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 is preparing to prescribe
medications independently in a primary care clinic. Before
initiating pharmacotherapy for a patient with newly diagnosed
hypertension, which action best demonstrates the APRN's legal
and professional responsibility as a prescriber?
A. Prescribe the medication requested by the patient if it has been
effective for a family member.
B. Evaluate the patient's diagnosis, medical history, current
medications, allergies, and relevant laboratory findings before
selecting therapy.
C. Select the medication with the lowest acquisition cost
regardless of patient-specific factors.
D. Delay treatment until the patient has consulted a physician.
Correct Answer: B
Rationale: Safe prescribing begins with a comprehensive patient
assessment, including confirmation of the diagnosis, medication
reconciliation, allergy review, comorbidities, laboratory evaluation,
and individualized risk assessment. APRNs are accountable for
prescribing decisions based on clinical evidence and patient-
specific factors. Option A lacks individualized assessment. Option
C ignores efficacy and safety. Option D is unnecessary when the
APRN is practicing within their legal scope.
,Question 2
An APRN evaluates a 72-year-old patient with chronic kidney
disease, hypertension, type 2 diabetes, and osteoarthritis. Which
prescribing principle should receive the highest priority before
initiating a new medication?
A. Choose the newest medication available.
B. Prescribe the medication requiring the fewest daily doses.
C. Assess renal function and potential drug-drug interactions
before selecting therapy.
D. Avoid discussing adverse effects to improve adherence.
Correct Answer: C
Rationale: Older adults frequently experience altered
pharmacokinetics, polypharmacy, and reduced renal clearance.
Renal dosing and interaction screening are essential before
prescribing. Medication convenience (B) is important but
secondary to safety. Option A is not evidence-based. Option D
undermines informed consent and safe prescribing.
Question 3
A patient requests an antibiotic for symptoms of a viral upper
respiratory infection. Which response best reflects evidence-
based prescribing?
A. Prescribe a broad-spectrum antibiotic because the patient
expects treatment.
B. Explain why antibiotics are not indicated and recommend
appropriate symptomatic management.
C. Prescribe antibiotics for three days to satisfy the patient.
, D. Prescribe two antibiotics to prevent bacterial resistance.
Correct Answer: B
Rationale: Antimicrobial stewardship requires avoiding
unnecessary antibiotic use for viral illnesses. Patient education
and symptomatic treatment promote safe prescribing while
reducing antimicrobial resistance. The remaining options
contribute to inappropriate antibiotic use.
Question 4
Before prescribing a medication with known teratogenic potential
to a woman of reproductive age, the APRN should FIRST:
A. Assume pregnancy is unlikely if contraception is mentioned.
B. Determine pregnancy status and discuss reproductive plans
before prescribing.
C. Prescribe the medication and discuss risks at follow-up.
D. Reduce the dose to eliminate fetal risk.
Correct Answer: B
Rationale: Pregnancy assessment and reproductive counseling
are essential before prescribing potentially teratogenic
medications. Dose reduction does not eliminate teratogenicity.
Delaying counseling or making assumptions about pregnancy
status places the patient at unnecessary risk.
Question 5
A patient asks why the APRN spends time reviewing every
prescription medication, over-the-counter drug, vitamin, and
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 is preparing to prescribe
medications independently in a primary care clinic. Before
initiating pharmacotherapy for a patient with newly diagnosed
hypertension, which action best demonstrates the APRN's legal
and professional responsibility as a prescriber?
A. Prescribe the medication requested by the patient if it has been
effective for a family member.
B. Evaluate the patient's diagnosis, medical history, current
medications, allergies, and relevant laboratory findings before
selecting therapy.
C. Select the medication with the lowest acquisition cost
regardless of patient-specific factors.
D. Delay treatment until the patient has consulted a physician.
Correct Answer: B
Rationale: Safe prescribing begins with a comprehensive patient
assessment, including confirmation of the diagnosis, medication
reconciliation, allergy review, comorbidities, laboratory evaluation,
and individualized risk assessment. APRNs are accountable for
prescribing decisions based on clinical evidence and patient-
specific factors. Option A lacks individualized assessment. Option
C ignores efficacy and safety. Option D is unnecessary when the
APRN is practicing within their legal scope.
,Question 2
An APRN evaluates a 72-year-old patient with chronic kidney
disease, hypertension, type 2 diabetes, and osteoarthritis. Which
prescribing principle should receive the highest priority before
initiating a new medication?
A. Choose the newest medication available.
B. Prescribe the medication requiring the fewest daily doses.
C. Assess renal function and potential drug-drug interactions
before selecting therapy.
D. Avoid discussing adverse effects to improve adherence.
Correct Answer: C
Rationale: Older adults frequently experience altered
pharmacokinetics, polypharmacy, and reduced renal clearance.
Renal dosing and interaction screening are essential before
prescribing. Medication convenience (B) is important but
secondary to safety. Option A is not evidence-based. Option D
undermines informed consent and safe prescribing.
Question 3
A patient requests an antibiotic for symptoms of a viral upper
respiratory infection. Which response best reflects evidence-
based prescribing?
A. Prescribe a broad-spectrum antibiotic because the patient
expects treatment.
B. Explain why antibiotics are not indicated and recommend
appropriate symptomatic management.
C. Prescribe antibiotics for three days to satisfy the patient.
, D. Prescribe two antibiotics to prevent bacterial resistance.
Correct Answer: B
Rationale: Antimicrobial stewardship requires avoiding
unnecessary antibiotic use for viral illnesses. Patient education
and symptomatic treatment promote safe prescribing while
reducing antimicrobial resistance. The remaining options
contribute to inappropriate antibiotic use.
Question 4
Before prescribing a medication with known teratogenic potential
to a woman of reproductive age, the APRN should FIRST:
A. Assume pregnancy is unlikely if contraception is mentioned.
B. Determine pregnancy status and discuss reproductive plans
before prescribing.
C. Prescribe the medication and discuss risks at follow-up.
D. Reduce the dose to eliminate fetal risk.
Correct Answer: B
Rationale: Pregnancy assessment and reproductive counseling
are essential before prescribing potentially teratogenic
medications. Dose reduction does not eliminate teratogenicity.
Delaying counseling or making assumptions about pregnancy
status places the patient at unnecessary risk.
Question 5
A patient asks why the APRN spends time reviewing every
prescription medication, over-the-counter drug, vitamin, and
