TEST BANK
l
,Chapter l1: lPrescriptive lAuthority lTest
lBank
Multiple lChoices
1. An lAPRN lworks lin la lurology lclinic lunder lthe lsupervision lof la lphysician lwho l does lnot
lrestrict lthe ltypes lof lmedications lthe lAPRN lis l allowed lto lprescribe. lState llaw ldoes lnot
lrequire lthe lAPRN lto lpractice lunder lphysician lsupervision. lHow lwould lthe lAPRN’s
lprescriptive lauthority lbe ldescribed?
a. Full lauthority
b. Independent
c. Without l limitation
d. Limited lauthority
ANS: lB
The lAPRN lhas lindependent lprescriptive lauthority lbecause lthe lregulating lbody ldoes lnot lrequire
lthat lthe lAPRN lwork lunder lphysician l supervision. lFull lprescriptive lauthority lgives lthe lprovider
lthe lright lto lprescribe lindependently land lwithout llimitation. lLimited lauthority lplaces
lrestrictions lon lthe ltypes lof ldrugs lthat lcan lbe lprescribed.DIF: lCognitive lLevel:
lComprehensionREF: lp. l1TOP: lNursing lProcess: lI lMSC: lNCLEX lClient lNeeds lCategory:
lPhysiologic lIntegrity: lPharmacologic land lParenteral lTherapies
2. Which lfactors lincrease lthe lneed lfor lAPRNs lto lhave lfull lprescriptive l authority?
a. More lpatients lwill lhave laccess lto lhealth lcare.
b. Enrollment lin lmedical lschools lis lpredicted lto l decrease.
c. Physician’s lassistants lare lbeing lutilized lless loften.
d. APRN leducation lis lmore lcomplex lthan leducation lfor lphysicians.
ANS: lA
Implementation lof lthe lAffordable lCare lAct lhas lincreased lthe lnumber lof lindividuals lwith
lhealth lcare lcoverage, land lthus lthe lnumber lwho lhave laccess lto lhealth lcare lservices. lThe
lincrease lin lthe lnumber lof lpatients lcreates lthe lneed lfor lmore lproviders lwith lprescriptive lauthority.
lAPRNs lcan lfill lthis lpractice lgap.DIF: lCognitive l Level: lComprehensionREF: lp. l2TOP: lNursing
lProcess: lImplementation lMSC: lNCLEX lClient lNeeds lCategory: lPhysiologic lIntegrity:
lPharmacologic land lParenteral lTherapies
3. Which lfactors lcould lbe lattributed lto llimited lprescriptive lauthority lfor lAPRNs?
lSelect lall lthat lapply.
, a. Inaccessibility lof l patient lcare
b. Higher lhealth lcare lcosts
c. Higher lquality lmedical ltreatment
d. Improved lcollaborative lcare
e. Enhanced lhealth l literacy
ANS: lA l, lB
Limiting lprescriptive lauthority lfor lAPRNs lcan lcreate lbarriers lto lquality, laffordable, land laccessible
lpatient lcare. lIt lmay lalso llead lto lpoor lcollaboration lamong lproviders land lhigher lhealth lcare
lcosts. lIt lwould lnot ldirectly limpact lpatient’s lhealth lliteracy.DIF: lCognitive lLevel:
lComprehensionREF:
p. l2TOP: lNursing lProcess: lImplementation lMSC: lNCLEX lClient lNeeds lCategory: lPhysiologic
lIntegrity: lPharmacologic land lParenteral lTherapies
4. Which laspects lsupport lthe lAPRN’s lprovision lfor lfull lprescriptivelauthority?
lSelect lall lthat lapply.
a. Clinical leducation lincludes lprescription lof lmedications land ldisease lprocesses.
b. Federal lregulations lsupport lthe lprovision lof lfull lauthority lfor lAPRNs.
c. National lexaminations lprovide lvalidation lof lthe lAPRN’s lability lto lprovide lsafecare.
d. Licensure lensures lcompliance lwith lhealth lcare land lsafetystandards.
e. Limiting lprovision lcan ldecrease lhealth lcare laffordability.
ANS: lA l, lC l, lD
APRNs lare leducated lto lpractice land lprescribe lindependently lwithout lsupervision. lNational
lexaminations lvalidate lthe lability lto lprovide lsafe land lcompetent lcare. lLicensure lensures
lcompliance lwith l standards lto lpromote lpublic lhealth land l safety. l Limited lprescriptive lauthority
lcreates lnumerous lbarriers lto lquality, laffordable, land laccessible lpatient lcare.DIF: lCognitive
lLevel: lComprehensionREF: lpp. l1-2TOP: lNursing lProcess: lImplementation lMSC: lNCLEX
lClient lNeeds lCategory: lPhysiologic lIntegrity: lPharmacologic land lParenteral lTherapies
5. Which laspects lsupport lthe lAPRN’s lprovision lfor lfull lprescriptivelauthority?
lSelect lall lthat lapply.
a. Clinical leducation lincludes lprescription lof lmedications land ldisease lprocesses.
b. Federal lregulations lsupport lthe lprovision lof lfull lauthority lfor lAPRNs.
c. National lexaminations lprovide lvalidation lof lthe lAPRN’s lability lto lprovide lsafecare.
d. Licensure lensures lcompliance lwith lhealth lcare land lsafety lstandards.
ANS: lA l, lC l, lD
APRNs lare leducated lto lpractice land lprescribe lindependently lwithout lsupervision. lNational
lexaminations lvalidate lthe lability lto lprovide lsafe land lcompetent lcare. l Licensure lensures
lcompliance lwith lstandards lto lpromote lpublic lhealth land lsafety. lLimited lprescriptive lauthority
lcreates lnumerous lbarriers lto lquality, laffordable, land laccessible lpatient lcare.DIF: lCognitive
lLevel:
, ComprehensionREF: l pp. l 1-2TOP: l Nursing l Process: l Implementation MSC: lNCLEX
lClient lNeeds lCategory: lPhysiologic lIntegrity: lPharmacologic land lParenteral lTherapies
6. A lfamily lnurse lpractitioner lpracticing lin lMaine lis lhired lat la lpractice lacross lstate llines lin
lVirginia. lWhich laspect lof lpractice lmay lchange lfor lthe lAPRN?
a. The lAPRN lwill lhave lless lprescriptive lauthority lin lthe lnew l position.
b. The lAPRN lwill lhave lmore lprescriptive lauthority lin lthe lnew lposition.
c. The lAPRN lwill lhave lequal lprescriptive lauthority lin lthe lnewposition.
d. The lAPRN’s lauthority lwill ldepend lon lfederalregulations.
ANS: lA
Virginia lallows llimited lprescriptive lauthority, lwhile lMaine lgives lfull lauthority lto lcertified
lnurse lpractitioners. lThe lfederal lgovernment ldoes lnot lregulate lprescriptive lauthority.DIF:
lCognitive lLevel: lComprehensionREF: lp. l3TOP: lNursing lProcess: lImplementation lMSC:
lNCLEX lClient lNeeds l Category: lPhysiologic lIntegrity: lPharmacologic land lParenteral
lTherapies
Rosenthal: lLehne's lPharmacotherapeutics lfor lAdvanced lPractice lProviders, l2nd lEd.
lChapter l2: lRational lDrug lSelection land lPrescription lWriting
Test lBank
lMultiple lChoice
7. How lcan lcollaboration lwith la lpharmacist limprove lpositive loutcomes lfor lpatients?
lSelect lall lthat lapply.
a. Pharmacists lcan lsuggest lfoods lthat lwill lhelp lwith lthe lpatient’s lcondition.
b. Pharmacists lhave ladditional linformation lon ldrug linteractions.
c. The lpharmacist lcan lsuggest ladequate lmedication l dosing.
d. Pharmacists lhave lfirsthand lknowledge lof lthe lfacility lformulary.
e. Pharmacy lcan lalter lprescriptions lwhen lnecessary lto lprevent lpatient lharm.
ANS: lB l, lC l, lD
Providers lshould lcollaborate lwith lpharmacists lbecause lthey lwill llikely lhave ladditional linformation
lon lformulary, ldrug linteractions, land lsuggestions lfor ladequate lmedication ldosing. lDietitians
lcan lmake lfoods lrecommendations lto ltreat lthe lpatient’s lcondition. lThe lpharmacist lcan lcontact
lthe lprescriber labout lquestionable lprescriptions, lbut lcannot lalter lthe lprescription lwithout
lnotification lof land lapproval lby lthe lprovider.DIF: lCognitive lLevel: lComprehensionREF: lp.
l9TOP: lNursing lProcess: lDiagnosis lMSC: lNCLEX lClient lNeeds lCategory: lPhysiologic
lIntegrity: lReduction lof lRisk lPotential
l
,Chapter l1: lPrescriptive lAuthority lTest
lBank
Multiple lChoices
1. An lAPRN lworks lin la lurology lclinic lunder lthe lsupervision lof la lphysician lwho l does lnot
lrestrict lthe ltypes lof lmedications lthe lAPRN lis l allowed lto lprescribe. lState llaw ldoes lnot
lrequire lthe lAPRN lto lpractice lunder lphysician lsupervision. lHow lwould lthe lAPRN’s
lprescriptive lauthority lbe ldescribed?
a. Full lauthority
b. Independent
c. Without l limitation
d. Limited lauthority
ANS: lB
The lAPRN lhas lindependent lprescriptive lauthority lbecause lthe lregulating lbody ldoes lnot lrequire
lthat lthe lAPRN lwork lunder lphysician l supervision. lFull lprescriptive lauthority lgives lthe lprovider
lthe lright lto lprescribe lindependently land lwithout llimitation. lLimited lauthority lplaces
lrestrictions lon lthe ltypes lof ldrugs lthat lcan lbe lprescribed.DIF: lCognitive lLevel:
lComprehensionREF: lp. l1TOP: lNursing lProcess: lI lMSC: lNCLEX lClient lNeeds lCategory:
lPhysiologic lIntegrity: lPharmacologic land lParenteral lTherapies
2. Which lfactors lincrease lthe lneed lfor lAPRNs lto lhave lfull lprescriptive l authority?
a. More lpatients lwill lhave laccess lto lhealth lcare.
b. Enrollment lin lmedical lschools lis lpredicted lto l decrease.
c. Physician’s lassistants lare lbeing lutilized lless loften.
d. APRN leducation lis lmore lcomplex lthan leducation lfor lphysicians.
ANS: lA
Implementation lof lthe lAffordable lCare lAct lhas lincreased lthe lnumber lof lindividuals lwith
lhealth lcare lcoverage, land lthus lthe lnumber lwho lhave laccess lto lhealth lcare lservices. lThe
lincrease lin lthe lnumber lof lpatients lcreates lthe lneed lfor lmore lproviders lwith lprescriptive lauthority.
lAPRNs lcan lfill lthis lpractice lgap.DIF: lCognitive l Level: lComprehensionREF: lp. l2TOP: lNursing
lProcess: lImplementation lMSC: lNCLEX lClient lNeeds lCategory: lPhysiologic lIntegrity:
lPharmacologic land lParenteral lTherapies
3. Which lfactors lcould lbe lattributed lto llimited lprescriptive lauthority lfor lAPRNs?
lSelect lall lthat lapply.
, a. Inaccessibility lof l patient lcare
b. Higher lhealth lcare lcosts
c. Higher lquality lmedical ltreatment
d. Improved lcollaborative lcare
e. Enhanced lhealth l literacy
ANS: lA l, lB
Limiting lprescriptive lauthority lfor lAPRNs lcan lcreate lbarriers lto lquality, laffordable, land laccessible
lpatient lcare. lIt lmay lalso llead lto lpoor lcollaboration lamong lproviders land lhigher lhealth lcare
lcosts. lIt lwould lnot ldirectly limpact lpatient’s lhealth lliteracy.DIF: lCognitive lLevel:
lComprehensionREF:
p. l2TOP: lNursing lProcess: lImplementation lMSC: lNCLEX lClient lNeeds lCategory: lPhysiologic
lIntegrity: lPharmacologic land lParenteral lTherapies
4. Which laspects lsupport lthe lAPRN’s lprovision lfor lfull lprescriptivelauthority?
lSelect lall lthat lapply.
a. Clinical leducation lincludes lprescription lof lmedications land ldisease lprocesses.
b. Federal lregulations lsupport lthe lprovision lof lfull lauthority lfor lAPRNs.
c. National lexaminations lprovide lvalidation lof lthe lAPRN’s lability lto lprovide lsafecare.
d. Licensure lensures lcompliance lwith lhealth lcare land lsafetystandards.
e. Limiting lprovision lcan ldecrease lhealth lcare laffordability.
ANS: lA l, lC l, lD
APRNs lare leducated lto lpractice land lprescribe lindependently lwithout lsupervision. lNational
lexaminations lvalidate lthe lability lto lprovide lsafe land lcompetent lcare. lLicensure lensures
lcompliance lwith l standards lto lpromote lpublic lhealth land l safety. l Limited lprescriptive lauthority
lcreates lnumerous lbarriers lto lquality, laffordable, land laccessible lpatient lcare.DIF: lCognitive
lLevel: lComprehensionREF: lpp. l1-2TOP: lNursing lProcess: lImplementation lMSC: lNCLEX
lClient lNeeds lCategory: lPhysiologic lIntegrity: lPharmacologic land lParenteral lTherapies
5. Which laspects lsupport lthe lAPRN’s lprovision lfor lfull lprescriptivelauthority?
lSelect lall lthat lapply.
a. Clinical leducation lincludes lprescription lof lmedications land ldisease lprocesses.
b. Federal lregulations lsupport lthe lprovision lof lfull lauthority lfor lAPRNs.
c. National lexaminations lprovide lvalidation lof lthe lAPRN’s lability lto lprovide lsafecare.
d. Licensure lensures lcompliance lwith lhealth lcare land lsafety lstandards.
ANS: lA l, lC l, lD
APRNs lare leducated lto lpractice land lprescribe lindependently lwithout lsupervision. lNational
lexaminations lvalidate lthe lability lto lprovide lsafe land lcompetent lcare. l Licensure lensures
lcompliance lwith lstandards lto lpromote lpublic lhealth land lsafety. lLimited lprescriptive lauthority
lcreates lnumerous lbarriers lto lquality, laffordable, land laccessible lpatient lcare.DIF: lCognitive
lLevel:
, ComprehensionREF: l pp. l 1-2TOP: l Nursing l Process: l Implementation MSC: lNCLEX
lClient lNeeds lCategory: lPhysiologic lIntegrity: lPharmacologic land lParenteral lTherapies
6. A lfamily lnurse lpractitioner lpracticing lin lMaine lis lhired lat la lpractice lacross lstate llines lin
lVirginia. lWhich laspect lof lpractice lmay lchange lfor lthe lAPRN?
a. The lAPRN lwill lhave lless lprescriptive lauthority lin lthe lnew l position.
b. The lAPRN lwill lhave lmore lprescriptive lauthority lin lthe lnew lposition.
c. The lAPRN lwill lhave lequal lprescriptive lauthority lin lthe lnewposition.
d. The lAPRN’s lauthority lwill ldepend lon lfederalregulations.
ANS: lA
Virginia lallows llimited lprescriptive lauthority, lwhile lMaine lgives lfull lauthority lto lcertified
lnurse lpractitioners. lThe lfederal lgovernment ldoes lnot lregulate lprescriptive lauthority.DIF:
lCognitive lLevel: lComprehensionREF: lp. l3TOP: lNursing lProcess: lImplementation lMSC:
lNCLEX lClient lNeeds l Category: lPhysiologic lIntegrity: lPharmacologic land lParenteral
lTherapies
Rosenthal: lLehne's lPharmacotherapeutics lfor lAdvanced lPractice lProviders, l2nd lEd.
lChapter l2: lRational lDrug lSelection land lPrescription lWriting
Test lBank
lMultiple lChoice
7. How lcan lcollaboration lwith la lpharmacist limprove lpositive loutcomes lfor lpatients?
lSelect lall lthat lapply.
a. Pharmacists lcan lsuggest lfoods lthat lwill lhelp lwith lthe lpatient’s lcondition.
b. Pharmacists lhave ladditional linformation lon ldrug linteractions.
c. The lpharmacist lcan lsuggest ladequate lmedication l dosing.
d. Pharmacists lhave lfirsthand lknowledge lof lthe lfacility lformulary.
e. Pharmacy lcan lalter lprescriptions lwhen lnecessary lto lprevent lpatient lharm.
ANS: lB l, lC l, lD
Providers lshould lcollaborate lwith lpharmacists lbecause lthey lwill llikely lhave ladditional linformation
lon lformulary, ldrug linteractions, land lsuggestions lfor ladequate lmedication ldosing. lDietitians
lcan lmake lfoods lrecommendations lto ltreat lthe lpatient’s lcondition. lThe lpharmacist lcan lcontact
lthe lprescriber labout lquestionable lprescriptions, lbut lcannot lalter lthe lprescription lwithout
lnotification lof land lapproval lby lthe lprovider.DIF: lCognitive lLevel: lComprehensionREF: lp.
l9TOP: lNursing lProcess: lDiagnosis lMSC: lNCLEX lClient lNeeds lCategory: lPhysiologic
lIntegrity: lReduction lof lRisk lPotential
