Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2n
n9 n9 n9 n9 n9 n9 n9 n9 n9
dEdition Rosenthal Test Bank
9
n n9 n9 n9 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
n9 n9 n9 n
9
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND
n9 n9 n9 n9 n9 n9
EDITION ROSENTHAL TEST BANK
n9 n9 n9
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2n
n9 n9 n9 n9 n9 n9 n9 n9 n9
dEdition Rosenthal Test Bank
9
n n9 n9 n9 2
Chapter 1: Prescriptive Authority Test Ban
n9 n9 n9 n9 n9
kMultiple Choice
n
9 n9
1. An APRN works in a urology clinic under the supervision of a physician who does no
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
t restrict the types of medications the APRN is allowed to prescribe. State law does not requir
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
e theAPRN to practice under physician supervision. How would the APRN‘s prescriptive auth
n9 9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ority bedescribed? n9 9
n
a. Full authority n9
b. Independent
c. Without limitation n9
d. Limited authority n9
ANS: B n9
The APRN has independent prescriptive authority because the regulating body does not requ
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
irethat the APRN work under physician supervision. Full prescriptive authority gives the pro
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
viderthe right to prescribe independently and without limitation. Limited authority places restr
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ictionson the types of drugs that can be prescribed .DIF: Cognitive Level: Comprehension R
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
EF: p. n9
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrit
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
y:Pharmacologic and Parenteral Therapies
9
n n9 n9 n9
2. Which factors increase the need for APRNs to have full prescriptive authority?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. More patients will have access to health care.
n9 n9 n9 n9 n9 n9 n9
b. Enrollment in medical schools is predicted to decrease.n9 n9 n9 n9 n9 n9 n9
c. Physician‘s assistants are being utilized less often. n9 n9 n9 n9 n9 n9
d. APRN education is more complex than education for physicians.
n9 n9 n9 n9 n9 n9 n9 n9
ANS: A n9
Implementation of the Affordable Care Act has increased the number of individuals with hea
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
lthcare coverage, and thus the number who have access to health care services. The increase
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
in thenumber of patients creates the need for more providers with prescriptive authority. AP
n9 9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
RNs can fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursin
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
g Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pha
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
rmacologic and Parenteral Therapies n9 n9 n9
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2n
n9 n9 n9 n9 n9 n9 n9 n9 n9
dEdition Rosenthal Test Bank
9
n n9 n9 n9 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
allthat apply.
9
n n9
a. Inaccessibility of patient care n9 n9 n9
b. Higher health care costs n9 n9 n9
c. Higher quality medical treatment
n9 n9 n9
d. Improved collaborative care n9 n9
e. Enhanced health literacy n9 n9
ANS: A , B n9 n9 n9
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and acces
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
sible patient care. It may also lead to poor collaboration among providers and higher healthcar
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n
e costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level: Comprehe
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
nsionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n
Integrity: Pharmacologic and Parenteral Therapies
n9 n9 n9 n9
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
allthat apply.
9
n n9
a. Clinical education includes prescription of medications and disease processes.
n9 n9 n9 n9 n9 n9 n9 n9
b. Federal regulations support the provision of full authority for APRNs.
n9 n9 n9 n9 n9 n9 n9 n9 n9
c. National examinations provide validation of the APRN‘s ability to provide safecare.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d. Licensure ensures compliance with health care and safety standards.
n9 n9 n9 n9 n9 n9 n9 n9
e. Limiting provision can decrease health care affordability.
n9 n9 n9 n9 n9 n9
ANS: A , C , D n9 n9 n9 n9 n9
APRNs are educated to practice and prescribe independently without supervision. National
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
examinations validate the ability to provide safe and competent care. Licensure ensures co
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
mpliance with standards to promote public health and safety. Limited prescriptive authority
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Level: ComprehensionREF: pp. 1-
n9 n9 n9
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologi
n9 n9 n9 n9 n9 n9 n9 n9 n9
c Integrity: Pharmacologic and Parenteral Therapies
n9 n9 n9 n9 n9
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2n
n9 n9 n9 n9 n9 n9 n9 n9 n9
dEdition Rosenthal Test Bank
9
n n9 n9 n9 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
allthat apply.9
n n9
a. Clinical education includes prescription of medications and disease processes.
n9 n9 n9 n9 n9 n9 n9 n9
b. Federal regulations support the provision of full authority for APRNs.
n9 n9 n9 n9 n9 n9 n9 n9 n9
c. National examinations provide validation of the APRN‘s ability to provide safecare.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d. Licensure ensures compliance with health care and safety standards.
n9 n9 n9 n9 n9 n9 n9 n9
ANS: A , C , D n9 n9 n9 n9 n9
APRNs are educated to practice and prescribe independently without supervision. National ex
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
aminations validate the ability to provide safe and competent care. Licensure ensures complia
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
nce with standards to promote public health and safety. Limited prescriptive authoritycreates n
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n n9
umerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation n9 n9 n 9 n9 n9 n9
MSC: NCLEX Clien n9 n9
tNeeds Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
9
n n9 n9 n9 n9 n9 n9 n9
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
inVirginia. Which aspect of practice may change for the APRN?
n9 9
n n9 n9 n9 n9 n9 n9 n9 n9 n9
a. The APRN will have less prescriptive authority in the new position.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
b. The APRN will have more prescriptive authority in the new position.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
c. The APRN will have equal prescriptive authority in the new position.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d. The APRN‘s authority will depend on federal regulation
n9 n9 n9 n9 n9 n9 n9
s.ANS: A
9
n n9
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nur
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
sepractitioners. The federal government does not regulate prescriptive authority.DIF: Cognitiv
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9
e Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Clie
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
nt Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
n9 n9 n9 n9 n9 n9 n9 n9
n9 n9 n9 n9 n9 n9 n9 n9 n9
dEdition Rosenthal Test Bank
9
n n9 n9 n9 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
n9 n9 n9 n
9
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND
n9 n9 n9 n9 n9 n9
EDITION ROSENTHAL TEST BANK
n9 n9 n9
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2n
n9 n9 n9 n9 n9 n9 n9 n9 n9
dEdition Rosenthal Test Bank
9
n n9 n9 n9 2
Chapter 1: Prescriptive Authority Test Ban
n9 n9 n9 n9 n9
kMultiple Choice
n
9 n9
1. An APRN works in a urology clinic under the supervision of a physician who does no
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
t restrict the types of medications the APRN is allowed to prescribe. State law does not requir
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
e theAPRN to practice under physician supervision. How would the APRN‘s prescriptive auth
n9 9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ority bedescribed? n9 9
n
a. Full authority n9
b. Independent
c. Without limitation n9
d. Limited authority n9
ANS: B n9
The APRN has independent prescriptive authority because the regulating body does not requ
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
irethat the APRN work under physician supervision. Full prescriptive authority gives the pro
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
viderthe right to prescribe independently and without limitation. Limited authority places restr
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ictionson the types of drugs that can be prescribed .DIF: Cognitive Level: Comprehension R
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
EF: p. n9
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrit
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
y:Pharmacologic and Parenteral Therapies
9
n n9 n9 n9
2. Which factors increase the need for APRNs to have full prescriptive authority?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. More patients will have access to health care.
n9 n9 n9 n9 n9 n9 n9
b. Enrollment in medical schools is predicted to decrease.n9 n9 n9 n9 n9 n9 n9
c. Physician‘s assistants are being utilized less often. n9 n9 n9 n9 n9 n9
d. APRN education is more complex than education for physicians.
n9 n9 n9 n9 n9 n9 n9 n9
ANS: A n9
Implementation of the Affordable Care Act has increased the number of individuals with hea
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
lthcare coverage, and thus the number who have access to health care services. The increase
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
in thenumber of patients creates the need for more providers with prescriptive authority. AP
n9 9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
RNs can fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursin
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
g Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pha
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
rmacologic and Parenteral Therapies n9 n9 n9
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2n
n9 n9 n9 n9 n9 n9 n9 n9 n9
dEdition Rosenthal Test Bank
9
n n9 n9 n9 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
allthat apply.
9
n n9
a. Inaccessibility of patient care n9 n9 n9
b. Higher health care costs n9 n9 n9
c. Higher quality medical treatment
n9 n9 n9
d. Improved collaborative care n9 n9
e. Enhanced health literacy n9 n9
ANS: A , B n9 n9 n9
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and acces
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
sible patient care. It may also lead to poor collaboration among providers and higher healthcar
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n
e costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level: Comprehe
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
nsionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n
Integrity: Pharmacologic and Parenteral Therapies
n9 n9 n9 n9
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
allthat apply.
9
n n9
a. Clinical education includes prescription of medications and disease processes.
n9 n9 n9 n9 n9 n9 n9 n9
b. Federal regulations support the provision of full authority for APRNs.
n9 n9 n9 n9 n9 n9 n9 n9 n9
c. National examinations provide validation of the APRN‘s ability to provide safecare.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d. Licensure ensures compliance with health care and safety standards.
n9 n9 n9 n9 n9 n9 n9 n9
e. Limiting provision can decrease health care affordability.
n9 n9 n9 n9 n9 n9
ANS: A , C , D n9 n9 n9 n9 n9
APRNs are educated to practice and prescribe independently without supervision. National
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
examinations validate the ability to provide safe and competent care. Licensure ensures co
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
mpliance with standards to promote public health and safety. Limited prescriptive authority
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Level: ComprehensionREF: pp. 1-
n9 n9 n9
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologi
n9 n9 n9 n9 n9 n9 n9 n9 n9
c Integrity: Pharmacologic and Parenteral Therapies
n9 n9 n9 n9 n9
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2n
n9 n9 n9 n9 n9 n9 n9 n9 n9
dEdition Rosenthal Test Bank
9
n n9 n9 n9 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
allthat apply.9
n n9
a. Clinical education includes prescription of medications and disease processes.
n9 n9 n9 n9 n9 n9 n9 n9
b. Federal regulations support the provision of full authority for APRNs.
n9 n9 n9 n9 n9 n9 n9 n9 n9
c. National examinations provide validation of the APRN‘s ability to provide safecare.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d. Licensure ensures compliance with health care and safety standards.
n9 n9 n9 n9 n9 n9 n9 n9
ANS: A , C , D n9 n9 n9 n9 n9
APRNs are educated to practice and prescribe independently without supervision. National ex
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
aminations validate the ability to provide safe and competent care. Licensure ensures complia
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
nce with standards to promote public health and safety. Limited prescriptive authoritycreates n
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n n9
umerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation n9 n9 n 9 n9 n9 n9
MSC: NCLEX Clien n9 n9
tNeeds Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
9
n n9 n9 n9 n9 n9 n9 n9
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
inVirginia. Which aspect of practice may change for the APRN?
n9 9
n n9 n9 n9 n9 n9 n9 n9 n9 n9
a. The APRN will have less prescriptive authority in the new position.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
b. The APRN will have more prescriptive authority in the new position.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
c. The APRN will have equal prescriptive authority in the new position.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d. The APRN‘s authority will depend on federal regulation
n9 n9 n9 n9 n9 n9 n9
s.ANS: A
9
n n9
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nur
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
sepractitioners. The federal government does not regulate prescriptive authority.DIF: Cognitiv
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9
e Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Clie
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
nt Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
n9 n9 n9 n9 n9 n9 n9 n9
