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
, 1. Question 1
A newly certified APRN joins a multispecialty clinic and is preparing to
prescribe medications independently. Before initiating
pharmacotherapy for a new patient, which action best demonstrates
the foundation of safe and legally sound prescribing practice?
A. Prescribe based primarily on the patient's request if no immediate
contraindications are apparent.
B. Perform a comprehensive assessment, establish an appropriate
diagnosis, review medications and allergies, and develop a shared
treatment plan.
C. Begin treatment using the most commonly prescribed medication for
the patient's chief complaint.
D. Delay all pharmacologic treatment until specialty consultation is
obtained.
Correct Answer: B
Rationale: Safe prescribing begins with an accurate assessment,
diagnosis, medication reconciliation, allergy review, and shared
decision-making. This approach minimizes medication errors and
supports individualized care. Option A ignores evidence-based
prescribing. Option C risks inappropriate therapy without adequate
evaluation. Option D may unnecessarily delay treatment when
management is within the APRN's scope.
2. Question 2
,A 72-year-old patient presents with hypertension and osteoarthritis.
Medication reconciliation reveals prescriptions from three specialists,
over-the-counter ibuprofen, and several herbal supplements. What is
the APRN's highest prescribing priority?
A. Add another antihypertensive before reviewing the current regimen.
B. Conduct a comprehensive medication reconciliation before
modifying therapy.
C. Recommend discontinuing all nonprescription products immediately.
D. Prescribe medication based solely on the specialist's most recent
note.
Correct Answer: B
Rationale: Medication reconciliation identifies duplications,
interactions, adherence issues, and unnecessary therapies before
treatment changes are made. Older adults commonly experience
polypharmacy. Options A and D may perpetuate medication-related
problems. Option C is overly broad because some nonprescription
products may be appropriate.
3. Question 3
An APRN evaluates a patient requesting antibiotics for symptoms
consistent with an uncomplicated viral upper respiratory infection.
Which prescribing decision best reflects evidence-based practice?
A. Prescribe a broad-spectrum antibiotic to satisfy patient expectations.
B. Prescribe an antibiotic because symptoms have lasted 48 hours.
C. Explain why antibiotics are not indicated and recommend
appropriate symptomatic management.
, D. Prescribe two antibiotics to reduce the risk of bacterial resistance.
Correct Answer: C
Rationale: Antibiotics should not be prescribed for viral infections.
Educating the patient and recommending supportive care
demonstrates antimicrobial stewardship while reducing unnecessary
adverse effects and antimicrobial resistance. The remaining options
represent inappropriate antibiotic prescribing.
4. Question 4
A patient with newly diagnosed type 2 diabetes asks why laboratory
testing is necessary before medication selection.
Which explanation is most appropriate?
A. Laboratory testing is primarily required for insurance approval.
B. Baseline laboratory values help determine medication safety,
contraindications, and appropriate monitoring.
C. Laboratory evaluation is optional before initiating chronic
medications.
D. Laboratory testing is only necessary if adverse effects develop.
Correct Answer: B
Rationale: Baseline laboratory evaluation assists with medication
selection, identifies contraindications, establishes monitoring
parameters, and supports safe prescribing. The remaining options
underestimate the importance of pretreatment assessment.
5. Question 5
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
, 1. Question 1
A newly certified APRN joins a multispecialty clinic and is preparing to
prescribe medications independently. Before initiating
pharmacotherapy for a new patient, which action best demonstrates
the foundation of safe and legally sound prescribing practice?
A. Prescribe based primarily on the patient's request if no immediate
contraindications are apparent.
B. Perform a comprehensive assessment, establish an appropriate
diagnosis, review medications and allergies, and develop a shared
treatment plan.
C. Begin treatment using the most commonly prescribed medication for
the patient's chief complaint.
D. Delay all pharmacologic treatment until specialty consultation is
obtained.
Correct Answer: B
Rationale: Safe prescribing begins with an accurate assessment,
diagnosis, medication reconciliation, allergy review, and shared
decision-making. This approach minimizes medication errors and
supports individualized care. Option A ignores evidence-based
prescribing. Option C risks inappropriate therapy without adequate
evaluation. Option D may unnecessarily delay treatment when
management is within the APRN's scope.
2. Question 2
,A 72-year-old patient presents with hypertension and osteoarthritis.
Medication reconciliation reveals prescriptions from three specialists,
over-the-counter ibuprofen, and several herbal supplements. What is
the APRN's highest prescribing priority?
A. Add another antihypertensive before reviewing the current regimen.
B. Conduct a comprehensive medication reconciliation before
modifying therapy.
C. Recommend discontinuing all nonprescription products immediately.
D. Prescribe medication based solely on the specialist's most recent
note.
Correct Answer: B
Rationale: Medication reconciliation identifies duplications,
interactions, adherence issues, and unnecessary therapies before
treatment changes are made. Older adults commonly experience
polypharmacy. Options A and D may perpetuate medication-related
problems. Option C is overly broad because some nonprescription
products may be appropriate.
3. Question 3
An APRN evaluates a patient requesting antibiotics for symptoms
consistent with an uncomplicated viral upper respiratory infection.
Which prescribing decision best reflects evidence-based practice?
A. Prescribe a broad-spectrum antibiotic to satisfy patient expectations.
B. Prescribe an antibiotic because symptoms have lasted 48 hours.
C. Explain why antibiotics are not indicated and recommend
appropriate symptomatic management.
, D. Prescribe two antibiotics to reduce the risk of bacterial resistance.
Correct Answer: C
Rationale: Antibiotics should not be prescribed for viral infections.
Educating the patient and recommending supportive care
demonstrates antimicrobial stewardship while reducing unnecessary
adverse effects and antimicrobial resistance. The remaining options
represent inappropriate antibiotic prescribing.
4. Question 4
A patient with newly diagnosed type 2 diabetes asks why laboratory
testing is necessary before medication selection.
Which explanation is most appropriate?
A. Laboratory testing is primarily required for insurance approval.
B. Baseline laboratory values help determine medication safety,
contraindications, and appropriate monitoring.
C. Laboratory evaluation is optional before initiating chronic
medications.
D. Laboratory testing is only necessary if adverse effects develop.
Correct Answer: B
Rationale: Baseline laboratory evaluation assists with medication
selection, identifies contraindications, establishes monitoring
parameters, and supports safe prescribing. The remaining options
underestimate the importance of pretreatment assessment.
5. Question 5
