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) is evaluating a 58-year-old
man with newly diagnosed hypertension. The patient asks
whether the nurse practitioner is legally permitted to prescribe
antihypertensive medication without a physician signing the
prescription. Which response by the APRN is most appropriate?
A. "All APRNs in the United States have identical prescribing
authority regardless of state law."
B. "My prescribing authority depends on my state's nurse
practice act, applicable regulations, and credentialing
requirements."
C. "Only physicians may independently prescribe medications
for chronic diseases."
D. "Federal law alone determines whether APRNs may
prescribe medications."
Correct Answer: B
Rationale:
APRN prescribing authority is governed primarily by each
state's nurse practice act and associated regulations, which
determine the scope of practice, prescriptive authority,
collaboration or supervision requirements, and controlled
substance privileges. Federal laws also influence prescribing
,(e.g., controlled substances), but they do not independently
define APRN scope of practice. Option A is incorrect because
prescribing authority varies considerably among states. Option
C is incorrect because many APRNs prescribe independently
depending on state law. Option D is incorrect because state and
federal regulations both influence prescribing authority.
Question 2
A newly certified APRN begins practicing in a primary care
clinic. Before prescribing a medication for a patient with type 2
diabetes, the APRN reviews the patient's allergies, renal
function, current medications, and treatment goals. Which
prescribing principle is best demonstrated?
A. Prescribing based primarily on medication cost
B. Evidence-based, patient-centered prescribing
C. Prescribing according to patient preference alone
D. Using the newest medication regardless of clinical evidence
Correct Answer: B
Rationale:
Safe prescribing requires integrating the best available
evidence with individual patient characteristics, comorbidities,
laboratory findings, medication history, preferences, and
therapeutic goals. Reviewing allergies, kidney function, and
concomitant medications helps minimize adverse drug events
, while optimizing treatment outcomes. Option A focuses only on
cost, which is one consideration but not the primary principle.
Option C ignores clinical evidence and safety considerations.
Option D is inappropriate because newer medications are not
inherently superior and should be selected only when clinically
indicated.
Question 3
A 76-year-old woman with chronic kidney disease is prescribed
a medication that is primarily eliminated through the kidneys.
Before initiating therapy, which action is the APRN's highest
priority?
A. Calculate renal function to determine whether dosage
adjustment is necessary.
B. Prescribe the standard adult dose because age alone does
not affect pharmacokinetics.
C. Delay treatment until liver function tests are available.
D. Recommend doubling the initial dose to achieve therapeutic
levels more rapidly.
Correct Answer: A
Rationale:
Many medications require dosage adjustment based on renal
function to prevent drug accumulation and toxicity. Estimating
renal function before prescribing is a critical component of safe
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) is evaluating a 58-year-old
man with newly diagnosed hypertension. The patient asks
whether the nurse practitioner is legally permitted to prescribe
antihypertensive medication without a physician signing the
prescription. Which response by the APRN is most appropriate?
A. "All APRNs in the United States have identical prescribing
authority regardless of state law."
B. "My prescribing authority depends on my state's nurse
practice act, applicable regulations, and credentialing
requirements."
C. "Only physicians may independently prescribe medications
for chronic diseases."
D. "Federal law alone determines whether APRNs may
prescribe medications."
Correct Answer: B
Rationale:
APRN prescribing authority is governed primarily by each
state's nurse practice act and associated regulations, which
determine the scope of practice, prescriptive authority,
collaboration or supervision requirements, and controlled
substance privileges. Federal laws also influence prescribing
,(e.g., controlled substances), but they do not independently
define APRN scope of practice. Option A is incorrect because
prescribing authority varies considerably among states. Option
C is incorrect because many APRNs prescribe independently
depending on state law. Option D is incorrect because state and
federal regulations both influence prescribing authority.
Question 2
A newly certified APRN begins practicing in a primary care
clinic. Before prescribing a medication for a patient with type 2
diabetes, the APRN reviews the patient's allergies, renal
function, current medications, and treatment goals. Which
prescribing principle is best demonstrated?
A. Prescribing based primarily on medication cost
B. Evidence-based, patient-centered prescribing
C. Prescribing according to patient preference alone
D. Using the newest medication regardless of clinical evidence
Correct Answer: B
Rationale:
Safe prescribing requires integrating the best available
evidence with individual patient characteristics, comorbidities,
laboratory findings, medication history, preferences, and
therapeutic goals. Reviewing allergies, kidney function, and
concomitant medications helps minimize adverse drug events
, while optimizing treatment outcomes. Option A focuses only on
cost, which is one consideration but not the primary principle.
Option C ignores clinical evidence and safety considerations.
Option D is inappropriate because newer medications are not
inherently superior and should be selected only when clinically
indicated.
Question 3
A 76-year-old woman with chronic kidney disease is prescribed
a medication that is primarily eliminated through the kidneys.
Before initiating therapy, which action is the APRN's highest
priority?
A. Calculate renal function to determine whether dosage
adjustment is necessary.
B. Prescribe the standard adult dose because age alone does
not affect pharmacokinetics.
C. Delay treatment until liver function tests are available.
D. Recommend doubling the initial dose to achieve therapeutic
levels more rapidly.
Correct Answer: A
Rationale:
Many medications require dosage adjustment based on renal
function to prevent drug accumulation and toxicity. Estimating
renal function before prescribing is a critical component of safe
