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) is reviewing a patient's medication list
before initiating treatment for newly diagnosed hypertension. The
patient is taking several prescription medications from different
specialists, an over-the-counter decongestant, and multiple herbal
supplements. Which action best reflects the advanced practice nurse's
role as a safe prescriber?
A. Prescribe the antihypertensive requested by the patient because
another clinician manages the remaining medications.
B. Perform a comprehensive medication reconciliation, evaluate for
interactions and duplications, and incorporate patient preferences
before selecting therapy.
C. Delay treatment until each specialist independently reviews the
medication list.
D. Begin therapy and reassess medication interactions at the follow-up
visit.
Correct Answer: B
Rationale: Advanced practice prescribers are responsible for
performing a complete medication assessment before initiating
therapy. This includes reviewing prescription medications, OTC
products, supplements, allergies, adherence, potential interactions,
contraindications, and patient goals. Shared decision-making and
medication reconciliation reduce prescribing errors. Options A, C, and D
,fail to recognize the prescriber's responsibility to evaluate the entire
medication regimen before prescribing.
Question 2
An adult patient with poorly controlled asthma requests an antibiotic
because previous episodes of cough "always got better" after receiving
one. Physical examination and diagnostic findings are consistent with a
viral upper respiratory infection. Which prescribing approach is most
appropriate?
A. Prescribe a broad-spectrum antibiotic to maintain patient
satisfaction.
B. Delay treatment until sputum culture results are available.
C. Explain why an antibiotic is not indicated, recommend evidence-
based symptomatic management, and provide return precautions.
D. Prescribe a short course of antibiotics with instructions to begin
them only if symptoms worsen within 24 hours.
Correct Answer: C
Rationale: Evidence-based prescribing requires selecting medications
only when the anticipated benefits outweigh risks. Antibiotics are
ineffective for viral infections and contribute to antimicrobial resistance
and adverse events. Patient education, symptom management, and
appropriate follow-up are consistent with responsible prescribing.
Options A and D promote unnecessary antibiotic use, while B delays
appropriate symptomatic care.
Question 3
, A newly certified AGPCNP is evaluating an older adult who receives
prescriptions from three specialists and uses two pharmacies. Which
strategy most effectively reduces medication-related harm?
A. Focus only on medications related to today's chief complaint.
B. Review every medication, verify indications, assess adherence, and
identify potentially inappropriate or duplicate therapies.
C. Assume each specialist has already evaluated the complete
medication regimen.
D. Encourage the patient to discontinue all nonprescription medications
without further discussion.
Correct Answer: B
Rationale: Polypharmacy increases the risk of adverse drug events,
drug interactions, and medication errors. Comprehensive medication
review, confirmation of indications, assessment of adherence, and
deprescribing when appropriate are essential components of safe
prescribing. Options A and C overlook the prescriber's responsibility,
while D may eliminate beneficial therapies without assessment.
Question 4
An APRN is considering a newly marketed medication that is
substantially more expensive than available alternatives. Current
evidence demonstrates similar efficacy and safety between the
available options. Which prescribing decision best reflects principles of
high-value care?
A. Prescribe the newest medication because newer drugs are generally
superior.
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) is reviewing a patient's medication list
before initiating treatment for newly diagnosed hypertension. The
patient is taking several prescription medications from different
specialists, an over-the-counter decongestant, and multiple herbal
supplements. Which action best reflects the advanced practice nurse's
role as a safe prescriber?
A. Prescribe the antihypertensive requested by the patient because
another clinician manages the remaining medications.
B. Perform a comprehensive medication reconciliation, evaluate for
interactions and duplications, and incorporate patient preferences
before selecting therapy.
C. Delay treatment until each specialist independently reviews the
medication list.
D. Begin therapy and reassess medication interactions at the follow-up
visit.
Correct Answer: B
Rationale: Advanced practice prescribers are responsible for
performing a complete medication assessment before initiating
therapy. This includes reviewing prescription medications, OTC
products, supplements, allergies, adherence, potential interactions,
contraindications, and patient goals. Shared decision-making and
medication reconciliation reduce prescribing errors. Options A, C, and D
,fail to recognize the prescriber's responsibility to evaluate the entire
medication regimen before prescribing.
Question 2
An adult patient with poorly controlled asthma requests an antibiotic
because previous episodes of cough "always got better" after receiving
one. Physical examination and diagnostic findings are consistent with a
viral upper respiratory infection. Which prescribing approach is most
appropriate?
A. Prescribe a broad-spectrum antibiotic to maintain patient
satisfaction.
B. Delay treatment until sputum culture results are available.
C. Explain why an antibiotic is not indicated, recommend evidence-
based symptomatic management, and provide return precautions.
D. Prescribe a short course of antibiotics with instructions to begin
them only if symptoms worsen within 24 hours.
Correct Answer: C
Rationale: Evidence-based prescribing requires selecting medications
only when the anticipated benefits outweigh risks. Antibiotics are
ineffective for viral infections and contribute to antimicrobial resistance
and adverse events. Patient education, symptom management, and
appropriate follow-up are consistent with responsible prescribing.
Options A and D promote unnecessary antibiotic use, while B delays
appropriate symptomatic care.
Question 3
, A newly certified AGPCNP is evaluating an older adult who receives
prescriptions from three specialists and uses two pharmacies. Which
strategy most effectively reduces medication-related harm?
A. Focus only on medications related to today's chief complaint.
B. Review every medication, verify indications, assess adherence, and
identify potentially inappropriate or duplicate therapies.
C. Assume each specialist has already evaluated the complete
medication regimen.
D. Encourage the patient to discontinue all nonprescription medications
without further discussion.
Correct Answer: B
Rationale: Polypharmacy increases the risk of adverse drug events,
drug interactions, and medication errors. Comprehensive medication
review, confirmation of indications, assessment of adherence, and
deprescribing when appropriate are essential components of safe
prescribing. Options A and C overlook the prescriber's responsibility,
while D may eliminate beneficial therapies without assessment.
Question 4
An APRN is considering a newly marketed medication that is
substantially more expensive than available alternatives. Current
evidence demonstrates similar efficacy and safety between the
available options. Which prescribing decision best reflects principles of
high-value care?
A. Prescribe the newest medication because newer drugs are generally
superior.
