TEST BANK FOR LEHNE’S
PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES
AND PHYSICIAN ASSISTANTS, 2ND
EDITION BY JACQUELINE
BURCHUM; LAURA D. ROSENTHAL|
ALL CHAPTERS LATEST
Lehne's Pharmacotherapeutics for Advanced Practice
Nurses and Physician Assistants — Comprehensive
Exam
)
Format: Multiple-choice with bolded correct answers and rationales
Unit I: Introduction (Chapters 1–3)
Chapter 1: Prescriptive Authority
1. The role of the advanced practice nurse (APRN) in pharmacotherapeutics
includes:
A. Prescribing medications only under direct physician supervision
B. Independently prescribing medications within their scope of practice as defined
,by state law
C. Never prescribing controlled substances
D. Dispensing medications from a pharmacy
Rationale: APRN prescriptive authority varies by state. Some states grant full
independent prescriptive authority; others require collaborative agreements with
physicians .
2. The Drug Enforcement Administration (DEA) regulates:
A. Over-the-counter medications
B. Controlled substances (Schedule I–V)
C. Herbal supplements
D. Medical devices
Rationale: The DEA enforces the Controlled Substances Act. APRNs must obtain a DEA
registration number to prescribe controlled substances (Schedule II–V). Schedule I drugs
have no accepted medical use and cannot be prescribed .
3. A Schedule II controlled substance has which characteristic?
A. High potential for abuse with no accepted medical use
B. High potential for abuse with currently accepted medical use
C. Low potential for abuse
D. Over-the-counter availability
Rationale: Schedule II drugs have high abuse potential but have accepted medical use.
Prescriptions for Schedule II drugs cannot be refilled; a new written prescription is
required each time .
4. Which of the following is a Schedule III controlled substance?
A. Heroin
B. Codeine/acetaminophen combination products
C. Alprazolam
D. Dextromethorphan
Rationale: Codeine/acetaminophen combination products with limited codeine content
are Schedule III. Heroin is Schedule I; alprazolam is Schedule IV; dextromethorphan is
not controlled .
5. A prescription for alprazolam (Schedule IV) may be refilled up to:
,A. 0 times
B. 5 times within 6 months
C. 10 times within 1 year
D. Unlimited
Rationale: Schedule III–V prescriptions can be refilled up to 5 times within 6 months
from the date written. After 6 months, a new prescription is required .
6. Which of the following requires a new written prescription (no refills) under
federal law?
A. Alprazolam
B. Oxycodone
C. Codeine/acetaminophen
D. Zolpidem
Rationale: Only Schedule II controlled substances have no refill allowance under federal
law. Some states may have additional restrictions .
7. The Prescription Drug Monitoring Program (PDMP) is used to:
A. Track patient prescription history for controlled substances to prevent "doctor
shopping" and diversion
B. Monitor medication side effects
C. Track over-the-counter medication sales
D. Monitor herbal supplement use
Rationale: All states except Missouri have PDMPs. APRNs should check PDMP before
prescribing controlled substances, especially opioids and benzodiazepines .
8. An APRN may prescribe controlled substances only if:
A. They have a valid DEA registration number
B. They have a collaborative agreement with a physician
C. They work in a hospital
D. They have a state medical license
Rationale: A DEA number is required to prescribe, dispense, or administer controlled
substances. DEA numbers can be verified online .
9. The Combat Methamphetamine Epidemic Act regulates the sale of:
, A. Prescription opioids
B. Pseudoephedrine-containing products
C. Benzodiazepines
D. Herbal supplements
Rationale: Pseudoephedrine is used in illegal methamphetamine production. Sales are
limited in quantity, purchasers must show ID, and records are kept .
10. Which factors increase the need for APRNs to have full prescriptive authority?
A. More patients will have access to health care
B. Decreased patient demand
C. Reduced scope of practice
D. Limited education
Rationale: Implementation of the Affordable Care Act has increased the number of
individuals with health care coverage, thus increasing access to health care services and
the need for APRNs with full prescriptive authority .
11. A family nurse practitioner practicing in Maine is hired at a practice across
state lines in Virginia. Which aspect of practice may change for the APRN?
A. The APRN will have less prescriptive authority in the new position
B. The APRN will have more prescriptive authority in the new position
C. The APRN will have equal prescriptive authority in the new position
D. The APRN's authority will depend on federal regulations
Rationale: Virginia allows limited prescriptive authority, while Maine gives full authority
to certified nurse practitioners. The federal government does not regulate prescriptive
authority .
12. Which aspects support the APRN's provision for full prescriptive authority?
Select all that apply.
A. Clinical education includes prescription of medications and disease processes
B. Reduced educational requirements
C. National examinations provide validation of the APRN's ability to provide safe
care
D. Licensure ensures compliance with health care and safety standards
Rationale: APRNs are educated to practice and prescribe independently. National
examinations validate safe care, and licensure ensures compliance with safety standards
.
PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES
AND PHYSICIAN ASSISTANTS, 2ND
EDITION BY JACQUELINE
BURCHUM; LAURA D. ROSENTHAL|
ALL CHAPTERS LATEST
Lehne's Pharmacotherapeutics for Advanced Practice
Nurses and Physician Assistants — Comprehensive
Exam
)
Format: Multiple-choice with bolded correct answers and rationales
Unit I: Introduction (Chapters 1–3)
Chapter 1: Prescriptive Authority
1. The role of the advanced practice nurse (APRN) in pharmacotherapeutics
includes:
A. Prescribing medications only under direct physician supervision
B. Independently prescribing medications within their scope of practice as defined
,by state law
C. Never prescribing controlled substances
D. Dispensing medications from a pharmacy
Rationale: APRN prescriptive authority varies by state. Some states grant full
independent prescriptive authority; others require collaborative agreements with
physicians .
2. The Drug Enforcement Administration (DEA) regulates:
A. Over-the-counter medications
B. Controlled substances (Schedule I–V)
C. Herbal supplements
D. Medical devices
Rationale: The DEA enforces the Controlled Substances Act. APRNs must obtain a DEA
registration number to prescribe controlled substances (Schedule II–V). Schedule I drugs
have no accepted medical use and cannot be prescribed .
3. A Schedule II controlled substance has which characteristic?
A. High potential for abuse with no accepted medical use
B. High potential for abuse with currently accepted medical use
C. Low potential for abuse
D. Over-the-counter availability
Rationale: Schedule II drugs have high abuse potential but have accepted medical use.
Prescriptions for Schedule II drugs cannot be refilled; a new written prescription is
required each time .
4. Which of the following is a Schedule III controlled substance?
A. Heroin
B. Codeine/acetaminophen combination products
C. Alprazolam
D. Dextromethorphan
Rationale: Codeine/acetaminophen combination products with limited codeine content
are Schedule III. Heroin is Schedule I; alprazolam is Schedule IV; dextromethorphan is
not controlled .
5. A prescription for alprazolam (Schedule IV) may be refilled up to:
,A. 0 times
B. 5 times within 6 months
C. 10 times within 1 year
D. Unlimited
Rationale: Schedule III–V prescriptions can be refilled up to 5 times within 6 months
from the date written. After 6 months, a new prescription is required .
6. Which of the following requires a new written prescription (no refills) under
federal law?
A. Alprazolam
B. Oxycodone
C. Codeine/acetaminophen
D. Zolpidem
Rationale: Only Schedule II controlled substances have no refill allowance under federal
law. Some states may have additional restrictions .
7. The Prescription Drug Monitoring Program (PDMP) is used to:
A. Track patient prescription history for controlled substances to prevent "doctor
shopping" and diversion
B. Monitor medication side effects
C. Track over-the-counter medication sales
D. Monitor herbal supplement use
Rationale: All states except Missouri have PDMPs. APRNs should check PDMP before
prescribing controlled substances, especially opioids and benzodiazepines .
8. An APRN may prescribe controlled substances only if:
A. They have a valid DEA registration number
B. They have a collaborative agreement with a physician
C. They work in a hospital
D. They have a state medical license
Rationale: A DEA number is required to prescribe, dispense, or administer controlled
substances. DEA numbers can be verified online .
9. The Combat Methamphetamine Epidemic Act regulates the sale of:
, A. Prescription opioids
B. Pseudoephedrine-containing products
C. Benzodiazepines
D. Herbal supplements
Rationale: Pseudoephedrine is used in illegal methamphetamine production. Sales are
limited in quantity, purchasers must show ID, and records are kept .
10. Which factors increase the need for APRNs to have full prescriptive authority?
A. More patients will have access to health care
B. Decreased patient demand
C. Reduced scope of practice
D. Limited education
Rationale: Implementation of the Affordable Care Act has increased the number of
individuals with health care coverage, thus increasing access to health care services and
the need for APRNs with full prescriptive authority .
11. A family nurse practitioner practicing in Maine is hired at a practice across
state lines in Virginia. Which aspect of practice may change for the APRN?
A. The APRN will have less prescriptive authority in the new position
B. The APRN will have more prescriptive authority in the new position
C. The APRN will have equal prescriptive authority in the new position
D. The APRN's authority will depend on federal regulations
Rationale: Virginia allows limited prescriptive authority, while Maine gives full authority
to certified nurse practitioners. The federal government does not regulate prescriptive
authority .
12. Which aspects support the APRN's provision for full prescriptive authority?
Select all that apply.
A. Clinical education includes prescription of medications and disease processes
B. Reduced educational requirements
C. National examinations provide validation of the APRN's ability to provide safe
care
D. Licensure ensures compliance with health care and safety standards
Rationale: APRNs are educated to practice and prescribe independently. National
examinations validate safe care, and licensure ensures compliance with safety standards
.
