NUR PHARMACOLO Test Bank 2026/2027 |
Lehne's Pharmacotherapeutics for Advanced
Practice Nurses & Physician Assistants 2nd Ed |
200 Verified Q&A with Rationales | Graded A+
Unit I: Introduction
Chapter 1: Prescriptive Authority
1. An APRN works in a urology clinic under the supervision of a physician who does
not restrict the types of medications the APRN is allowed to prescribe. State law does
not require the APRN to practice under physician supervision. How would the
APRN's prescriptive authority be described?
A. Full prescriptive authority
B. Limited prescriptive authority
C. Collaborative prescriptive authority
D. Restricted prescriptive authority
Correct Answer: A. Full prescriptive authority
Rationale: Full prescriptive authority means the APRN can prescribe without physician
supervision or restrictions, as permitted by state law. This is the broadest level of
prescriptive authority.
2. Which federal agency is responsible for enforcing the Controlled Substances Act
and regulating the prescribing of controlled substances?
A. Food and Drug Administration (FDA)
B. Drug Enforcement Administration (DEA)
C. Centers for Medicare and Medicaid Services (CMS)
D. National Institutes of Health (NIH)
Correct Answer: B. Drug Enforcement Administration (DEA)
Rationale: The DEA is the federal agency responsible for enforcing the Controlled
Substances Act and regulating the prescribing, dispensing, and administration of controlled
substances.
,3. A patient is prescribed a Schedule II controlled substance. Which action is
required for the prescription to be valid?
A. Verbal order from the prescriber
B. Written prescription with the prescriber's DEA number
C. Electronic prescription with a digital signature
D. Faxed prescription to the pharmacy
Correct Answer: B. Written prescription with the prescriber's DEA number
Rationale: Schedule II controlled substances require a written prescription with the
prescriber's DEA number. Verbal orders are generally not permitted for Schedule II drugs.
4. An APRN is applying for prescriptive authority in a state that requires a
collaborative practice agreement. What does this agreement typically specify?
A. The APRN must practice in a hospital setting only
B. The scope of prescribing and any limitations
C. The APRN cannot prescribe controlled substances
D. The APRN must have a physician cosign all prescriptions
Correct Answer: B. The scope of prescribing and any limitations
Rationale: A collaborative practice agreement specifies the scope of prescribing, any
limitations, and the relationship between the APRN and the collaborating physician.
5. Which factors increase the need for APRNs to have full prescriptive authority?
A. More patients will have access to health care
B. Enrollment in medical schools is predicted to decrease significantly
C. Physician's assistants are being utilized less often
D. APRN education is more complex than physician education
Correct Answer: A. More patients will have access to health care
Rationale: Implementation of healthcare reforms has increased the number of individuals
with healthcare coverage, creating the need for more providers with prescriptive authority.
APRNs can fill this practice gap.
6. Which factors could be attributed to limited prescriptive authority for APRNs?
Select all that apply.
A. Inaccessibility of patient care
B. Higher health care costs
C. Improved patient outcomes
D. Decreased quality of care
Correct Answer: A, B
Rationale: Limiting prescriptive authority for APRNs can create barriers to quality,
,affordable, and accessible patient care, leading to inaccessibility of patient care and higher
health care costs.
7. 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. National examinations provide validation of the APRN's ability to provide safe care
C. Licensure ensures compliance with health care and safety standards
D. APRNs have shorter training programs than physicians
Correct Answer: A, B, C
Rationale: Clinical education includes prescription of medications, national examinations
validate safe care, and licensure ensures compliance with health care and safety standards.
8. 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's scope of practice will remain identical
D. The APRN will no longer need a DEA number
Correct Answer: A. The APRN will have less prescriptive authority in the new position
Rationale: Prescriptive authority is regulated by state law and varies by jurisdiction. Moving
to a different state may change the APRN's scope of prescribing.
Chapter 2: Rational Drug Selection and Prescription Writing
9. How can collaboration with a pharmacist improve positive outcomes for patients?
Select all that apply.
A. Pharmacists have additional information on drug interactions
B. The pharmacist can suggest adequate medication dosing
C. Pharmacists have firsthand knowledge of the facility formulary
D. Pharmacists can prescribe medications independently
Correct Answer: A, B, C
Rationale: Pharmacists provide additional information on drug interactions, suggest
adequate dosing, and have firsthand knowledge of the formulary, all of which improve
patient outcomes.
, 10. A patient presents with delirium tremens requiring Ativan administration. The
provider of care is not in the facility. Which action by the nurse is most appropriate?
A. Obtain a telephone order
B. Wait for the provider to arrive
C. Administer the medication without an order
D. Contact the pharmacy for authorization
Correct Answer: A. Obtain a telephone order
Rationale: In an emergency situation, a telephone order is appropriate to obtain the needed
medication. The nurse should follow facility policy for verbal orders.
11. A patient with chronic pain calls the provider's office to request a refill on their
OxyContin prescription. Which action is most appropriate?
A. Fax an order to the pharmacy immediately
B. Schedule an appointment to evaluate the patient in person
C. Verify the patient's adherence over the phone
D. Contact the pharmacy to determine the current dosage
Correct Answer: B. Schedule an appointment to evaluate the patient in person
Rationale: Schedule II medications (such as OxyContin) are not eligible for refills. The
patient must be evaluated in person to verify adherence and determine current clinical
status.
12. A patient prescribed amoxicillin for streptococcal pharyngitis reports new onset
of a flat, itchy red rash on the chest and neck. Which action is most important?
A. Continue the medication and monitor
B. Discontinue the medication
C. Administer an antihistamine and continue
D. Reduce the dose and reassess
Correct Answer: B. Discontinue the medication
Rationale: A new rash may indicate an allergic reaction to amoxicillin. The medication
should be discontinued immediately, and the patient should be evaluated.
13. A patient taking three medications for hypertension is diagnosed with COPD.
Which action should be taken prior to prescribing medications to treat COPD?
A. Obtain baseline laboratory values for renal function
B. Obtain a complete and detailed medication history
C. Assess baseline liver enzyme levels
D. Determine if the patient has adequate health insurance coverage
Lehne's Pharmacotherapeutics for Advanced
Practice Nurses & Physician Assistants 2nd Ed |
200 Verified Q&A with Rationales | Graded A+
Unit I: Introduction
Chapter 1: Prescriptive Authority
1. An APRN works in a urology clinic under the supervision of a physician who does
not restrict the types of medications the APRN is allowed to prescribe. State law does
not require the APRN to practice under physician supervision. How would the
APRN's prescriptive authority be described?
A. Full prescriptive authority
B. Limited prescriptive authority
C. Collaborative prescriptive authority
D. Restricted prescriptive authority
Correct Answer: A. Full prescriptive authority
Rationale: Full prescriptive authority means the APRN can prescribe without physician
supervision or restrictions, as permitted by state law. This is the broadest level of
prescriptive authority.
2. Which federal agency is responsible for enforcing the Controlled Substances Act
and regulating the prescribing of controlled substances?
A. Food and Drug Administration (FDA)
B. Drug Enforcement Administration (DEA)
C. Centers for Medicare and Medicaid Services (CMS)
D. National Institutes of Health (NIH)
Correct Answer: B. Drug Enforcement Administration (DEA)
Rationale: The DEA is the federal agency responsible for enforcing the Controlled
Substances Act and regulating the prescribing, dispensing, and administration of controlled
substances.
,3. A patient is prescribed a Schedule II controlled substance. Which action is
required for the prescription to be valid?
A. Verbal order from the prescriber
B. Written prescription with the prescriber's DEA number
C. Electronic prescription with a digital signature
D. Faxed prescription to the pharmacy
Correct Answer: B. Written prescription with the prescriber's DEA number
Rationale: Schedule II controlled substances require a written prescription with the
prescriber's DEA number. Verbal orders are generally not permitted for Schedule II drugs.
4. An APRN is applying for prescriptive authority in a state that requires a
collaborative practice agreement. What does this agreement typically specify?
A. The APRN must practice in a hospital setting only
B. The scope of prescribing and any limitations
C. The APRN cannot prescribe controlled substances
D. The APRN must have a physician cosign all prescriptions
Correct Answer: B. The scope of prescribing and any limitations
Rationale: A collaborative practice agreement specifies the scope of prescribing, any
limitations, and the relationship between the APRN and the collaborating physician.
5. Which factors increase the need for APRNs to have full prescriptive authority?
A. More patients will have access to health care
B. Enrollment in medical schools is predicted to decrease significantly
C. Physician's assistants are being utilized less often
D. APRN education is more complex than physician education
Correct Answer: A. More patients will have access to health care
Rationale: Implementation of healthcare reforms has increased the number of individuals
with healthcare coverage, creating the need for more providers with prescriptive authority.
APRNs can fill this practice gap.
6. Which factors could be attributed to limited prescriptive authority for APRNs?
Select all that apply.
A. Inaccessibility of patient care
B. Higher health care costs
C. Improved patient outcomes
D. Decreased quality of care
Correct Answer: A, B
Rationale: Limiting prescriptive authority for APRNs can create barriers to quality,
,affordable, and accessible patient care, leading to inaccessibility of patient care and higher
health care costs.
7. 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. National examinations provide validation of the APRN's ability to provide safe care
C. Licensure ensures compliance with health care and safety standards
D. APRNs have shorter training programs than physicians
Correct Answer: A, B, C
Rationale: Clinical education includes prescription of medications, national examinations
validate safe care, and licensure ensures compliance with health care and safety standards.
8. 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's scope of practice will remain identical
D. The APRN will no longer need a DEA number
Correct Answer: A. The APRN will have less prescriptive authority in the new position
Rationale: Prescriptive authority is regulated by state law and varies by jurisdiction. Moving
to a different state may change the APRN's scope of prescribing.
Chapter 2: Rational Drug Selection and Prescription Writing
9. How can collaboration with a pharmacist improve positive outcomes for patients?
Select all that apply.
A. Pharmacists have additional information on drug interactions
B. The pharmacist can suggest adequate medication dosing
C. Pharmacists have firsthand knowledge of the facility formulary
D. Pharmacists can prescribe medications independently
Correct Answer: A, B, C
Rationale: Pharmacists provide additional information on drug interactions, suggest
adequate dosing, and have firsthand knowledge of the formulary, all of which improve
patient outcomes.
, 10. A patient presents with delirium tremens requiring Ativan administration. The
provider of care is not in the facility. Which action by the nurse is most appropriate?
A. Obtain a telephone order
B. Wait for the provider to arrive
C. Administer the medication without an order
D. Contact the pharmacy for authorization
Correct Answer: A. Obtain a telephone order
Rationale: In an emergency situation, a telephone order is appropriate to obtain the needed
medication. The nurse should follow facility policy for verbal orders.
11. A patient with chronic pain calls the provider's office to request a refill on their
OxyContin prescription. Which action is most appropriate?
A. Fax an order to the pharmacy immediately
B. Schedule an appointment to evaluate the patient in person
C. Verify the patient's adherence over the phone
D. Contact the pharmacy to determine the current dosage
Correct Answer: B. Schedule an appointment to evaluate the patient in person
Rationale: Schedule II medications (such as OxyContin) are not eligible for refills. The
patient must be evaluated in person to verify adherence and determine current clinical
status.
12. A patient prescribed amoxicillin for streptococcal pharyngitis reports new onset
of a flat, itchy red rash on the chest and neck. Which action is most important?
A. Continue the medication and monitor
B. Discontinue the medication
C. Administer an antihistamine and continue
D. Reduce the dose and reassess
Correct Answer: B. Discontinue the medication
Rationale: A new rash may indicate an allergic reaction to amoxicillin. The medication
should be discontinued immediately, and the patient should be evaluated.
13. A patient taking three medications for hypertension is diagnosed with COPD.
Which action should be taken prior to prescribing medications to treat COPD?
A. Obtain baseline laboratory values for renal function
B. Obtain a complete and detailed medication history
C. Assess baseline liver enzyme levels
D. Determine if the patient has adequate health insurance coverage
