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
• Print ISBN: 9781719648035
eText ISBN:9781719651585
,Question 1
A family nurse practitioner is establishing a prescribing
relationship with a new adult patient who requests
continuation of several chronic medications obtained from
multiple urgent care clinics. Which action best reflects safe and
legally sound prescribing practice?
A. Refill all medications for 90 days while requesting previous
medical records.
B. Verify the medication history, review available health
records, reconcile medications, assess for contraindications,
and develop a shared treatment plan before prescribing.
C. Decline to prescribe any medications until all outside records
have been received.
D. Prescribe only medications the patient specifically requests
to maintain continuity of care.
Correct Answer: B
Rationale: Medication reconciliation, verification of current
therapies, assessment of indications, contraindications, and
shared decision-making are essential responsibilities of APRN
prescribers. Immediate refills without verification (A) may
jeopardize patient safety. Refusing all treatment (C) may
unnecessarily interrupt needed therapy. Prescribing solely
,based on patient request (D) fails to meet professional
prescribing standards.
Question 2
An APRN is considering initiating pharmacotherapy for a patient
with newly diagnosed hypertension. Which additional
information is MOST critical before selecting an initial
medication?
A. Preferred pharmacy
B. Current prescription, over-the-counter, and herbal
medication use
C. Employment status
D. Daily television viewing habits
Correct Answer: B
Rationale: Medication selection requires identification of
potential drug interactions, duplicate therapies,
contraindications, and supplements that may influence efficacy
or safety. Pharmacy preference (A) is logistical rather than
clinical. Employment (C) and television habits (D) have minimal
impact on initial prescribing decisions.
Question 3
, An APRN prescribes a medication with known nephrotoxic
potential. Which monitoring strategy best demonstrates
evidence-based prescribing?
A. Obtain baseline renal function and monitor periodically
based on patient risk factors and drug characteristics.
B. Delay laboratory monitoring until symptoms develop.
C. Monitor only if the patient is older than 80 years.
D. Assess liver enzymes instead of kidney function.
Correct Answer: A
Rationale: Baseline assessment and ongoing monitoring of
renal function are fundamental when prescribing medications
that may impair kidney function or require renal elimination.
Waiting for symptoms (B) risks preventable toxicity. Age alone
(C) is insufficient. Liver monitoring (D) does not replace renal
surveillance.
Question 4
A patient reports taking an herbal supplement while requesting
a new anticoagulant prescription. What is the APRN's BEST next
step?
A. Assume herbal products are safe because they are natural.
B. Instruct the patient to discontinue all supplements
permanently.
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
• Print ISBN: 9781719648035
eText ISBN:9781719651585
,Question 1
A family nurse practitioner is establishing a prescribing
relationship with a new adult patient who requests
continuation of several chronic medications obtained from
multiple urgent care clinics. Which action best reflects safe and
legally sound prescribing practice?
A. Refill all medications for 90 days while requesting previous
medical records.
B. Verify the medication history, review available health
records, reconcile medications, assess for contraindications,
and develop a shared treatment plan before prescribing.
C. Decline to prescribe any medications until all outside records
have been received.
D. Prescribe only medications the patient specifically requests
to maintain continuity of care.
Correct Answer: B
Rationale: Medication reconciliation, verification of current
therapies, assessment of indications, contraindications, and
shared decision-making are essential responsibilities of APRN
prescribers. Immediate refills without verification (A) may
jeopardize patient safety. Refusing all treatment (C) may
unnecessarily interrupt needed therapy. Prescribing solely
,based on patient request (D) fails to meet professional
prescribing standards.
Question 2
An APRN is considering initiating pharmacotherapy for a patient
with newly diagnosed hypertension. Which additional
information is MOST critical before selecting an initial
medication?
A. Preferred pharmacy
B. Current prescription, over-the-counter, and herbal
medication use
C. Employment status
D. Daily television viewing habits
Correct Answer: B
Rationale: Medication selection requires identification of
potential drug interactions, duplicate therapies,
contraindications, and supplements that may influence efficacy
or safety. Pharmacy preference (A) is logistical rather than
clinical. Employment (C) and television habits (D) have minimal
impact on initial prescribing decisions.
Question 3
, An APRN prescribes a medication with known nephrotoxic
potential. Which monitoring strategy best demonstrates
evidence-based prescribing?
A. Obtain baseline renal function and monitor periodically
based on patient risk factors and drug characteristics.
B. Delay laboratory monitoring until symptoms develop.
C. Monitor only if the patient is older than 80 years.
D. Assess liver enzymes instead of kidney function.
Correct Answer: A
Rationale: Baseline assessment and ongoing monitoring of
renal function are fundamental when prescribing medications
that may impair kidney function or require renal elimination.
Waiting for symptoms (B) risks preventable toxicity. Age alone
(C) is insufficient. Liver monitoring (D) does not replace renal
surveillance.
Question 4
A patient reports taking an herbal supplement while requesting
a new anticoagulant prescription. What is the APRN's BEST next
step?
A. Assume herbal products are safe because they are natural.
B. Instruct the patient to discontinue all supplements
permanently.
