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) joins a large primary care
practice and is reviewing state regulations before independently
prescribing medications. Which action best demonstrates
appropriate professional accountability as a new prescriber?
A. Prescribing independently based solely on clinical experience
acquired during graduate training
B. Verifying state scope-of-practice laws, collaborative
requirements if applicable, DEA registration, and institutional
prescribing policies before initiating practice
C. Relying exclusively on physician consultation whenever
prescribing a new medication
D. Limiting prescribing to medications personally administered in
the clinic
Correct Answer: B
Rationale: Advanced practice registered nurses (APRNs) are
responsible for understanding state-specific prescribing authority,
licensure requirements, DEA registration for controlled
substances, collaborative practice requirements where applicable,
and employer policies before prescribing. Clinical experience
alone does not replace legal requirements. Routine physician
consultation is unnecessary when independent authority exists,
although consultation remains appropriate for complex cases.
,Prescribing is not limited to medications administered within the
practice.
Question 2
A nurse practitioner evaluates a 58-year-old patient with
hypertension and type 2 diabetes who requests a refill of multiple
medications. Before issuing prescriptions, which step is most
appropriate to reduce medication-related harm?
A. Automatically refill all previous prescriptions
B. Perform medication reconciliation using patient interview and
available health records
C. Prescribe generic substitutions without reviewing the
medication list
D. Delay treatment until records from every previous provider are
obtained
Correct Answer: B
Rationale: Medication reconciliation is a fundamental prescribing
responsibility that identifies discrepancies, duplications,
omissions, allergies, and potential drug interactions. Automatically
renewing medications may perpetuate prescribing errors. Generic
substitution may be appropriate but only after reviewing current
therapy. Waiting indefinitely for outside records may
unnecessarily delay appropriate care.
Question 3
A patient requests an antibiotic for symptoms consistent with a
viral upper respiratory infection. The APRN explains that
, antibiotics are not indicated. Which prescribing principle is being
demonstrated?
A. Defensive prescribing
B. Evidence-based prescribing
C. Patient-directed prescribing
D. Cost-based prescribing
Correct Answer: B
Rationale: Evidence-based prescribing integrates the best
available scientific evidence, clinical expertise, and patient-
specific factors. Antibiotics should not be prescribed for viral
illnesses because they provide no benefit and contribute to
antimicrobial resistance and adverse effects. Defensive or patient-
directed prescribing that ignores evidence is inappropriate.
Question 4
An APRN is considering initiating long-term pharmacotherapy for
a chronic disease. Which factor should receive the highest priority
before selecting a medication?
A. Manufacturer advertising
B. Patient-specific clinical characteristics, comorbidities, and
treatment goals
C. Medication color and formulation
D. The medication most frequently prescribed by colleagues
Correct Answer: B
Rationale: Appropriate prescribing begins with individualized
assessment, including diagnosis, comorbid conditions, organ
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) joins a large primary care
practice and is reviewing state regulations before independently
prescribing medications. Which action best demonstrates
appropriate professional accountability as a new prescriber?
A. Prescribing independently based solely on clinical experience
acquired during graduate training
B. Verifying state scope-of-practice laws, collaborative
requirements if applicable, DEA registration, and institutional
prescribing policies before initiating practice
C. Relying exclusively on physician consultation whenever
prescribing a new medication
D. Limiting prescribing to medications personally administered in
the clinic
Correct Answer: B
Rationale: Advanced practice registered nurses (APRNs) are
responsible for understanding state-specific prescribing authority,
licensure requirements, DEA registration for controlled
substances, collaborative practice requirements where applicable,
and employer policies before prescribing. Clinical experience
alone does not replace legal requirements. Routine physician
consultation is unnecessary when independent authority exists,
although consultation remains appropriate for complex cases.
,Prescribing is not limited to medications administered within the
practice.
Question 2
A nurse practitioner evaluates a 58-year-old patient with
hypertension and type 2 diabetes who requests a refill of multiple
medications. Before issuing prescriptions, which step is most
appropriate to reduce medication-related harm?
A. Automatically refill all previous prescriptions
B. Perform medication reconciliation using patient interview and
available health records
C. Prescribe generic substitutions without reviewing the
medication list
D. Delay treatment until records from every previous provider are
obtained
Correct Answer: B
Rationale: Medication reconciliation is a fundamental prescribing
responsibility that identifies discrepancies, duplications,
omissions, allergies, and potential drug interactions. Automatically
renewing medications may perpetuate prescribing errors. Generic
substitution may be appropriate but only after reviewing current
therapy. Waiting indefinitely for outside records may
unnecessarily delay appropriate care.
Question 3
A patient requests an antibiotic for symptoms consistent with a
viral upper respiratory infection. The APRN explains that
, antibiotics are not indicated. Which prescribing principle is being
demonstrated?
A. Defensive prescribing
B. Evidence-based prescribing
C. Patient-directed prescribing
D. Cost-based prescribing
Correct Answer: B
Rationale: Evidence-based prescribing integrates the best
available scientific evidence, clinical expertise, and patient-
specific factors. Antibiotics should not be prescribed for viral
illnesses because they provide no benefit and contribute to
antimicrobial resistance and adverse effects. Defensive or patient-
directed prescribing that ignores evidence is inappropriate.
Question 4
An APRN is considering initiating long-term pharmacotherapy for
a chronic disease. Which factor should receive the highest priority
before selecting a medication?
A. Manufacturer advertising
B. Patient-specific clinical characteristics, comorbidities, and
treatment goals
C. Medication color and formulation
D. The medication most frequently prescribed by colleagues
Correct Answer: B
Rationale: Appropriate prescribing begins with individualized
assessment, including diagnosis, comorbid conditions, organ
