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 establishing a
primary care practice and is reviewing legal and ethical prescribing
responsibilities. Before prescribing any controlled substance
independently in the United States, which action is the highest priority?
A. Obtain hospital admitting privileges.
B. Register with the Drug Enforcement Administration (DEA) if
authorized under state law and ensure compliance with applicable
federal and state prescribing regulations.
C. Complete a collaborative practice agreement regardless of state
practice authority.
D. Obtain malpractice insurance specifically covering controlled
substances before issuing any prescription.
Correct Answer: B
Rationale:
Advanced practice registered nurses (APRNs) who prescribe controlled
substances must comply with both federal and state regulations. This
generally includes obtaining DEA registration when authorized by state
law and practicing within state-specific scope-of-practice requirements.
Hospital privileges are unrelated to outpatient prescribing authority (A).
Collaborative agreements are required only in some jurisdictions, not
universally (C). Malpractice insurance is strongly recommended but is
not a prerequisite for legal prescribing authority (D).
Question 2
An APRN is evaluating whether to prescribe an antibiotic for a patient
with symptoms most consistent with an uncomplicated viral upper
,respiratory infection. Which prescribing decision best reflects evidence-
based practice?
A. Prescribe an antibiotic because the patient expects medication.
B. Delay treatment until symptoms worsen significantly.
C. Avoid prescribing an antibiotic and provide education regarding
symptom management and expected illness course.
D. Prescribe a broad-spectrum antibiotic to reduce the risk of secondary
bacterial infection.
Correct Answer: C
Rationale:
Evidence-based prescribing requires selecting therapy based on the
best available evidence while minimizing unnecessary medication
exposure. Viral infections do not benefit from antibiotics, and
inappropriate prescribing contributes to antimicrobial resistance,
adverse drug events, and increased healthcare costs. Patient education
is an essential component of appropriate prescribing. Options A and D
promote inappropriate antibiotic use, while B delays supportive care
and education.
Question 3
A patient with chronic kidney disease is prescribed a medication that is
primarily eliminated unchanged by the kidneys. Which prescribing
principle is most appropriate before initiating therapy?
A. Prescribe the standard adult dose because efficacy is the primary
concern.
, B. Assess renal function and determine whether dosage adjustment or
an alternative medication is appropriate.
C. Avoid all medications eliminated by the kidneys.
D. Increase the initial dose to achieve therapeutic concentrations more
rapidly.
Correct Answer: B
Rationale:
Renal function significantly affects medication clearance. APRNs should
evaluate kidney function (e.g., estimated glomerular filtration rate or
creatinine clearance) before prescribing renally eliminated medications
and adjust therapy accordingly. Standard dosing (A) may increase
toxicity. Avoiding all renally cleared drugs (C) is unnecessary. Higher
loading doses (D) may increase adverse effects.
Question 4
A patient asks why the APRN chose one antihypertensive medication
instead of another medication within the same class. Which response
best demonstrates rational prescribing?
A. "The medication was selected because it is the least expensive."
B. "The medication was selected after considering your medical history,
comorbidities, concurrent medications, and treatment goals."
C. "All medications in this class are essentially identical."
D. "I selected the medication that pharmaceutical representatives
recommend most often."
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 family nurse practitioner (FNP) is establishing a
primary care practice and is reviewing legal and ethical prescribing
responsibilities. Before prescribing any controlled substance
independently in the United States, which action is the highest priority?
A. Obtain hospital admitting privileges.
B. Register with the Drug Enforcement Administration (DEA) if
authorized under state law and ensure compliance with applicable
federal and state prescribing regulations.
C. Complete a collaborative practice agreement regardless of state
practice authority.
D. Obtain malpractice insurance specifically covering controlled
substances before issuing any prescription.
Correct Answer: B
Rationale:
Advanced practice registered nurses (APRNs) who prescribe controlled
substances must comply with both federal and state regulations. This
generally includes obtaining DEA registration when authorized by state
law and practicing within state-specific scope-of-practice requirements.
Hospital privileges are unrelated to outpatient prescribing authority (A).
Collaborative agreements are required only in some jurisdictions, not
universally (C). Malpractice insurance is strongly recommended but is
not a prerequisite for legal prescribing authority (D).
Question 2
An APRN is evaluating whether to prescribe an antibiotic for a patient
with symptoms most consistent with an uncomplicated viral upper
,respiratory infection. Which prescribing decision best reflects evidence-
based practice?
A. Prescribe an antibiotic because the patient expects medication.
B. Delay treatment until symptoms worsen significantly.
C. Avoid prescribing an antibiotic and provide education regarding
symptom management and expected illness course.
D. Prescribe a broad-spectrum antibiotic to reduce the risk of secondary
bacterial infection.
Correct Answer: C
Rationale:
Evidence-based prescribing requires selecting therapy based on the
best available evidence while minimizing unnecessary medication
exposure. Viral infections do not benefit from antibiotics, and
inappropriate prescribing contributes to antimicrobial resistance,
adverse drug events, and increased healthcare costs. Patient education
is an essential component of appropriate prescribing. Options A and D
promote inappropriate antibiotic use, while B delays supportive care
and education.
Question 3
A patient with chronic kidney disease is prescribed a medication that is
primarily eliminated unchanged by the kidneys. Which prescribing
principle is most appropriate before initiating therapy?
A. Prescribe the standard adult dose because efficacy is the primary
concern.
, B. Assess renal function and determine whether dosage adjustment or
an alternative medication is appropriate.
C. Avoid all medications eliminated by the kidneys.
D. Increase the initial dose to achieve therapeutic concentrations more
rapidly.
Correct Answer: B
Rationale:
Renal function significantly affects medication clearance. APRNs should
evaluate kidney function (e.g., estimated glomerular filtration rate or
creatinine clearance) before prescribing renally eliminated medications
and adjust therapy accordingly. Standard dosing (A) may increase
toxicity. Avoiding all renally cleared drugs (C) is unnecessary. Higher
loading doses (D) may increase adverse effects.
Question 4
A patient asks why the APRN chose one antihypertensive medication
instead of another medication within the same class. Which response
best demonstrates rational prescribing?
A. "The medication was selected because it is the least expensive."
B. "The medication was selected after considering your medical history,
comorbidities, concurrent medications, and treatment goals."
C. "All medications in this class are essentially identical."
D. "I selected the medication that pharmaceutical representatives
recommend most often."
Correct Answer: B
