LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION
ROSENTHAL
Chapteri1:iPrescriptiveiAuthorityi
TestiBank
MultipleiChoice
1. AniAPRNiworksiiniaiurologyicliniciunderitheisupervisioniofiaiphysicianiwhoidoesinotirestrictitheit
ypesiofimedicationsitheiAPRNiisialloweditoiprescribe.iStateilawidoesinotirequireitheiAPRNitoipra
cticeiunderiphysicianisupervision.iHowiwoulditheiAPRN’siprescriptiveiauthorityibeidescribed?
a. Fulliauthority
b. Independent
c. Withoutilimitation
d. Limitediauthority
ANS:iB
TheiAPRNihasiindependentiprescriptiveiauthorityibecauseitheiregulatingibodyidoesinotirequireithatit
heiAPRNiworkiunderiphysicianisupervision.iFulliprescriptiveiauthorityigivesitheiprovideritheirightit
oiprescribeiindependentlyiandiwithoutilimitation.iLimitediauthorityiplacesirestrictionsionitheitypesio
fidrugsithaticanibeiprescribed.DIF:iCognitiveiLevel:iComprehensionREF:ip.i1TOP:iNursingiProcess
:iIiMSC:iNCLEXiClientiNeedsiCategory:iPhysiologiciIntegrity:iPharmacologiciandiParenteraliTher
apies
2. WhichifactorsiincreaseitheineediforiAPRNsitoihaveifulliprescriptivei authority?
a. Moreipatientsiwillihaveiaccessitoihealthicare.
b. Enrollmentiinimedicalischoolsiisipredicteditoi decrease.
c. Physician’siassistantsiareibeingiutilizedilessi often.
d. APRNieducationiisimoreicomplexithanieducationiforiphysicians.
ANS:iA
ImplementationiofitheiAffordableiCareiActihasiincreaseditheinumberiofiindividualsiwithihealthicarei
coverage,iandithusitheinumberiwhoihaveiaccessitoihealthicareiservices.iTheiincreaseiinitheinumberiofi
patientsicreatesitheineediforimoreiprovidersiwithiprescriptiveiauthority.i APRNsicanifillithisipracticei
gap.DIF:iCognitiveiLevel:iComprehensionREF:ip.i2TOP:iNursingiProcess:iImplementationiMSC:i
NCLEXiClientiNeedsiCategory:iPhysiologiciIntegrity:iPharmacologiciandiParenteraliTherapies
3. WhichifactorsicouldibeiattributeditoilimitediprescriptiveiauthorityiforiAPRNs?
iSelecti allithati apply.
, a. Inaccessibilityiofi patienticare
b. Higherihealthicareicosts
c. Higheriqualityimedicalitreatment
d. Improvedicollaborativeicare
e. Enhancedihealthi literacy
ANS:iAi,iB
LimitingiprescriptiveiauthorityiforiAPRNsicanicreateibarriersitoiquality,iaffordable,iandiaccessibleip
atienticare.iItimayialsoileaditoipooricollaborationiamongiprovidersiandihigherihealthicareicosts.iItiwo
uldinotidirectlyiimpactipatient’sihealthiliteracy.DIF:iCognitiveiLevel:iComprehensionREF:
p.i2TOP:iNursingiProcess:iImplementationiMSC:iNCLEXiClientiNeedsiCategory:iPhysiologiciInte
grity:iPharmacologiciandiParenteraliTherapies
4. WhichiaspectsisupportitheiAPRN’siprovisioniforifulliprescriptiveiauthority?
iSelecti allithati apply.
a. Clinicalieducationiincludesiprescriptioniofi medicationsiandidiseaseiprocesses.
b. FederaliregulationsisupportitheiprovisioniofifulliauthorityiforiAPRNs.
c. NationaliexaminationsiprovideivalidationiofitheiAPRN’siabilityitoiprovideisafecare.
d. Licensureiensuresicomplianceiwithihealthicarei andisafetyistandards.
e. Limitingiprovisionicanidecreaseihealthicareiaffordability.
ANS:iAi,iCi,iD
APRNsiareieducateditoipracticeiandiprescribeiindependentlyiwithoutisupervision.iNationaliexamina
tionsivalidateitheiabilityitoiprovideisafeiandicompetenticare.iLicensureiensuresicomplianceiwithistan
dardsitoipromoteipublicihealthiandisafety.iLimitediprescriptiveiauthorityicreatesinumerousibarriersit
oiquality,iaffordable,iandiaccessibleipatienticare.DIF:iCognitiveiLevel:iComprehensionREF:ipp.i1-
2TOP:iNursingiProcess:iImplementationiMSC:iNCLEXiClientiNeedsiCategory:iPhysiologiciIntegri
ty:iPharmacologiciandi ParenteraliTherapies
5. WhichiaspectsisupportitheiAPRN’siprovisioniforifulliprescriptiveiauthority?
iSelecti allithati apply.
a. Clinicalieducationiincludesiprescriptioniofi medicationsiandidiseaseiprocesses.
b. FederaliregulationsisupportitheiprovisioniofifulliauthorityiforiAPRNs.
c. NationaliexaminationsiprovideivalidationiofitheiAPRN’siabilityitoiprovideisafecare.
d. Licensureiensuresicomplianceiwithihealthicareiandisafetyistandards.
ANS:iAi,iCi,iD
APRNsiareieducateditoipracticeiandiprescribeiindependentlyiwithoutisupervision.iNationaliexamina
tionsivalidateitheiabilityitoiprovideisafeiandicompetenticare.iLicensureiensuresicomplianceiwithistan
dardsitoipromoteipublicihealthiandisafety.iLimitediprescriptiveiauthorityicreatesinumerousibarriersito
iquality,iaffordable,iandiaccessibleipatienti care.DIF:iCognitiveiLevel:
,ComprehensionREF:i pp.i 1-2TOP:i Nursingi Process:i Implementation
MSC:iNCLEXiClientiNeedsiCategory:iPhysiologiciIntegrity:iPharmacologiciandiParenteraliThera
pies
6. AifamilyinurseipractitioneripracticingiiniMaineiisihirediatiaipracticeiacrossistateilinesiiniVir
ginia.i Whichiaspectiofipracticeimayichangeiforithei APRN?
a. TheiAPRNiwillihaveilessiprescriptiveiauthorityiinitheinewi position.
b. TheiAPRNiwillihavei moreiprescriptiveiauthorityiinitheinewiposition.
c. TheiAPRNiwillihaveiequaliprescriptiveiauthorityiinitheinewposition.
d. TheiAPRN’siauthorityiwillidependionifederalregulations.
ANS:iA
Virginiaiallowsilimitediprescriptiveiauthority,iwhileiMaineigivesifulliauthorityitoicertifiedinurseipra
ctitioners.iTheifederaligovernmentidoesinotiregulateiprescriptiveiauthority.DIF:iCognitiveiLevel:iC
omprehensionREF:ip.i3TOP:iNursingiProcess:iImplementationiMSC:iNCLEXiClientiNeedsiCatego
ry:iPhysiologiciIntegrity:iPharmacologiciandiParenteraliTherapies
Rosenthal:iLehne'siPharmacotherapeuticsiforiAdvancediPracticeiProviders,i 2ndiEd.iChapteri
2:iRationaliDrugiSelectioniandiPrescriptioniWriting
TestiBankiMulti
pleiChoice
7. Howicanicollaborationiwithiaipharmacistiimproveipositiveioutcomesiforipatients?
iSelecti allithati apply.
a. Pharmacistsicanisuggestifoodsithatiwillihelpiwithitheipatient’sicondition.
b. Pharmacistsihaveiadditionaliinformationionidrugiinteractions.
c. Theipharmacisticanisuggestiadequateimedicationi dosing.
d. Pharmacistsihaveifirsthandiknowledgeiofitheifacilityiformulary.
e. Pharmacyicanialteriprescriptionsiwheninecessaryitoipreventipatientiharm.
ANS:iBi,iCi,iD
Providersishouldicollaborateiwithipharmacistsibecauseitheyiwillilikelyihaveiadditionaliinformationio
niformulary,idrugiinteractions,iandisuggestionsiforiadequateimedicationidosing.iDietitiansicanimakei
foodsirecommendationsitoitreatitheipatient’sicondition.iTheipharmacisticanicontactitheiprescriberiab
outiquestionableiprescriptions,ibuticannotialteritheiprescriptioniwithoutinotificationiofiandiapprovali
byitheiprovider.DIF:iCognitiveiLevel:iComprehensionREF:ip.i9TOP:iNursingiProcess:iDiagnosisiM
SC:iNCLEXiClientiNeedsiCategory:iPhysiologiciIntegrity:iReductioniofiRiskiPotential
, 8. Aipatienti presentsiwithideliriumitremensirequiringiAtivaniadministration.iTheiproviderioficareii
sinotiinitheifacility.i Whichiactionibyitheinursei isimosti appropriate?
a. Obtainiaitelephoneiorder.
b. Contactitheion-callihospitalist.
c. Obtainianiorderifromitheichargeinurse.
d. WaitiforiaiwritteniAtivani order.
ANS:i A
Inianiemergencyisituation,isuchiasideliriumitremensiwithiseizureiactivity,i itiisiacceptableitoiprovideiait
elephoneiorder.iContactingitheion-
callihospitalistioriwaitingiforiaiwritteniorderiwoulditakeimoreitimeithaniavailableiforiaipatientiwithihi
ghiseizureirisk.iWritingianiorderiisioutsideitheiscopeiofipracticeiforitheichargeinurse.DIF:iCognitiveiL
evel:iApplicationREF:ip.i7TOP:iNursingiProcess:iImplementationiMSC:iNCLEXiClientiNeedsiCate
gory:iPhysiologiciIntegrity:iReductioniofiRiskiPotential
9. Aipatientiwithichronicipainicallsitheiprovider’siofficeitoirequestiairefillionitheirioxycontin.iWh
ichiactioniisimosti appropriate?
a. Faxianiorderitoitheipharmacy.
b. Scheduleianiappointmentiwithitheipatient.
c. Verifyitheipatient’siadherenceitoidrugiregimen.
d. Determineitheipatient’sicurrentimedicationi dosage.
ANS:i B
ScheduleiIIimedicationsiareinotieligibleiforirefills,iandiprescriptionsimustibeihandwritten.iItiisiimport
antitoiverifyitheipatient’siadherenceitoitheidrugiregimeniandidetermineitheicurrentidosageiofimedicati
on;ihowever,ithisicanibeiaccomplishedibyischedulingianiappointmentiandievaluatingitheipatientiinipe
rson.DIF:iCognitiveiLevel:iApplicationREF:ip.i8TOP:iNursingiProcess:iImplementationiMSC:iNC
LEXiClientiNeedsiCategory:iPhysiologiciIntegrity:iReductioniofiRiskiPotential
10. Aipatienti prescribediamoxicilliniforistreptococcalipharyngitisireportsinewionsetiofiaiflat,iitchyire
dirashionitheichestiandineck.i Whichiactioniisimosti important?
a. Provideiaidifferenti prescription.
b. Discontinueithei medication.
c. Prescribeianiantihistamineicream.
d. Assessiforirespiratoryicompromise.
ANS:iB
Theipriorityiactioniisitoidiscontinueitheimedicationitoipreventiworseningiofitheipatient’sisymptoms.i
Aidifferenti prescriptioniwouldibeiprovided,itopicaliantihistamineimayibeiadministered,ianditheipatie
ntiwouldibeiassessediforirespiratoryiinvolvement,ibutitheseiactionsiwouldinoti be
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION
ROSENTHAL
Chapteri1:iPrescriptiveiAuthorityi
TestiBank
MultipleiChoice
1. AniAPRNiworksiiniaiurologyicliniciunderitheisupervisioniofiaiphysicianiwhoidoesinotirestrictitheit
ypesiofimedicationsitheiAPRNiisialloweditoiprescribe.iStateilawidoesinotirequireitheiAPRNitoipra
cticeiunderiphysicianisupervision.iHowiwoulditheiAPRN’siprescriptiveiauthorityibeidescribed?
a. Fulliauthority
b. Independent
c. Withoutilimitation
d. Limitediauthority
ANS:iB
TheiAPRNihasiindependentiprescriptiveiauthorityibecauseitheiregulatingibodyidoesinotirequireithatit
heiAPRNiworkiunderiphysicianisupervision.iFulliprescriptiveiauthorityigivesitheiprovideritheirightit
oiprescribeiindependentlyiandiwithoutilimitation.iLimitediauthorityiplacesirestrictionsionitheitypesio
fidrugsithaticanibeiprescribed.DIF:iCognitiveiLevel:iComprehensionREF:ip.i1TOP:iNursingiProcess
:iIiMSC:iNCLEXiClientiNeedsiCategory:iPhysiologiciIntegrity:iPharmacologiciandiParenteraliTher
apies
2. WhichifactorsiincreaseitheineediforiAPRNsitoihaveifulliprescriptivei authority?
a. Moreipatientsiwillihaveiaccessitoihealthicare.
b. Enrollmentiinimedicalischoolsiisipredicteditoi decrease.
c. Physician’siassistantsiareibeingiutilizedilessi often.
d. APRNieducationiisimoreicomplexithanieducationiforiphysicians.
ANS:iA
ImplementationiofitheiAffordableiCareiActihasiincreaseditheinumberiofiindividualsiwithihealthicarei
coverage,iandithusitheinumberiwhoihaveiaccessitoihealthicareiservices.iTheiincreaseiinitheinumberiofi
patientsicreatesitheineediforimoreiprovidersiwithiprescriptiveiauthority.i APRNsicanifillithisipracticei
gap.DIF:iCognitiveiLevel:iComprehensionREF:ip.i2TOP:iNursingiProcess:iImplementationiMSC:i
NCLEXiClientiNeedsiCategory:iPhysiologiciIntegrity:iPharmacologiciandiParenteraliTherapies
3. WhichifactorsicouldibeiattributeditoilimitediprescriptiveiauthorityiforiAPRNs?
iSelecti allithati apply.
, a. Inaccessibilityiofi patienticare
b. Higherihealthicareicosts
c. Higheriqualityimedicalitreatment
d. Improvedicollaborativeicare
e. Enhancedihealthi literacy
ANS:iAi,iB
LimitingiprescriptiveiauthorityiforiAPRNsicanicreateibarriersitoiquality,iaffordable,iandiaccessibleip
atienticare.iItimayialsoileaditoipooricollaborationiamongiprovidersiandihigherihealthicareicosts.iItiwo
uldinotidirectlyiimpactipatient’sihealthiliteracy.DIF:iCognitiveiLevel:iComprehensionREF:
p.i2TOP:iNursingiProcess:iImplementationiMSC:iNCLEXiClientiNeedsiCategory:iPhysiologiciInte
grity:iPharmacologiciandiParenteraliTherapies
4. WhichiaspectsisupportitheiAPRN’siprovisioniforifulliprescriptiveiauthority?
iSelecti allithati apply.
a. Clinicalieducationiincludesiprescriptioniofi medicationsiandidiseaseiprocesses.
b. FederaliregulationsisupportitheiprovisioniofifulliauthorityiforiAPRNs.
c. NationaliexaminationsiprovideivalidationiofitheiAPRN’siabilityitoiprovideisafecare.
d. Licensureiensuresicomplianceiwithihealthicarei andisafetyistandards.
e. Limitingiprovisionicanidecreaseihealthicareiaffordability.
ANS:iAi,iCi,iD
APRNsiareieducateditoipracticeiandiprescribeiindependentlyiwithoutisupervision.iNationaliexamina
tionsivalidateitheiabilityitoiprovideisafeiandicompetenticare.iLicensureiensuresicomplianceiwithistan
dardsitoipromoteipublicihealthiandisafety.iLimitediprescriptiveiauthorityicreatesinumerousibarriersit
oiquality,iaffordable,iandiaccessibleipatienticare.DIF:iCognitiveiLevel:iComprehensionREF:ipp.i1-
2TOP:iNursingiProcess:iImplementationiMSC:iNCLEXiClientiNeedsiCategory:iPhysiologiciIntegri
ty:iPharmacologiciandi ParenteraliTherapies
5. WhichiaspectsisupportitheiAPRN’siprovisioniforifulliprescriptiveiauthority?
iSelecti allithati apply.
a. Clinicalieducationiincludesiprescriptioniofi medicationsiandidiseaseiprocesses.
b. FederaliregulationsisupportitheiprovisioniofifulliauthorityiforiAPRNs.
c. NationaliexaminationsiprovideivalidationiofitheiAPRN’siabilityitoiprovideisafecare.
d. Licensureiensuresicomplianceiwithihealthicareiandisafetyistandards.
ANS:iAi,iCi,iD
APRNsiareieducateditoipracticeiandiprescribeiindependentlyiwithoutisupervision.iNationaliexamina
tionsivalidateitheiabilityitoiprovideisafeiandicompetenticare.iLicensureiensuresicomplianceiwithistan
dardsitoipromoteipublicihealthiandisafety.iLimitediprescriptiveiauthorityicreatesinumerousibarriersito
iquality,iaffordable,iandiaccessibleipatienti care.DIF:iCognitiveiLevel:
,ComprehensionREF:i pp.i 1-2TOP:i Nursingi Process:i Implementation
MSC:iNCLEXiClientiNeedsiCategory:iPhysiologiciIntegrity:iPharmacologiciandiParenteraliThera
pies
6. AifamilyinurseipractitioneripracticingiiniMaineiisihirediatiaipracticeiacrossistateilinesiiniVir
ginia.i Whichiaspectiofipracticeimayichangeiforithei APRN?
a. TheiAPRNiwillihaveilessiprescriptiveiauthorityiinitheinewi position.
b. TheiAPRNiwillihavei moreiprescriptiveiauthorityiinitheinewiposition.
c. TheiAPRNiwillihaveiequaliprescriptiveiauthorityiinitheinewposition.
d. TheiAPRN’siauthorityiwillidependionifederalregulations.
ANS:iA
Virginiaiallowsilimitediprescriptiveiauthority,iwhileiMaineigivesifulliauthorityitoicertifiedinurseipra
ctitioners.iTheifederaligovernmentidoesinotiregulateiprescriptiveiauthority.DIF:iCognitiveiLevel:iC
omprehensionREF:ip.i3TOP:iNursingiProcess:iImplementationiMSC:iNCLEXiClientiNeedsiCatego
ry:iPhysiologiciIntegrity:iPharmacologiciandiParenteraliTherapies
Rosenthal:iLehne'siPharmacotherapeuticsiforiAdvancediPracticeiProviders,i 2ndiEd.iChapteri
2:iRationaliDrugiSelectioniandiPrescriptioniWriting
TestiBankiMulti
pleiChoice
7. Howicanicollaborationiwithiaipharmacistiimproveipositiveioutcomesiforipatients?
iSelecti allithati apply.
a. Pharmacistsicanisuggestifoodsithatiwillihelpiwithitheipatient’sicondition.
b. Pharmacistsihaveiadditionaliinformationionidrugiinteractions.
c. Theipharmacisticanisuggestiadequateimedicationi dosing.
d. Pharmacistsihaveifirsthandiknowledgeiofitheifacilityiformulary.
e. Pharmacyicanialteriprescriptionsiwheninecessaryitoipreventipatientiharm.
ANS:iBi,iCi,iD
Providersishouldicollaborateiwithipharmacistsibecauseitheyiwillilikelyihaveiadditionaliinformationio
niformulary,idrugiinteractions,iandisuggestionsiforiadequateimedicationidosing.iDietitiansicanimakei
foodsirecommendationsitoitreatitheipatient’sicondition.iTheipharmacisticanicontactitheiprescriberiab
outiquestionableiprescriptions,ibuticannotialteritheiprescriptioniwithoutinotificationiofiandiapprovali
byitheiprovider.DIF:iCognitiveiLevel:iComprehensionREF:ip.i9TOP:iNursingiProcess:iDiagnosisiM
SC:iNCLEXiClientiNeedsiCategory:iPhysiologiciIntegrity:iReductioniofiRiskiPotential
, 8. Aipatienti presentsiwithideliriumitremensirequiringiAtivaniadministration.iTheiproviderioficareii
sinotiinitheifacility.i Whichiactionibyitheinursei isimosti appropriate?
a. Obtainiaitelephoneiorder.
b. Contactitheion-callihospitalist.
c. Obtainianiorderifromitheichargeinurse.
d. WaitiforiaiwritteniAtivani order.
ANS:i A
Inianiemergencyisituation,isuchiasideliriumitremensiwithiseizureiactivity,i itiisiacceptableitoiprovideiait
elephoneiorder.iContactingitheion-
callihospitalistioriwaitingiforiaiwritteniorderiwoulditakeimoreitimeithaniavailableiforiaipatientiwithihi
ghiseizureirisk.iWritingianiorderiisioutsideitheiscopeiofipracticeiforitheichargeinurse.DIF:iCognitiveiL
evel:iApplicationREF:ip.i7TOP:iNursingiProcess:iImplementationiMSC:iNCLEXiClientiNeedsiCate
gory:iPhysiologiciIntegrity:iReductioniofiRiskiPotential
9. Aipatientiwithichronicipainicallsitheiprovider’siofficeitoirequestiairefillionitheirioxycontin.iWh
ichiactioniisimosti appropriate?
a. Faxianiorderitoitheipharmacy.
b. Scheduleianiappointmentiwithitheipatient.
c. Verifyitheipatient’siadherenceitoidrugiregimen.
d. Determineitheipatient’sicurrentimedicationi dosage.
ANS:i B
ScheduleiIIimedicationsiareinotieligibleiforirefills,iandiprescriptionsimustibeihandwritten.iItiisiimport
antitoiverifyitheipatient’siadherenceitoitheidrugiregimeniandidetermineitheicurrentidosageiofimedicati
on;ihowever,ithisicanibeiaccomplishedibyischedulingianiappointmentiandievaluatingitheipatientiinipe
rson.DIF:iCognitiveiLevel:iApplicationREF:ip.i8TOP:iNursingiProcess:iImplementationiMSC:iNC
LEXiClientiNeedsiCategory:iPhysiologiciIntegrity:iReductioniofiRiskiPotential
10. Aipatienti prescribediamoxicilliniforistreptococcalipharyngitisireportsinewionsetiofiaiflat,iitchyire
dirashionitheichestiandineck.i Whichiactioniisimosti important?
a. Provideiaidifferenti prescription.
b. Discontinueithei medication.
c. Prescribeianiantihistamineicream.
d. Assessiforirespiratoryicompromise.
ANS:iB
Theipriorityiactioniisitoidiscontinueitheimedicationitoipreventiworseningiofitheipatient’sisymptoms.i
Aidifferenti prescriptioniwouldibeiprovided,itopicaliantihistamineimayibeiadministered,ianditheipatie
ntiwouldibeiassessediforirespiratoryiinvolvement,ibutitheseiactionsiwouldinoti be
