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 advanced practice registered nurse (APRN) is
preparing to begin prescribing medications in a primary care clinic.
Which action best demonstrates the APRN's primary professional
responsibility before independently prescribing medications?
A. Prescribing only medications that have been used successfully by
colleagues
B. Verifying state scope-of-practice requirements, prescriptive
authority, and applicable collaborative or supervisory requirements
before initiating prescribing
C. Relying primarily on pharmaceutical representatives for updates on
new medications
D. Limiting prescribing decisions to recommendations made by
consulting specialists
Correct Answer: B
Rationale:
Safe prescribing begins with practicing within legal authority
established by state law, licensure, credentialing, and institutional
policy. APRNs must understand their prescriptive authority, controlled
substance requirements, and regulatory responsibilities before
independently prescribing. Although collaboration with specialists and
continuing education are valuable, they do not replace legal
accountability. Pharmaceutical representatives should never serve as
the primary source of prescribing information because of potential bias.
,Question 2
An APRN evaluates a 58-year-old patient with newly diagnosed
hypertension. The patient asks why lifestyle changes are being
discussed before medication. Which response best reflects evidence-
based prescribing?
A. Lifestyle modification should only be recommended if medication
therapy fails.
B. Lifestyle interventions can reduce cardiovascular risk and may
improve medication effectiveness or decrease medication
requirements.
C. Lifestyle modification is recommended only for younger adults.
D. Medication therapy eliminates the need for lifestyle counseling.
Correct Answer: B
Rationale:
Evidence-based prescribing integrates nonpharmacologic interventions
with medication management whenever appropriate. Lifestyle
modifications—including dietary changes, physical activity, smoking
cessation, and weight management—can improve clinical outcomes
and reduce medication burden. Options A, C, and D underestimate the
importance of comprehensive patient-centered management.
Question 3
An APRN is considering treatment options for a patient with type 2
diabetes. Which prescribing approach best reflects shared decision-
making?
, A. Selecting the medication with the newest FDA approval regardless of
patient preference
B. Choosing the least expensive medication without discussing
alternatives
C. Discussing benefits, risks, adverse effects, costs, administration, and
patient preferences before selecting therapy
D. Allowing the patient's family to make the final prescribing decision
without patient involvement
Correct Answer: C
Rationale:
Shared decision-making incorporates clinical evidence together with
the patient's goals, preferences, financial considerations, and values.
This collaborative approach improves adherence and satisfaction while
promoting patient autonomy. The remaining options fail to adequately
engage the patient in therapeutic decision-making.
Question 4
An APRN prescribes an oral antibiotic for uncomplicated cellulitis.
Which action best reduces the likelihood of medication errors?
A. Using verbal orders whenever possible
B. Writing complete prescriptions that include indication, dose, route,
frequency, duration, and patient counseling
C. Using abbreviations to shorten prescription writing
D. Omitting treatment duration if follow-up is scheduled
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 advanced practice registered nurse (APRN) is
preparing to begin prescribing medications in a primary care clinic.
Which action best demonstrates the APRN's primary professional
responsibility before independently prescribing medications?
A. Prescribing only medications that have been used successfully by
colleagues
B. Verifying state scope-of-practice requirements, prescriptive
authority, and applicable collaborative or supervisory requirements
before initiating prescribing
C. Relying primarily on pharmaceutical representatives for updates on
new medications
D. Limiting prescribing decisions to recommendations made by
consulting specialists
Correct Answer: B
Rationale:
Safe prescribing begins with practicing within legal authority
established by state law, licensure, credentialing, and institutional
policy. APRNs must understand their prescriptive authority, controlled
substance requirements, and regulatory responsibilities before
independently prescribing. Although collaboration with specialists and
continuing education are valuable, they do not replace legal
accountability. Pharmaceutical representatives should never serve as
the primary source of prescribing information because of potential bias.
,Question 2
An APRN evaluates a 58-year-old patient with newly diagnosed
hypertension. The patient asks why lifestyle changes are being
discussed before medication. Which response best reflects evidence-
based prescribing?
A. Lifestyle modification should only be recommended if medication
therapy fails.
B. Lifestyle interventions can reduce cardiovascular risk and may
improve medication effectiveness or decrease medication
requirements.
C. Lifestyle modification is recommended only for younger adults.
D. Medication therapy eliminates the need for lifestyle counseling.
Correct Answer: B
Rationale:
Evidence-based prescribing integrates nonpharmacologic interventions
with medication management whenever appropriate. Lifestyle
modifications—including dietary changes, physical activity, smoking
cessation, and weight management—can improve clinical outcomes
and reduce medication burden. Options A, C, and D underestimate the
importance of comprehensive patient-centered management.
Question 3
An APRN is considering treatment options for a patient with type 2
diabetes. Which prescribing approach best reflects shared decision-
making?
, A. Selecting the medication with the newest FDA approval regardless of
patient preference
B. Choosing the least expensive medication without discussing
alternatives
C. Discussing benefits, risks, adverse effects, costs, administration, and
patient preferences before selecting therapy
D. Allowing the patient's family to make the final prescribing decision
without patient involvement
Correct Answer: C
Rationale:
Shared decision-making incorporates clinical evidence together with
the patient's goals, preferences, financial considerations, and values.
This collaborative approach improves adherence and satisfaction while
promoting patient autonomy. The remaining options fail to adequately
engage the patient in therapeutic decision-making.
Question 4
An APRN prescribes an oral antibiotic for uncomplicated cellulitis.
Which action best reduces the likelihood of medication errors?
A. Using verbal orders whenever possible
B. Writing complete prescriptions that include indication, dose, route,
frequency, duration, and patient counseling
C. Using abbreviations to shorten prescription writing
D. Omitting treatment duration if follow-up is scheduled
Correct Answer: B
