r2ndrEdition rRosenthal rTest r Bank 1
LEHNE’S rPHARMACOTHERAPEUTICS rFOR
rADVANCEDrPRACTICE rNURSES rAND rPHYSICIAN
rASSISTANTS r2ND rEDITION rROSENTHAL rTEST rBANK
,Lehne’s rPharmacotherapeutics rfor rAdvanced rPractice rNurses rand rPhysician rAssistants
r2ndrEdition rRosenthal rTest r Bank 2
Chapter r1: rPrescriptive rAuthority rTest
rBankrMultiple rChoice
1. An rAPRN rworks rin ra rurology rclinic runder rthe rsupervision rof ra rphysician rwho rdoes
rnot rrestrict rthe rtypes rof rmedications rthe rAPRN ris rallowed rto rprescribe. rState rlaw rdoes rnot
rrequire rtherAPRN rto rpractice runder rphysician rsupervision. rHow rwould rthe rAPRN‘s
rprescriptive rauthority rberdescribed?
a. Full rauthority
b. Independent
c. Without rlimitation
d. Limited rauthority
ANS: rB
The rAPRN rhas rindependent rprescriptive rauthority rbecause rthe rregulating rbody rdoes rnot
rrequire rthat rthe rAPRN rwork runder rphysician rsupervision. rFull rprescriptive rauthority rgives
rthe rprovider rthe rright rto rprescribe rindependently rand rwithout rlimitation. rLimited rauthority
rplaces rrestrictions ron rthe rtypes rof rdrugs rthat rcan rbe rprescribed r.DIF: rCognitive rLevel:
rComprehension rREF: rp.
1TOP: rNursing rProcess: rI rMSC: rNCLEX rClient rNeeds rCategory: rPhysiologic
rIntegrity:rPharmacologic rand rParenteral rTherapies
2. Which rfactors rincrease rthe rneed rfor rAPRNs rto rhave rfull rprescriptive rauthority?
a. More rpatients rwill rhave raccess rto rhealth rcare.
b. Enrollment rin rmedical rschools ris rpredicted rto rdecrease.
c. Physician‘s rassistants rare rbeing rutilized rless roften.
d. APRN reducation ris rmore rcomplex rthan reducation rfor rphysicians.
ANS: rA
Implementation rof rthe rAffordable rCare rAct rhas rincreased rthe rnumber rof rindividuals rwith
rhealthrcare rcoverage, rand rthus rthe rnumber rwho rhave raccess rto rhealth rcare rservices. rThe
rincrease rin rthernumber rof rpatients rcreates rthe rneed rfor rmore rproviders rwith rprescriptive
rauthority. rAPRNs rcan rfill rthis rpractice rgap. rDIF: rCognitive rLevel: rComprehension rREF: rp.
r2TOP: rNursing rProcess: rImplementation rMSC: rNCLEX rClient rNeeds rCategory:
rPhysiologic rIntegrity: rPharmacologic rand rParenteral rTherapies
,Lehne’s rPharmacotherapeutics rfor rAdvanced rPractice rNurses rand rPhysician rAssistants
r2ndrEdition rRosenthal rTest r Bank 3
3. Which rfactors rcould rbe rattributed rto rlimited rprescriptive rauthority rfor rAPRNs? rSelect
rallrthat rapply.
a. Inaccessibility rof rpatient rcare
b. Higher rhealth rcare rcosts
c. Higher rquality rmedical rtreatment
d. Improved rcollaborative rcare
e. Enhanced rhealth rliteracy
ANS: rA r, rB
Limiting rprescriptive rauthority rfor rAPRNs rcan rcreate rbarriers rto rquality, raffordable, rand
raccessible rpatient rcare. rIt rmay ralso rlead rto rpoor rcollaboration ramong r providers rand rhigher
rhealthrcare rcosts. rIt rwould rnot rdirectly rimpact rpatient‘s rhealth rliteracy.DIF: rCognitive rLevel:
rComprehensionREF:
p. r2TOP: rNursing rProcess: rImplementation rMSC: rNCLEX rClient rNeeds rCategory:
rPhysiologicrIntegrity: rPharmacologic rand rParenteral rTherapies
4. Which raspects rsupport rthe rAPRN‘s rprovision rfor rfull rprescriptive rauthority? rSelect
rallrthat rapply.
a. Clinical reducation rincludes rprescription rof rmedications rand rdisease rprocesses.
b. Federal rregulations rsupport rthe rprovision rof rfull rauthority rfor rAPRNs.
c. National rexaminations rprovide rvalidation rof rthe rAPRN‘s rability rto rprovide rsafecare.
d. Licensure rensures rcompliance rwith rhealth rcare rand rsafety rstandards.
e. Limiting rprovision rcan rdecrease rhealth rcare raffordability.
ANS: rA r, rC r, rD
APRNs rare reducated rto rpractice rand rprescribe rindependently rwithout rsupervision.
rNational rexaminations rvalidate rthe rability rto rprovide rsafe rand rcompetent rcare. rLicensure
rensures rcompliance rwith rstandards rto rpromote rpublic rhealth rand rsafety. rLimited
rprescriptive rauthorityrcreates rnumerous rbarriers rto rquality, raffordable, rand raccessible
rpatient rcare.DIF: rCognitive rLevel: rComprehensionREF: rpp. r1-2TOP: rNursing rProcess:
rImplementation rMSC: rNCLEX rClient rNeeds rCategory: rPhysiologic rIntegrity:
rPharmacologic rand rParenteral rTherapies
, Lehne’s rPharmacotherapeutics rfor rAdvanced rPractice rNurses rand rPhysician rAssistants
r2ndrEdition rRosenthal rTest r Bank 4
5. Which raspects rsupport rthe rAPRN‘s rprovision rfor rfull rprescriptive rauthority? rSelect
rallrthat rapply.
a. Clinical reducation rincludes rprescription rof rmedications rand rdisease rprocesses.
b. Federal rregulations rsupport rthe rprovision rof rfull rauthority rfor rAPRNs.
c. National rexaminations rprovide rvalidation rof rthe rAPRN‘s rability rto rprovide rsafecare.
d. Licensure rensures rcompliance rwith rhealth rcare rand rsafety rstandards.
ANS: rA r, rC r, rD
APRNs rare reducated rto rpractice rand rprescribe rindependently rwithout rsupervision. rNational
rexaminations rvalidate rthe rability rto rprovide rsafe rand rcompetent rcare. rLicensure rensures
rcompliance rwith rstandards rto rpromote rpublic rhealth rand rsafety. rLimited rprescriptive
rauthorityrcreates rnumerous rbarriers rto rquality, raffordable, rand raccessible rpatient rcare.DIF:
rCognitive rLevel:
Comprehension rREF: rpp. r 1-2TOP: rNursing rProcess: rImplementation MSC: rNCLEX
rClientrNeeds rCategory: rPhysiologic rIntegrity: rPharmacologic rand rParenteral rTherapies
6. A rfamily rnurse rpractitioner rpracticing rin rMaine ris rhired rat ra rpractice racross rstate
rlines rinrVirginia. r Which raspect r of rpractice r may rchange r for rthe rAPRN?
a. The rAPRN rwill rhave rless rprescriptive rauthority rin rthe rnew rposition.
b. The rAPRN rwill rhave rmore rprescriptive rauthority rin rthe rnew rposition.
c. The rAPRN rwill rhave requal rprescriptive rauthority rin rthe rnew rposition.
d. The rAPRN‘s rauthority rwill rdepend ron rfederal
rregulations.rANS: rA
Virginia rallows rlimited rprescriptive rauthority, rwhile rMaine rgives rfull rauthority rto rcertified
rnurserpractitioners. rThe rfederal rgovernment rdoes rnot rregulate rprescriptive rauthority.DIF:
rCognitive rLevel: rComprehensionREF: rp. r3TOP: rNursing rProcess: rImplementation rMSC:
rNCLEX rClient rNeeds rCategory: rPhysiologic rIntegrity: rPharmacologic rand rParenteral
rTherapies