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 is evaluating a patient with newly diagnosed
hypertension. Before selecting a medication, which action best
demonstrates evidence-based prescribing?
A. Prescribe the medication most commonly used by colleagues.
B. Select a medication after integrating the patient's diagnosis,
comorbidities, goals, current medications, and available evidence.
C. Begin treatment with the newest medication because it is likely to be
more effective.
D. Delay treatment until laboratory results are repeated several times.
Correct Answer: B
Rationale: Evidence-based prescribing requires integrating the best
available evidence with clinical expertise and the patient's medical
history, preferences, concurrent medications, and treatment goals.
Prescribing based solely on colleague preference (A) or medication
novelty (C) is inappropriate. Delaying therapy without a clinical reason
(D) may postpone needed treatment.
Question 2
An APRN is prescribing an oral antibiotic for an adult with
uncomplicated cellulitis. Which step is most appropriate before
transmitting the prescription?
A. Verify medication allergies, current medications, and potential drug
interactions.
B. Assume the pharmacy will identify any contraindications.
,C. Ask the patient to return if a reaction develops.
D. Prescribe first and review the medication profile later.
Correct Answer: A
Rationale: Safe prescribing begins with confirming allergies, medication
history, and possible interactions before prescribing. Pharmacists
provide an additional safety check but do not replace prescriber
responsibility. Waiting until adverse effects occur (C) or reviewing later
(D) increases patient risk.
Question 3
A patient asks why the APRN is recommending a generic medication
instead of a brand-name product. Which response is most appropriate?
A. Generic medications are always more effective.
B. Generic medications generally provide equivalent therapeutic effects
while often reducing patient cost.
C. Brand medications should never be prescribed.
D. Insurance companies require generic medications regardless of
clinical circumstances.
Correct Answer: B
Rationale: FDA-approved generic medications are expected to provide
therapeutic equivalence while improving affordability for many
patients. They are not inherently more effective (A). Brand-name
products may be appropriate in selected situations (C). Insurance
coverage varies and does not determine clinical appropriateness (D).
, Question 4
A patient with multiple chronic illnesses is prescribed a new
medication. Which counseling statement best promotes medication
adherence?
A. "Take this medication exactly as prescribed and contact our office if
you experience unexpected adverse effects or have difficulty following
the regimen."
B. "Continue taking the medication only until you feel better."
C. "Double the dose if you miss a scheduled dose."
D. "Stop the medication immediately if symptoms improve."
Correct Answer: A
Rationale: Effective patient education improves adherence and
encourages communication about adverse effects or barriers to
treatment. Stopping therapy prematurely (B, D) or doubling doses after
missed doses (C) may increase treatment failure or toxicity.
Question 5
An APRN evaluates an older adult taking ten prescription medications
from multiple providers. What is the best initial prescribing strategy?
A. Add another medication to improve symptom control.
B. Perform a comprehensive medication reconciliation before making
changes.
C. Discontinue all medications immediately.
D. Prescribe based only on today's chief complaint.
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 newly certified APRN is evaluating a patient with newly diagnosed
hypertension. Before selecting a medication, which action best
demonstrates evidence-based prescribing?
A. Prescribe the medication most commonly used by colleagues.
B. Select a medication after integrating the patient's diagnosis,
comorbidities, goals, current medications, and available evidence.
C. Begin treatment with the newest medication because it is likely to be
more effective.
D. Delay treatment until laboratory results are repeated several times.
Correct Answer: B
Rationale: Evidence-based prescribing requires integrating the best
available evidence with clinical expertise and the patient's medical
history, preferences, concurrent medications, and treatment goals.
Prescribing based solely on colleague preference (A) or medication
novelty (C) is inappropriate. Delaying therapy without a clinical reason
(D) may postpone needed treatment.
Question 2
An APRN is prescribing an oral antibiotic for an adult with
uncomplicated cellulitis. Which step is most appropriate before
transmitting the prescription?
A. Verify medication allergies, current medications, and potential drug
interactions.
B. Assume the pharmacy will identify any contraindications.
,C. Ask the patient to return if a reaction develops.
D. Prescribe first and review the medication profile later.
Correct Answer: A
Rationale: Safe prescribing begins with confirming allergies, medication
history, and possible interactions before prescribing. Pharmacists
provide an additional safety check but do not replace prescriber
responsibility. Waiting until adverse effects occur (C) or reviewing later
(D) increases patient risk.
Question 3
A patient asks why the APRN is recommending a generic medication
instead of a brand-name product. Which response is most appropriate?
A. Generic medications are always more effective.
B. Generic medications generally provide equivalent therapeutic effects
while often reducing patient cost.
C. Brand medications should never be prescribed.
D. Insurance companies require generic medications regardless of
clinical circumstances.
Correct Answer: B
Rationale: FDA-approved generic medications are expected to provide
therapeutic equivalence while improving affordability for many
patients. They are not inherently more effective (A). Brand-name
products may be appropriate in selected situations (C). Insurance
coverage varies and does not determine clinical appropriateness (D).
, Question 4
A patient with multiple chronic illnesses is prescribed a new
medication. Which counseling statement best promotes medication
adherence?
A. "Take this medication exactly as prescribed and contact our office if
you experience unexpected adverse effects or have difficulty following
the regimen."
B. "Continue taking the medication only until you feel better."
C. "Double the dose if you miss a scheduled dose."
D. "Stop the medication immediately if symptoms improve."
Correct Answer: A
Rationale: Effective patient education improves adherence and
encourages communication about adverse effects or barriers to
treatment. Stopping therapy prematurely (B, D) or doubling doses after
missed doses (C) may increase treatment failure or toxicity.
Question 5
An APRN evaluates an older adult taking ten prescription medications
from multiple providers. What is the best initial prescribing strategy?
A. Add another medication to improve symptom control.
B. Perform a comprehensive medication reconciliation before making
changes.
C. Discontinue all medications immediately.
D. Prescribe based only on today's chief complaint.
Correct Answer: B
