LEHNE’SwPHARMACOTHERAPEUTICSwFORwADVANCEDwPRACTICEwNURSESwANDwPHYSICIANwASSISTANTSw2NDwEDITIONw
ROSENTHALwTESTwBANK.
,LEHNE’SwPHARMACOTHERAPEUTICSwFORwADVANCEDwPRACTICEwNURSESwANDwPHYSICIANwASSISTANTSw2NDwEDITIONw
ROSENTHALwTESTwBANK.
LEHNE’SwPHARMACOTHERAPEUTICSwFORwADVANCEDwPRACTICEwNURSESwAN
D
PHYSICIANwASSISTANTSw2NDwEDITIONwROSENTHALwTESTwBANK
Chapterw1:wPrescriptivewAuthorit
ywTestwBank
MultiplewChoice
1. AnwAPRNwworkswinwawurologywclinicwunderwthewsupervisionwofwawphysicianwwhowdoeswnotwrestri
ctwthewtypeswofwmedicationswthewAPRNwiswallowedwtowprescribe.wStatewlawwdoeswnotwrequirewthe
wAPRNwtowpracticewunderwphysicianwsupervision.wHowwwouldwthewAPRN‘swprescriptivewauthori
tywbewdescribed?
a. Fullwauthority
b. Independent
c. Withoutwlimitation
d. Limitedwauthority
ANS:wB
ThewAPRNwhaswindependentwprescriptivewauthoritywbecausewthewregulatingwbodywdoeswnotwrequirew
thatwthewAPRNwworkwunderwphysicianwsupervision.wFullwprescriptivewauthoritywgiveswthewproviderw
thewrightwtowprescribewindependentlywandwwithoutwlimitation.wLimitedwauthoritywplaceswrestrictions
wonwthewtypeswofwdrugswthatwcanwbewprescribed.DIF:wCognitivewLevel: wComprehensionREF: wp.w1TO
P:wNursingwProcess:wIwMSC:wNCLEXwClientwNeedswCategory:wPhysiologicwIntegrity:wPharmacolo
gicwandwParenteralwTherapies
2. WhichwfactorswincreasewthewneedwforwAPRNswtowhavewfullwprescriptivew authority?
a. Morewpatientswwillwhavewaccesswtowhealthwcare.
b. Enrollmentwinwmedicalwschoolswiswpredictedwtow decrease.
c. Physician‘swassistantswarewbeingwutilizedwlesswoften.
d. APRNweducationwiswmorewcomplexwthanweducationwforwphysicians.
ANS:wA
ImplementationwofwthewAffordablewCarewActwhaswincreasedwthewnumberwofwindividualswwithwhealth
wcarewcoverage, wandwthus wthewnumberwwhowhavewaccess wtowhealthwcarewservices.wThewincreasewinwth
ewnumberwofwpatientswcreateswthewneedwforwmorewproviderswwithwprescriptivewauthority.w APRNswcan
wfillw
thiswpracticewgap.DIF:wCognitivewLevel:wComprehensionREF:wp.w2TOP:wNursingwProcess:wIm
plementationwMSC:wNCLEXwClientwNeedswCategory:wPhysiologicwIntegrity:wPharmacologicwandwP
arenteralwTherapies
,LEHNE’SwPHARMACOTHERAPEUTICSwFORwADVANCEDwPRACTICEwNURSESwANDwPHYSICIANwASSISTANTSw2NDwEDITIONw
ROSENTHALwTESTwBANK.
3. WhichwfactorswcouldwbewattributedwtowlimitedwprescriptivewauthoritywforwAPRNs
?wSelectwallwthatw apply.
a. Inaccessibilitywofwpatientwcare
b. Higherwhealthwcarewcosts
c. Higherwqualitywmedicalwtreatment
d. Improvedwcollaborativewcare
e. Enhancedwhealthw literacy
ANS:wAw,wB
LimitingwprescriptivewauthoritywforwAPRNswcanwcreatewbarrierswtowquality,waffordable,wandwaccessib
lewpatientwcare.wItwmaywalsowleadwtowpoorwcollaborationwamongwproviderswandwhigherwhealthwcarewco
sts.wItwwouldwnotwdirectlywimpactwpatient‘swhealthwliteracy.DIF:wCognitivewLevel:wComprehension
REF:
p.w2TOP:wNursingwProcess:wImplementationwMSC:wNCLEXwClientwNeedswCategory:wPhysiologic
wIntegrity: wPharmacologicwandwParenteral wTherapies
4. WhichwaspectswsupportwthewAPRN‘swprovisionwforwfullwprescriptivewauthority
?wSelectwallwthatw apply.
a. Clinicalweducationwincludeswprescriptionwofwmedicationswandwdiseasewprocesses.
b. FederalwregulationswsupportwthewprovisionwofwfullwauthoritywforwAPRNs.
c. NationalwexaminationswprovidewvalidationwofwthewAPRN‘swabilitywtowprovidewsafecare.
d. Licensurewensureswcompliancewwithwhealthwcarewandwsafetywstandards.
e. Limitingwprovisionwcanwdecreasewhealthwcarewaffordability.
ANS:wAw,wCw,wD
APRNswareweducatedwtowpracticewandwprescribewindependentlywwithoutwsupervision.wNationalwexa
minationswvalidatewthewabilitywtowprovidewsafewandwcompetentwcare.wLicensurewensureswcompliance
wwithwstandardswtowpromotewpublicwhealthwandwsafety. wLimitedwprescriptivewauthoritywcreateswnume
rouswbarrierswtowquality,waffordable,wandwaccessiblewpatientwcare.DIF:wCognitivewLevel:wComprehen
sionREF:wpp.w1-
2TOP:wNursingwProcess:wImplementationwMSC:wNCLEXwClientwNeedswCategory:wPhysiologicwInt
egrity:wPharmacologicwandwParenteralwTherapies
5. WhichwaspectswsupportwthewAPRN‘swprovisionwforwfullwprescriptivewauthority
?wSelectwallwthatw apply.
a. Clinicalweducationwincludeswprescriptionwofwmedicationswandwdiseasewprocesses.
b. FederalwregulationswsupportwthewprovisionwofwfullwauthoritywforwAPRNs.
c. NationalwexaminationswprovidewvalidationwofwthewAPRN‘swabilitywtowprovidewsafecare.
d. Licensurewensureswcompliancewwithwhealthwcarewandwsafetywstandards.
, LEHNE’SwPHARMACOTHERAPEUTICSwFORwADVANCEDwPRACTICEwNURSESwANDwPHYSICIANwASSISTANTSw2NDwEDITIONw
ROSENTHALwTESTwBANK.
ANS:wAw,wCw,wD
APRNswareweducatedwtowpracticewandwprescribewindependentlywwithoutwsupervision.wNationalwexa
minationswvalidatewthewabilitywtowprovidewsafewandwcompetentwcare.wLicensurewensureswcomplianc
ewwithwstandardswtowpromotewpublicwhealthwandwsafety.wLimitedwprescriptivewauthoritywcreateswnum
erouswbarrierswtowquality,waffordable,wandwaccessiblewpatientwcare.DIF:wCognitivewLevel:
ROSENTHALwTESTwBANK.
,LEHNE’SwPHARMACOTHERAPEUTICSwFORwADVANCEDwPRACTICEwNURSESwANDwPHYSICIANwASSISTANTSw2NDwEDITIONw
ROSENTHALwTESTwBANK.
LEHNE’SwPHARMACOTHERAPEUTICSwFORwADVANCEDwPRACTICEwNURSESwAN
D
PHYSICIANwASSISTANTSw2NDwEDITIONwROSENTHALwTESTwBANK
Chapterw1:wPrescriptivewAuthorit
ywTestwBank
MultiplewChoice
1. AnwAPRNwworkswinwawurologywclinicwunderwthewsupervisionwofwawphysicianwwhowdoeswnotwrestri
ctwthewtypeswofwmedicationswthewAPRNwiswallowedwtowprescribe.wStatewlawwdoeswnotwrequirewthe
wAPRNwtowpracticewunderwphysicianwsupervision.wHowwwouldwthewAPRN‘swprescriptivewauthori
tywbewdescribed?
a. Fullwauthority
b. Independent
c. Withoutwlimitation
d. Limitedwauthority
ANS:wB
ThewAPRNwhaswindependentwprescriptivewauthoritywbecausewthewregulatingwbodywdoeswnotwrequirew
thatwthewAPRNwworkwunderwphysicianwsupervision.wFullwprescriptivewauthoritywgiveswthewproviderw
thewrightwtowprescribewindependentlywandwwithoutwlimitation.wLimitedwauthoritywplaceswrestrictions
wonwthewtypeswofwdrugswthatwcanwbewprescribed.DIF:wCognitivewLevel: wComprehensionREF: wp.w1TO
P:wNursingwProcess:wIwMSC:wNCLEXwClientwNeedswCategory:wPhysiologicwIntegrity:wPharmacolo
gicwandwParenteralwTherapies
2. WhichwfactorswincreasewthewneedwforwAPRNswtowhavewfullwprescriptivew authority?
a. Morewpatientswwillwhavewaccesswtowhealthwcare.
b. Enrollmentwinwmedicalwschoolswiswpredictedwtow decrease.
c. Physician‘swassistantswarewbeingwutilizedwlesswoften.
d. APRNweducationwiswmorewcomplexwthanweducationwforwphysicians.
ANS:wA
ImplementationwofwthewAffordablewCarewActwhaswincreasedwthewnumberwofwindividualswwithwhealth
wcarewcoverage, wandwthus wthewnumberwwhowhavewaccess wtowhealthwcarewservices.wThewincreasewinwth
ewnumberwofwpatientswcreateswthewneedwforwmorewproviderswwithwprescriptivewauthority.w APRNswcan
wfillw
thiswpracticewgap.DIF:wCognitivewLevel:wComprehensionREF:wp.w2TOP:wNursingwProcess:wIm
plementationwMSC:wNCLEXwClientwNeedswCategory:wPhysiologicwIntegrity:wPharmacologicwandwP
arenteralwTherapies
,LEHNE’SwPHARMACOTHERAPEUTICSwFORwADVANCEDwPRACTICEwNURSESwANDwPHYSICIANwASSISTANTSw2NDwEDITIONw
ROSENTHALwTESTwBANK.
3. WhichwfactorswcouldwbewattributedwtowlimitedwprescriptivewauthoritywforwAPRNs
?wSelectwallwthatw apply.
a. Inaccessibilitywofwpatientwcare
b. Higherwhealthwcarewcosts
c. Higherwqualitywmedicalwtreatment
d. Improvedwcollaborativewcare
e. Enhancedwhealthw literacy
ANS:wAw,wB
LimitingwprescriptivewauthoritywforwAPRNswcanwcreatewbarrierswtowquality,waffordable,wandwaccessib
lewpatientwcare.wItwmaywalsowleadwtowpoorwcollaborationwamongwproviderswandwhigherwhealthwcarewco
sts.wItwwouldwnotwdirectlywimpactwpatient‘swhealthwliteracy.DIF:wCognitivewLevel:wComprehension
REF:
p.w2TOP:wNursingwProcess:wImplementationwMSC:wNCLEXwClientwNeedswCategory:wPhysiologic
wIntegrity: wPharmacologicwandwParenteral wTherapies
4. WhichwaspectswsupportwthewAPRN‘swprovisionwforwfullwprescriptivewauthority
?wSelectwallwthatw apply.
a. Clinicalweducationwincludeswprescriptionwofwmedicationswandwdiseasewprocesses.
b. FederalwregulationswsupportwthewprovisionwofwfullwauthoritywforwAPRNs.
c. NationalwexaminationswprovidewvalidationwofwthewAPRN‘swabilitywtowprovidewsafecare.
d. Licensurewensureswcompliancewwithwhealthwcarewandwsafetywstandards.
e. Limitingwprovisionwcanwdecreasewhealthwcarewaffordability.
ANS:wAw,wCw,wD
APRNswareweducatedwtowpracticewandwprescribewindependentlywwithoutwsupervision.wNationalwexa
minationswvalidatewthewabilitywtowprovidewsafewandwcompetentwcare.wLicensurewensureswcompliance
wwithwstandardswtowpromotewpublicwhealthwandwsafety. wLimitedwprescriptivewauthoritywcreateswnume
rouswbarrierswtowquality,waffordable,wandwaccessiblewpatientwcare.DIF:wCognitivewLevel:wComprehen
sionREF:wpp.w1-
2TOP:wNursingwProcess:wImplementationwMSC:wNCLEXwClientwNeedswCategory:wPhysiologicwInt
egrity:wPharmacologicwandwParenteralwTherapies
5. WhichwaspectswsupportwthewAPRN‘swprovisionwforwfullwprescriptivewauthority
?wSelectwallwthatw apply.
a. Clinicalweducationwincludeswprescriptionwofwmedicationswandwdiseasewprocesses.
b. FederalwregulationswsupportwthewprovisionwofwfullwauthoritywforwAPRNs.
c. NationalwexaminationswprovidewvalidationwofwthewAPRN‘swabilitywtowprovidewsafecare.
d. Licensurewensureswcompliancewwithwhealthwcarewandwsafetywstandards.
, LEHNE’SwPHARMACOTHERAPEUTICSwFORwADVANCEDwPRACTICEwNURSESwANDwPHYSICIANwASSISTANTSw2NDwEDITIONw
ROSENTHALwTESTwBANK.
ANS:wAw,wCw,wD
APRNswareweducatedwtowpracticewandwprescribewindependentlywwithoutwsupervision.wNationalwexa
minationswvalidatewthewabilitywtowprovidewsafewandwcompetentwcare.wLicensurewensureswcomplianc
ewwithwstandardswtowpromotewpublicwhealthwandwsafety.wLimitedwprescriptivewauthoritywcreateswnum
erouswbarrierswtowquality,waffordable,wandwaccessiblewpatientwcare.DIF:wCognitivewLevel:
