NUR PHARMACOLOTest Bank Lehnes Pharmacotherapeutics for Advance
m m m m m m
d Practice Nurses and Physician Assistants 2nd
m m m m m m m
EDITION mROSENTHALmTESTmBANK
Chapterm1:mPrescriptivemAuthorit
ymTestmBank
MultiplemChoice
1. AnmAPRN mworksminmamurologymclinicmundermthemsupervisionmof mamphysicianmwhomdoesmnot mrestr
ict mthemtypesmof mmedicationsmthemAPRN mismallowed mtomprescribe.mStatemlaw mdoesmnot mrequiremt
hemAPRN mtompracticemundermphysicianmsupervision.mHow mwould mthemAPRN’smprescriptivemaut
horitymbemdescribed?
a. Fullmauthority
b. Independent
c. Without mlimitation
d. Limited mauthority
ANS:mB
ThemAPRN mhasmindependent mprescriptivemauthoritymbecausemthemregulatingmbodymdoesmnot mrequire
mthat mthemAPRN mworkmundermphysicianmsupervision.mFullmprescriptivemauthoritymgivesmthemprovide
rmthemright mtomprescribemindependentlymand mwithout mlimitation.mLimited mauthoritymplacesmrestrictio
nsmonmthemtypesmof mdrugsmthat mcanmbemprescribed.DIF:mCognitivemLevel:mComprehensionREF:mp.m1
TOP:mNursingmProcess:mI mMSC:mNCLEX mClient mNeedsmCategory:mPhysiologicmIntegrity:mPharmac
ologicmand mParenteralmTherapies
2. Whichmfactorsmincreasemthemneed mformAPRNsmtomhavemfullmprescriptivem authority?
a. Morempatientsmwillmhavemaccessmtomhealthmcare.
b. Enrollment minmmedicalmschoolsmismpredicted mtom decrease.
c. Physician’smassistantsmarembeingmutilized mlessm often.
d. APRN meducationmismmoremcomplexmthanmeducationmformphysicians.
ANS:mA
Implementationmof mthemAffordablemCaremAct mhasmincreased mthemnumbermof mindividualsmwithmhealt
hmcaremcoverage,mand mthusmthemnumbermwhomhavemaccessmtomhealthmcaremservices.mThemincreaseminm
themnumbermof mpatientsmcreatesmthemneed mformmoremprovidersmwithmprescriptivemauthority.m APRNsm
canmfillmthismpracticemgap.DIF:mCognitivemLevel:mComprehensionREF:mp.m2TOP:mNursingmProcess:
mImplementationmMSC:mNCLEX mClient mNeedsmCategory:mPhysiologicmIntegrity:mPharmacologicma
nd mParenteralmTherapies
3. Whichmfactorsmcould mbemattributed mtomlimited mprescriptivemauthoritymformAPRN
s?mSelect mallmthat m apply.
,NUR PHARMACOLOTest Bank Lehnes Pharmacotherapeutics for Advance
m m m m m m
d Practice Nurses and Physician Assistants 2nd
m m m m m m m
EDITION mROSENTHALmTESTmBANK
a. Inaccessibilitymof m patient mcare
b. Highermhealthmcaremcosts
c. Highermqualitymmedicalmtreatment
d. Improved mcollaborativemcare
e. Enhanced mhealthm literacy
ANS:mA m,mB
LimitingmprescriptivemauthoritymformAPRNsmcanmcreatembarriersmtomquality,maffordable,mand maccessi
blempatient mcare.mIt mmaymalsomlead mtompoormcollaborationmamongmprovidersmand mhighermhealthmcarem
costs.mIt mwould mnot mdirectlymimpact mpatient’smhealthmliteracy.DIF:mCognitivemLevel:mComprehensi
onREF:
p.m2TOP:mNursingmProcess:mImplementationmMSC:mNCLEX mClient mNeedsmCategory:mPhysiologic
mIntegrity:mPharmacologicmand mParenteralmTherapies
4. Whichmaspectsmsupport mthemAPRN’smprovisionmformfullmprescriptivemauthorit
y?mSelect mallmthat m apply.
a. Clinicalmeducationmincludesmprescriptionmof m medicationsmand mdiseasemprocesses.
b. Federalmregulationsmsupport mthemprovisionmof mfullmauthoritymformAPRNs.
c. Nationalmexaminationsmprovidemvalidationmof mthemAPRN’smabilitymtomprovidemsafecare.
d. Licensuremensuresmcompliancemwithmhealthmcarem and msafetymstandards.
e. Limitingmprovisionmcanmdecreasemhealthmcaremaffordability.
ANS:mA m,mCm,mD
APRNsmaremeducated mtompracticemand mprescribemindependentlymwithout msupervision.mNationalmexa
minationsmvalidatemthemabilitymtomprovidemsafemand mcompetent mcare.mLicensuremensuresmcomplianc
emwithmstandardsmtompromotempublicmhealthmand msafety.mLimited mprescriptivemauthoritymcreatesmnu
merousmbarriersmtomquality,maffordable,mand maccessiblempatient mcare.DIF:mCognitivemLevel:mCompre
hensionREF:mpp.m1-
2TOP:mNursingmProcess:mImplementationmMSC:mNCLEX mClient mNeedsmCategory:mPhysiologicmInt
egrity:mPharmacologicmand m ParenteralmTherapies
5. Whichmaspectsmsupport mthemAPRN’smprovisionmformfullmprescriptivemauthorit
y?mSelect mallmthat m apply.
a. Clinicalmeducationmincludesmprescriptionmof m medicationsmand mdiseasemprocesses.
b. Federalmregulationsmsupport mthemprovisionmof mfullmauthoritymformAPRNs.
c. Nationalmexaminationsmprovidemvalidationmof mthemAPRN’smabilitymtomprovidemsafecare.
d. Licensuremensuresmcompliancemwithmhealthmcaremand msafetymstandards.
ANS:mA m,mCm,mD
APRNsmaremeducated mtompracticemand mprescribemindependentlymwithout msupervision.mNationalmexa
minationsmvalidatemthemabilitymtomprovidemsafemand mcompetent mcare.mLicensuremensuresmcomplianc
emwithmstandardsmtompromotempublicmhealthmand msafety.mLimited mprescriptivemauthoritymcreatesmnu
,NUR PHARMACOLOTest Bank Lehnes Pharmacotherapeutics for Advance
m m m m m m
d Practice Nurses and Physician Assistants 2nd
m m m m m m m
EDITION mROSENTHALmTESTmBANK
merousmbarriersmtomquality,maffordable,mand maccessiblempatient mcare.DIF:mCognitivemLevel:
, NUR PHARMACOLOTest Bank Lehnes Pharmacotherapeutics for Advance
m m m m m m
d Practice Nurses and Physician Assistants 2nd
m m m m m m m
EDITION mROSENTHALmTESTmBANK
ComprehensionREF:m pp.m 1-2TOP:m Nursingm Process:m Implementation
MSC:mNCLEX mClien
t mNeedsmCategory:mPhysiologicmIntegrity:mPharmacologicmand mParenteralmTherapies
6. A mfamilymnursempractitionermpracticingminmMainemismhired mat mampracticemacrossmstatemlines
minm
Virginia.m Whichmaspect mof mpracticemmaymchange mformthem APRN?
a. ThemAPRN mwillmhavemlessmprescriptivemauthorityminmthemnew m position.
b. ThemAPRN mwillmhavem moremprescriptivemauthorityminmthemnew mposition.
c. ThemAPRN mwillmhavemequalmprescriptivemauthorityminmthemnewposition.
d. ThemAPRN’smauthoritymwillmdepend monmfederalregulations.
ANS:mA
Virginiamallowsmlimited mprescriptivemauthority,mwhilemMainemgivesmfullmauthoritymtomcertified mnurs
empractitioners.mThemfederalmgovernment mdoesmnot mregulatemprescriptivemauthority.DIF:mCognitive
mLevel:mComprehensionREF:mp.m3TOP:mNursingmProcess:mImplementationmMSC:mNCLEX mClient
mNeedsmCategory:mPhysiologicmIntegrity:mPharmacologicmand mParenteralmTherapies
Rosenthal:mLehne'smPharmacotherapeuticsmformAdvancedmPracticemProviders,m 2ndmEd.mChap
term2:mRationalmDrugmSelectionmandmPrescriptionmWriting
TestmBankmMul
tiplemChoice
7. How mcanmcollaborationmwithmampharmacist mimprovempositivemoutcomesmformpatient
s?mSelect mallmthat m apply.
a. Pharmacistsmcanmsuggest mfoodsmthat mwillmhelpmwithmthempatient’smcondition.
b. Pharmacistsmhavemadditionalminformationmonmdrugminteractions.
c. Thempharmacist mcanmsuggest madequatemmedicationm dosing.
d. Pharmacistsmhavemfirsthand mknowledgemof mthemfacilitymformulary.
e. Pharmacymcanmaltermprescriptionsmwhenmnecessarymtomprevent mpatient mharm.
ANS:mBm,mCm,mD
Providersmshould mcollaboratemwithmpharmacistsmbecausemtheymwillmlikelymhavemadditionalminformati
onmonmformulary,mdrugminteractions,mand msuggestionsmformadequatemmedicationmdosing.mDietitiansm
canmmakemfoodsmrecommendationsmtomtreat mthempatient’smcondition.mThempharmacist mcanmcontact mt
hemprescribermabout mquestionablemprescriptions,mbut mcannot maltermthemprescriptionmwithout mnotifica
tionmof mand mapprovalmbymthemprovider.DIF:mCognitivemLevel:mComprehensionREF:mp.m9TOP:mNur
singmProcess:mDiagnosismMSC:mNCLEX mClient mNeedsmCategory:mPhysiologicmIntegrity:mReductio
nmof mRiskmPotential
m m m m m m
d Practice Nurses and Physician Assistants 2nd
m m m m m m m
EDITION mROSENTHALmTESTmBANK
Chapterm1:mPrescriptivemAuthorit
ymTestmBank
MultiplemChoice
1. AnmAPRN mworksminmamurologymclinicmundermthemsupervisionmof mamphysicianmwhomdoesmnot mrestr
ict mthemtypesmof mmedicationsmthemAPRN mismallowed mtomprescribe.mStatemlaw mdoesmnot mrequiremt
hemAPRN mtompracticemundermphysicianmsupervision.mHow mwould mthemAPRN’smprescriptivemaut
horitymbemdescribed?
a. Fullmauthority
b. Independent
c. Without mlimitation
d. Limited mauthority
ANS:mB
ThemAPRN mhasmindependent mprescriptivemauthoritymbecausemthemregulatingmbodymdoesmnot mrequire
mthat mthemAPRN mworkmundermphysicianmsupervision.mFullmprescriptivemauthoritymgivesmthemprovide
rmthemright mtomprescribemindependentlymand mwithout mlimitation.mLimited mauthoritymplacesmrestrictio
nsmonmthemtypesmof mdrugsmthat mcanmbemprescribed.DIF:mCognitivemLevel:mComprehensionREF:mp.m1
TOP:mNursingmProcess:mI mMSC:mNCLEX mClient mNeedsmCategory:mPhysiologicmIntegrity:mPharmac
ologicmand mParenteralmTherapies
2. Whichmfactorsmincreasemthemneed mformAPRNsmtomhavemfullmprescriptivem authority?
a. Morempatientsmwillmhavemaccessmtomhealthmcare.
b. Enrollment minmmedicalmschoolsmismpredicted mtom decrease.
c. Physician’smassistantsmarembeingmutilized mlessm often.
d. APRN meducationmismmoremcomplexmthanmeducationmformphysicians.
ANS:mA
Implementationmof mthemAffordablemCaremAct mhasmincreased mthemnumbermof mindividualsmwithmhealt
hmcaremcoverage,mand mthusmthemnumbermwhomhavemaccessmtomhealthmcaremservices.mThemincreaseminm
themnumbermof mpatientsmcreatesmthemneed mformmoremprovidersmwithmprescriptivemauthority.m APRNsm
canmfillmthismpracticemgap.DIF:mCognitivemLevel:mComprehensionREF:mp.m2TOP:mNursingmProcess:
mImplementationmMSC:mNCLEX mClient mNeedsmCategory:mPhysiologicmIntegrity:mPharmacologicma
nd mParenteralmTherapies
3. Whichmfactorsmcould mbemattributed mtomlimited mprescriptivemauthoritymformAPRN
s?mSelect mallmthat m apply.
,NUR PHARMACOLOTest Bank Lehnes Pharmacotherapeutics for Advance
m m m m m m
d Practice Nurses and Physician Assistants 2nd
m m m m m m m
EDITION mROSENTHALmTESTmBANK
a. Inaccessibilitymof m patient mcare
b. Highermhealthmcaremcosts
c. Highermqualitymmedicalmtreatment
d. Improved mcollaborativemcare
e. Enhanced mhealthm literacy
ANS:mA m,mB
LimitingmprescriptivemauthoritymformAPRNsmcanmcreatembarriersmtomquality,maffordable,mand maccessi
blempatient mcare.mIt mmaymalsomlead mtompoormcollaborationmamongmprovidersmand mhighermhealthmcarem
costs.mIt mwould mnot mdirectlymimpact mpatient’smhealthmliteracy.DIF:mCognitivemLevel:mComprehensi
onREF:
p.m2TOP:mNursingmProcess:mImplementationmMSC:mNCLEX mClient mNeedsmCategory:mPhysiologic
mIntegrity:mPharmacologicmand mParenteralmTherapies
4. Whichmaspectsmsupport mthemAPRN’smprovisionmformfullmprescriptivemauthorit
y?mSelect mallmthat m apply.
a. Clinicalmeducationmincludesmprescriptionmof m medicationsmand mdiseasemprocesses.
b. Federalmregulationsmsupport mthemprovisionmof mfullmauthoritymformAPRNs.
c. Nationalmexaminationsmprovidemvalidationmof mthemAPRN’smabilitymtomprovidemsafecare.
d. Licensuremensuresmcompliancemwithmhealthmcarem and msafetymstandards.
e. Limitingmprovisionmcanmdecreasemhealthmcaremaffordability.
ANS:mA m,mCm,mD
APRNsmaremeducated mtompracticemand mprescribemindependentlymwithout msupervision.mNationalmexa
minationsmvalidatemthemabilitymtomprovidemsafemand mcompetent mcare.mLicensuremensuresmcomplianc
emwithmstandardsmtompromotempublicmhealthmand msafety.mLimited mprescriptivemauthoritymcreatesmnu
merousmbarriersmtomquality,maffordable,mand maccessiblempatient mcare.DIF:mCognitivemLevel:mCompre
hensionREF:mpp.m1-
2TOP:mNursingmProcess:mImplementationmMSC:mNCLEX mClient mNeedsmCategory:mPhysiologicmInt
egrity:mPharmacologicmand m ParenteralmTherapies
5. Whichmaspectsmsupport mthemAPRN’smprovisionmformfullmprescriptivemauthorit
y?mSelect mallmthat m apply.
a. Clinicalmeducationmincludesmprescriptionmof m medicationsmand mdiseasemprocesses.
b. Federalmregulationsmsupport mthemprovisionmof mfullmauthoritymformAPRNs.
c. Nationalmexaminationsmprovidemvalidationmof mthemAPRN’smabilitymtomprovidemsafecare.
d. Licensuremensuresmcompliancemwithmhealthmcaremand msafetymstandards.
ANS:mA m,mCm,mD
APRNsmaremeducated mtompracticemand mprescribemindependentlymwithout msupervision.mNationalmexa
minationsmvalidatemthemabilitymtomprovidemsafemand mcompetent mcare.mLicensuremensuresmcomplianc
emwithmstandardsmtompromotempublicmhealthmand msafety.mLimited mprescriptivemauthoritymcreatesmnu
,NUR PHARMACOLOTest Bank Lehnes Pharmacotherapeutics for Advance
m m m m m m
d Practice Nurses and Physician Assistants 2nd
m m m m m m m
EDITION mROSENTHALmTESTmBANK
merousmbarriersmtomquality,maffordable,mand maccessiblempatient mcare.DIF:mCognitivemLevel:
, NUR PHARMACOLOTest Bank Lehnes Pharmacotherapeutics for Advance
m m m m m m
d Practice Nurses and Physician Assistants 2nd
m m m m m m m
EDITION mROSENTHALmTESTmBANK
ComprehensionREF:m pp.m 1-2TOP:m Nursingm Process:m Implementation
MSC:mNCLEX mClien
t mNeedsmCategory:mPhysiologicmIntegrity:mPharmacologicmand mParenteralmTherapies
6. A mfamilymnursempractitionermpracticingminmMainemismhired mat mampracticemacrossmstatemlines
minm
Virginia.m Whichmaspect mof mpracticemmaymchange mformthem APRN?
a. ThemAPRN mwillmhavemlessmprescriptivemauthorityminmthemnew m position.
b. ThemAPRN mwillmhavem moremprescriptivemauthorityminmthemnew mposition.
c. ThemAPRN mwillmhavemequalmprescriptivemauthorityminmthemnewposition.
d. ThemAPRN’smauthoritymwillmdepend monmfederalregulations.
ANS:mA
Virginiamallowsmlimited mprescriptivemauthority,mwhilemMainemgivesmfullmauthoritymtomcertified mnurs
empractitioners.mThemfederalmgovernment mdoesmnot mregulatemprescriptivemauthority.DIF:mCognitive
mLevel:mComprehensionREF:mp.m3TOP:mNursingmProcess:mImplementationmMSC:mNCLEX mClient
mNeedsmCategory:mPhysiologicmIntegrity:mPharmacologicmand mParenteralmTherapies
Rosenthal:mLehne'smPharmacotherapeuticsmformAdvancedmPracticemProviders,m 2ndmEd.mChap
term2:mRationalmDrugmSelectionmandmPrescriptionmWriting
TestmBankmMul
tiplemChoice
7. How mcanmcollaborationmwithmampharmacist mimprovempositivemoutcomesmformpatient
s?mSelect mallmthat m apply.
a. Pharmacistsmcanmsuggest mfoodsmthat mwillmhelpmwithmthempatient’smcondition.
b. Pharmacistsmhavemadditionalminformationmonmdrugminteractions.
c. Thempharmacist mcanmsuggest madequatemmedicationm dosing.
d. Pharmacistsmhavemfirsthand mknowledgemof mthemfacilitymformulary.
e. Pharmacymcanmaltermprescriptionsmwhenmnecessarymtomprevent mpatient mharm.
ANS:mBm,mCm,mD
Providersmshould mcollaboratemwithmpharmacistsmbecausemtheymwillmlikelymhavemadditionalminformati
onmonmformulary,mdrugminteractions,mand msuggestionsmformadequatemmedicationmdosing.mDietitiansm
canmmakemfoodsmrecommendationsmtomtreat mthempatient’smcondition.mThempharmacist mcanmcontact mt
hemprescribermabout mquestionablemprescriptions,mbut mcannot maltermthemprescriptionmwithout mnotifica
tionmof mand mapprovalmbymthemprovider.DIF:mCognitivemLevel:mComprehensionREF:mp.m9TOP:mNur
singmProcess:mDiagnosismMSC:mNCLEX mClient mNeedsmCategory:mPhysiologicmIntegrity:mReductio
nmof mRiskmPotential
