Pharmacotherapeutics for Advanced Practice
Nurse Prescribers with Davis Edge
6th Edition
TEST BANK
1.
Reference: Ch. 1, Section: Scope of Prescriptive Authority
Question Stem: An experienced family APN working in a state
with full practice authority begins seeing new adult patients.
Which action best reflects appropriate initial prescribing
practice?
Options:
A. Begin prescribing all chronic medications without
consultation because of full practice authority.
B. Perform a focused assessment, confirm diagnoses, review
current medications, and document the rationale before
initiating therapy.
C. Prescribe medications only after consulting with a
collaborating physician for every chronic condition.
D. Delegate initiation of all prescriptions to clinic physicians to
avoid liability.
,Correct Answer: B
Rationales:
• Correct (B): APNs with full practice authority still must
perform a thorough assessment, reconcile medications,
document diagnostic reasoning, and follow standards of
care before prescribing; this aligns with prescriptive
responsibility and patient-safety emphasis.
• Incorrect (A): Full practice authority permits independent
prescribing but does not obviate the need for assessment
and documentation.
• Incorrect (C): Requiring physician consultation for every
chronic condition is unnecessary in full practice states and
can impede timely care.
• Incorrect (D): Delegating prescribing to physicians
abdicates the APN’s legal and professional responsibilities
and is not appropriate.
Teaching Point: Always assess, reconcile, and document
before initiating therapy.
Citation: Woo & Wright, Pharmacotherapeutics for
Advanced Practice Nurse Prescribers, 6th Ed., Ch.1, Scope
of Prescriptive Authority.
2.
Reference: Ch. 1, Section: Legal & Regulatory Requirements
Question Stem: An APRN plans to prescribe controlled
,substances. Which step is essential before writing controlled-
drug prescriptions?
Options:
A. Register with the Drug Enforcement Administration (DEA)
and obtain the appropriate DEA number.
B. Only keep DEA registration on file if the clinic requests it.
C. Prescribe under a colleague’s DEA number to expedite care.
D. Use hospital stock without personal DEA registration.
Correct Answer: A
Rationales:
• Correct (A): Federal law requires prescribers of controlled
substances to obtain DEA registration appropriate to their
practice; this authorization is foundational to legal
controlled-substance prescribing.
• Incorrect (B): DEA registration is the prescriber’s
responsibility, not optional.
• Incorrect (C): Using another prescriber’s DEA number is
illegal and constitutes fraud.
• Incorrect (D): Accessing hospital stock does not remove
the need for the prescriber’s DEA registration when writing
prescriptions.
Teaching Point: Obtain and maintain your own DEA
registration before prescribing controlled drugs.
Citation: Woo & Wright, 6th Ed., Ch.1, Legal & Regulatory
Requirements.
, 3.
Reference: Ch. 1, Section: Collaborative Practice & Agreements
Question Stem: An APRN in a state that requires a collaborative
agreement is negotiating the written agreement. Which clause
is most important to include to protect patient safety and clarify
prescriptive practice?
Options:
A. A vague statement that the collaborating physician will be
“available as needed.”
B. Specific details about scope of prescriptive authority,
communication expectations, supervision level, and dispute
resolution.
C. A clause that allows the APN to refer exclusively to the
collaborating physician for all decisions.
D. A clause that exempts the provider from following state
prescribing guidelines.
Correct Answer: B
Rationales:
• Correct (B): A well-written collaborative agreement should
specify scope, communication, supervision, and protocols
to ensure safe, legally compliant prescribing and clear
accountability.
• Incorrect (A): Vague availability language creates ambiguity
and risk for patient care and regulatory audits.
Nurse Prescribers with Davis Edge
6th Edition
TEST BANK
1.
Reference: Ch. 1, Section: Scope of Prescriptive Authority
Question Stem: An experienced family APN working in a state
with full practice authority begins seeing new adult patients.
Which action best reflects appropriate initial prescribing
practice?
Options:
A. Begin prescribing all chronic medications without
consultation because of full practice authority.
B. Perform a focused assessment, confirm diagnoses, review
current medications, and document the rationale before
initiating therapy.
C. Prescribe medications only after consulting with a
collaborating physician for every chronic condition.
D. Delegate initiation of all prescriptions to clinic physicians to
avoid liability.
,Correct Answer: B
Rationales:
• Correct (B): APNs with full practice authority still must
perform a thorough assessment, reconcile medications,
document diagnostic reasoning, and follow standards of
care before prescribing; this aligns with prescriptive
responsibility and patient-safety emphasis.
• Incorrect (A): Full practice authority permits independent
prescribing but does not obviate the need for assessment
and documentation.
• Incorrect (C): Requiring physician consultation for every
chronic condition is unnecessary in full practice states and
can impede timely care.
• Incorrect (D): Delegating prescribing to physicians
abdicates the APN’s legal and professional responsibilities
and is not appropriate.
Teaching Point: Always assess, reconcile, and document
before initiating therapy.
Citation: Woo & Wright, Pharmacotherapeutics for
Advanced Practice Nurse Prescribers, 6th Ed., Ch.1, Scope
of Prescriptive Authority.
2.
Reference: Ch. 1, Section: Legal & Regulatory Requirements
Question Stem: An APRN plans to prescribe controlled
,substances. Which step is essential before writing controlled-
drug prescriptions?
Options:
A. Register with the Drug Enforcement Administration (DEA)
and obtain the appropriate DEA number.
B. Only keep DEA registration on file if the clinic requests it.
C. Prescribe under a colleague’s DEA number to expedite care.
D. Use hospital stock without personal DEA registration.
Correct Answer: A
Rationales:
• Correct (A): Federal law requires prescribers of controlled
substances to obtain DEA registration appropriate to their
practice; this authorization is foundational to legal
controlled-substance prescribing.
• Incorrect (B): DEA registration is the prescriber’s
responsibility, not optional.
• Incorrect (C): Using another prescriber’s DEA number is
illegal and constitutes fraud.
• Incorrect (D): Accessing hospital stock does not remove
the need for the prescriber’s DEA registration when writing
prescriptions.
Teaching Point: Obtain and maintain your own DEA
registration before prescribing controlled drugs.
Citation: Woo & Wright, 6th Ed., Ch.1, Legal & Regulatory
Requirements.
, 3.
Reference: Ch. 1, Section: Collaborative Practice & Agreements
Question Stem: An APRN in a state that requires a collaborative
agreement is negotiating the written agreement. Which clause
is most important to include to protect patient safety and clarify
prescriptive practice?
Options:
A. A vague statement that the collaborating physician will be
“available as needed.”
B. Specific details about scope of prescriptive authority,
communication expectations, supervision level, and dispute
resolution.
C. A clause that allows the APN to refer exclusively to the
collaborating physician for all decisions.
D. A clause that exempts the provider from following state
prescribing guidelines.
Correct Answer: B
Rationales:
• Correct (B): A well-written collaborative agreement should
specify scope, communication, supervision, and protocols
to ensure safe, legally compliant prescribing and clear
accountability.
• Incorrect (A): Vague availability language creates ambiguity
and risk for patient care and regulatory audits.
