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 family nurse practitioner (FNP) joins a primary care
practice. During orientation, the collaborating physician states that all
prescriptions written by the NP must be approved before being sent to
the pharmacy, even though state law grants the NP full prescriptive
authority. Which response by the NP best reflects appropriate
prescribing practice?
A. Follow the physician's preference because physician approval always
supersedes state law.
B. Review state statutes, institutional policies, and credentialing
requirements before determining prescribing responsibilities.
C. Prescribe independently because federal law overrides employer
policies.
D. Delay prescribing until obtaining written approval from the state
board of nursing.
Correct Answer: B
Rationale: Safe prescribing requires the APRN to understand and
comply with applicable state nurse practice acts, federal regulations,
institutional policies, and credentialing requirements. State law
establishes the legal scope of prescriptive authority, while employers
may implement operational procedures that do not conflict with
applicable law. Option A incorrectly assumes physician preference
always determines prescribing authority. Option C incorrectly states
that federal law overrides state practice acts regarding prescriptive
,authority. Option D is unnecessary because the state board does not
provide case-by-case approval for prescribing.
Question 2
An APRN evaluates a 68-year-old patient with newly diagnosed
hypertension. The patient asks why laboratory testing is needed before
starting medication.
A. Laboratory testing is required only for insurance authorization.
B. Baseline assessment identifies factors that influence medication
selection, safety, and monitoring.
C. Laboratory studies are unnecessary before initiating antihypertensive
therapy.
D. Laboratory testing is performed only if adverse effects develop.
Correct Answer: B
Rationale: Baseline laboratory evaluation helps identify renal or hepatic
impairment, electrolyte abnormalities, and comorbidities that influence
medication selection, dosing, and follow-up monitoring. Evidence-
based prescribing begins with a comprehensive patient assessment.
Options A, C, and D underestimate the importance of baseline clinical
evaluation before initiating therapy.
Question 3
A patient requests an antibiotic for symptoms consistent with an
uncomplicated viral upper respiratory infection. Physical examination
and history reveal no findings suggesting bacterial infection.
, What is the most appropriate prescribing decision?
A. Prescribe a broad-spectrum antibiotic to prevent secondary bacterial
infection.
B. Prescribe a short antibiotic course because patient satisfaction
improves adherence.
C. Explain why antibiotics are not indicated and recommend supportive
care with appropriate follow-up instructions.
D. Prescribe an antibiotic only if the patient signs informed consent.
Correct Answer: C
Rationale: Appropriate antimicrobial stewardship requires avoiding
unnecessary antibiotic prescribing when bacterial infection is unlikely.
Patient education, symptomatic treatment, and clear return
precautions represent evidence-based management. Options A and B
contribute to inappropriate antibiotic use and antimicrobial resistance.
Option D remains inappropriate because informed consent does not
justify non-indicated therapy.
Question 4
A patient reports taking prescription medications from multiple
specialists along with several herbal supplements purchased online.
Which prescribing action should occur before initiating a new
medication?
A. Assume herbal supplements are clinically insignificant.
B. Obtain a complete medication reconciliation, including prescription,
over-the-counter, and complementary products.
C. Focus only on medications prescribed within the same health system.
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 family nurse practitioner (FNP) joins a primary care
practice. During orientation, the collaborating physician states that all
prescriptions written by the NP must be approved before being sent to
the pharmacy, even though state law grants the NP full prescriptive
authority. Which response by the NP best reflects appropriate
prescribing practice?
A. Follow the physician's preference because physician approval always
supersedes state law.
B. Review state statutes, institutional policies, and credentialing
requirements before determining prescribing responsibilities.
C. Prescribe independently because federal law overrides employer
policies.
D. Delay prescribing until obtaining written approval from the state
board of nursing.
Correct Answer: B
Rationale: Safe prescribing requires the APRN to understand and
comply with applicable state nurse practice acts, federal regulations,
institutional policies, and credentialing requirements. State law
establishes the legal scope of prescriptive authority, while employers
may implement operational procedures that do not conflict with
applicable law. Option A incorrectly assumes physician preference
always determines prescribing authority. Option C incorrectly states
that federal law overrides state practice acts regarding prescriptive
,authority. Option D is unnecessary because the state board does not
provide case-by-case approval for prescribing.
Question 2
An APRN evaluates a 68-year-old patient with newly diagnosed
hypertension. The patient asks why laboratory testing is needed before
starting medication.
A. Laboratory testing is required only for insurance authorization.
B. Baseline assessment identifies factors that influence medication
selection, safety, and monitoring.
C. Laboratory studies are unnecessary before initiating antihypertensive
therapy.
D. Laboratory testing is performed only if adverse effects develop.
Correct Answer: B
Rationale: Baseline laboratory evaluation helps identify renal or hepatic
impairment, electrolyte abnormalities, and comorbidities that influence
medication selection, dosing, and follow-up monitoring. Evidence-
based prescribing begins with a comprehensive patient assessment.
Options A, C, and D underestimate the importance of baseline clinical
evaluation before initiating therapy.
Question 3
A patient requests an antibiotic for symptoms consistent with an
uncomplicated viral upper respiratory infection. Physical examination
and history reveal no findings suggesting bacterial infection.
, What is the most appropriate prescribing decision?
A. Prescribe a broad-spectrum antibiotic to prevent secondary bacterial
infection.
B. Prescribe a short antibiotic course because patient satisfaction
improves adherence.
C. Explain why antibiotics are not indicated and recommend supportive
care with appropriate follow-up instructions.
D. Prescribe an antibiotic only if the patient signs informed consent.
Correct Answer: C
Rationale: Appropriate antimicrobial stewardship requires avoiding
unnecessary antibiotic prescribing when bacterial infection is unlikely.
Patient education, symptomatic treatment, and clear return
precautions represent evidence-based management. Options A and B
contribute to inappropriate antibiotic use and antimicrobial resistance.
Option D remains inappropriate because informed consent does not
justify non-indicated therapy.
Question 4
A patient reports taking prescription medications from multiple
specialists along with several herbal supplements purchased online.
Which prescribing action should occur before initiating a new
medication?
A. Assume herbal supplements are clinically insignificant.
B. Obtain a complete medication reconciliation, including prescription,
over-the-counter, and complementary products.
C. Focus only on medications prescribed within the same health system.
