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 45-year-old family nurse practitioner (FNP) is reviewing her
prescribing practices after transitioning into independent practice. She
wants to reduce medication-related adverse events across her patient
panel. Which action is most consistent with safe evidence-based
prescribing?
A. Prescribe medications primarily based on personal clinical
experience after establishing patient trust.
B. Use current clinical evidence, individual patient factors, and shared
decision-making before selecting pharmacotherapy.
C. Continue medications initiated by previous clinicians unless patients
request changes.
D. Prioritize newer medications because they generally provide
superior clinical outcomes.
Correct Answer: B
Rationale: Safe prescribing integrates the best available evidence,
patient-specific factors (including comorbidities, allergies, organ
function, cost, and preferences), and shared decision-making. This
individualized approach improves therapeutic outcomes while
minimizing preventable adverse events. Clinical experience is valuable
but should complement—not replace—evidence-based decision-
making. Continuing medications without reassessment may perpetuate
unnecessary therapy, and newer medications are not inherently
superior.
,Question 2
An APRN evaluates a 72-year-old patient taking prescriptions from four
different specialists. Before prescribing an additional medication, which
action is most appropriate?
A. Prescribe the new medication because each specialist manages
different conditions.
B. Review the complete medication list, including over-the-counter
products and herbal supplements.
C. Delay prescribing until every specialist approves the treatment plan.
D. Recommend the patient discontinue unnecessary medications
independently.
Correct Answer: B
Rationale: Medication reconciliation is an essential component of safe
prescribing. Reviewing prescription medications, over-the-counter
drugs, vitamins, supplements, and herbal products helps identify
therapeutic duplication, drug interactions, contraindications, and
adherence issues. Waiting for approval from every specialist may
unnecessarily delay care, while instructing patients to discontinue
medications independently is unsafe.
Question 3
A patient requests an antibiotic for symptoms consistent with a viral
upper respiratory infection. Which response best demonstrates
responsible prescribing?
, A. Prescribe the antibiotic because patient satisfaction is an important
quality metric.
B. Prescribe a broad-spectrum antibiotic to prevent secondary bacterial
infection.
C. Explain why antibiotics are unlikely to help, discuss supportive care,
and provide follow-up instructions.
D. Prescribe a shorter antibiotic course to reduce antimicrobial
resistance.
Correct Answer: C
Rationale: Evidence-based prescribing includes avoiding unnecessary
antimicrobial therapy. Patient education regarding the expected illness
course, symptomatic treatment, warning signs, and appropriate follow-
up supports antimicrobial stewardship while maintaining therapeutic
rapport. Prescribing antibiotics without indication contributes to
resistance, adverse effects, and unnecessary costs.
Question 4
An APRN is initiating treatment for a patient with newly diagnosed
hypertension. Which patient characteristic should receive the greatest
consideration before selecting pharmacotherapy?
A. Preferred pharmacy location
B. Medication tablet color
C. Individual clinical characteristics, including comorbidities and kidney
function
D. Whether the medication has recently become available
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 45-year-old family nurse practitioner (FNP) is reviewing her
prescribing practices after transitioning into independent practice. She
wants to reduce medication-related adverse events across her patient
panel. Which action is most consistent with safe evidence-based
prescribing?
A. Prescribe medications primarily based on personal clinical
experience after establishing patient trust.
B. Use current clinical evidence, individual patient factors, and shared
decision-making before selecting pharmacotherapy.
C. Continue medications initiated by previous clinicians unless patients
request changes.
D. Prioritize newer medications because they generally provide
superior clinical outcomes.
Correct Answer: B
Rationale: Safe prescribing integrates the best available evidence,
patient-specific factors (including comorbidities, allergies, organ
function, cost, and preferences), and shared decision-making. This
individualized approach improves therapeutic outcomes while
minimizing preventable adverse events. Clinical experience is valuable
but should complement—not replace—evidence-based decision-
making. Continuing medications without reassessment may perpetuate
unnecessary therapy, and newer medications are not inherently
superior.
,Question 2
An APRN evaluates a 72-year-old patient taking prescriptions from four
different specialists. Before prescribing an additional medication, which
action is most appropriate?
A. Prescribe the new medication because each specialist manages
different conditions.
B. Review the complete medication list, including over-the-counter
products and herbal supplements.
C. Delay prescribing until every specialist approves the treatment plan.
D. Recommend the patient discontinue unnecessary medications
independently.
Correct Answer: B
Rationale: Medication reconciliation is an essential component of safe
prescribing. Reviewing prescription medications, over-the-counter
drugs, vitamins, supplements, and herbal products helps identify
therapeutic duplication, drug interactions, contraindications, and
adherence issues. Waiting for approval from every specialist may
unnecessarily delay care, while instructing patients to discontinue
medications independently is unsafe.
Question 3
A patient requests an antibiotic for symptoms consistent with a viral
upper respiratory infection. Which response best demonstrates
responsible prescribing?
, A. Prescribe the antibiotic because patient satisfaction is an important
quality metric.
B. Prescribe a broad-spectrum antibiotic to prevent secondary bacterial
infection.
C. Explain why antibiotics are unlikely to help, discuss supportive care,
and provide follow-up instructions.
D. Prescribe a shorter antibiotic course to reduce antimicrobial
resistance.
Correct Answer: C
Rationale: Evidence-based prescribing includes avoiding unnecessary
antimicrobial therapy. Patient education regarding the expected illness
course, symptomatic treatment, warning signs, and appropriate follow-
up supports antimicrobial stewardship while maintaining therapeutic
rapport. Prescribing antibiotics without indication contributes to
resistance, adverse effects, and unnecessary costs.
Question 4
An APRN is initiating treatment for a patient with newly diagnosed
hypertension. Which patient characteristic should receive the greatest
consideration before selecting pharmacotherapy?
A. Preferred pharmacy location
B. Medication tablet color
C. Individual clinical characteristics, including comorbidities and kidney
function
D. Whether the medication has recently become available
