Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants
xc xc xc xc xc xc xc xc
2nd Edition Rosenthal Test Bank
xc xc xc xc xc 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
xc xc xc
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND
xc xc xc xc xc xc
EDITION ROSENTHAL TEST BANK
xc xc xc xc
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants
xc xc xc xc xc xc xc xc
2nd Edition Rosenthal Test Bank
xc xc xc xc xc 2
Chapter 1: Prescriptive Authority Test Bank
xc xc xc xc xc
xc Multiple Choice xc
1. An APRN works in a urology clinic under the supervision of a physician who does
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
not restrict the types of medications the APRN is allowed to prescribe. State law does not
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
require the APRN to practice under physician supervision. How would the APRN‘s
xc xc xc xc xc xc xc xc xc xc xc xc
prescriptive authority be described?
xc xc xc xc
a. Full authority xc
b. Independent
c. Without limitation xc
d. Limited authority xc
ANS: B xc
The APRN has independent prescriptive authority because the regulating body does not
xc xc xc xc xc xc xc xc xc xc xc
require that the APRN work under physician supervision. Full prescriptive authority gives
xc xc xc xc xc xc xc xc xc xc xc xc
the provider the right to prescribe independently and without limitation. Limited authority
xc xc xc xc xc xc xc xc xc xc xc xc
places restrictions on the types of drugs that can be prescribed .DIF: Cognitive Level:
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
Comprehension REF: p.
xc xc xc
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic
xc xc xc xc xc xc xc xc xc
Integrity: Pharmacologic and Parenteral Therapies
xc xc xc xc xc
2. Which factors increase the need for APRNs to have full prescriptive authority?
xc xc xc xc xc xc xc xc xc xc xc
a. More patients will have access to health care.
xc xc xc xc xc xc xc
b. Enrollment in medical schools is predicted to decrease.
xc xc xc xc xc xc xc
c. Physician‘s assistants are being utilized less often. xc xc xc xc xc xc
d. APRN education is more complex than education for physicians.
xc xc xc xc xc xc xc xc
ANS: A xc
Implementation of the Affordable Care Act has increased the number of individuals with
xc xc xc xc xc xc xc xc xc xc xc xc
health care coverage, and thus the number who have access to health care services. The
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
increase in the number of patients creates the need for more providers with prescriptive
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
authority. APRNs can fill this practice gap. DIF: Cognitive Level: Comprehension REF: p.
xc xc xc xc xc xc xc xc xc xc xc xc xc
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category:
xc xc xc xc xc xc xc xc xc
Physiologic Integrity: Pharmacologic and Parenteral Therapies
xc xc xc xc xc xc
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants
xc xc xc xc xc xc xc xc
2nd Edition Rosenthal Test Bank
xc xc xc xc xc 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select
xc xc xc xc xc xc xc xc xc xc xc
all that apply.
xc xc xc
a. Inaccessibility of patient care xc xc xc
b. Higher health care costs xc xc xc
c. Higher quality medical treatment xc xc xc
d. Improved collaborative care xc xc
e. Enhanced health literacy xc xc
ANS: A , B xc xc xc
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
xc xc xc xc xc xc xc xc xc xc xc
accessible patient care. It may also lead to poor collaboration among providers and higher
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
health care costs. It would not directly impact patient‘s health literacy.DIF: Cognitive
xc xc xc xc xc xc xc xc xc xc xc xc
Level: ComprehensionREF:
xc xc
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category:
xc xc xc xc xc xc xc xc xc
Physiologic Integrity: Pharmacologic and Parenteral Therapies
xc xc xc xc xc xc
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select
xc xc xc xc xc xc xc xc xc xc
all that apply.
xc xc xc
a. Clinical education includes prescription of medications and disease processes.
xc xc xc xc xc xc xc xc
b. Federal regulations support the provision of full authority for APRNs.
xc xc xc xc xc xc xc xc xc
c. National examinations provide validation of the APRN‘s ability to provide safecare.
xc xc xc xc xc xc xc xc xc xc
d. Licensure ensures compliance with health care and safety standards.
xc xc xc xc xc xc xc xc
e. Limiting provision can decrease health care affordability.
xc xc xc xc xc xc
ANS: A , C , D xc xc xc xc xc
APRNs are educated to practice and prescribe independently without supervision. National
xc xc xc xc xc xc xc xc xc xc
examinations validate the ability to provide safe and competent care. Licensure ensures
xc xc xc xc xc xc xc xc xc xc xc xc
compliance with standards to promote public health and safety. Limited prescriptive
xc xc xc xc xc xc xc xc xc xc xc
authority creates numerous barriers to quality, affordable, and accessible patient care.DIF:
xc xc xc xc xc xc xc xc xc xc xc
Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC:
xc xc xc xc xc xc xc xc xc
NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral
xc xc xc xc xc xc xc xc xc
Therapies
xc
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants
xc xc xc xc xc xc xc xc
2nd Edition Rosenthal Test Bank
xc xc xc xc xc 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select
xc xc xc xc xc xc xc xc xc xc
all that apply.
xc xc xc
a. Clinical education includes prescription of medications and disease processes.
xc xc xc xc xc xc xc xc
b. Federal regulations support the provision of full authority for APRNs.
xc xc xc xc xc xc xc xc xc
c. National examinations provide validation of the APRN‘s ability to provide safecare.
xc xc xc xc xc xc xc xc xc xc
d. Licensure ensures compliance with health care and safety standards.
xc xc xc xc xc xc xc xc
ANS: A , C , D xc xc xc xc xc
APRNs are educated to practice and prescribe independently without supervision. National
xc xc xc xc xc xc xc xc xc xc
examinations validate the ability to provide safe and competent care. Licensure ensures
xc xc xc xc xc xc xc xc xc xc xc xc
compliance with standards to promote public health and safety. Limited prescriptive
xc xc xc xc xc xc xc xc xc xc xc
authority creates numerous barriers to quality, affordable, and accessible patient care.DIF:
xc xc xc xc xc xc xc xc xc xc xc
Cognitive Level:
xc xc
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client
xc xc x c xc xc xc xc xc
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
xc xc xc xc xc xc xc xc
6. A family nurse practitioner practicing in Maine is hired at a practice across state
xc xc xc xc xc xc xc xc xc xc xc xc xc
lines in Virginia. Which aspect of practice may change for the APRN?
xc xc xc xc xc xc xc xc xc xc xc xc
a. The APRN will have less prescriptive authority in the new position.
xc xc xc xc xc xc xc xc xc xc
b. The APRN will have more prescriptive authority in the new position.
xc xc xc xc xc xc xc xc xc xc
c. The APRN will have equal prescriptive authority in the new position.
xc xc xc xc xc xc xc xc xc xc
d. The APRN‘s authority will depend on federal
xc xc xc xc xc xc
regulations. ANS: A
xc xc xc
Virginia allows limited prescriptive authority, while Maine gives full authority to certified
xc xc xc xc xc xc xc xc xc xc xc
nurse practitioners. The federal government does not regulate prescriptive authority.DIF:
xc xc xc xc xc xc xc xc xc xc
Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC:
xc xc xc xc xc xc xc xc xc
NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral
xc xc xc xc xc xc xc xc xc
Therapies
xc
xc xc xc xc xc xc xc xc
2nd Edition Rosenthal Test Bank
xc xc xc xc xc 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
xc xc xc
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND
xc xc xc xc xc xc
EDITION ROSENTHAL TEST BANK
xc xc xc xc
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants
xc xc xc xc xc xc xc xc
2nd Edition Rosenthal Test Bank
xc xc xc xc xc 2
Chapter 1: Prescriptive Authority Test Bank
xc xc xc xc xc
xc Multiple Choice xc
1. An APRN works in a urology clinic under the supervision of a physician who does
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
not restrict the types of medications the APRN is allowed to prescribe. State law does not
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
require the APRN to practice under physician supervision. How would the APRN‘s
xc xc xc xc xc xc xc xc xc xc xc xc
prescriptive authority be described?
xc xc xc xc
a. Full authority xc
b. Independent
c. Without limitation xc
d. Limited authority xc
ANS: B xc
The APRN has independent prescriptive authority because the regulating body does not
xc xc xc xc xc xc xc xc xc xc xc
require that the APRN work under physician supervision. Full prescriptive authority gives
xc xc xc xc xc xc xc xc xc xc xc xc
the provider the right to prescribe independently and without limitation. Limited authority
xc xc xc xc xc xc xc xc xc xc xc xc
places restrictions on the types of drugs that can be prescribed .DIF: Cognitive Level:
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
Comprehension REF: p.
xc xc xc
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic
xc xc xc xc xc xc xc xc xc
Integrity: Pharmacologic and Parenteral Therapies
xc xc xc xc xc
2. Which factors increase the need for APRNs to have full prescriptive authority?
xc xc xc xc xc xc xc xc xc xc xc
a. More patients will have access to health care.
xc xc xc xc xc xc xc
b. Enrollment in medical schools is predicted to decrease.
xc xc xc xc xc xc xc
c. Physician‘s assistants are being utilized less often. xc xc xc xc xc xc
d. APRN education is more complex than education for physicians.
xc xc xc xc xc xc xc xc
ANS: A xc
Implementation of the Affordable Care Act has increased the number of individuals with
xc xc xc xc xc xc xc xc xc xc xc xc
health care coverage, and thus the number who have access to health care services. The
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
increase in the number of patients creates the need for more providers with prescriptive
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
authority. APRNs can fill this practice gap. DIF: Cognitive Level: Comprehension REF: p.
xc xc xc xc xc xc xc xc xc xc xc xc xc
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category:
xc xc xc xc xc xc xc xc xc
Physiologic Integrity: Pharmacologic and Parenteral Therapies
xc xc xc xc xc xc
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants
xc xc xc xc xc xc xc xc
2nd Edition Rosenthal Test Bank
xc xc xc xc xc 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select
xc xc xc xc xc xc xc xc xc xc xc
all that apply.
xc xc xc
a. Inaccessibility of patient care xc xc xc
b. Higher health care costs xc xc xc
c. Higher quality medical treatment xc xc xc
d. Improved collaborative care xc xc
e. Enhanced health literacy xc xc
ANS: A , B xc xc xc
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
xc xc xc xc xc xc xc xc xc xc xc
accessible patient care. It may also lead to poor collaboration among providers and higher
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
health care costs. It would not directly impact patient‘s health literacy.DIF: Cognitive
xc xc xc xc xc xc xc xc xc xc xc xc
Level: ComprehensionREF:
xc xc
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category:
xc xc xc xc xc xc xc xc xc
Physiologic Integrity: Pharmacologic and Parenteral Therapies
xc xc xc xc xc xc
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select
xc xc xc xc xc xc xc xc xc xc
all that apply.
xc xc xc
a. Clinical education includes prescription of medications and disease processes.
xc xc xc xc xc xc xc xc
b. Federal regulations support the provision of full authority for APRNs.
xc xc xc xc xc xc xc xc xc
c. National examinations provide validation of the APRN‘s ability to provide safecare.
xc xc xc xc xc xc xc xc xc xc
d. Licensure ensures compliance with health care and safety standards.
xc xc xc xc xc xc xc xc
e. Limiting provision can decrease health care affordability.
xc xc xc xc xc xc
ANS: A , C , D xc xc xc xc xc
APRNs are educated to practice and prescribe independently without supervision. National
xc xc xc xc xc xc xc xc xc xc
examinations validate the ability to provide safe and competent care. Licensure ensures
xc xc xc xc xc xc xc xc xc xc xc xc
compliance with standards to promote public health and safety. Limited prescriptive
xc xc xc xc xc xc xc xc xc xc xc
authority creates numerous barriers to quality, affordable, and accessible patient care.DIF:
xc xc xc xc xc xc xc xc xc xc xc
Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC:
xc xc xc xc xc xc xc xc xc
NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral
xc xc xc xc xc xc xc xc xc
Therapies
xc
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants
xc xc xc xc xc xc xc xc
2nd Edition Rosenthal Test Bank
xc xc xc xc xc 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select
xc xc xc xc xc xc xc xc xc xc
all that apply.
xc xc xc
a. Clinical education includes prescription of medications and disease processes.
xc xc xc xc xc xc xc xc
b. Federal regulations support the provision of full authority for APRNs.
xc xc xc xc xc xc xc xc xc
c. National examinations provide validation of the APRN‘s ability to provide safecare.
xc xc xc xc xc xc xc xc xc xc
d. Licensure ensures compliance with health care and safety standards.
xc xc xc xc xc xc xc xc
ANS: A , C , D xc xc xc xc xc
APRNs are educated to practice and prescribe independently without supervision. National
xc xc xc xc xc xc xc xc xc xc
examinations validate the ability to provide safe and competent care. Licensure ensures
xc xc xc xc xc xc xc xc xc xc xc xc
compliance with standards to promote public health and safety. Limited prescriptive
xc xc xc xc xc xc xc xc xc xc xc
authority creates numerous barriers to quality, affordable, and accessible patient care.DIF:
xc xc xc xc xc xc xc xc xc xc xc
Cognitive Level:
xc xc
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client
xc xc x c xc xc xc xc xc
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
xc xc xc xc xc xc xc xc
6. A family nurse practitioner practicing in Maine is hired at a practice across state
xc xc xc xc xc xc xc xc xc xc xc xc xc
lines in Virginia. Which aspect of practice may change for the APRN?
xc xc xc xc xc xc xc xc xc xc xc xc
a. The APRN will have less prescriptive authority in the new position.
xc xc xc xc xc xc xc xc xc xc
b. The APRN will have more prescriptive authority in the new position.
xc xc xc xc xc xc xc xc xc xc
c. The APRN will have equal prescriptive authority in the new position.
xc xc xc xc xc xc xc xc xc xc
d. The APRN‘s authority will depend on federal
xc xc xc xc xc xc
regulations. ANS: A
xc xc xc
Virginia allows limited prescriptive authority, while Maine gives full authority to certified
xc xc xc xc xc xc xc xc xc xc xc
nurse practitioners. The federal government does not regulate prescriptive authority.DIF:
xc xc xc xc xc xc xc xc xc xc
Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC:
xc xc xc xc xc xc xc xc xc
NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral
xc xc xc xc xc xc xc xc xc
Therapies
xc
