Current update
,Current update
,Current update
Chapter 1: The Role of the Advanced Practice Nurse as Prescriber
Q1. Which of the following best describes the prescriptive authority of advanced
practice nurses (APNs) in the United States?
A. It is identical across all states.
B. It is determined by federal law.
C. It varies depending on individual state regulations.
D. It is granted only after national board certification.
Answer: C
Rationale: Prescriptive authority is governed by state laws and varies widely —
some states allow full authority, others require physician collaboration or
supervision.
Q2. An APN is practicing in a state that requires physician collaboration for
prescribing. What is the main implication of this requirement?
A. The APN may only prescribe controlled substances.
B. The APN must have a formal agreement with a physician to prescribe
medications.
C. The APN cannot prescribe medications independently.
D. The APN is prohibited from prescribing for acute conditions.
Answer: B
Rationale: In restricted or reduced practice states, prescribers need a collaborative
or supervisory agreement with a physician.
Q3. Which of the following is an example of the APN role in responsible
prescribing?
A. Prescribing the newest available medication regardless of cost.
B. Considering patient comorbidities, drug interactions, and socioeconomic factors
before prescribing.
, Current update
C. Following pharmaceutical marketing recommendations.
D. Always prescribing generic medications regardless of patient preference.
Answer: B
Rationale: Safe, responsible prescribing requires considering clinical, social, and
economic aspects, not just drug availability or cost.
Q4. Which organization sets national standards for advanced practice nursing
education and competencies related to prescribing?
A. DEA
B. FDA
C. National Council of State Boards of Nursing (NCSBN)
D. Centers for Medicare & Medicaid Services (CMS)
Answer: C
Rationale: The NCSBN provides the APRN Consensus Model, which sets national
standards for licensure, accreditation, certification, and education.
Q5. A nurse practitioner in a full-practice state prescribes lisinopril to a patient
with hypertension. What does “full practice” authority mean?
A. The NP must obtain physician approval before prescribing.
B. The NP is allowed to prescribe only non-controlled substances.
C. The NP can evaluate, diagnose, prescribe, and manage treatments
independently.
D. The NP can prescribe but not order diagnostic tests.
Answer: C
Rationale: Full practice authority allows the NP to function independently in all
aspects of patient care, including prescribing medications and ordering diagnostics.
Q6. Which federal agency is primarily responsible for approving new drugs before
they can be marketed in the United States?
,Current update
,Current update
Chapter 1: The Role of the Advanced Practice Nurse as Prescriber
Q1. Which of the following best describes the prescriptive authority of advanced
practice nurses (APNs) in the United States?
A. It is identical across all states.
B. It is determined by federal law.
C. It varies depending on individual state regulations.
D. It is granted only after national board certification.
Answer: C
Rationale: Prescriptive authority is governed by state laws and varies widely —
some states allow full authority, others require physician collaboration or
supervision.
Q2. An APN is practicing in a state that requires physician collaboration for
prescribing. What is the main implication of this requirement?
A. The APN may only prescribe controlled substances.
B. The APN must have a formal agreement with a physician to prescribe
medications.
C. The APN cannot prescribe medications independently.
D. The APN is prohibited from prescribing for acute conditions.
Answer: B
Rationale: In restricted or reduced practice states, prescribers need a collaborative
or supervisory agreement with a physician.
Q3. Which of the following is an example of the APN role in responsible
prescribing?
A. Prescribing the newest available medication regardless of cost.
B. Considering patient comorbidities, drug interactions, and socioeconomic factors
before prescribing.
, Current update
C. Following pharmaceutical marketing recommendations.
D. Always prescribing generic medications regardless of patient preference.
Answer: B
Rationale: Safe, responsible prescribing requires considering clinical, social, and
economic aspects, not just drug availability or cost.
Q4. Which organization sets national standards for advanced practice nursing
education and competencies related to prescribing?
A. DEA
B. FDA
C. National Council of State Boards of Nursing (NCSBN)
D. Centers for Medicare & Medicaid Services (CMS)
Answer: C
Rationale: The NCSBN provides the APRN Consensus Model, which sets national
standards for licensure, accreditation, certification, and education.
Q5. A nurse practitioner in a full-practice state prescribes lisinopril to a patient
with hypertension. What does “full practice” authority mean?
A. The NP must obtain physician approval before prescribing.
B. The NP is allowed to prescribe only non-controlled substances.
C. The NP can evaluate, diagnose, prescribe, and manage treatments
independently.
D. The NP can prescribe but not order diagnostic tests.
Answer: C
Rationale: Full practice authority allows the NP to function independently in all
aspects of patient care, including prescribing medications and ordering diagnostics.
Q6. Which federal agency is primarily responsible for approving new drugs before
they can be marketed in the United States?
