Pharmacotherapeutics for Advanced Practice
Nurse Prescribers with Davis Edge
6th Edition
TEST BANK
Reference: Ch. 1, Section: Roles and Responsibilities
Question Stem: A 38-year-old patient asks why her nurse
practitioner (NP) recommended pharmacotherapy rather than
referral to a specialist. Which statement best describes an NP’s
role in medication management?
A. NPs may only recommend medications and must have a
physician sign all prescriptions.
B. NPs integrate nursing and medical knowledge, using clinical
judgment to prescribe independently when authorized.
C. NPs limit prescribing to noncontrolled substances and must
refer for controlled-drug needs.
D. NPs primarily educate and do not take responsibility for drug
monitoring once prescribed.
Correct Answer: B
Rationales:
• B (correct): The text emphasizes that APRNs/NPs blend
nursing and medical knowledge and use advanced clinical
, judgment to select, prescribe, and monitor medications
within their scope and state authorization. F. A. Davis+1
• A: Incorrect — prescriptive authority is determined by
state law and many NPs have independent prescribing
without physician signature. F. A. Davis
• C: Incorrect — NPs may prescribe controlled substances
where authorized by state and federal registration;
limitation is regulatory, not an absolute rule. F. A. Davis
• D: Incorrect — NPs are responsible for continuing
monitoring and adjustments of therapy after initiation. F.
A. Davis
Teaching Point: APRNs combine nursing and medical
knowledge to prescribe and monitor therapy within legal
scope.
Citation: Woo & Wright, Ch. 1, Roles and Responsibilities.
F. A. Davis+1
2
Reference: Ch. 1, Section: Legal and Regulatory Issues
Question Stem: An APRN prescriber moves to another state
with different prescriptive rules. What is the APRN’s best first
action before writing prescriptions in the new state?
A. Begin prescribing; federal law supersedes state rules for
APRNs.
B. Obtain the state’s controlled-substance registration only if
,prescribing opioids.
C. Verify state nursing board regulations and scope of practice
for prescriptive authority.
D. Rely on the employer’s policy to define prescribing privileges.
Correct Answer: C
Rationales:
• C (correct): The chapter stresses that prescriptive authority
and scope are state regulated; APRNs must verify state
board rules before prescribing. F. A. Davis+1
• A: Incorrect — state regulations govern scope; federal law
does not give blanket prescriptive authority to APRNs. F. A.
Davis
• B: Incorrect — while DEA registration is needed for
controlled substances, verifying state scope precedes
determining DEA needs. F. A. Davis
• D: Incorrect — employer policy cannot expand legal scope
beyond state regulations. F. A. Davis
Teaching Point: Always confirm state board rules first; legal
scope varies by state.
Citation: Woo & Wright, Ch. 1, Legal and Regulatory Issues.
F. A. Davis+1
3
Reference: Ch. 1, Section: Clinical Judgment in Prescribing
Question Stem: A 65-year-old with CKD stage 4 needs antibiotic
, therapy. Which aspect of clinical judgment is most important
when selecting the agent and dose?
A. Preferring newest-marketed antibiotics because they have
fewer interactions.
B. Choosing agents and dosing adjusted for renal function and
monitoring parameters.
C. Avoiding dose adjustments; therapeutic effect is independent
of kidney function.
D. Prioritizing antibiotics that are over-the-counter to reduce
costs.
Correct Answer: B
Rationales:
• B (correct): Clinical judgment includes individualizing drug
selection/dosing based on renal function and plans for
monitoring — a core prescribing competency. F. A. Davis+1
• A: Incorrect — newer agents are not inherently safer;
selection must be evidence-based and individualized. F. A.
Davis
• C: Incorrect — renal impairment often requires dosing
adjustments to prevent toxicity. F. A. Davis
• D: Incorrect — many effective antibiotics require
prescription; OTC choices are not appropriate for serious
infections. F. A. Davis
Teaching Point: Individualize drug selection and dosing
using organ function and monitoring plans.
Nurse Prescribers with Davis Edge
6th Edition
TEST BANK
Reference: Ch. 1, Section: Roles and Responsibilities
Question Stem: A 38-year-old patient asks why her nurse
practitioner (NP) recommended pharmacotherapy rather than
referral to a specialist. Which statement best describes an NP’s
role in medication management?
A. NPs may only recommend medications and must have a
physician sign all prescriptions.
B. NPs integrate nursing and medical knowledge, using clinical
judgment to prescribe independently when authorized.
C. NPs limit prescribing to noncontrolled substances and must
refer for controlled-drug needs.
D. NPs primarily educate and do not take responsibility for drug
monitoring once prescribed.
Correct Answer: B
Rationales:
• B (correct): The text emphasizes that APRNs/NPs blend
nursing and medical knowledge and use advanced clinical
, judgment to select, prescribe, and monitor medications
within their scope and state authorization. F. A. Davis+1
• A: Incorrect — prescriptive authority is determined by
state law and many NPs have independent prescribing
without physician signature. F. A. Davis
• C: Incorrect — NPs may prescribe controlled substances
where authorized by state and federal registration;
limitation is regulatory, not an absolute rule. F. A. Davis
• D: Incorrect — NPs are responsible for continuing
monitoring and adjustments of therapy after initiation. F.
A. Davis
Teaching Point: APRNs combine nursing and medical
knowledge to prescribe and monitor therapy within legal
scope.
Citation: Woo & Wright, Ch. 1, Roles and Responsibilities.
F. A. Davis+1
2
Reference: Ch. 1, Section: Legal and Regulatory Issues
Question Stem: An APRN prescriber moves to another state
with different prescriptive rules. What is the APRN’s best first
action before writing prescriptions in the new state?
A. Begin prescribing; federal law supersedes state rules for
APRNs.
B. Obtain the state’s controlled-substance registration only if
,prescribing opioids.
C. Verify state nursing board regulations and scope of practice
for prescriptive authority.
D. Rely on the employer’s policy to define prescribing privileges.
Correct Answer: C
Rationales:
• C (correct): The chapter stresses that prescriptive authority
and scope are state regulated; APRNs must verify state
board rules before prescribing. F. A. Davis+1
• A: Incorrect — state regulations govern scope; federal law
does not give blanket prescriptive authority to APRNs. F. A.
Davis
• B: Incorrect — while DEA registration is needed for
controlled substances, verifying state scope precedes
determining DEA needs. F. A. Davis
• D: Incorrect — employer policy cannot expand legal scope
beyond state regulations. F. A. Davis
Teaching Point: Always confirm state board rules first; legal
scope varies by state.
Citation: Woo & Wright, Ch. 1, Legal and Regulatory Issues.
F. A. Davis+1
3
Reference: Ch. 1, Section: Clinical Judgment in Prescribing
Question Stem: A 65-year-old with CKD stage 4 needs antibiotic
, therapy. Which aspect of clinical judgment is most important
when selecting the agent and dose?
A. Preferring newest-marketed antibiotics because they have
fewer interactions.
B. Choosing agents and dosing adjusted for renal function and
monitoring parameters.
C. Avoiding dose adjustments; therapeutic effect is independent
of kidney function.
D. Prioritizing antibiotics that are over-the-counter to reduce
costs.
Correct Answer: B
Rationales:
• B (correct): Clinical judgment includes individualizing drug
selection/dosing based on renal function and plans for
monitoring — a core prescribing competency. F. A. Davis+1
• A: Incorrect — newer agents are not inherently safer;
selection must be evidence-based and individualized. F. A.
Davis
• C: Incorrect — renal impairment often requires dosing
adjustments to prevent toxicity. F. A. Davis
• D: Incorrect — many effective antibiotics require
prescription; OTC choices are not appropriate for serious
infections. F. A. Davis
Teaching Point: Individualize drug selection and dosing
using organ function and monitoring plans.
