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 licensed Family Nurse Practitioner (FNP) joins a
primary care clinic and plans to begin prescribing medications
independently. Before prescribing, the APRN reviews state
laws, federal regulations, and collaborative practice
requirements. Which action best demonstrates safe and legally
accountable prescribing?
A. Prescribe medications based solely on national clinical
guidelines regardless of state regulations.
B. Verify prescriptive authority, Drug Enforcement
Administration (DEA) registration requirements, state-
controlled substance regulations, and institutional policies
before initiating prescribing.
C. Delegate all prescribing decisions involving controlled
substances to the supervising physician regardless of state law.
D. Use another provider's DEA number if awaiting personal
registration.
Correct Answer: B
Rationale:
Safe prescribing begins with understanding the legal framework
governing APRN practice. The prescriber must verify state
scope-of-practice laws, DEA registration requirements (when
,prescribing controlled substances), institutional credentialing,
and applicable federal and state regulations before issuing
prescriptions. These responsibilities protect patient safety and
ensure legal compliance.
• A: National guidelines do not supersede state laws
governing prescriptive authority.
• C: Some states permit independent prescribing; blanket
delegation is unnecessary and may conflict with state
regulations.
• D: Using another provider's DEA registration is unlawful
and constitutes prescription fraud.
Question 2
An Adult-Gerontology Primary Care Nurse Practitioner
evaluates a 72-year-old patient with hypertension, chronic
kidney disease, diabetes, and osteoarthritis who takes nine
prescription medications. Before adding another medication,
which approach best reflects evidence-based prescribing?
A. Add the new medication because it is guideline-
recommended for hypertension.
B. Conduct medication reconciliation, evaluate potential drug
interactions, assess adherence, and determine whether
nonpharmacologic measures or deprescribing opportunities
exist.
, C. Continue all current medications because they were
prescribed by specialists.
D. Prescribe the medication immediately and evaluate
interactions during the follow-up visit.
Correct Answer: B
Rationale:
Comprehensive medication review is fundamental to safe
prescribing, especially in older adults with polypharmacy.
Reviewing medication necessity, adherence, duplications, drug
interactions, renal function, and opportunities for deprescribing
minimizes medication-related harm while optimizing
therapeutic outcomes.
• A: Guideline recommendations must be individualized to
the patient's clinical context.
• C: Existing medications should be periodically reassessed
regardless of the original prescriber.
• D: Potential interactions should be evaluated before
initiating therapy, not afterward.
Question 3
A Psychiatric-Mental Health Nurse Practitioner considers
initiating pharmacotherapy for a patient with newly diagnosed
generalized anxiety disorder. Before selecting a medication, the
APRN performs a comprehensive assessment, including current
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 licensed Family Nurse Practitioner (FNP) joins a
primary care clinic and plans to begin prescribing medications
independently. Before prescribing, the APRN reviews state
laws, federal regulations, and collaborative practice
requirements. Which action best demonstrates safe and legally
accountable prescribing?
A. Prescribe medications based solely on national clinical
guidelines regardless of state regulations.
B. Verify prescriptive authority, Drug Enforcement
Administration (DEA) registration requirements, state-
controlled substance regulations, and institutional policies
before initiating prescribing.
C. Delegate all prescribing decisions involving controlled
substances to the supervising physician regardless of state law.
D. Use another provider's DEA number if awaiting personal
registration.
Correct Answer: B
Rationale:
Safe prescribing begins with understanding the legal framework
governing APRN practice. The prescriber must verify state
scope-of-practice laws, DEA registration requirements (when
,prescribing controlled substances), institutional credentialing,
and applicable federal and state regulations before issuing
prescriptions. These responsibilities protect patient safety and
ensure legal compliance.
• A: National guidelines do not supersede state laws
governing prescriptive authority.
• C: Some states permit independent prescribing; blanket
delegation is unnecessary and may conflict with state
regulations.
• D: Using another provider's DEA registration is unlawful
and constitutes prescription fraud.
Question 2
An Adult-Gerontology Primary Care Nurse Practitioner
evaluates a 72-year-old patient with hypertension, chronic
kidney disease, diabetes, and osteoarthritis who takes nine
prescription medications. Before adding another medication,
which approach best reflects evidence-based prescribing?
A. Add the new medication because it is guideline-
recommended for hypertension.
B. Conduct medication reconciliation, evaluate potential drug
interactions, assess adherence, and determine whether
nonpharmacologic measures or deprescribing opportunities
exist.
, C. Continue all current medications because they were
prescribed by specialists.
D. Prescribe the medication immediately and evaluate
interactions during the follow-up visit.
Correct Answer: B
Rationale:
Comprehensive medication review is fundamental to safe
prescribing, especially in older adults with polypharmacy.
Reviewing medication necessity, adherence, duplications, drug
interactions, renal function, and opportunities for deprescribing
minimizes medication-related harm while optimizing
therapeutic outcomes.
• A: Guideline recommendations must be individualized to
the patient's clinical context.
• C: Existing medications should be periodically reassessed
regardless of the original prescriber.
• D: Potential interactions should be evaluated before
initiating therapy, not afterward.
Question 3
A Psychiatric-Mental Health Nurse Practitioner considers
initiating pharmacotherapy for a patient with newly diagnosed
generalized anxiety disorder. Before selecting a medication, the
APRN performs a comprehensive assessment, including current
