TEST BANK LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL Test Bank Questions with Complete Solutions

[Typenhere]
LEHNE’SnPHARMACOTHERAPEUTICSnFORnADVANCEDnPRACTICEnNURSESnANDn
PHYSICIANnASSISTANTSn2NDnEDITIONnROSENTHALnTESTnBANK

az
LEHNE’SnPHARMACOTHERAPEUTICSnFORnADVANCEDnPRACTICEnNURSESnANDn
PHYSICIANnASSISTANTSn2NDnEDITIONnROSENTHALnTESTnBANK


Chaptern1:nPrescriptivenAuthorityn

TestnBank

MultiplenChoice


1. AnnAPRNnworksninnanurologynclinicnundernthensupervisionnofnanphysiciannwhon doesnnotnrestrictnth
entypesnofnmedicationsnthenAPRNnisnallowedntonprescribe.nStatenlawndoesnnotnrequirenthenAPRNn
tonpracticenundernphysiciannsupervision.nHownwouldnthenAPRN’snprescriptivenauthoritynbendescr
ibed?

a. Fullnauthority
b. Independent
c. Withoutnlimitation
d. Limitednauthority

ANS:nB
ThenAPRNnhasnindependentnprescriptivenauthoritynbecausenthenregulatingnbodyndoesnnotnrequirentha
tnthenAPRNnworknundernphysiciannsupervision.nFullnprescriptivenauthorityngivesnthenprovidernthenri
ghtntonprescribenindependentlynandnwithoutnlimitation.nLimitednauthoritynplacesnrestrictionsnonnthent
ypesnofndrugsnthatncannbenprescribed.DIF:n CognitivenLevel:nComprehensionREF:np.n1TOP:nNursingn
Process:nInMSC:nNCLEXnClientnNeedsnCategory:nPhysiologicnIntegrity:nPharmacologicnandnParent
eralnTherapies


2. Whichnfactorsnincreasenthenneedn fornAPRNsntonhavenfullnprescriptiven authority?

a. Morenpatientsnwillnhavenaccessntonhealthncare.
b. Enrollmentn innmedicalnschoolsn isnpredictednton decrease.
c. Physician’snassistantsnarenbeingnutilizednlessnoften.
d. APRNneducationnisnmorencomplexnthanneducationnfornphysicians.

ANS:nA
ImplementationnofnthenAffordablenCarenActnhasnincreasednthennumbernofnindividualsnwithnhealthnca
rencoverage,nandnthusnthennumbernwhonhavenaccessntonhealthncarenservices.nThenincreaseninnthennum
bernofnpatientsncreatesnthenneednfornmorenprovidersnwithnprescriptivenauthority.nAPRNsncannfillnthisnpr
acticengap.DIF:nCognitivenLevel:nComprehensionREF:np.n2TOP:nNursingnProcess:nImplementation
nMSC:nNCLEXnClientnNeedsnCategory:nPhysiologicn Integrity:nPharmacologicnandnParenteralnThera

pies


3. WhichnfactorsncouldnbenattributedntonlimitednprescriptivenauthoritynfornAPRNs?n
Selectn allnthatn apply.

,[Typenhere]
LEHNE’SnPHARMACOTHERAPEUTICSnFORnADVANCEDnPRACTICEnNURSESnANDn
PHYSICIANnASSISTANTSn2NDnEDITIONnROSENTHALnTESTnBANK

az

a. Inaccessibilitynofnpatientncare
b. Highern healthncarencosts
c. Highernqualitynmedicalntreatment
d. Improvedncollaborativencare
e. Enhancednhealthn literacy

ANS:nAn,nB
LimitingnprescriptivenauthoritynfornAPRNsncanncreatenbarriersntonquality,naffordable,nandnaccessiblenp
atientncare.nItnmaynalsonleadntonpoorncollaborationnamongnprovidersnandnhighernhealthncarencosts.nItn
wouldnnotndirectlynimpactnpatient’snhealthnliteracy.DIF:nCognitivenLevel:nComprehensionREF:
p.n2TOP:nNursingnProcess:nImplementationnMSC:nNCLEXnClientnNeedsnCategory:nPhysiologicnIn
tegrity:nPharmacologicnandnParenteralnTherapies


4. WhichnaspectsnsupportnthenAPRN’snprovisionnforn fullnprescriptivenauthority?n
Selectn allnthatn apply.

a. Clinicalneducationnincludesnprescriptionnofnmedicationsnandn diseasenprocesses.
b. FederalnregulationsnsupportnthenprovisionnofnfullnauthoritynfornAPRNs.
c. Nationalnexaminationsnproviden validationnofnthenAPRN’snabilitynton providensafecare.
d. Licensurenensuresncompliancenwithnhealthncaren andnsafetystandards.
e. Limitingnprovisionncanndecreasenhealthncarenaffordability.

ANS:n An,n Cn,nD
APRNsnareneducatedntonpracticenandnprescribenindependentlynwithoutnsupervision.nNationalnexami
nationsnvalidatenthenabilityntonprovidensafenandncompetentncare.nLicensurenensuresncompliancenwithn
standardsntonpromotenpublicnhealthnandnsafety.nLimitednprescriptivenauthorityncreatesnnumerousnbar
riersntonquality,naffordable,nandnaccessiblenpatientn care.DIF:nCognitivenLevel:nComprehensionREF:n
pp.n1-
2TOP:nNursingnProcess:nImplementationnMSC:nNCLEXnClientnNeedsnCategory:nPhysiologicnInteg
rity:n Pharmacologicnandn ParenteralnTherapies


5. WhichnaspectsnsupportnthenAPRN’snprovisionnforn fullnprescriptivenauthority?n
Selectn allnthatn apply.

a. Clinicalneducationnincludesnprescriptionnofnmedicationsnandn diseasenprocesses.
b. FederalnregulationsnsupportnthenprovisionnofnfullnauthoritynfornAPRNs.
c. Nationalnexaminationsnproviden validationnofnthenAPRN’snabilitynton providensafecare.
d. Licensurenensuresncompliancenwithnhealthncarenandn safetynstandards.

ANS:n An,n Cn,nD
APRNsnareneducatedntonpracticenandnprescribenindependentlynwithoutnsupervision.nNationalnexami
nationsnvalidatenthenabilityntonprovidensafenandncompetentncare.nLicensurenensuresncompliancenwith
nstandardsntonpromotenpublicnhealthnandnsafety.n Limitednprescriptivenauthorityn createsnnumerousnbar

riersntonquality,naffordable,nandnaccessiblenpatientn care.DIF:nCognitivenLevel:

,[Typenhere]
LEHNE’SnPHARMACOTHERAPEUTICSnFORnADVANCEDnPRACTICEnNURSESnANDn
PHYSICIANnASSISTANTSn2NDnEDITIONnROSENTHALnTESTnBANK

az
ComprehensionREF:n pp.n 1-2TOP:n Nursingn Process:n Implementation
MSC:nNCLEXnClientn
NeedsnCategory:nPhysiologicnIntegrity:n PharmacologicnandnParenteralnTherapies


6. AnfamilynnursenpractitionernpracticingninnMainenisnhirednatnanpracticenacrossnstatenlinesninnV
irginia.n Whichnaspectn ofnpracticen maynchangen fornthen APRN?

a. ThenAPRNnwillnhaven lessnprescriptivenauthorityninnthen newn position.
b. ThenAPRNnwillnhaven morenprescriptivenauthorityninnthennewnposition.
c. ThenAPRNnwillnhavenequalnprescriptivenauthorityninnthen newposition.
d. ThenAPRN’snauthoritynwillndependnonnfederalregulations.

ANS:nA
Virginianallowsnlimitednprescriptivenauthority,nwhilenMainengivesnfullnauthorityntoncertifiednnursenp
ractitioners.nThenfederalngovernmentndoesnnotnregulatenprescriptivenauthority.DIF:nCognitivenLevel
:nComprehensionREF:np.n3TOP:nNursingnProcess:nImplementationnMSC:nNCLEXnClientnNeedsnC
ategory:nPhysiologicnIntegrity:n PharmacologicnandnParenteralnTherapies


Rosenthal:nLehne'snPharmacotherapeuticsnfornAdvancednPracticenProviders,n 2ndnEd.nChapte

rn2:nRationalnDrugnSelectionnandnPrescriptionnWriting

TestnBanknMultipl

enChoice


7. Howncanncollaborationnwithnanpharmacistn improvenpositivenoutcomesnfornpatients?n
Selectn allnthatn apply.

a. Pharmacistsncannsuggestn foodsnthatnwillnhelpnwithnthenpatient’sncondition.
b. Pharmacistsnhavenadditionalninformationnonndrugninteractions.
c. Thenpharmacistncannsuggestnadequatenmedicationn dosing.
d. Pharmacistsnhavenfirsthandnknowledgenofnthenfacilitynformulary.
e. Pharmacyncannalternprescriptionsnwhennnecessaryntonpreventn patientn harm.

ANS:nBn,nCn,nD
Providersnshouldn collaboratenwithnpharmacistsnbecausentheynwillnlikelynhavenadditionalninformationno
nnformulary,ndrugninteractions,nandnsuggestionsnfornadequatenmedicationndosing.nDietitiansncannma
kenfoodsnrecommendationsntontreatnthenpatient’sncondition.nThenpharmacistncanncontactnthenprescrib
ernaboutnquestionablenprescriptions,nbutncannotnalternthenprescriptionnwithoutnnotificationnofnandnap
provalnbynthenprovider.DIF:nCognitivenLevel:nComprehensionREF:np.n9TOP:nNursingnProcess:nDia
gnosisnMSC:nNCLEXnClientnNeedsnCategory:nPhysiologicnIntegrity:nReductionnofnRisknPotential

, [Typenhere]
LEHNE’SnPHARMACOTHERAPEUTICSnFORnADVANCEDnPRACTICEnNURSESnANDn
PHYSICIANnASSISTANTSn2NDnEDITIONnROSENTHALnTESTnBANK

az
8. Anpatientn presentsnwithndeliriumtremensnrequiringnAtivannadministration.n Thenprovidernofcareni
snnotninnthen facility.n Whichnactionnbynthen nursen isnmostn appropriate?

a. Obtainnantelephonenorder.
b. Contactnthenon-callnhospitalist.
c. Obtainnannordernfromnthenchargennurse.
d. WaitnfornanwrittennAtivann order.

ANS:n A
Innannemergencynsituation,nsuchnasndeliriumntremensn withnseizurenactivity,n itnisnacceptablentonprovidenan
telephonenorder.nContactingnthenon-
callnhospitalistnornwaitingn fornanwrittennordernwouldntakenmorentimenthannavailablenfornanpatientnwithnh
ighnseizurenrisk.nWritingnannordernisnoutsidenthenscopenofnpracticenfornthenchargennurse.DIF:nCogniti
venLevel:nApplicationREF:np.n7TOP:nNursingnProcess:nImplementationnMSC:nNCLEXnClientnNee
dsnCategory:nPhysiologicnIntegrity:nReductionnofnRisknPotential


9. Anpatientnwithnchronicnpainncallsnthenprovider’snofficentonrequestnanrefillnonntheirnoxycontin.n
Whichnactionn isnmostn appropriate?

a. Faxnannorderntonthenpharmacy.
b. Schedulenannappointmentnwithnthenpatient.
c. Verifynthenpatient’snadherencenton drugnregimen.
d. Determinenthenpatient’sncurrentn medicationn dosage.

ANS:n B
SchedulenIInmedicationsnarennotneligiblenfornrefills,nandnprescriptionsnmustnbenhandwritten.nItnisnimp
ortantntonverifynthenpatient’snadherencentonthendrugnregimennandndeterminenthencurrentndosagenofnme
dication;nhowever,nthisncannbenaccomplishednbynschedulingnannappointmentnandnevaluatingnthenpati
entninnperson.DIF:nCognitivenLevel:nApplicationREF:np.n8TOP:nNursingnProcess:nImplementationn
MSC:nNCLEXnClientnNeedsnCategory:nPhysiologicnIntegrity:nReductionnofnRisknPotential


10. Anpatientnprescribednamoxicillinnfornstreptococcalnpharyngitisnreportsnnewnonsetnofanflat,nitchynr
ednrashnonnthenchestn andnneck.n Whichnactionn isnmostn important?

a. Providenandifferentn prescription.
b. Discontinuenthenmedication.
c. Prescribenannantihistaminencream.
d. Assessnfornrespiratoryncompromise.

ANS:nB
Thenprioritynactionnisntondiscontinuenthenmedicationntonpreventnworseningnofnthenpatient’snsymptom
s.nAndifferentnprescriptionnwouldnbenprovided,ntopicalnantihistaminenmaynbenadministered,nandnthenpat
ientn wouldnbenassessednfornrespiratoryninvolvement,nbutnthesenactionsnwouldnnotn be