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) is beginning practice in
a primary care clinic. Which action best demonstrates safe prescribing
responsibility during the first months of independent practice?
A. Prescribing medications only after consulting a physician for every
patient
B. Using current evidence, reviewing patient-specific factors, and
monitoring outcomes after initiating therapy
C. Avoiding all high-risk medications regardless of indication
D. Limiting prescribing to medications previously used during clinical
rotations
Correct Answer: B
Rationale: Safe prescribing requires integration of evidence-based
practice, patient assessment, clinical judgment, and ongoing monitoring
of therapeutic outcomes. APRNs are expected to prescribe
independently within their scope while evaluating effectiveness and
safety. Mandatory physician consultation for every prescription is
unnecessary in many practice settings. Avoiding indicated therapies or
restricting practice to familiar medications may compromise patient
care.
Question 2
A nurse practitioner is considering a new antihypertensive medication
for a patient. Before prescribing, which factor is most important to
assess?
A. Pharmaceutical company marketing materials
,B. Medication color and formulation appearance
C. Patient-specific comorbidities, current medications, and
contraindications
D. Local pharmacy inventory preferences
Correct Answer: C
Rationale: Appropriate prescribing requires assessment of the patient's
complete clinical picture, including medical history, current
medications, allergies, renal/hepatic function, and contraindications.
Marketing materials and pharmacy preferences should not drive
prescribing decisions. Clinical appropriateness is the primary
determinant.
Question 3
An APRN prescribes lisinopril for a patient with newly diagnosed
hypertension. Which follow-up plan best reflects evidence-based
prescribing practice?
A. No follow-up is necessary if the prescription is transmitted
electronically.
B. Follow up only if the patient reports adverse effects.
C. Schedule monitoring to assess blood pressure response, adherence,
and adverse effects.
D. Reevaluate the patient after one year.
Correct Answer: C
Rationale: Prescribing includes monitoring efficacy, safety, adherence,
and patient outcomes. Antihypertensive therapy requires follow-up
, assessment to determine therapeutic response and identify adverse
effects. Waiting for patient complaints or delaying evaluation may place
the patient at risk.
Question 4
A 72-year-old patient takes warfarin, amiodarone, metformin, and
simvastatin. Before adding a new medication, the APRN should
prioritize which prescribing principle?
A. Cost minimization
B. Drug interaction assessment
C. Generic substitution
D. Prescription duration
Correct Answer: B
Rationale: Polypharmacy substantially increases the risk of drug-drug
interactions and adverse drug events. Evaluating interaction potential is
a critical prescribing responsibility, particularly in older adults. Cost and
formulation considerations are secondary to patient safety.
Question 5
An APRN is prescribing an antibiotic for a patient with acute bacterial
sinusitis. Which prescribing approach best reflects antimicrobial
stewardship principles?
A. Prescribe the broadest-spectrum antibiotic available.
B. Prescribe two antibiotics simultaneously.
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) is beginning practice in
a primary care clinic. Which action best demonstrates safe prescribing
responsibility during the first months of independent practice?
A. Prescribing medications only after consulting a physician for every
patient
B. Using current evidence, reviewing patient-specific factors, and
monitoring outcomes after initiating therapy
C. Avoiding all high-risk medications regardless of indication
D. Limiting prescribing to medications previously used during clinical
rotations
Correct Answer: B
Rationale: Safe prescribing requires integration of evidence-based
practice, patient assessment, clinical judgment, and ongoing monitoring
of therapeutic outcomes. APRNs are expected to prescribe
independently within their scope while evaluating effectiveness and
safety. Mandatory physician consultation for every prescription is
unnecessary in many practice settings. Avoiding indicated therapies or
restricting practice to familiar medications may compromise patient
care.
Question 2
A nurse practitioner is considering a new antihypertensive medication
for a patient. Before prescribing, which factor is most important to
assess?
A. Pharmaceutical company marketing materials
,B. Medication color and formulation appearance
C. Patient-specific comorbidities, current medications, and
contraindications
D. Local pharmacy inventory preferences
Correct Answer: C
Rationale: Appropriate prescribing requires assessment of the patient's
complete clinical picture, including medical history, current
medications, allergies, renal/hepatic function, and contraindications.
Marketing materials and pharmacy preferences should not drive
prescribing decisions. Clinical appropriateness is the primary
determinant.
Question 3
An APRN prescribes lisinopril for a patient with newly diagnosed
hypertension. Which follow-up plan best reflects evidence-based
prescribing practice?
A. No follow-up is necessary if the prescription is transmitted
electronically.
B. Follow up only if the patient reports adverse effects.
C. Schedule monitoring to assess blood pressure response, adherence,
and adverse effects.
D. Reevaluate the patient after one year.
Correct Answer: C
Rationale: Prescribing includes monitoring efficacy, safety, adherence,
and patient outcomes. Antihypertensive therapy requires follow-up
, assessment to determine therapeutic response and identify adverse
effects. Waiting for patient complaints or delaying evaluation may place
the patient at risk.
Question 4
A 72-year-old patient takes warfarin, amiodarone, metformin, and
simvastatin. Before adding a new medication, the APRN should
prioritize which prescribing principle?
A. Cost minimization
B. Drug interaction assessment
C. Generic substitution
D. Prescription duration
Correct Answer: B
Rationale: Polypharmacy substantially increases the risk of drug-drug
interactions and adverse drug events. Evaluating interaction potential is
a critical prescribing responsibility, particularly in older adults. Cost and
formulation considerations are secondary to patient safety.
Question 5
An APRN is prescribing an antibiotic for a patient with acute bacterial
sinusitis. Which prescribing approach best reflects antimicrobial
stewardship principles?
A. Prescribe the broadest-spectrum antibiotic available.
B. Prescribe two antibiotics simultaneously.
