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 evaluating a 58-year-old man with
newly diagnosed hypertension. Before selecting an antihypertensive
medication, the APRN reviews the patient's medical history, current
medications, allergies, renal function, and insurance formulary. Which
prescribing principle is BEST demonstrated?
A. Selecting the medication with the lowest acquisition cost regardless
of efficacy
B. Integrating patient-specific factors with current evidence to
individualize therapy
C. Prescribing medications based primarily on provider preference and
prior experience
D. Delaying treatment until every possible diagnostic test has been
completed
Correct Answer: B
Rationale:
Safe, evidence-based prescribing requires integrating clinical evidence
with patient-specific characteristics such as comorbidities, renal and
hepatic function, allergies, concurrent medications, adherence
potential, and financial considerations. Individualized prescribing
optimizes efficacy while minimizing harm. Cost is important but should
not supersede clinical appropriateness (A). Provider preference alone is
insufficient (C). Treatment should not be unnecessarily delayed when
evidence supports initiation (D).
Question 2
,A newly licensed APRN begins prescribing independently in a state that
grants full practice authority. Which action BEST reflects professional
accountability for safe prescribing?
A. Prescribing only medications that supervising physicians commonly
use
B. Maintaining current pharmacology knowledge and following
evidence-based clinical guidelines
C. Avoiding prescribing medications with boxed warnings regardless of
indication
D. Delegating medication selection to the dispensing pharmacist
Correct Answer: B
Rationale:
Advanced practice prescribers are responsible for maintaining
competence through continuing education, evidence-based practice,
guideline familiarity, and ongoing evaluation of prescribing outcomes.
Pharmacists provide valuable consultation but do not replace the
prescriber's responsibility (D). Boxed warning medications may still be
appropriate when benefits outweigh risks (C). Independent practice
requires clinical judgment rather than reliance on another clinician's
habits (A).
Question 3
A 72-year-old woman with chronic kidney disease, osteoarthritis,
hypertension, and type 2 diabetes takes nine prescription medications
and three over-the-counter products. Before adding another
medication, the APRN should FIRST:
A. Prescribe the new medication and reassess in one year
, B. Review the complete medication list for interactions, duplications,
and appropriateness
C. Recommend discontinuing all over-the-counter medications
D. Assume medications prescribed by specialists are appropriate
without review
Correct Answer: B
Rationale:
Medication reconciliation is a fundamental component of safe
prescribing, especially in patients with polypharmacy. Reviewing
prescription drugs, supplements, herbal products, renal function, and
potential interactions helps prevent adverse drug events. Automatically
discontinuing OTC products is inappropriate (C), and specialists'
prescriptions also require review for safety (D).
Question 4
A patient requests an antibiotic for symptoms consistent with a viral
upper respiratory infection. Physical examination reveals no evidence
of bacterial infection. What is the BEST prescribing decision?
A. Prescribe a broad-spectrum antibiotic to satisfy the patient
B. Prescribe an antibiotic for three days only
C. Educate the patient regarding the expected course of illness and
recommend symptomatic treatment
D. Prescribe two antibiotics to prevent secondary bacterial infection
Correct Answer: C
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 evaluating a 58-year-old man with
newly diagnosed hypertension. Before selecting an antihypertensive
medication, the APRN reviews the patient's medical history, current
medications, allergies, renal function, and insurance formulary. Which
prescribing principle is BEST demonstrated?
A. Selecting the medication with the lowest acquisition cost regardless
of efficacy
B. Integrating patient-specific factors with current evidence to
individualize therapy
C. Prescribing medications based primarily on provider preference and
prior experience
D. Delaying treatment until every possible diagnostic test has been
completed
Correct Answer: B
Rationale:
Safe, evidence-based prescribing requires integrating clinical evidence
with patient-specific characteristics such as comorbidities, renal and
hepatic function, allergies, concurrent medications, adherence
potential, and financial considerations. Individualized prescribing
optimizes efficacy while minimizing harm. Cost is important but should
not supersede clinical appropriateness (A). Provider preference alone is
insufficient (C). Treatment should not be unnecessarily delayed when
evidence supports initiation (D).
Question 2
,A newly licensed APRN begins prescribing independently in a state that
grants full practice authority. Which action BEST reflects professional
accountability for safe prescribing?
A. Prescribing only medications that supervising physicians commonly
use
B. Maintaining current pharmacology knowledge and following
evidence-based clinical guidelines
C. Avoiding prescribing medications with boxed warnings regardless of
indication
D. Delegating medication selection to the dispensing pharmacist
Correct Answer: B
Rationale:
Advanced practice prescribers are responsible for maintaining
competence through continuing education, evidence-based practice,
guideline familiarity, and ongoing evaluation of prescribing outcomes.
Pharmacists provide valuable consultation but do not replace the
prescriber's responsibility (D). Boxed warning medications may still be
appropriate when benefits outweigh risks (C). Independent practice
requires clinical judgment rather than reliance on another clinician's
habits (A).
Question 3
A 72-year-old woman with chronic kidney disease, osteoarthritis,
hypertension, and type 2 diabetes takes nine prescription medications
and three over-the-counter products. Before adding another
medication, the APRN should FIRST:
A. Prescribe the new medication and reassess in one year
, B. Review the complete medication list for interactions, duplications,
and appropriateness
C. Recommend discontinuing all over-the-counter medications
D. Assume medications prescribed by specialists are appropriate
without review
Correct Answer: B
Rationale:
Medication reconciliation is a fundamental component of safe
prescribing, especially in patients with polypharmacy. Reviewing
prescription drugs, supplements, herbal products, renal function, and
potential interactions helps prevent adverse drug events. Automatically
discontinuing OTC products is inappropriate (C), and specialists'
prescriptions also require review for safety (D).
Question 4
A patient requests an antibiotic for symptoms consistent with a viral
upper respiratory infection. Physical examination reveals no evidence
of bacterial infection. What is the BEST prescribing decision?
A. Prescribe a broad-spectrum antibiotic to satisfy the patient
B. Prescribe an antibiotic for three days only
C. Educate the patient regarding the expected course of illness and
recommend symptomatic treatment
D. Prescribe two antibiotics to prevent secondary bacterial infection
Correct Answer: C
