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 (FNP) begins practicing in a
multispecialty clinic. During orientation, the APRN is reviewing
prescribing responsibilities. Which action best demonstrates
safe and legally sound prescribing practice?
A. Prescribing medications based primarily on colleague
recommendations without independently reviewing the
patient's history
B. Verifying the diagnosis, evaluating patient-specific factors,
documenting the clinical rationale, and prescribing within the
APRN's legal authority and scope of practice
C. Delegating all medication selection decisions to collaborating
physicians
D. Prescribing requested medications whenever patients report
previous benefit regardless of current assessment
Correct Answer: B
Rationale: Safe prescribing requires an individualized
assessment, confirmation of the diagnosis, evaluation of
allergies, comorbidities, concurrent medications, appropriate
documentation, and prescribing within state regulations and
professional scope. Option A lacks independent clinical
judgment. Option C does not reflect autonomous APRN
,decision-making where permitted. Option D increases the risk
of inappropriate therapy and medication-related harm.
Question 2
A newly certified APRN is evaluating whether to initiate
pharmacologic therapy for a patient with newly diagnosed
hypertension. Which additional information is most important
before selecting an antihypertensive medication?
A. Patient's preferred pharmacy
B. Complete medication list, allergies, comorbidities, renal
function, and pregnancy status when applicable
C. Number of previous clinic visits
D. Family members' medication preferences
Correct Answer: B
Rationale: Safe prescribing requires assessment of factors that
influence efficacy and safety, including drug interactions,
allergies, renal function, hepatic status when relevant,
pregnancy potential, and comorbid conditions. The remaining
options do not directly guide medication selection.
Question 3
, An APRN evaluates a 78-year-old patient who takes
medications prescribed by four different specialists. Which
prescribing principle best minimizes medication-related harm?
A. Add new medications without changing existing therapy
B. Focus only on medications prescribed by the APRN
C. Perform comprehensive medication reconciliation before
initiating additional therapy
D. Assume specialists have already evaluated all potential
interactions
Correct Answer: C
Rationale: Medication reconciliation identifies duplicate
therapies, drug interactions, contraindications, adherence
issues, and unnecessary medications. Older adults are
particularly vulnerable to adverse drug events because of
polypharmacy. The other options increase the likelihood of
preventable medication errors.
Question 4
A patient requests an antibiotic because a previous upper
respiratory illness improved after taking one. Examination is
most consistent with an uncomplicated viral infection. What is
the best prescribing decision?
A. Prescribe a broad-spectrum antibiotic to satisfy the patient
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 (FNP) begins practicing in a
multispecialty clinic. During orientation, the APRN is reviewing
prescribing responsibilities. Which action best demonstrates
safe and legally sound prescribing practice?
A. Prescribing medications based primarily on colleague
recommendations without independently reviewing the
patient's history
B. Verifying the diagnosis, evaluating patient-specific factors,
documenting the clinical rationale, and prescribing within the
APRN's legal authority and scope of practice
C. Delegating all medication selection decisions to collaborating
physicians
D. Prescribing requested medications whenever patients report
previous benefit regardless of current assessment
Correct Answer: B
Rationale: Safe prescribing requires an individualized
assessment, confirmation of the diagnosis, evaluation of
allergies, comorbidities, concurrent medications, appropriate
documentation, and prescribing within state regulations and
professional scope. Option A lacks independent clinical
judgment. Option C does not reflect autonomous APRN
,decision-making where permitted. Option D increases the risk
of inappropriate therapy and medication-related harm.
Question 2
A newly certified APRN is evaluating whether to initiate
pharmacologic therapy for a patient with newly diagnosed
hypertension. Which additional information is most important
before selecting an antihypertensive medication?
A. Patient's preferred pharmacy
B. Complete medication list, allergies, comorbidities, renal
function, and pregnancy status when applicable
C. Number of previous clinic visits
D. Family members' medication preferences
Correct Answer: B
Rationale: Safe prescribing requires assessment of factors that
influence efficacy and safety, including drug interactions,
allergies, renal function, hepatic status when relevant,
pregnancy potential, and comorbid conditions. The remaining
options do not directly guide medication selection.
Question 3
, An APRN evaluates a 78-year-old patient who takes
medications prescribed by four different specialists. Which
prescribing principle best minimizes medication-related harm?
A. Add new medications without changing existing therapy
B. Focus only on medications prescribed by the APRN
C. Perform comprehensive medication reconciliation before
initiating additional therapy
D. Assume specialists have already evaluated all potential
interactions
Correct Answer: C
Rationale: Medication reconciliation identifies duplicate
therapies, drug interactions, contraindications, adherence
issues, and unnecessary medications. Older adults are
particularly vulnerable to adverse drug events because of
polypharmacy. The other options increase the likelihood of
preventable medication errors.
Question 4
A patient requests an antibiotic because a previous upper
respiratory illness improved after taking one. Examination is
most consistent with an uncomplicated viral infection. What is
the best prescribing decision?
A. Prescribe a broad-spectrum antibiotic to satisfy the patient
