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 joins a primary care practice and is preparing to
prescribe medications independently. Before issuing prescriptions,
which action is the highest priority to ensure legal and professional
compliance?
A. Prescribe only medications included on the clinic's preferred
formulary.
B. Verify state prescriptive authority requirements, including licensure,
collaborative or supervisory requirements if applicable, and DEA
registration when prescribing controlled substances.
C. Limit prescribing to noncontrolled medications for the first six
months of practice.
D. Obtain verbal approval from the collaborating physician before every
prescription.
Correct Answer: B
Rationale:
Safe prescribing begins with understanding the legal framework
governing APRN practice within the state of licensure. Requirements
vary by jurisdiction and may include specific prescriptive authority
regulations, collaborative agreements, and DEA registration for
controlled substances. Formularies and employer policies are
secondary to legal requirements. Routine physician approval is not
universally required, and voluntarily avoiding controlled substances
does not replace legal compliance.
,Question 2
A 67-year-old woman with hypertension, type 2 diabetes, chronic
kidney disease, and osteoarthritis takes eight medications prescribed
by multiple specialists. During an annual visit, the APRN's most
appropriate first prescribing responsibility is to:
A. Continue all medications because specialists initiated them.
B. Perform comprehensive medication reconciliation and evaluate each
medication for indication, effectiveness, safety, and adherence.
C. Discontinue all nonessential medications immediately.
D. Recommend that each specialist independently review the
medication list.
Correct Answer: B
Rationale:
Medication reconciliation is a fundamental prescribing responsibility
that identifies duplications, interactions, unnecessary medications,
adherence concerns, and opportunities to optimize therapy. Immediate
discontinuation without assessment may be harmful, and relying solely
on specialists may overlook cumulative medication-related risks.
Question 3
A patient requests an antibiotic because of nasal congestion and cough
that began 24 hours ago without fever. Physical examination suggests
an uncomplicated viral upper respiratory infection. Which response
best demonstrates evidence-based prescribing?
, A. Prescribe azithromycin because early treatment prevents bacterial
infection.
B. Prescribe amoxicillin-clavulanate because the patient requested
antibiotics.
C. Explain why antibiotics are unlikely to help, recommend symptomatic
treatment, and provide return precautions.
D. Prescribe ciprofloxacin because it has broad-spectrum coverage.
Correct Answer: C
Rationale:
Evidence-based prescribing requires matching treatment to the likely
diagnosis. Antibiotics provide no benefit for uncomplicated viral
infections and expose patients to unnecessary adverse effects and
antimicrobial resistance. Symptomatic management and patient
education represent appropriate stewardship.
Question 4
An APRN evaluates a patient before initiating a chronic medication.
Which factor most directly supports individualized prescribing?
A. The medication's television advertising.
B. The patient's insurance company marketing materials.
C. The patient's clinical characteristics, comorbidities, concurrent
medications, laboratory data, and treatment goals.
D. The medication most commonly prescribed by colleagues.
Correct Answer: C
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 joins a primary care practice and is preparing to
prescribe medications independently. Before issuing prescriptions,
which action is the highest priority to ensure legal and professional
compliance?
A. Prescribe only medications included on the clinic's preferred
formulary.
B. Verify state prescriptive authority requirements, including licensure,
collaborative or supervisory requirements if applicable, and DEA
registration when prescribing controlled substances.
C. Limit prescribing to noncontrolled medications for the first six
months of practice.
D. Obtain verbal approval from the collaborating physician before every
prescription.
Correct Answer: B
Rationale:
Safe prescribing begins with understanding the legal framework
governing APRN practice within the state of licensure. Requirements
vary by jurisdiction and may include specific prescriptive authority
regulations, collaborative agreements, and DEA registration for
controlled substances. Formularies and employer policies are
secondary to legal requirements. Routine physician approval is not
universally required, and voluntarily avoiding controlled substances
does not replace legal compliance.
,Question 2
A 67-year-old woman with hypertension, type 2 diabetes, chronic
kidney disease, and osteoarthritis takes eight medications prescribed
by multiple specialists. During an annual visit, the APRN's most
appropriate first prescribing responsibility is to:
A. Continue all medications because specialists initiated them.
B. Perform comprehensive medication reconciliation and evaluate each
medication for indication, effectiveness, safety, and adherence.
C. Discontinue all nonessential medications immediately.
D. Recommend that each specialist independently review the
medication list.
Correct Answer: B
Rationale:
Medication reconciliation is a fundamental prescribing responsibility
that identifies duplications, interactions, unnecessary medications,
adherence concerns, and opportunities to optimize therapy. Immediate
discontinuation without assessment may be harmful, and relying solely
on specialists may overlook cumulative medication-related risks.
Question 3
A patient requests an antibiotic because of nasal congestion and cough
that began 24 hours ago without fever. Physical examination suggests
an uncomplicated viral upper respiratory infection. Which response
best demonstrates evidence-based prescribing?
, A. Prescribe azithromycin because early treatment prevents bacterial
infection.
B. Prescribe amoxicillin-clavulanate because the patient requested
antibiotics.
C. Explain why antibiotics are unlikely to help, recommend symptomatic
treatment, and provide return precautions.
D. Prescribe ciprofloxacin because it has broad-spectrum coverage.
Correct Answer: C
Rationale:
Evidence-based prescribing requires matching treatment to the likely
diagnosis. Antibiotics provide no benefit for uncomplicated viral
infections and expose patients to unnecessary adverse effects and
antimicrobial resistance. Symptomatic management and patient
education represent appropriate stewardship.
Question 4
An APRN evaluates a patient before initiating a chronic medication.
Which factor most directly supports individualized prescribing?
A. The medication's television advertising.
B. The patient's insurance company marketing materials.
C. The patient's clinical characteristics, comorbidities, concurrent
medications, laboratory data, and treatment goals.
D. The medication most commonly prescribed by colleagues.
Correct Answer: C
