Pharmacology Nursing|Test Bank Rosenthal Lehnes
Pharmacotherapeutics for Advanced Practice Nurses
and Physician Assistants 2nd Edition.
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK
Chapter 1: Prescriptive Authority
Test Bank
Multiple Choice
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict
the types of medications the APRN is allowed to prescribe. State law does not require the
APRN to practice under physician supervision. How would the APRN‘s prescriptive authority
be described?
a. Full authority
b. Independent
c. Without limitation
d. Limited authority
ANS: B
The APRN has independent prescriptive authority because the regulating body does not require
that the APRN work under physician supervision. Full prescriptive authority gives the provider
the right to prescribe independently and without limitation. Limited authority places restrictions
on the types of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP:
Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
and Parenteral Therapies
2. Which factors increase the need for APRNs to have full prescriptive authority?
a. More patients will have access to health care.
b. Enrollment in medical schools is predicted to decrease.
c. Physician‘s assistants are being utilized less often.
d. APRN education is more complex than education for physicians.
ANS: A
Implementation of the Affordable Care Act has increased the number of individuals with health
care coverage, and thus the number who have access to health care services. The increase in the
number ofpatients creates the need for more providers with prescriptive authority. APRNs can fill
this practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process:
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
Parenteral Therapies
3. Which factors could be attributed to limited prescriptive authority for APRNs?
Select all that apply.
, a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy
ANS: A , B
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
patient care. It may also lead to poor collaboration among providers and higher health care costs.
It would not directly impact patient‘s health literacy.DIF: Cognitive Level: ComprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
Integrity: Pharmacologic and Parenteral Therapies
4. Which aspects support the APRN‘s provision for full prescriptive authority?
Select all that apply.
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN‘s ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability.
ANS: A , C , D
APRNs are educated to practice and prescribe independently without supervision. National
examinations validate the ability to provide safe and competent care. Licensure ensures
compliance with standards to promote public health and safety. Limited prescriptive authority
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
5. Which aspects support the APRN‘s provision for full prescriptive authority?
Select all that apply.
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN‘s ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards.
ANS: A , C , D
APRNs are educated to practice and prescribe independently without supervision. National
examinations validate the ability to provide safe and competent care. Licensure ensures
compliance with standards to promote public health and safety. Limited prescriptive authority
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
,ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in
Virginia. Which aspect of practice may change for the APRN?
a. The APRN will have less prescriptive authority in the new position.
b. The APRN will have more prescriptive authority in the new position.
c. The APRN will have equal prescriptive authority in the newposition.
d. The APRN‘s authority will depend on federalregulations.
ANS: A
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed.
Chapter d2: dRational dDrug dSelection dand dPrescription dWriting
Test dBank
dMultiple
dChoice
7. How dcan dcollaboration dwith da dpharmacist d improve dpositive doutcomes d for
dpatients?dSelect d all dthat d apply.
a. Pharmacists dcan dsuggest d foods dthat d will d help d with dthe dpatient‘s dcondition.
b. Pharmacists d have dadditional dinformation don ddrug dinteractions.
c. The dpharmacist dcan dsuggest dadequate d medication d dosing.
d. Pharmacists d have d firsthand dknowledge dof dthe d facility dformulary.
e. Pharmacy dcan dalter dprescriptions d when dnecessary dto dprevent dpatient d harm.
ANS: dB d, dC d, dD
Providers dshould dcollaborate dwith dpharmacists dbecause dthey dwill dlikely d have dadditional
dinformation don dformulary, ddrug dinteractions, dand dsuggestions dfor dadequate dmedication
ddosing. dDietitians dcan dmake dfoods drecommendations dto dtreat dthe dpatient‘s dcondition. dThe
dpharmacist dcan dcontact dthe dprescriber dabout dquestionable dprescriptions, dbut dcannot dalter
dthe dprescription dwithout dnotification dof dand dapproval dby dthe dprovider.DIF: dCognitive
dLevel: dComprehensionREF: dp. d9TOP: dNursing dProcess: dDiagnosis dMSC: dNCLEX dClient
dNeeds dCategory: dPhysiologic dIntegrity: dReduction dof dRisk dPotential
, 8. Apatient d presents dwith ddeliriumdtremens drequiring dAtivan dadministration. d The dprovider
dofcaredis dnot d in dthe d facility. d Which daction dby dthe d nurse d is dmost d appropriate?
a. Obtain da dtelephone dorder.
b. Contact dthe don-call dhospitalist.
c. Obtain dan dorder d from dthe dcharge dnurse.
d. Wait d for da dwritten dAtivan dorder.
ANS: d A
In dan demergency dsituation, dsuch das ddelirium dtremens dwith dseizure dactivity, d it d is dacceptable dto
dprovide da dtelephone dorder. dContacting dthe don-call dhospitalist dor dwaiting dfor da dwritten dorder
dwould dtake dmore dtime dthan davailable dfor da dpatient dwith dhigh dseizure drisk. dWriting dan
dorder dis doutside dthe dscope dof dpractice dfor dthe dcharge dnurse.DIF: dCognitive dLevel:
dApplicationREF: dp. d7TOP: dNursing dProcess: dImplementation dMSC: dNCLEX dClient dNeeds
dCategory: dPhysiologic dIntegrity: dReduction dof dRisk dPotential
9. A dpatient dwith dchronic dpain dcalls dthe dprovider‘s doffice dto drequest da drefill don dtheir
doxycontin.dWhich daction dis d most d appropriate?
a. Fax dan dorder dto d the dpharmacy.
b. Schedule dan dappointment d with dthe d patient.
c. Verify dthe dpatient‘s dadherence d to ddrug dregimen.
d. Determine dthe dpatient‘s dcurrent dmedication d dosage.
ANS: d B
Schedule dII dmedications dare dnot deligible dfor drefills, dand dprescriptions dmust dbe dhandwritten.
dIt dis dimportant dto dverify dthe dpatient‘s dadherence dto dthe ddrug dregimen dand ddetermine dthe
dcurrent ddosage dof dmedication; dhowever, dthis dcan dbe daccomplished dby dscheduling dan
dappointment dand devaluating dthe dpatient din dperson.DIF: dCognitive dLevel: dApplicationREF:
dp. d8TOP: dNursing dProcess: dImplementation dMSC: dNCLEX dClient dNeeds dCategory:
dPhysiologic dIntegrity: dReduction dof dRisk dPotential
10. Apatient d prescribed damoxicillin d for dstreptococcalpharyngitis dreports dnew donset dofa d flat,
d itchydred drash don dthe dchest dand d neck. d Which daction dis d most d important?
a. Provide da ddifferent dprescription.
b. Discontinue dthe d medication.
c. Prescribe dan dantihistamine dcream.
d. Assess d for drespiratory dcompromise.
ANS: dB
The dpriority daction dis dto ddiscontinue dthe dmedication dto dprevent dworsening dof dthe dpatient‘s
dsymptoms. dA ddifferent dprescription dwould dbe dprovided, dtopical dantihistamine dmay dbe
dadministered, dand dthe dpatient d would dbe dassessed d for d respiratory dinvolvement, dbut dthese
dactions dwould d not d be
Pharmacotherapeutics for Advanced Practice Nurses
and Physician Assistants 2nd Edition.
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK
Chapter 1: Prescriptive Authority
Test Bank
Multiple Choice
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict
the types of medications the APRN is allowed to prescribe. State law does not require the
APRN to practice under physician supervision. How would the APRN‘s prescriptive authority
be described?
a. Full authority
b. Independent
c. Without limitation
d. Limited authority
ANS: B
The APRN has independent prescriptive authority because the regulating body does not require
that the APRN work under physician supervision. Full prescriptive authority gives the provider
the right to prescribe independently and without limitation. Limited authority places restrictions
on the types of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP:
Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
and Parenteral Therapies
2. Which factors increase the need for APRNs to have full prescriptive authority?
a. More patients will have access to health care.
b. Enrollment in medical schools is predicted to decrease.
c. Physician‘s assistants are being utilized less often.
d. APRN education is more complex than education for physicians.
ANS: A
Implementation of the Affordable Care Act has increased the number of individuals with health
care coverage, and thus the number who have access to health care services. The increase in the
number ofpatients creates the need for more providers with prescriptive authority. APRNs can fill
this practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process:
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
Parenteral Therapies
3. Which factors could be attributed to limited prescriptive authority for APRNs?
Select all that apply.
, a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy
ANS: A , B
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
patient care. It may also lead to poor collaboration among providers and higher health care costs.
It would not directly impact patient‘s health literacy.DIF: Cognitive Level: ComprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
Integrity: Pharmacologic and Parenteral Therapies
4. Which aspects support the APRN‘s provision for full prescriptive authority?
Select all that apply.
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN‘s ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability.
ANS: A , C , D
APRNs are educated to practice and prescribe independently without supervision. National
examinations validate the ability to provide safe and competent care. Licensure ensures
compliance with standards to promote public health and safety. Limited prescriptive authority
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
5. Which aspects support the APRN‘s provision for full prescriptive authority?
Select all that apply.
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN‘s ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards.
ANS: A , C , D
APRNs are educated to practice and prescribe independently without supervision. National
examinations validate the ability to provide safe and competent care. Licensure ensures
compliance with standards to promote public health and safety. Limited prescriptive authority
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
,ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in
Virginia. Which aspect of practice may change for the APRN?
a. The APRN will have less prescriptive authority in the new position.
b. The APRN will have more prescriptive authority in the new position.
c. The APRN will have equal prescriptive authority in the newposition.
d. The APRN‘s authority will depend on federalregulations.
ANS: A
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed.
Chapter d2: dRational dDrug dSelection dand dPrescription dWriting
Test dBank
dMultiple
dChoice
7. How dcan dcollaboration dwith da dpharmacist d improve dpositive doutcomes d for
dpatients?dSelect d all dthat d apply.
a. Pharmacists dcan dsuggest d foods dthat d will d help d with dthe dpatient‘s dcondition.
b. Pharmacists d have dadditional dinformation don ddrug dinteractions.
c. The dpharmacist dcan dsuggest dadequate d medication d dosing.
d. Pharmacists d have d firsthand dknowledge dof dthe d facility dformulary.
e. Pharmacy dcan dalter dprescriptions d when dnecessary dto dprevent dpatient d harm.
ANS: dB d, dC d, dD
Providers dshould dcollaborate dwith dpharmacists dbecause dthey dwill dlikely d have dadditional
dinformation don dformulary, ddrug dinteractions, dand dsuggestions dfor dadequate dmedication
ddosing. dDietitians dcan dmake dfoods drecommendations dto dtreat dthe dpatient‘s dcondition. dThe
dpharmacist dcan dcontact dthe dprescriber dabout dquestionable dprescriptions, dbut dcannot dalter
dthe dprescription dwithout dnotification dof dand dapproval dby dthe dprovider.DIF: dCognitive
dLevel: dComprehensionREF: dp. d9TOP: dNursing dProcess: dDiagnosis dMSC: dNCLEX dClient
dNeeds dCategory: dPhysiologic dIntegrity: dReduction dof dRisk dPotential
, 8. Apatient d presents dwith ddeliriumdtremens drequiring dAtivan dadministration. d The dprovider
dofcaredis dnot d in dthe d facility. d Which daction dby dthe d nurse d is dmost d appropriate?
a. Obtain da dtelephone dorder.
b. Contact dthe don-call dhospitalist.
c. Obtain dan dorder d from dthe dcharge dnurse.
d. Wait d for da dwritten dAtivan dorder.
ANS: d A
In dan demergency dsituation, dsuch das ddelirium dtremens dwith dseizure dactivity, d it d is dacceptable dto
dprovide da dtelephone dorder. dContacting dthe don-call dhospitalist dor dwaiting dfor da dwritten dorder
dwould dtake dmore dtime dthan davailable dfor da dpatient dwith dhigh dseizure drisk. dWriting dan
dorder dis doutside dthe dscope dof dpractice dfor dthe dcharge dnurse.DIF: dCognitive dLevel:
dApplicationREF: dp. d7TOP: dNursing dProcess: dImplementation dMSC: dNCLEX dClient dNeeds
dCategory: dPhysiologic dIntegrity: dReduction dof dRisk dPotential
9. A dpatient dwith dchronic dpain dcalls dthe dprovider‘s doffice dto drequest da drefill don dtheir
doxycontin.dWhich daction dis d most d appropriate?
a. Fax dan dorder dto d the dpharmacy.
b. Schedule dan dappointment d with dthe d patient.
c. Verify dthe dpatient‘s dadherence d to ddrug dregimen.
d. Determine dthe dpatient‘s dcurrent dmedication d dosage.
ANS: d B
Schedule dII dmedications dare dnot deligible dfor drefills, dand dprescriptions dmust dbe dhandwritten.
dIt dis dimportant dto dverify dthe dpatient‘s dadherence dto dthe ddrug dregimen dand ddetermine dthe
dcurrent ddosage dof dmedication; dhowever, dthis dcan dbe daccomplished dby dscheduling dan
dappointment dand devaluating dthe dpatient din dperson.DIF: dCognitive dLevel: dApplicationREF:
dp. d8TOP: dNursing dProcess: dImplementation dMSC: dNCLEX dClient dNeeds dCategory:
dPhysiologic dIntegrity: dReduction dof dRisk dPotential
10. Apatient d prescribed damoxicillin d for dstreptococcalpharyngitis dreports dnew donset dofa d flat,
d itchydred drash don dthe dchest dand d neck. d Which daction dis d most d important?
a. Provide da ddifferent dprescription.
b. Discontinue dthe d medication.
c. Prescribe dan dantihistamine dcream.
d. Assess d for drespiratory dcompromise.
ANS: dB
The dpriority daction dis dto ddiscontinue dthe dmedication dto dprevent dworsening dof dthe dpatient‘s
dsymptoms. dA ddifferent dprescription dwould dbe dprovided, dtopical dantihistamine dmay dbe
dadministered, dand dthe dpatient d would dbe dassessed d for d respiratory dinvolvement, dbut dthese
dactions dwould d not d be
