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 newly certified family nurse practitioner (FNP) begins
practicing in a primary care clinic. Which prescribing practice
best demonstrates the advanced practice registered nurse's
(APRN's) responsibility to promote safe, evidence-based
pharmacotherapy?
A. Prescribing medications based primarily on personal clinical
experience regardless of guideline recommendations
B. Selecting medications after integrating the patient's
diagnosis, comorbidities, current medications, evidence-based
recommendations, and patient preferences
C. Routinely prescribing brand-name medications because they
are generally more effective than generic products
D. Deferring all medication decisions to collaborating physicians
whenever multiple treatment options exist
Correct Answer: B
Rationale: Safe prescribing requires integration of clinical
assessment, current evidence, patient-specific factors,
concurrent medications, and shared decision-making. Options A
and C disregard evidence-based practice, while D does not
reflect the autonomous clinical decision-making expected of
APRNs practicing within their scope and state regulations.
,Question 2
A 72-year-old woman with hypertension, osteoarthritis, chronic
kidney disease stage 3a, and gastroesophageal reflux disease
presents for medication review. She currently takes nine
prescription medications and three over-the-counter products.
What should be the APRN's priority before initiating therapy for
newly diagnosed urge urinary incontinence?
A. Add an anticholinergic medication immediately
B. Perform a comprehensive medication reconciliation and
assess for medication-related contributors
C. Refer the patient directly for surgical evaluation
D. Prescribe the newest medication with the fewest reported
adverse effects
Correct Answer: B
Rationale: Medication reconciliation is essential before
prescribing, particularly in older adults with polypharmacy.
Existing medications may contribute to symptoms or interact
with new therapies. Immediate prescribing without evaluation
increases the risk of adverse drug events. Surgery is not first-
line management.
Question 3
, An APRN evaluates a 30-year-old woman requesting medication
for seasonal allergic rhinitis. She reports she is 10 weeks
pregnant. Which prescribing principle is most appropriate?
A. Avoid discussing pregnancy because medication risks are
minimal during the first trimester
B. Consider maternal benefit, fetal risk, available safety data,
and nonpharmacologic alternatives before prescribing
C. Delay all treatment until after delivery
D. Prescribe any medication approved for adults regardless of
pregnancy status
Correct Answer: B
Rationale: Prescribing during pregnancy requires individualized
assessment of maternal benefit, fetal safety, available
evidence, and alternative therapies. Untreated disease may
also carry risks. Options A, C, and D fail to balance benefits and
risks appropriately.
Question 4
A patient asks why an APRN recommends a generic medication
instead of the advertised brand-name product. Which response
is most accurate?
A. Generic medications contain completely different active
ingredients.
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 newly certified family nurse practitioner (FNP) begins
practicing in a primary care clinic. Which prescribing practice
best demonstrates the advanced practice registered nurse's
(APRN's) responsibility to promote safe, evidence-based
pharmacotherapy?
A. Prescribing medications based primarily on personal clinical
experience regardless of guideline recommendations
B. Selecting medications after integrating the patient's
diagnosis, comorbidities, current medications, evidence-based
recommendations, and patient preferences
C. Routinely prescribing brand-name medications because they
are generally more effective than generic products
D. Deferring all medication decisions to collaborating physicians
whenever multiple treatment options exist
Correct Answer: B
Rationale: Safe prescribing requires integration of clinical
assessment, current evidence, patient-specific factors,
concurrent medications, and shared decision-making. Options A
and C disregard evidence-based practice, while D does not
reflect the autonomous clinical decision-making expected of
APRNs practicing within their scope and state regulations.
,Question 2
A 72-year-old woman with hypertension, osteoarthritis, chronic
kidney disease stage 3a, and gastroesophageal reflux disease
presents for medication review. She currently takes nine
prescription medications and three over-the-counter products.
What should be the APRN's priority before initiating therapy for
newly diagnosed urge urinary incontinence?
A. Add an anticholinergic medication immediately
B. Perform a comprehensive medication reconciliation and
assess for medication-related contributors
C. Refer the patient directly for surgical evaluation
D. Prescribe the newest medication with the fewest reported
adverse effects
Correct Answer: B
Rationale: Medication reconciliation is essential before
prescribing, particularly in older adults with polypharmacy.
Existing medications may contribute to symptoms or interact
with new therapies. Immediate prescribing without evaluation
increases the risk of adverse drug events. Surgery is not first-
line management.
Question 3
, An APRN evaluates a 30-year-old woman requesting medication
for seasonal allergic rhinitis. She reports she is 10 weeks
pregnant. Which prescribing principle is most appropriate?
A. Avoid discussing pregnancy because medication risks are
minimal during the first trimester
B. Consider maternal benefit, fetal risk, available safety data,
and nonpharmacologic alternatives before prescribing
C. Delay all treatment until after delivery
D. Prescribe any medication approved for adults regardless of
pregnancy status
Correct Answer: B
Rationale: Prescribing during pregnancy requires individualized
assessment of maternal benefit, fetal safety, available
evidence, and alternative therapies. Untreated disease may
also carry risks. Options A, C, and D fail to balance benefits and
risks appropriately.
Question 4
A patient asks why an APRN recommends a generic medication
instead of the advertised brand-name product. Which response
is most accurate?
A. Generic medications contain completely different active
ingredients.
