Chapter #z1: #zPrescriptive #zAuthority #zTest #zBank
#z Multiple #zChoice
1. An #zAPRN #zworks #zin #za #zurology #zclinic #zunder #zthe
#zsupervision #zof #za #zphysician #zwho #zdoes #znot #zrestrict #zthe
#ztypes #zof #zmedications #zthe #zAPRN #zis #zallowed #zto
#zprescribe. #zState #zlaw #zdoes #znot #zrequire #ztheAPRN #zto
#zpractice #zunder #zphysician #zsupervision. #zHow #zwould #zthe
#zAPRN‘s #zprescriptive #zauthority #zbedescribed?
a. Full #zauthority
b. Independent
c. Without #zlimitation
d. Limited #zauthority
ANS: #zB
The #zAPRN #zhas #zindependent #zprescriptive #zauthority #zbecause #zthe #zregulating #zbody #zdoes #znot
#zrequire #zthat #zthe #zAPRN #zwork #zunder #zphysician #zsupervision. #zFull #zprescriptive #zauthority
#zgives #zthe #zprovider #zthe #zright #zto #zprescribe #zindependently #zand #zwithout #zlimitation. #zLimited
#zauthority #zplaces #zrestrictions #zon #zthe #ztypes #zof #zdrugs #zthat #zcan #zbe #zprescribed #z.DIF:
#zCognitive #zLevel: #zComprehension #zREF: #zp.
1TOP: #zNursing #zProcess: #zI #zMSC: #zNCLEX #zClient #zNeeds #zCategory: #zPhysiologic
#zIntegrity: #zPharmacologic #zand #zParenteral #zTherapies
2. Which #zfactors #zincrease #zthe #zneed #zfor #zAPRNs #zto #zhave #zfull #zprescriptive #zauthority?
a. More #zpatients #zwill #zhave #zaccess #zto #zhealth #zcare.
b. Enrollment #zin #zmedical #zschools #zis #zpredicted #zto #zdecrease.
c. Physician‘s #zassistants #zare #zbeing #zutilized #zless #zoften.
d. APRN #zeducation #zis #zmore #zcomplex #zthan #zeducation #zfor #zphysicians.
ANS: #zA
Implementation #zof #zthe #zAffordable #zCare #zAct #zhas #zincreased #zthe #znumber #zof #zindividuals #zwith
#zhealth #zcare #zcoverage, #zand #zthus #zthe #znumber #zwho #zhave #zaccess #zto #zhealth #zcare #zservices. #zThe
#zincrease #zin #zthe #znumber #zof #zpatients #zcreates #zthe #zneed #zfor #zmore #zproviders #zwith #zprescriptive
#zauthority. #zAPRNs #zcan #zfill #zthis #zpractice #zgap. #zDIF: #zCognitive #zLevel: #zComprehension #zREF:
#zp. #z2TOP: #zNursing #zProcess: #zImplementation #zMSC: #zNCLEX #zClient #zNeeds #zCategory:
#zPhysiologic #z Integrity: #zPharmacologic #zand #zParenteral #zTherapies
,3. Which factors could be attributed to limited prescriptive authority for APRNs? Select all that
apply.
a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy
ANS: A , B
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
accessible patient care. It may also lead to poor collaboration among providers and higher health
care costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level:
ComprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
Integrity: Pharmacologic and Parenteral Therapies
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select all
that apply.
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN‘s ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability.
ANS: A , C , D
APRNs are educated to practice and prescribe independently without supervision. National
examinations validate the ability to provide safe and competent care. Licensure ensures
compliance with standards to promote public health and safety. Limited prescriptive authority
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX
Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select
,allthat #zapply.
a. Clinical #zeducation #zincludes #zprescription #zof #zmedications #zand #zdisease #zprocesses.
b. Federal #zregulations #zsupport #zthe #zprovision #zof #zfull #zauthority #zfor #zAPRNs.
c. National #zexaminations #zprovide #zvalidation #zof #zthe #zAPRN‘s #zability #zto #zprovide #zsafecare.
d. Licensure #zensures #zcompliance #zwith #zhealth #zcare #zand #zsafety #zstandards.
ANS: #zA #z, #zC #z, #zD
APRNs #zare #zeducated #zto #zpractice #zand #zprescribe #zindependently #zwithout #zsupervision.
#zNational #zexaminations #zvalidate #zthe #zability #zto #zprovide #zsafe #zand #zcompetent #zcare. #zLicensure
#zensures #zcompliance #zwith #zstandards #zto #zpromote #zpublic #zhealth #zand #zsafety. #zLimited
#zprescriptive #zauthority #zcreates #znumerous #zbarriers #zto #zquality, #zaffordable, #zand #zaccessible
#zpatient #zcare.DIF: #zCognitive #z Level:
Comprehension #zREF: #zpp. # z 1-2TOP: #zNursing #zProcess: #zImplementation MSC: #zNCLEX
#zClient #zNeeds #zCategory: #zPhysiologic #z Integrity: #zPharmacologic #zand #zParenteral #zTherapies
6. A #zfamily #znurse #zpractitioner #zpracticing #zin #zMaine #zis #zhired #zat #za #zpractice #zacross #zstate
#zlines #zin #zVirginia. #zWhich #zaspect #zof #zpractice #zmay #zchange #zfor #zthe #zAPRN?
a. The #zAPRN #zwill #zhave #zless #zprescriptive #zauthority #zin #zthe #znew #zposition.
b. The #zAPRN #zwill #zhave #zmore #zprescriptive #zauthority #zin #zthe #znew #zposition.
c. The #zAPRN #zwill #zhave #zequal #zprescriptive #zauthority #zin #zthe #znew #zposition.
d. The #zAPRN‘s #zauthority#zwill #zdepend #zon #zfederal
regulations. #zANS: #zA
#z
Virginia #zallows #zlimited #zprescriptive #zauthority, #zwhile #zMaine #zgives #zfull #zauthority#zto #zcertified
#znurse #zpractitioners. #zThe #zfederal #zgovernment #zdoes #znot #zregulate #zprescriptive #zauthority.DIF:
#zCognitive #zLevel: #zComprehensionREF: #zp. #z3TOP: #zNursing #zProcess: #z Implementation #zMSC:
#zNCLEX #zClient #zNeeds #zCategory: #zPhysiologic #z Integrity: #zPharmacologic #zand #zParenteral
#zTherapies
Rosenthal: #zLehne's #zPharmacotherapeutics #zfor #zAdvanced #zPractice #zProviders, #z2nd #zEd.
#zChapter #z2: #zRational #zDrug #zSelection #zand #zPrescription #zWriting
Test #zBank #zMultiple #zChoice
MedC #z©
#z2022
, 7. How #zcan #zcollaboration #zwith #za #zpharmacist #zimprove #zpositive #zoutcomes #zfor #zpatients?
#zSelect #zall #zthat #zapply.
a. Pharmacists #zcan #zsuggest #zfoods #zthat #zwill #zhelp #zwith #zthe #zpatient‘s #zcondition.
b. Pharmacists #zhave #zadditional #zinformation #zon #zdrug #zinteractions.
c. The #zpharmacist #zcan #zsuggest #zadequate #zmedication #zdosing.
d. Pharmacists #zhave #zfirsthand #zknowledge #zof #zthe #zfacility #zformulary.
e. Pharmacy #zcan #zalter #zprescriptions #zwhen #znecessary #zto #zprevent #zpatient #zharm.
ANS: #zB #z, #zC #z, #zD
Providers #zshould #zcollaborate #zwith #zpharmacists #zbecause #zthey #zwill #zlikely #zhave #zadditional
#zinformation #zon #zformulary, #zdrug #zinteractions, #zand #zsuggestions #zfor #zadequate #zmedication
#zdosing. #zDietitians #zcan #zmake #zfoods #zrecommendations #zto #ztreat #zthe #zpatient‘s #zcondition. #zThe
#zpharmacist #zcan #zcontact #zthe #zprescriber #zabout #zquestionable #zprescriptions, #zbut #zcannot #zalter #zthe
#zprescription #zwithout #znotification #zof #zand #zapproval #zby #zthe #zprovider.DIF: #zCognitive #zLevel:
#zComprehensionREF: #zp.
9TOP: #zNursing #zProcess: #zDiagnosis #zMSC: #zNCLEX #zClient #zNeeds #zCategory: #zPhysiologic
#zIntegrity: #zReduction #zof #zRisk #zPotential
8. A #zpatient #zpresents #zwith #zdeliriumtremens #zrequiring #zAtivan #zadministration. #zThe
#zprovider #zofcare #zis #znot #zin #zthe #zfacility. #zWhich #zaction #zby #zthe #znurse #zis #zmost #zappropriate?
a. Obtain #za #ztelephone #zorder.
b. Contact #zthe #zon-call #zhospitalist.
c. Obtain #zan #zorder #zfrom #zthe #zcharge #znurse.
d. Wait #z for #za #zwritten #zAtivan #zorder.
ANS: #zA
In #zan #zemergency #zsituation, #zsuch #zas #zdelirium #ztremens #zwith #zseizure #zactivity, #zit #zis
#zacceptable #zto #zprovide #za #ztelephone #zorder. #zContacting #zthe #zon-call #zhospitalist #zor #zwaiting #zfor
#za #zwritten #zorder #zwould #ztake #zmore #ztime #zthan #zavailable #zfor #za #zpatient #zwith #zhigh #zseizure #zrisk.
#zWriting #zan #zorder #zis #zoutside #zthe #zscope #zof #zpractice #zfor #zthe #zcharge #znurse.DIF: #zCognitive
#zLevel: #zApplicationREF: #zp. #z7TOP: #zNursing #zProcess: #zImplementation #zMSC: #zNCLEX #zClient
#zNeeds #zCategory: #zPhysiologic #z Integrity: #zReduction #zof #zRisk #zPotential
MedC #z©
#z2022
#z Multiple #zChoice
1. An #zAPRN #zworks #zin #za #zurology #zclinic #zunder #zthe
#zsupervision #zof #za #zphysician #zwho #zdoes #znot #zrestrict #zthe
#ztypes #zof #zmedications #zthe #zAPRN #zis #zallowed #zto
#zprescribe. #zState #zlaw #zdoes #znot #zrequire #ztheAPRN #zto
#zpractice #zunder #zphysician #zsupervision. #zHow #zwould #zthe
#zAPRN‘s #zprescriptive #zauthority #zbedescribed?
a. Full #zauthority
b. Independent
c. Without #zlimitation
d. Limited #zauthority
ANS: #zB
The #zAPRN #zhas #zindependent #zprescriptive #zauthority #zbecause #zthe #zregulating #zbody #zdoes #znot
#zrequire #zthat #zthe #zAPRN #zwork #zunder #zphysician #zsupervision. #zFull #zprescriptive #zauthority
#zgives #zthe #zprovider #zthe #zright #zto #zprescribe #zindependently #zand #zwithout #zlimitation. #zLimited
#zauthority #zplaces #zrestrictions #zon #zthe #ztypes #zof #zdrugs #zthat #zcan #zbe #zprescribed #z.DIF:
#zCognitive #zLevel: #zComprehension #zREF: #zp.
1TOP: #zNursing #zProcess: #zI #zMSC: #zNCLEX #zClient #zNeeds #zCategory: #zPhysiologic
#zIntegrity: #zPharmacologic #zand #zParenteral #zTherapies
2. Which #zfactors #zincrease #zthe #zneed #zfor #zAPRNs #zto #zhave #zfull #zprescriptive #zauthority?
a. More #zpatients #zwill #zhave #zaccess #zto #zhealth #zcare.
b. Enrollment #zin #zmedical #zschools #zis #zpredicted #zto #zdecrease.
c. Physician‘s #zassistants #zare #zbeing #zutilized #zless #zoften.
d. APRN #zeducation #zis #zmore #zcomplex #zthan #zeducation #zfor #zphysicians.
ANS: #zA
Implementation #zof #zthe #zAffordable #zCare #zAct #zhas #zincreased #zthe #znumber #zof #zindividuals #zwith
#zhealth #zcare #zcoverage, #zand #zthus #zthe #znumber #zwho #zhave #zaccess #zto #zhealth #zcare #zservices. #zThe
#zincrease #zin #zthe #znumber #zof #zpatients #zcreates #zthe #zneed #zfor #zmore #zproviders #zwith #zprescriptive
#zauthority. #zAPRNs #zcan #zfill #zthis #zpractice #zgap. #zDIF: #zCognitive #zLevel: #zComprehension #zREF:
#zp. #z2TOP: #zNursing #zProcess: #zImplementation #zMSC: #zNCLEX #zClient #zNeeds #zCategory:
#zPhysiologic #z Integrity: #zPharmacologic #zand #zParenteral #zTherapies
,3. Which factors could be attributed to limited prescriptive authority for APRNs? Select all that
apply.
a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy
ANS: A , B
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
accessible patient care. It may also lead to poor collaboration among providers and higher health
care costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level:
ComprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
Integrity: Pharmacologic and Parenteral Therapies
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select all
that apply.
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN‘s ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability.
ANS: A , C , D
APRNs are educated to practice and prescribe independently without supervision. National
examinations validate the ability to provide safe and competent care. Licensure ensures
compliance with standards to promote public health and safety. Limited prescriptive authority
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX
Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select
,allthat #zapply.
a. Clinical #zeducation #zincludes #zprescription #zof #zmedications #zand #zdisease #zprocesses.
b. Federal #zregulations #zsupport #zthe #zprovision #zof #zfull #zauthority #zfor #zAPRNs.
c. National #zexaminations #zprovide #zvalidation #zof #zthe #zAPRN‘s #zability #zto #zprovide #zsafecare.
d. Licensure #zensures #zcompliance #zwith #zhealth #zcare #zand #zsafety #zstandards.
ANS: #zA #z, #zC #z, #zD
APRNs #zare #zeducated #zto #zpractice #zand #zprescribe #zindependently #zwithout #zsupervision.
#zNational #zexaminations #zvalidate #zthe #zability #zto #zprovide #zsafe #zand #zcompetent #zcare. #zLicensure
#zensures #zcompliance #zwith #zstandards #zto #zpromote #zpublic #zhealth #zand #zsafety. #zLimited
#zprescriptive #zauthority #zcreates #znumerous #zbarriers #zto #zquality, #zaffordable, #zand #zaccessible
#zpatient #zcare.DIF: #zCognitive #z Level:
Comprehension #zREF: #zpp. # z 1-2TOP: #zNursing #zProcess: #zImplementation MSC: #zNCLEX
#zClient #zNeeds #zCategory: #zPhysiologic #z Integrity: #zPharmacologic #zand #zParenteral #zTherapies
6. A #zfamily #znurse #zpractitioner #zpracticing #zin #zMaine #zis #zhired #zat #za #zpractice #zacross #zstate
#zlines #zin #zVirginia. #zWhich #zaspect #zof #zpractice #zmay #zchange #zfor #zthe #zAPRN?
a. The #zAPRN #zwill #zhave #zless #zprescriptive #zauthority #zin #zthe #znew #zposition.
b. The #zAPRN #zwill #zhave #zmore #zprescriptive #zauthority #zin #zthe #znew #zposition.
c. The #zAPRN #zwill #zhave #zequal #zprescriptive #zauthority #zin #zthe #znew #zposition.
d. The #zAPRN‘s #zauthority#zwill #zdepend #zon #zfederal
regulations. #zANS: #zA
#z
Virginia #zallows #zlimited #zprescriptive #zauthority, #zwhile #zMaine #zgives #zfull #zauthority#zto #zcertified
#znurse #zpractitioners. #zThe #zfederal #zgovernment #zdoes #znot #zregulate #zprescriptive #zauthority.DIF:
#zCognitive #zLevel: #zComprehensionREF: #zp. #z3TOP: #zNursing #zProcess: #z Implementation #zMSC:
#zNCLEX #zClient #zNeeds #zCategory: #zPhysiologic #z Integrity: #zPharmacologic #zand #zParenteral
#zTherapies
Rosenthal: #zLehne's #zPharmacotherapeutics #zfor #zAdvanced #zPractice #zProviders, #z2nd #zEd.
#zChapter #z2: #zRational #zDrug #zSelection #zand #zPrescription #zWriting
Test #zBank #zMultiple #zChoice
MedC #z©
#z2022
, 7. How #zcan #zcollaboration #zwith #za #zpharmacist #zimprove #zpositive #zoutcomes #zfor #zpatients?
#zSelect #zall #zthat #zapply.
a. Pharmacists #zcan #zsuggest #zfoods #zthat #zwill #zhelp #zwith #zthe #zpatient‘s #zcondition.
b. Pharmacists #zhave #zadditional #zinformation #zon #zdrug #zinteractions.
c. The #zpharmacist #zcan #zsuggest #zadequate #zmedication #zdosing.
d. Pharmacists #zhave #zfirsthand #zknowledge #zof #zthe #zfacility #zformulary.
e. Pharmacy #zcan #zalter #zprescriptions #zwhen #znecessary #zto #zprevent #zpatient #zharm.
ANS: #zB #z, #zC #z, #zD
Providers #zshould #zcollaborate #zwith #zpharmacists #zbecause #zthey #zwill #zlikely #zhave #zadditional
#zinformation #zon #zformulary, #zdrug #zinteractions, #zand #zsuggestions #zfor #zadequate #zmedication
#zdosing. #zDietitians #zcan #zmake #zfoods #zrecommendations #zto #ztreat #zthe #zpatient‘s #zcondition. #zThe
#zpharmacist #zcan #zcontact #zthe #zprescriber #zabout #zquestionable #zprescriptions, #zbut #zcannot #zalter #zthe
#zprescription #zwithout #znotification #zof #zand #zapproval #zby #zthe #zprovider.DIF: #zCognitive #zLevel:
#zComprehensionREF: #zp.
9TOP: #zNursing #zProcess: #zDiagnosis #zMSC: #zNCLEX #zClient #zNeeds #zCategory: #zPhysiologic
#zIntegrity: #zReduction #zof #zRisk #zPotential
8. A #zpatient #zpresents #zwith #zdeliriumtremens #zrequiring #zAtivan #zadministration. #zThe
#zprovider #zofcare #zis #znot #zin #zthe #zfacility. #zWhich #zaction #zby #zthe #znurse #zis #zmost #zappropriate?
a. Obtain #za #ztelephone #zorder.
b. Contact #zthe #zon-call #zhospitalist.
c. Obtain #zan #zorder #zfrom #zthe #zcharge #znurse.
d. Wait #z for #za #zwritten #zAtivan #zorder.
ANS: #zA
In #zan #zemergency #zsituation, #zsuch #zas #zdelirium #ztremens #zwith #zseizure #zactivity, #zit #zis
#zacceptable #zto #zprovide #za #ztelephone #zorder. #zContacting #zthe #zon-call #zhospitalist #zor #zwaiting #zfor
#za #zwritten #zorder #zwould #ztake #zmore #ztime #zthan #zavailable #zfor #za #zpatient #zwith #zhigh #zseizure #zrisk.
#zWriting #zan #zorder #zis #zoutside #zthe #zscope #zof #zpractice #zfor #zthe #zcharge #znurse.DIF: #zCognitive
#zLevel: #zApplicationREF: #zp. #z7TOP: #zNursing #zProcess: #zImplementation #zMSC: #zNCLEX #zClient
#zNeeds #zCategory: #zPhysiologic #z Integrity: #zReduction #zof #zRisk #zPotential
MedC #z©
#z2022
