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. Before initiating
pharmacotherapy, the APRN reviews the patient's medical
history, current medications, allergies, kidney function, and
social history. Which action best demonstrates the APRN's role
as a safe and effective prescriber?
A. Initiating treatment immediately based solely on the
patient's blood pressure reading
B. Selecting the least expensive medication without assessing
potential contraindications
C. Performing a comprehensive patient assessment to
individualize pharmacologic therapy and minimize medication-
related risks
D. Deferring all prescribing decisions to the collaborating
physician
Correct Answer: C
Rationale: Safe prescribing begins with a comprehensive
assessment that includes the patient's diagnoses,
comorbidities, medication history, allergies, organ function,
lifestyle factors, and goals of care. Individualized prescribing
improves therapeutic outcomes while reducing adverse drug
,events. Option A ignores important prescribing considerations.
Option B prioritizes cost over safety. Option D does not reflect
the autonomous prescribing responsibilities expected of
licensed APRNs within their scope of practice.
Question 2
A 72-year-old woman with chronic kidney disease and
osteoarthritis requests an over-the-counter medication
recommendation for joint pain. Which prescribing principle
should guide the APRN's recommendation?
A. Recommend the medication with the strongest analgesic
effect regardless of renal function.
B. Evaluate renal function and potential medication-related
risks before recommending therapy.
C. Recommend two NSAIDs simultaneously for greater pain
control.
D. Assume over-the-counter medications are safe because they
do not require prescriptions.
Correct Answer: B
Rationale: APRNs should assess renal function before
recommending medications, particularly NSAIDs, which may
worsen kidney function. Over-the-counter medications may
produce significant adverse effects and drug interactions.
, Options A, C, and D disregard patient safety and evidence-
based prescribing principles.
Question 3
A patient taking warfarin is prescribed trimethoprim-
sulfamethoxazole for a urinary tract infection by an urgent care
clinic. During follow-up, the APRN recognizes a clinically
important prescribing issue. What is the most appropriate
action?
A. Continue both medications without additional monitoring.
B. Advise doubling the warfarin dose.
C. Recognize the interaction and arrange closer INR monitoring
while considering alternative antibiotic therapy.
D. Discontinue warfarin permanently.
Correct Answer: C
Rationale: Trimethoprim-sulfamethoxazole can significantly
increase warfarin's anticoagulant effect and bleeding risk.
Appropriate management includes selecting an alternative
antibiotic when feasible or increasing INR monitoring and
adjusting warfarin dosage as necessary. Options A, B, and D
expose the patient to unnecessary risks.
Question 4
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. Before initiating
pharmacotherapy, the APRN reviews the patient's medical
history, current medications, allergies, kidney function, and
social history. Which action best demonstrates the APRN's role
as a safe and effective prescriber?
A. Initiating treatment immediately based solely on the
patient's blood pressure reading
B. Selecting the least expensive medication without assessing
potential contraindications
C. Performing a comprehensive patient assessment to
individualize pharmacologic therapy and minimize medication-
related risks
D. Deferring all prescribing decisions to the collaborating
physician
Correct Answer: C
Rationale: Safe prescribing begins with a comprehensive
assessment that includes the patient's diagnoses,
comorbidities, medication history, allergies, organ function,
lifestyle factors, and goals of care. Individualized prescribing
improves therapeutic outcomes while reducing adverse drug
,events. Option A ignores important prescribing considerations.
Option B prioritizes cost over safety. Option D does not reflect
the autonomous prescribing responsibilities expected of
licensed APRNs within their scope of practice.
Question 2
A 72-year-old woman with chronic kidney disease and
osteoarthritis requests an over-the-counter medication
recommendation for joint pain. Which prescribing principle
should guide the APRN's recommendation?
A. Recommend the medication with the strongest analgesic
effect regardless of renal function.
B. Evaluate renal function and potential medication-related
risks before recommending therapy.
C. Recommend two NSAIDs simultaneously for greater pain
control.
D. Assume over-the-counter medications are safe because they
do not require prescriptions.
Correct Answer: B
Rationale: APRNs should assess renal function before
recommending medications, particularly NSAIDs, which may
worsen kidney function. Over-the-counter medications may
produce significant adverse effects and drug interactions.
, Options A, C, and D disregard patient safety and evidence-
based prescribing principles.
Question 3
A patient taking warfarin is prescribed trimethoprim-
sulfamethoxazole for a urinary tract infection by an urgent care
clinic. During follow-up, the APRN recognizes a clinically
important prescribing issue. What is the most appropriate
action?
A. Continue both medications without additional monitoring.
B. Advise doubling the warfarin dose.
C. Recognize the interaction and arrange closer INR monitoring
while considering alternative antibiotic therapy.
D. Discontinue warfarin permanently.
Correct Answer: C
Rationale: Trimethoprim-sulfamethoxazole can significantly
increase warfarin's anticoagulant effect and bleeding risk.
Appropriate management includes selecting an alternative
antibiotic when feasible or increasing INR monitoring and
adjusting warfarin dosage as necessary. Options A, B, and D
expose the patient to unnecessary risks.
Question 4
