical experience. Which response best reflects the primary rationale
for evidence-based prescribing?
A. It eliminates the need for individualized treatment decisions.
B. It integrates the best available research evidence, clinical expertise,
and patient values to optimize therapeutic outcomes.
C. It requires all clinicians to prescribe identical medications for the
same diagnosis.
D. It prevents adverse drug reactions by ensuring every patient receives
the newest medication.
Correct Answer: B
Rationale:
Evidence-based prescribing combines current scientific evidence,
clinician expertise, and patient preferences to support individualized
therapeutic decisions. This approach improves safety, efficacy, and
quality of care while accounting for patient-specific characteristics.
Option A is incorrect because individualized decision-making remains
essential. Option C is incorrect because treatment must be tailored to
each patient. Option D is incorrect because no prescribing strategy can
eliminate adverse drug reactions, and newer medications are not
always preferred.
,Question 2
An APRN is evaluating a newly established patient with hypertension.
Before selecting pharmacotherapy, which action is most important to
reduce the risk of medication-related harm?
A. Begin the medication most commonly prescribed for hypertension.
B. Review the patient's complete medication list, allergies,
comorbidities, and renal and hepatic function.
C. Prescribe the medication requested by the patient.
D. Delay treatment until all specialty consultations are completed.
Correct Answer: B
Rationale:
Safe prescribing begins with a comprehensive assessment that includes
current medications, allergies, comorbid conditions, organ function,
and factors that influence drug selection. This information helps
prevent contraindications, drug interactions, and inappropriate dosing.
Options A and C ignore individualized assessment. Option D may
unnecessarily delay treatment when appropriate evaluation has already
been completed.
Question 3
A 76-year-old woman takes eight prescription medications, two over-
the-counter products, and several herbal supplements. During a
medication review, the APRN's highest priority is to:
A. Continue all medications because multiple chronic diseases require
multiple therapies.
, B. Assess for therapeutic duplication, drug-drug interactions, and
potentially inappropriate medications.
C. Recommend discontinuing all nonprescription medications
immediately.
D. Replace all generic medications with brand-name products.
Correct Answer: B
Rationale:
Polypharmacy substantially increases the risk of adverse drug events,
drug interactions, medication nonadherence, and prescribing cascades.
Comprehensive medication reconciliation identifies unnecessary
therapies and improves safety. Option A assumes all medications
remain appropriate. Option C is overly broad because some OTC
medications may be appropriate. Option D offers no evidence-based
safety advantage.
Question 4
An APRN is considering prescribing a medication that is primarily
eliminated through the kidneys. Which patient factor has the greatest
influence on determining whether dosage adjustment is needed?
A. Hair color
B. Estimated renal function
C. Marital status
D. Educational level
Correct Answer: B
