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 family nurse practitioner (FNP) is beginning practice in a primary care
clinic. During orientation, the collaborating physician emphasizes that
prescribing authority carries legal, ethical, and professional
responsibilities beyond simply selecting medications. Which action best
demonstrates the advanced practice nurse's role as a safe and
accountable prescriber?
A. Delegating medication counseling to nursing staff for all prescriptions
B. Using evidence-based prescribing while considering patient-specific
factors, monitoring plans, and state regulations
C. Prescribing medications based primarily on previous successful
experiences with similar patients
D. Limiting prescribing decisions to medications recommended by
pharmaceutical representatives
Correct Answer: B
Rationale: Advanced practice nurse (APRN) prescribers integrate
evidence-based medicine with individualized patient assessment,
applicable laws, patient preferences, safety monitoring, and follow-up.
Safe prescribing extends beyond writing prescriptions to include
informed clinical reasoning and accountability. Options A, C, and D
neglect individualized care and evidence-based decision-making.
Question 2
An adult patient requests antibiotics for symptoms consistent with an
uncomplicated viral upper respiratory infection. The patient states,
,"Antibiotics always make me feel better." What is the most appropriate
response by the APRN?
A. Prescribe amoxicillin because patient satisfaction improves
adherence
B. Prescribe azithromycin because it has a broad spectrum of activity
C. Explain why antibiotics are not indicated, provide symptomatic
treatment recommendations, and discuss warning signs requiring
follow-up
D. Prescribe antibiotics for three days to reduce antimicrobial
resistance
Correct Answer: C
Rationale: Responsible prescribing includes avoiding unnecessary
antimicrobial therapy, educating patients, and recommending
evidence-based symptomatic management with appropriate return
precautions. Antibiotics provide no benefit for viral illnesses and
contribute to adverse effects and antimicrobial resistance. The
remaining options represent inappropriate prescribing.
Question 3
A 74-year-old woman with chronic kidney disease, hypertension, type 2
diabetes mellitus, and osteoarthritis presents for medication review.
She currently takes 12 medications prescribed by multiple clinicians.
What should be the APRN's priority before initiating another
medication?
A. Add the new medication and reassess in one year
, B. Perform a comprehensive medication reconciliation to evaluate
duplications, interactions, adherence, and indication for each
medication
C. Discontinue all medications and restart therapy
D. Assume each medication remains necessary because specialists
prescribed them
Correct Answer: B
Rationale: Medication reconciliation is a core prescribing responsibility,
particularly in patients with polypharmacy. Reviewing every medication
helps identify duplicate therapy, inappropriate prescribing, adverse
drug reactions, and clinically significant interactions before additional
medications are prescribed. The other options increase patient safety
risks.
Question 4
A patient with newly diagnosed hypertension asks why laboratory
studies were ordered before starting pharmacotherapy. Which
explanation is most appropriate?
A. Laboratory tests are required only for insurance reimbursement.
B. Baseline studies help identify contraindications, establish organ
function, and guide safe medication selection and monitoring.
C. Laboratory studies are unnecessary before initiating antihypertensive
therapy.
D. Baseline laboratory testing predicts whether the patient will
experience adverse drug reactions.
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 family nurse practitioner (FNP) is beginning practice in a primary care
clinic. During orientation, the collaborating physician emphasizes that
prescribing authority carries legal, ethical, and professional
responsibilities beyond simply selecting medications. Which action best
demonstrates the advanced practice nurse's role as a safe and
accountable prescriber?
A. Delegating medication counseling to nursing staff for all prescriptions
B. Using evidence-based prescribing while considering patient-specific
factors, monitoring plans, and state regulations
C. Prescribing medications based primarily on previous successful
experiences with similar patients
D. Limiting prescribing decisions to medications recommended by
pharmaceutical representatives
Correct Answer: B
Rationale: Advanced practice nurse (APRN) prescribers integrate
evidence-based medicine with individualized patient assessment,
applicable laws, patient preferences, safety monitoring, and follow-up.
Safe prescribing extends beyond writing prescriptions to include
informed clinical reasoning and accountability. Options A, C, and D
neglect individualized care and evidence-based decision-making.
Question 2
An adult patient requests antibiotics for symptoms consistent with an
uncomplicated viral upper respiratory infection. The patient states,
,"Antibiotics always make me feel better." What is the most appropriate
response by the APRN?
A. Prescribe amoxicillin because patient satisfaction improves
adherence
B. Prescribe azithromycin because it has a broad spectrum of activity
C. Explain why antibiotics are not indicated, provide symptomatic
treatment recommendations, and discuss warning signs requiring
follow-up
D. Prescribe antibiotics for three days to reduce antimicrobial
resistance
Correct Answer: C
Rationale: Responsible prescribing includes avoiding unnecessary
antimicrobial therapy, educating patients, and recommending
evidence-based symptomatic management with appropriate return
precautions. Antibiotics provide no benefit for viral illnesses and
contribute to adverse effects and antimicrobial resistance. The
remaining options represent inappropriate prescribing.
Question 3
A 74-year-old woman with chronic kidney disease, hypertension, type 2
diabetes mellitus, and osteoarthritis presents for medication review.
She currently takes 12 medications prescribed by multiple clinicians.
What should be the APRN's priority before initiating another
medication?
A. Add the new medication and reassess in one year
, B. Perform a comprehensive medication reconciliation to evaluate
duplications, interactions, adherence, and indication for each
medication
C. Discontinue all medications and restart therapy
D. Assume each medication remains necessary because specialists
prescribed them
Correct Answer: B
Rationale: Medication reconciliation is a core prescribing responsibility,
particularly in patients with polypharmacy. Reviewing every medication
helps identify duplicate therapy, inappropriate prescribing, adverse
drug reactions, and clinically significant interactions before additional
medications are prescribed. The other options increase patient safety
risks.
Question 4
A patient with newly diagnosed hypertension asks why laboratory
studies were ordered before starting pharmacotherapy. Which
explanation is most appropriate?
A. Laboratory tests are required only for insurance reimbursement.
B. Baseline studies help identify contraindications, establish organ
function, and guide safe medication selection and monitoring.
C. Laboratory studies are unnecessary before initiating antihypertensive
therapy.
D. Baseline laboratory testing predicts whether the patient will
experience adverse drug reactions.
Correct Answer: B
