TESTvBANKvLEHNE’SvPHARMACOTHERAPEUTICSvFORvADVANCEDvPRACTICEvNURSESvANDvPHYSICIANvAS
SISTANTSv2NDvEDITIONvROSENTHAL
,TESTvBANKvLEHNE’SvPHARMACOTHERAPEUTICSvFORvADVANCEDvPRACTICEvNURSESvANDvPHYSICIANvAS
SISTANTSv2NDvEDITIONvROSENTHAL
Chapterv1:vPrescriptivevAuthorityvTestvBankvMul
tiplevChoice
1. AnvAPRNvworksvinvavurologyvclinicvundervthevsupervisionvofvavphysicianvwhovdoesvnotvrest
rictvthevtypesvofvmedicationsvthevAPRNvisvallowedvtovprescribe.vStatevlawvdoesvnotvrequirevthevAPR
Nvtovpracticevundervphysicianvsupervision.vHowvwouldvthevAPRN‘svprescriptivevauthorityvbevdescri
bed?
a. Fullvauthority
b. Independent
c. Withoutvlimitation
d. Limitedvauthority
ANS:vB
ThevAPRNvhasvindependentvprescriptivevauthorityvbecausevthevregulatingvbodyvdoesvnotvrequirevt
hatvthevAPRNvworkvundervphysicianvsupervision.vFullvprescriptivevauthorityvgivesvthevprovidervth
evrightvtovprescribevindependentlyvandvwithoutvlimitation.vLimitedvauthorityvplacesvrestrictionsvonv
thevtypesvofvdrugsvthatvcanvbevprescribedv.DIF:vCognitivevLevel:vComprehensionvREF:vp.
1TOP:vNursingvProcess:vIvMSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:v
PharmacologicvandvParenteralvTherapies
2. WhichvfactorsvincreasevthevneedvforvAPRNsvtovhavevfullvprescriptivevauthority?
a. Morevpatientsvwillvhavevaccessvtovhealthvcare.
b. Enrollmentvinvmedicalvschoolsvisvpredictedvtovdecrease.
c. Physician‘svassistantsvarevbeingvutilizedvlessvoften.
d. APRNveducationvisvmorevcomplexvthanveducationvforvphysicians.
ANS:vA
ImplementationvofvthevAffordablevCarevActvhasvincreasedvthevnumbervofvindividualsvwithvhealthvca
revcoverage,vandvthusvthevnumbervwhovhavevaccessvtovhealthvcarevservices.vThevincreasevinvthevnum
bervofvpatientsvcreatesvthevneedvforvmorevprovidersvwithvprescriptivevauthority.vAPRNsvcanvfillvthis
vpracticevgap.vDIF:vCognitivevLevel:vComprehensionvREF:vp.v2TOP:vNursingvProcess:vImplement
ationvMSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteral
vTherapies
,TESTvBANKvLEHNE’SvPHARMACOTHERAPEUTICSvFORvADVANCEDvPRACTICEvNURSESvANDvPHYSICIANvAS
SISTANTSv2NDvEDITIONvROSENTHAL
3. WhichvfactorsvcouldvbevattributedvtovlimitedvprescriptivevauthorityvforvAPRNs?vSelectvallvt
hatvapply.
a. Inaccessibilityvofvpatientv care
b. Highervhealthvcarevcosts
c. Highervqualityvmedicalvtreatment
d. Improvedvcollaborativevcare
e. Enhancedvhealthvliteracy
ANS:vAv,vB
LimitingvprescriptivevauthorityvforvAPRNsvcanvcreatevbarriersvtovquality,vaffordable,vandvaccessibl
evpatientvcare.vItvmayvalsovleadvtovpoorvcollaborationvamongvprovidersvandvhighervhealthvcarevcosts.
vItvwouldvnotvdirectlyvimpactvpatient‘svhealthvliteracy.DIF:vCognitivevLevel:vComprehensionREF:
p.v2TOP:vNursingvProcess:vImplementationvMSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIn
tegrity:vPharmacologicvandvParenteralvTherapies
4. WhichvaspectsvsupportvthevAPRN‘svprovisionvforvfullvprescriptivevauthority?vSelectvallvt
hatvapply.
a. Clinicalveducationvincludesvprescriptionvofvmedicationsvandvdiseasevprocesses.
b. FederalvregulationsvsupportvthevprovisionvofvfullvauthorityvforvAPRNs.
c. NationalvexaminationsvprovidevvalidationvofvthevAPRN‘svabilityvtovprovidevsafecare.
d. Licensurevensuresvcompliancevwithvhealthvcarevandvsafetyvstandards.
e. Limitingvprovisionvcanvdecreasevhealthvcarevaffordability.
ANS:vAv,vCv,vD
APRNsvareveducatedvtovpracticevandvprescribevindependentlyvwithoutvsupervision.vNationalvexami
nationsvvalidatevthevabilityvtovprovidevsafevandvcompetentvcare.vLicensurevensuresvcompliancevwit
hvstandardsvtovpromotevpublicvhealthvandvsafety.vLimitedvprescriptivevauthorityvcreatesvnumerousv
barriersvtovquality,vaffordable,vandvaccessiblevpatientvcare.DIF:vCognitivevLevel:vComprehension
REF:vpp.v1-
2TOP:vNursingvProcess:vImplementationvMSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvInte
grity:vPharmacologicvandvParenteralvTherapies
, TESTvBANKvLEHNE’SvPHARMACOTHERAPEUTICSvFORvADVANCEDvPRACTICEvNURSESvANDvPHYSICIANvAS
SISTANTSv2NDvEDITIONvROSENTHAL
5. WhichvaspectsvsupportvthevAPRN‘svprovisionvforvfullvprescriptivevauthority?vSelectvallvt
hatvapply.
a. Clinicalveducationvincludesvprescriptionvofvmedicationsvandvdiseasevprocesses.
b. FederalvregulationsvsupportvthevprovisionvofvfullvauthorityvforvAPRNs.
c. NationalvexaminationsvprovidevvalidationvofvthevAPRN‘svabilityvtovprovidevsafecare.
d. Licensurevensuresvcompliancevwithvhealthvcarevandvsafetyvstandards.
ANS:vAv,vCv,vD
APRNsvareveducatedvtovpracticevandvprescribevindependentlyvwithoutvsupervision.vNationalvexami
nationsvvalidatevthevabilityvtovprovidevsafevandvcompetentvcare.vLicensurevensuresvcompliancevwit
hvstandardsvtovpromotevpublicvhealthvandvsafety.vLimitedvprescriptivevauthorityvcreatesvnumerousvb
arriersvtovquality,vaffordable,vandvaccessiblevpatientvcare.DIF:vCognitivevLevel:
ComprehensionvREF:vpp.v 1-2TOP:vNursingvProcess:vImplementation
MSC:vNCLEXvClient
v NeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapies
6. AvfamilyvnursevpractitionervpracticingvinvMainevisvhiredvatvavpracticevacrossvstatevlinesvinv
Virginia.vWhichvaspectvofvpracticevmayvchangevforvthevAPRN?
a. ThevAPRNvwillvhavevlessvprescriptivevauthorityvinvthevnewvposition.
b. ThevAPRNvwillvhavevmorevprescriptivevauthorityvinvthevnewv position.
c. ThevAPRNvwillvhavevequalvprescriptivevauthorityvinvthevnewvposition.
d. ThevAPRN‘svauthorityvwillvdependvonvfederalvregulations.v
ANS:vA
Virginiavallowsvlimitedvprescriptivevauthority,vwhilevMainevgivesvfullvauthorityvtovcertifiedvnursevp
ractitioners.vThevfederalvgovernmentvdoesvnotvregulatevprescriptivevauthority.DIF:vCognitivevLev
el:vComprehensionREF:vp.v3TOP:vNursingvProcess:vImplementationvMSC:vNCLEXvClientvNeeds
vCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapies
SISTANTSv2NDvEDITIONvROSENTHAL
,TESTvBANKvLEHNE’SvPHARMACOTHERAPEUTICSvFORvADVANCEDvPRACTICEvNURSESvANDvPHYSICIANvAS
SISTANTSv2NDvEDITIONvROSENTHAL
Chapterv1:vPrescriptivevAuthorityvTestvBankvMul
tiplevChoice
1. AnvAPRNvworksvinvavurologyvclinicvundervthevsupervisionvofvavphysicianvwhovdoesvnotvrest
rictvthevtypesvofvmedicationsvthevAPRNvisvallowedvtovprescribe.vStatevlawvdoesvnotvrequirevthevAPR
Nvtovpracticevundervphysicianvsupervision.vHowvwouldvthevAPRN‘svprescriptivevauthorityvbevdescri
bed?
a. Fullvauthority
b. Independent
c. Withoutvlimitation
d. Limitedvauthority
ANS:vB
ThevAPRNvhasvindependentvprescriptivevauthorityvbecausevthevregulatingvbodyvdoesvnotvrequirevt
hatvthevAPRNvworkvundervphysicianvsupervision.vFullvprescriptivevauthorityvgivesvthevprovidervth
evrightvtovprescribevindependentlyvandvwithoutvlimitation.vLimitedvauthorityvplacesvrestrictionsvonv
thevtypesvofvdrugsvthatvcanvbevprescribedv.DIF:vCognitivevLevel:vComprehensionvREF:vp.
1TOP:vNursingvProcess:vIvMSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:v
PharmacologicvandvParenteralvTherapies
2. WhichvfactorsvincreasevthevneedvforvAPRNsvtovhavevfullvprescriptivevauthority?
a. Morevpatientsvwillvhavevaccessvtovhealthvcare.
b. Enrollmentvinvmedicalvschoolsvisvpredictedvtovdecrease.
c. Physician‘svassistantsvarevbeingvutilizedvlessvoften.
d. APRNveducationvisvmorevcomplexvthanveducationvforvphysicians.
ANS:vA
ImplementationvofvthevAffordablevCarevActvhasvincreasedvthevnumbervofvindividualsvwithvhealthvca
revcoverage,vandvthusvthevnumbervwhovhavevaccessvtovhealthvcarevservices.vThevincreasevinvthevnum
bervofvpatientsvcreatesvthevneedvforvmorevprovidersvwithvprescriptivevauthority.vAPRNsvcanvfillvthis
vpracticevgap.vDIF:vCognitivevLevel:vComprehensionvREF:vp.v2TOP:vNursingvProcess:vImplement
ationvMSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteral
vTherapies
,TESTvBANKvLEHNE’SvPHARMACOTHERAPEUTICSvFORvADVANCEDvPRACTICEvNURSESvANDvPHYSICIANvAS
SISTANTSv2NDvEDITIONvROSENTHAL
3. WhichvfactorsvcouldvbevattributedvtovlimitedvprescriptivevauthorityvforvAPRNs?vSelectvallvt
hatvapply.
a. Inaccessibilityvofvpatientv care
b. Highervhealthvcarevcosts
c. Highervqualityvmedicalvtreatment
d. Improvedvcollaborativevcare
e. Enhancedvhealthvliteracy
ANS:vAv,vB
LimitingvprescriptivevauthorityvforvAPRNsvcanvcreatevbarriersvtovquality,vaffordable,vandvaccessibl
evpatientvcare.vItvmayvalsovleadvtovpoorvcollaborationvamongvprovidersvandvhighervhealthvcarevcosts.
vItvwouldvnotvdirectlyvimpactvpatient‘svhealthvliteracy.DIF:vCognitivevLevel:vComprehensionREF:
p.v2TOP:vNursingvProcess:vImplementationvMSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvIn
tegrity:vPharmacologicvandvParenteralvTherapies
4. WhichvaspectsvsupportvthevAPRN‘svprovisionvforvfullvprescriptivevauthority?vSelectvallvt
hatvapply.
a. Clinicalveducationvincludesvprescriptionvofvmedicationsvandvdiseasevprocesses.
b. FederalvregulationsvsupportvthevprovisionvofvfullvauthorityvforvAPRNs.
c. NationalvexaminationsvprovidevvalidationvofvthevAPRN‘svabilityvtovprovidevsafecare.
d. Licensurevensuresvcompliancevwithvhealthvcarevandvsafetyvstandards.
e. Limitingvprovisionvcanvdecreasevhealthvcarevaffordability.
ANS:vAv,vCv,vD
APRNsvareveducatedvtovpracticevandvprescribevindependentlyvwithoutvsupervision.vNationalvexami
nationsvvalidatevthevabilityvtovprovidevsafevandvcompetentvcare.vLicensurevensuresvcompliancevwit
hvstandardsvtovpromotevpublicvhealthvandvsafety.vLimitedvprescriptivevauthorityvcreatesvnumerousv
barriersvtovquality,vaffordable,vandvaccessiblevpatientvcare.DIF:vCognitivevLevel:vComprehension
REF:vpp.v1-
2TOP:vNursingvProcess:vImplementationvMSC:vNCLEXvClientvNeedsvCategory:vPhysiologicvInte
grity:vPharmacologicvandvParenteralvTherapies
, TESTvBANKvLEHNE’SvPHARMACOTHERAPEUTICSvFORvADVANCEDvPRACTICEvNURSESvANDvPHYSICIANvAS
SISTANTSv2NDvEDITIONvROSENTHAL
5. WhichvaspectsvsupportvthevAPRN‘svprovisionvforvfullvprescriptivevauthority?vSelectvallvt
hatvapply.
a. Clinicalveducationvincludesvprescriptionvofvmedicationsvandvdiseasevprocesses.
b. FederalvregulationsvsupportvthevprovisionvofvfullvauthorityvforvAPRNs.
c. NationalvexaminationsvprovidevvalidationvofvthevAPRN‘svabilityvtovprovidevsafecare.
d. Licensurevensuresvcompliancevwithvhealthvcarevandvsafetyvstandards.
ANS:vAv,vCv,vD
APRNsvareveducatedvtovpracticevandvprescribevindependentlyvwithoutvsupervision.vNationalvexami
nationsvvalidatevthevabilityvtovprovidevsafevandvcompetentvcare.vLicensurevensuresvcompliancevwit
hvstandardsvtovpromotevpublicvhealthvandvsafety.vLimitedvprescriptivevauthorityvcreatesvnumerousvb
arriersvtovquality,vaffordable,vandvaccessiblevpatientvcare.DIF:vCognitivevLevel:
ComprehensionvREF:vpp.v 1-2TOP:vNursingvProcess:vImplementation
MSC:vNCLEXvClient
v NeedsvCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapies
6. AvfamilyvnursevpractitionervpracticingvinvMainevisvhiredvatvavpracticevacrossvstatevlinesvinv
Virginia.vWhichvaspectvofvpracticevmayvchangevforvthevAPRN?
a. ThevAPRNvwillvhavevlessvprescriptivevauthorityvinvthevnewvposition.
b. ThevAPRNvwillvhavevmorevprescriptivevauthorityvinvthevnewv position.
c. ThevAPRNvwillvhavevequalvprescriptivevauthorityvinvthevnewvposition.
d. ThevAPRN‘svauthorityvwillvdependvonvfederalvregulations.v
ANS:vA
Virginiavallowsvlimitedvprescriptivevauthority,vwhilevMainevgivesvfullvauthorityvtovcertifiedvnursevp
ractitioners.vThevfederalvgovernmentvdoesvnotvregulatevprescriptivevauthority.DIF:vCognitivevLev
el:vComprehensionREF:vp.v3TOP:vNursingvProcess:vImplementationvMSC:vNCLEXvClientvNeeds
vCategory:vPhysiologicvIntegrity:vPharmacologicvandvParenteralvTherapies
