Test Bank for Lehne’s Pharmacotherapeutics
for Advanced Practice Nurses and Physician
Assistants 2nd Edition by Rosenthal
, Unit 01: Introduction
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Nurses and Physician
Assistants, 2nd Edition
MULTIPLE CHOICE
1. A patient diagnosed with chronic pain calls to request an oxycodone (Oxycontin) refill. Which
action should the prescriber take initially?
a. Fax the renewal order to the pharmacy.
b. Arrange to schedule an appointment with the patient.
c. Verify the patient’s adherence to the prescribed drug regimen.
d. Determine the patient’s current medication dosage and pain level.
ANS: B
Schedule II medications are not eligible for refills, and prescriptions must be handwritten. It is
important to verify the patient’s adherence to the drug regimen and determine the current
dosage of medication and pain level; however, this can be accomplished by scheduling an
appointment and evaluating the patient in person.
2. A metered-dose albuterol inhaler is prescribed for asthma management. The patient reports
feeling jittery sometimes when taking the medication, and does not feel that the medication is
always effective. Which action will the provider take to best minimize patient risks and
maximize medication effectiveness?
a. Ask the patient to demonstrate use of the inhaler and assess effectiveness.
b. Assess the patient’s exposure to first- and second-hand tobacco smoke.
c. Auscultate the patient's lung sounds and obtain other relevant vital signs.
d. Decrease the dosage to reduce side effects.
ANS: C
Assessing and evaluating lung sounds as well as other vital signs helps determine the patient's
physical response to the medication and allows comparison to the patient's baseline vital
signs. Asking the patient to demonstrate inhaler use helps to evaluate the patient’s ability to
administer the medication properly and is part of an effective evaluation, but is not a priority
intervention based on the patient’s current report. Assessing tobacco smoke exposure helps
determine whether nondrug therapies, such as smoke avoidance, can be used as an adjunct to
drug therapy, but does not relate to the patient’s current problem. Rewriting the prescription to
decrease the dosage may address the degree of jitteriness experienced, but does not address
the patient’s concern that the drug is not always effective.
3. A patient is prescribed metronidazole for bacterial vaginosis. Which patient history finding
would be most concerning to the provider?
a. The patient had a recent yeast infection.
b. There is a family history of cervical cancer.
c. The patient drinks two glasses of wine every night.
d. The patient is unemployed.
ANS: C
for Advanced Practice Nurses and Physician
Assistants 2nd Edition by Rosenthal
, Unit 01: Introduction
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Nurses and Physician
Assistants, 2nd Edition
MULTIPLE CHOICE
1. A patient diagnosed with chronic pain calls to request an oxycodone (Oxycontin) refill. Which
action should the prescriber take initially?
a. Fax the renewal order to the pharmacy.
b. Arrange to schedule an appointment with the patient.
c. Verify the patient’s adherence to the prescribed drug regimen.
d. Determine the patient’s current medication dosage and pain level.
ANS: B
Schedule II medications are not eligible for refills, and prescriptions must be handwritten. It is
important to verify the patient’s adherence to the drug regimen and determine the current
dosage of medication and pain level; however, this can be accomplished by scheduling an
appointment and evaluating the patient in person.
2. A metered-dose albuterol inhaler is prescribed for asthma management. The patient reports
feeling jittery sometimes when taking the medication, and does not feel that the medication is
always effective. Which action will the provider take to best minimize patient risks and
maximize medication effectiveness?
a. Ask the patient to demonstrate use of the inhaler and assess effectiveness.
b. Assess the patient’s exposure to first- and second-hand tobacco smoke.
c. Auscultate the patient's lung sounds and obtain other relevant vital signs.
d. Decrease the dosage to reduce side effects.
ANS: C
Assessing and evaluating lung sounds as well as other vital signs helps determine the patient's
physical response to the medication and allows comparison to the patient's baseline vital
signs. Asking the patient to demonstrate inhaler use helps to evaluate the patient’s ability to
administer the medication properly and is part of an effective evaluation, but is not a priority
intervention based on the patient’s current report. Assessing tobacco smoke exposure helps
determine whether nondrug therapies, such as smoke avoidance, can be used as an adjunct to
drug therapy, but does not relate to the patient’s current problem. Rewriting the prescription to
decrease the dosage may address the degree of jitteriness experienced, but does not address
the patient’s concern that the drug is not always effective.
3. A patient is prescribed metronidazole for bacterial vaginosis. Which patient history finding
would be most concerning to the provider?
a. The patient had a recent yeast infection.
b. There is a family history of cervical cancer.
c. The patient drinks two glasses of wine every night.
d. The patient is unemployed.
ANS: C
