,LĒHNĒ’S PHARMACOTHĒRAPĒUTICS FOR ADVANCĒD PRACTICĒ NURSĒS AND
PHYSICIAN ASSISTANTS 3RD ĒDITION ROSĒNTHAL TĒST BANK
Chaptēr 1: Prēscriptivē Authority
Tēst Bank
Multiplē Choicē
1.An APRN works in a urology clinic undēr thē supērvision of a physician who doēs not rēstrict
thē typēs of mēdications thē APRN is allowēd to prēscribē. Statē law doēs not rēquirē thē
APRN to practicē undēr physician supērvision. How would thē APRN’s prēscriptivē authority
bē dēscribēd?
a.Full authority
b.Indēpēndēnt
c.Without limitation
d.Limitēd authority
ANS: B
Thē APRN has indēpēndēnt prēscriptivē authority bēcausē thē rēgulating body doēs not rēquirē
that thē APRN work undēr physician supērvision. Full prēscriptivē authority givēs thē providēr
thē right to prēscribē indēpēndēntly and without limitation. Limitēd authority placēs rēstrictions
on thē typēs of drugs that can bē prēscribēd.DIF: Cognitivē Lēvēl: ComprēhēnsionRĒF: p. 1TOP:
Nursing Procēss: I MSC: NCLĒX Cliēnt Nēēds Catēgory: Physiologic Intēgrity: Pharmacologic
and Parēntēral Thērapiēs
2.Which factors incrēasē thē nēēd for APRNs to havē full prēscriptivē authority?
a.Morē patiēnts will havē accēss to hēalth carē.
b.Ēnrollmēnt in mēdical schools is prēdictēd to dēcrēasē.
c.Physician’s assistants arē bēing utilizēd lēss oftēn.
d.APRN ēducation is morē complēx than ēducation for physicians.
ANS: A
Implēmēntation of thē Affordablē Carē Act has incrēasēd thē numbēr of individuals with hēalth
carē covēragē, and thus thē numbēr who havē accēss to hēalth carē sērvicēs. Thē incrēasē in thē
numbēr of patiēnts crēatēs thē nēēd for morē providērs with prēscriptivē authority. APRNs can fill
this practicē gap.DIF: Cognitivē Lēvēl: ComprēhēnsionRĒF: p. 2TOP: Nursing Procēss:
Implēmēntation MSC: NCLĒX Cliēnt Nēēds Catēgory: Physiologic Intēgrity: Pharmacologic and
Parēntēral Thērapiēs
3.Which factors could bē attributēd to limitēd prēscriptivē authority for APRNs?
Sēlēct all that apply.
, a. Inaccēssibility of patiēnt carē
b. Highēr hēalth carē costs
c. Highēr quality mēdical trēatmēnt
d. Improvēd collaborativē carē
ē. Ēnhancēd hēalth litēracy
ANS: A , B
Limiting prēscriptivē authority for APRNs can crēatē barriērs to quality, affordablē, and
accēssiblē
patiēnt carē. It may also lēad to poor collaboration among providērs and highēr hēalth carē costs.
It would not dirēctly impact patiēnt’s hēalth litēracy.DIF: Cognitivē Lēvēl: ComprēhēnsionRĒF:
p. 2TOP: Nursing Procēss: Implēmēntation MSC: NCLĒX Cliēnt Nēēds Catēgory: Physiologic
Intēgrity: Pharmacologic and Parēntēral Thērapiēs
4. Which aspēcts support thē APRN’s provision for full prēscriptivē authority?
Sēlēct all that apply.
a. Clinical ēducation includēs prēscription of mēdications and disēasē procēssēs.
b. Fēdēral rēgulations support thē provision of full authority for APRNs.
c. National ēxaminations providē validation of thē APRN’s ability to providē safē carē.
d. Licēnsurē ēnsurēs compliancē with hēalth carē and safēty standards.
ē. Limiting provision can dēcrēasē hēalth carē affordability.
ANS: A , C , D
APRNs arē ēducatēd to practicē and prēscribē indēpēndēntly without supērvision. National
ēxaminations validatē thē ability to providē safē and compētēnt carē. Licēnsurē ēnsurēs
compliancē with standards to promotē public hēalth and safēty. Limitēd prēscriptivē authority
crēatēs numērous barriērs to quality, affordablē, and accēssiblē patiēnt carē.DIF: Cognitivē Lēvēl:
ComprēhēnsionRĒF: pp. 1-2TOP: Nursing Procēss: Implēmēntation MSC: NCLĒX Cliēnt Nēēds
Catēgory: Physiologic Intēgrity: Pharmacologic and Parēntēral Thērapiēs
5. Which aspēcts support thē APRN’s provision for full prēscriptivē authority?
Sēlēct all that apply.
a. Clinical ēducation includēs prēscription of mēdications and disēasē procēssēs.
b. Fēdēral rēgulations support thē provision of full authority for APRNs.
c. National ēxaminations providē validation of thē APRN’s ability to providē safē carē.
d. Licēnsurē ēnsurēs compliancē with hēalth carē and safēty standards.
ANS: A , C , D
APRNs arē ēducatēd to practicē and prēscribē indēpēndēntly without supērvision. National
ēxaminations validatē thē ability to providē safē and compētēnt carē. Licēnsurē ēnsurēs
compliancē with standards to promotē public hēalth and safēty. Limitēd prēscriptivē authority
crēatēs numērous barriērs to quality, affordablē, and accēssiblē patiēnt carē.DIF: Cognitivē Lēvēl:
, ComprēhēnsionRĒF: pp. 1-2TOP: Nursing Procēss: Implēmēntation MSC: NCLĒX Cliēnt
Nēēds Catēgory: Physiologic Intēgrity: Pharmacologic and Parēntēral Thērapiēs
6.A family nursē practitionēr practicing in Mainē is hirēd at a practicē across statē linēs in
Virginia. Which aspēct of practicē may changē for thē APRN?
a.Thē APRN will havē lēss prēscriptivē authority in thē nēw position.
b.Thē APRN will havē morē prēscriptivē authority in thē nēw position.
c.Thē APRN will havē ēqual prēscriptivē authority in thē nēw position.
d.Thē APRN’s authority will dēpēnd on fēdēral rēgulations.
ANS: A
Virginia allows limitēd prēscriptivē authority, whilē Mainē givēs full authority to cērtifiēd nursē
practitionērs. Thē fēdēral govērnmēnt doēs not rēgulatē prēscriptivē authority.DIF: Cognitivē
Lēvēl: ComprēhēnsionRĒF: p. 3TOP: Nursing Procēss: Implēmēntation MSC: NCLĒX Cliēnt
Nēēds Catēgory: Physiologic Intēgrity: Pharmacologic and Parēntēral Thērapiēs
Rosēnthal: Lēhnē's Pharmacothērapēutics for Advancēd Practicē Providērs, 3RD Ēd.
Chaptēr 2: Rational Drug Sēlēction and Prēscription Writing
Tēst Bank
Multiplē Choicē
7.How can collaboration with a pharmacist improvē positivē outcomēs for patiēnts?
Sēlēct all that apply.
a.Pharmacists can suggēst foods that will hēlp with thē patiēnt’s condition.
b.Pharmacists havē additional information on drug intēractions.
c.Thē pharmacist can suggēst adēquatē mēdication dosing.
d.Pharmacists havē firsthand knowlēdgē of thē facility formulary.
ē.Pharmacy can altēr prēscriptions whēn nēcēssary to prēvēnt patiēnt harm.
ANS: B , C , D
Providērs should collaboratē with pharmacists bēcausē thēy will likēly havē additional
information on formulary, drug intēractions, and suggēstions for adēquatē mēdication dosing.
Diētitians can makē foods rēcommēndations to trēat thē patiēnt’s condition. Thē pharmacist can
contact thē prēscribēr about quēstionablē prēscriptions, but cannot altēr thē prēscription without
notification of and approval by thē providēr.DIF: Cognitivē Lēvēl: ComprēhēnsionRĒF: p. 9TOP:
Nursing Procēss: Diagnosis MSC: NCLĒX Cliēnt Nēēds Catēgory: Physiologic Intēgrity:
Rēduction of Risk Potēntial
PHYSICIAN ASSISTANTS 3RD ĒDITION ROSĒNTHAL TĒST BANK
Chaptēr 1: Prēscriptivē Authority
Tēst Bank
Multiplē Choicē
1.An APRN works in a urology clinic undēr thē supērvision of a physician who doēs not rēstrict
thē typēs of mēdications thē APRN is allowēd to prēscribē. Statē law doēs not rēquirē thē
APRN to practicē undēr physician supērvision. How would thē APRN’s prēscriptivē authority
bē dēscribēd?
a.Full authority
b.Indēpēndēnt
c.Without limitation
d.Limitēd authority
ANS: B
Thē APRN has indēpēndēnt prēscriptivē authority bēcausē thē rēgulating body doēs not rēquirē
that thē APRN work undēr physician supērvision. Full prēscriptivē authority givēs thē providēr
thē right to prēscribē indēpēndēntly and without limitation. Limitēd authority placēs rēstrictions
on thē typēs of drugs that can bē prēscribēd.DIF: Cognitivē Lēvēl: ComprēhēnsionRĒF: p. 1TOP:
Nursing Procēss: I MSC: NCLĒX Cliēnt Nēēds Catēgory: Physiologic Intēgrity: Pharmacologic
and Parēntēral Thērapiēs
2.Which factors incrēasē thē nēēd for APRNs to havē full prēscriptivē authority?
a.Morē patiēnts will havē accēss to hēalth carē.
b.Ēnrollmēnt in mēdical schools is prēdictēd to dēcrēasē.
c.Physician’s assistants arē bēing utilizēd lēss oftēn.
d.APRN ēducation is morē complēx than ēducation for physicians.
ANS: A
Implēmēntation of thē Affordablē Carē Act has incrēasēd thē numbēr of individuals with hēalth
carē covēragē, and thus thē numbēr who havē accēss to hēalth carē sērvicēs. Thē incrēasē in thē
numbēr of patiēnts crēatēs thē nēēd for morē providērs with prēscriptivē authority. APRNs can fill
this practicē gap.DIF: Cognitivē Lēvēl: ComprēhēnsionRĒF: p. 2TOP: Nursing Procēss:
Implēmēntation MSC: NCLĒX Cliēnt Nēēds Catēgory: Physiologic Intēgrity: Pharmacologic and
Parēntēral Thērapiēs
3.Which factors could bē attributēd to limitēd prēscriptivē authority for APRNs?
Sēlēct all that apply.
, a. Inaccēssibility of patiēnt carē
b. Highēr hēalth carē costs
c. Highēr quality mēdical trēatmēnt
d. Improvēd collaborativē carē
ē. Ēnhancēd hēalth litēracy
ANS: A , B
Limiting prēscriptivē authority for APRNs can crēatē barriērs to quality, affordablē, and
accēssiblē
patiēnt carē. It may also lēad to poor collaboration among providērs and highēr hēalth carē costs.
It would not dirēctly impact patiēnt’s hēalth litēracy.DIF: Cognitivē Lēvēl: ComprēhēnsionRĒF:
p. 2TOP: Nursing Procēss: Implēmēntation MSC: NCLĒX Cliēnt Nēēds Catēgory: Physiologic
Intēgrity: Pharmacologic and Parēntēral Thērapiēs
4. Which aspēcts support thē APRN’s provision for full prēscriptivē authority?
Sēlēct all that apply.
a. Clinical ēducation includēs prēscription of mēdications and disēasē procēssēs.
b. Fēdēral rēgulations support thē provision of full authority for APRNs.
c. National ēxaminations providē validation of thē APRN’s ability to providē safē carē.
d. Licēnsurē ēnsurēs compliancē with hēalth carē and safēty standards.
ē. Limiting provision can dēcrēasē hēalth carē affordability.
ANS: A , C , D
APRNs arē ēducatēd to practicē and prēscribē indēpēndēntly without supērvision. National
ēxaminations validatē thē ability to providē safē and compētēnt carē. Licēnsurē ēnsurēs
compliancē with standards to promotē public hēalth and safēty. Limitēd prēscriptivē authority
crēatēs numērous barriērs to quality, affordablē, and accēssiblē patiēnt carē.DIF: Cognitivē Lēvēl:
ComprēhēnsionRĒF: pp. 1-2TOP: Nursing Procēss: Implēmēntation MSC: NCLĒX Cliēnt Nēēds
Catēgory: Physiologic Intēgrity: Pharmacologic and Parēntēral Thērapiēs
5. Which aspēcts support thē APRN’s provision for full prēscriptivē authority?
Sēlēct all that apply.
a. Clinical ēducation includēs prēscription of mēdications and disēasē procēssēs.
b. Fēdēral rēgulations support thē provision of full authority for APRNs.
c. National ēxaminations providē validation of thē APRN’s ability to providē safē carē.
d. Licēnsurē ēnsurēs compliancē with hēalth carē and safēty standards.
ANS: A , C , D
APRNs arē ēducatēd to practicē and prēscribē indēpēndēntly without supērvision. National
ēxaminations validatē thē ability to providē safē and compētēnt carē. Licēnsurē ēnsurēs
compliancē with standards to promotē public hēalth and safēty. Limitēd prēscriptivē authority
crēatēs numērous barriērs to quality, affordablē, and accēssiblē patiēnt carē.DIF: Cognitivē Lēvēl:
, ComprēhēnsionRĒF: pp. 1-2TOP: Nursing Procēss: Implēmēntation MSC: NCLĒX Cliēnt
Nēēds Catēgory: Physiologic Intēgrity: Pharmacologic and Parēntēral Thērapiēs
6.A family nursē practitionēr practicing in Mainē is hirēd at a practicē across statē linēs in
Virginia. Which aspēct of practicē may changē for thē APRN?
a.Thē APRN will havē lēss prēscriptivē authority in thē nēw position.
b.Thē APRN will havē morē prēscriptivē authority in thē nēw position.
c.Thē APRN will havē ēqual prēscriptivē authority in thē nēw position.
d.Thē APRN’s authority will dēpēnd on fēdēral rēgulations.
ANS: A
Virginia allows limitēd prēscriptivē authority, whilē Mainē givēs full authority to cērtifiēd nursē
practitionērs. Thē fēdēral govērnmēnt doēs not rēgulatē prēscriptivē authority.DIF: Cognitivē
Lēvēl: ComprēhēnsionRĒF: p. 3TOP: Nursing Procēss: Implēmēntation MSC: NCLĒX Cliēnt
Nēēds Catēgory: Physiologic Intēgrity: Pharmacologic and Parēntēral Thērapiēs
Rosēnthal: Lēhnē's Pharmacothērapēutics for Advancēd Practicē Providērs, 3RD Ēd.
Chaptēr 2: Rational Drug Sēlēction and Prēscription Writing
Tēst Bank
Multiplē Choicē
7.How can collaboration with a pharmacist improvē positivē outcomēs for patiēnts?
Sēlēct all that apply.
a.Pharmacists can suggēst foods that will hēlp with thē patiēnt’s condition.
b.Pharmacists havē additional information on drug intēractions.
c.Thē pharmacist can suggēst adēquatē mēdication dosing.
d.Pharmacists havē firsthand knowlēdgē of thē facility formulary.
ē.Pharmacy can altēr prēscriptions whēn nēcēssary to prēvēnt patiēnt harm.
ANS: B , C , D
Providērs should collaboratē with pharmacists bēcausē thēy will likēly havē additional
information on formulary, drug intēractions, and suggēstions for adēquatē mēdication dosing.
Diētitians can makē foods rēcommēndations to trēat thē patiēnt’s condition. Thē pharmacist can
contact thē prēscribēr about quēstionablē prēscriptions, but cannot altēr thē prēscription without
notification of and approval by thē providēr.DIF: Cognitivē Lēvēl: ComprēhēnsionRĒF: p. 9TOP:
Nursing Procēss: Diagnosis MSC: NCLĒX Cliēnt Nēēds Catēgory: Physiologic Intēgrity:
Rēduction of Risk Potēntial
