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
, 1. Question 1
A newly credentialed family nurse practitioner is establishing a
prescribing process for a primary care practice. Which action best
demonstrates safe and accountable prescribing?
A. Prescribing medications primarily according to personal clinical
experience
B. Using current evidence, patient-specific factors, medication
history, and follow-up plans to guide prescribing
C. Delegating medication selection to the dispensing pharmacist
whenever possible
D. Selecting the least expensive medication regardless of
therapeutic equivalence
Correct Answer: B
Rationale: Safe APRN prescribing integrates current evidence
with the patient's diagnosis, comorbidities, allergies, medications,
preferences, and ability to adhere to treatment. The prescriber
remains accountable for the clinical decision and should establish
appropriate monitoring and follow-up. Personal experience alone
is insufficient, and cost is important but should not override safety
and effectiveness.
2. Question 2
An adult patient presents for evaluation of uncontrolled
hypertension. The patient reports taking three antihypertensive
,medications but cannot recall the names or doses. What is the
APRN's best initial prescribing-related action?
A. Increase the dose of the patient's presumed current
antihypertensive
B. Add a fourth antihypertensive medication
C. Reconcile all prescription, over-the-counter, and
complementary medications before changing therapy
D. Discontinue all current antihypertensive medications and
restart treatment
Correct Answer: C
Rationale: Accurate medication reconciliation is essential before
modifying therapy. The APRN should determine what the patient
is actually taking, including doses, adherence, recent changes,
OTC products, and supplements. Adding or increasing
medications without this information can cause duplication,
adverse effects, hypotension, or drug interactions.
3. Question 3
A patient with newly diagnosed type 2 diabetes asks why the
APRN wants to discuss lifestyle habits before selecting long-term
medication therapy. Which response best reflects patient-
centered prescribing?
A. "Lifestyle changes are required before any medication can be
prescribed."
B. "Your medication will work only if you completely change your
lifestyle."
C. "Your diet, activity, preferences, and health goals help
determine which treatment is safest and most effective for you."
, D. "Medication decisions are based only on your laboratory
results."
Correct Answer: C
Rationale: Patient-centered prescribing considers clinical
evidence together with patient preferences, lifestyle,
comorbidities, treatment goals, health literacy, cost, and
feasibility. Lifestyle interventions may be an important component
of treatment but do not universally replace pharmacotherapy.
4. Question 4
A patient taking warfarin for atrial fibrillation is prescribed
trimethoprim-sulfamethoxazole by an urgent care clinician. The
patient asks the primary care APRN whether the antibiotic is safe.
What is the most appropriate response?
A. "There is no clinically important interaction between these
medications."
B. "Take both medications and increase your warfarin dose if you
develop bruising."
C. "This antibiotic can increase anticoagulant effects, so the
combination requires careful evaluation and monitoring."
D. "Stop warfarin immediately while taking the antibiotic."
Correct Answer: C
Rationale: Trimethoprim-sulfamethoxazole can significantly
increase warfarin's anticoagulant effect and raise bleeding risk.
The APRN should assess whether an alternative antibiotic is
appropriate and, if concomitant use is necessary, arrange
appropriate INR monitoring and anticoagulation management.
Patients should not independently stop or adjust warfarin.
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
, 1. Question 1
A newly credentialed family nurse practitioner is establishing a
prescribing process for a primary care practice. Which action best
demonstrates safe and accountable prescribing?
A. Prescribing medications primarily according to personal clinical
experience
B. Using current evidence, patient-specific factors, medication
history, and follow-up plans to guide prescribing
C. Delegating medication selection to the dispensing pharmacist
whenever possible
D. Selecting the least expensive medication regardless of
therapeutic equivalence
Correct Answer: B
Rationale: Safe APRN prescribing integrates current evidence
with the patient's diagnosis, comorbidities, allergies, medications,
preferences, and ability to adhere to treatment. The prescriber
remains accountable for the clinical decision and should establish
appropriate monitoring and follow-up. Personal experience alone
is insufficient, and cost is important but should not override safety
and effectiveness.
2. Question 2
An adult patient presents for evaluation of uncontrolled
hypertension. The patient reports taking three antihypertensive
,medications but cannot recall the names or doses. What is the
APRN's best initial prescribing-related action?
A. Increase the dose of the patient's presumed current
antihypertensive
B. Add a fourth antihypertensive medication
C. Reconcile all prescription, over-the-counter, and
complementary medications before changing therapy
D. Discontinue all current antihypertensive medications and
restart treatment
Correct Answer: C
Rationale: Accurate medication reconciliation is essential before
modifying therapy. The APRN should determine what the patient
is actually taking, including doses, adherence, recent changes,
OTC products, and supplements. Adding or increasing
medications without this information can cause duplication,
adverse effects, hypotension, or drug interactions.
3. Question 3
A patient with newly diagnosed type 2 diabetes asks why the
APRN wants to discuss lifestyle habits before selecting long-term
medication therapy. Which response best reflects patient-
centered prescribing?
A. "Lifestyle changes are required before any medication can be
prescribed."
B. "Your medication will work only if you completely change your
lifestyle."
C. "Your diet, activity, preferences, and health goals help
determine which treatment is safest and most effective for you."
, D. "Medication decisions are based only on your laboratory
results."
Correct Answer: C
Rationale: Patient-centered prescribing considers clinical
evidence together with patient preferences, lifestyle,
comorbidities, treatment goals, health literacy, cost, and
feasibility. Lifestyle interventions may be an important component
of treatment but do not universally replace pharmacotherapy.
4. Question 4
A patient taking warfarin for atrial fibrillation is prescribed
trimethoprim-sulfamethoxazole by an urgent care clinician. The
patient asks the primary care APRN whether the antibiotic is safe.
What is the most appropriate response?
A. "There is no clinically important interaction between these
medications."
B. "Take both medications and increase your warfarin dose if you
develop bruising."
C. "This antibiotic can increase anticoagulant effects, so the
combination requires careful evaluation and monitoring."
D. "Stop warfarin immediately while taking the antibiotic."
Correct Answer: C
Rationale: Trimethoprim-sulfamethoxazole can significantly
increase warfarin's anticoagulant effect and raise bleeding risk.
The APRN should assess whether an alternative antibiotic is
appropriate and, if concomitant use is necessary, arrange
appropriate INR monitoring and anticoagulation management.
Patients should not independently stop or adjust warfarin.
