Rosenthaln Lehne’sn Pharmacotherapeuticsn forn Advancedn Practicen Providers:n
1stnEditionn(TestBank)
Rosenthal:n Lehne'sn Pharmacotherapeutics n forn Advancedn Practice n Providers,n 1stn Ed.
Chaptern1:nPrescriptivenAuthoritynTe
stnBank
MultiplenChoice
1. AnnAPRNnworksn innan urologynclinicn undern then supervisionnof nan physiciann whondoesn notn restrict n th
en typesn ofn medicationsnthenAPRNn isn allowednton prescribe.n Staten lawndoesn notn requiren then APRN n
ton practicen undernphysiciannsupervision.n How nwouldnthen APRN‘sn prescriptiven authorityn bendescr
ibed?
a. Fullnauthority
b. Independent
c. Without nlimitation
d. Limited nauthority
ANS:n B
Then APRNn hasn independentn prescriptiven authorityn becausen then regulatingn bodyndoesn notn requiren tha
t nthenAPRN nworkn undern physiciann supervision.n Fulln prescriptiven authorityn givesn then providern then rig
ht nton prescriben independentlyn andn withoutn limitation.n Limited n authorityn placesn restrictionsn onnthen ty
pesn ofndrugsn thatn cannben prescribed.DIF:nCognitiven Level:n ComprehensionREF:np.n 1TOP:nNursingn
Process:n I n MSC:n NCLEXn Clientn Needsn Category:n Physiologicn Integrity:n Pharmacologicn and n Par
enteraln Therapies
2. Whichnfactorsn increasen then need n fornAPRNsnton haven fullnprescriptivenauthority?
a. Morenpatientsn willn havenaccessnton healthncare.
b. Enrollment n inn medicalnschoolsn isnpredicted n ton decrease.
c. Physician‘snassistantsnarenbeingnutilized n lessnoften.
d. APRN neducationn isn moren complexnthanneducationn fornphysicians.
ANS:n A
Implementationn ofnthenAffordablen Caren Actn hasn increased nthen numbern of n individualsn withn healthn ca
ren coverage,n andn thusn then numbern whon haven accessn ton healthncaren services.n Then increasen innthen num
bernofpatientsn createsn then need nforn moren providersn withnprescriptiven authority.n APRNsncannfilln thisn p
racticen gap.DIF:nCognitiven Level:n ComprehensionREF:n p.n 2TOP:n Nursingn Process:n Implementatio
nn MSC:nNCLEXn Client nNeedsn Category:n Physiologicn Integrity:n Pharmacologicn and n Parenteraln Th
erapies
3. Whichnfactorsncould nbenattributed nton limited nprescriptivenauthoritynforn APRNs?n
Select n alln that n apply.
,Rosenthaln Lehne’sn Pharmacotherapeuticsn forn Advancedn Practicen Providers:
2 n1
stnEditionn(TestBank)
a. Inaccessibilitynof npatient n care
b. Highern healthncarencosts
c. Highernqualityn medicalntreatment
d. Improved ncollaborativencare
e. Enhanced n healthnliteracy
ANS:n A n,n B
LimitingnprescriptivenauthoritynfornAPRNsncanncreatenbarriersntonquality,naffordable,nand naccessiblen
patient ncare.nItn mayn alson leadnton poorn collaborationnamongn providersn andn highern healthncaren costs.n It
n would n not n directlyn impact n patient‘sn healthn literacy.DIF:n Cognitiven Level:n ComprehensionREF:
p.n 2TOP:n Nursingn Process:n Implementationn MSC:n NCLEX nClient n NeedsnCategory:n Physiologicn In
tegrity:n Pharmacologicn and n Parenteraln Therapies
4. Whichnaspectsnsupport nthenAPRN‘snprovisionnforn fullnprescriptivenauthority?n
Select n alln that n apply.
a. Clinicalneducationn includesn prescriptionnof n medicationsn and n diseasen processes.
b. Federalnregulationsn support n then provisionnof nfullnauthorityn forn APRNs.
c. Nationalnexaminationsnproviden validationnof nthen APRN‘sn abilityn ton providen safen care.
d. Licensuren ensuresn compliancen withnhealthncaren and n safetynstandards.
e. Limitingnprovisionncanndecreasen healthncaren affordability.
ANS:n A n,n Cn ,n D
APRNsn aren educatedn ton practicen and n prescriben independentlynwithoutn supervision.n Nationaln exami
nationsn validatenthen abilityn ton providen safen andn competentn care.n Licensuren ensuresn compliancen withn
standardsnton promoten publicn healthn and n safety.n Limitedn prescriptiven authorityn createsn numerousnbar
riersnton quality,n affordable,n andn accessiblen patientncare.DIF:nCognitiven Level:n ComprehensionREF:n
pp.n 1-
2TOP:n Nursingn Process:n Implementationn MSC:n NCLEXn Clientn NeedsnCategory:n Physiologicn Inte
grity:n Pharmacologicn and n Parenteraln Therapies
5. Whichnaspectsnsupport nthenAPRN‘snprovisionnforn fullnprescriptivenauthority?n
Select n alln that n apply.
a. Clinicalneducationn includesn prescriptionnof n medicationsn and n diseasen processes.
b. Federalnregulationsn support n then provisionnof nfullnauthorityn forn APRNs.
c. Nationalnexaminationsnproviden validationnof nthen APRN‘sn abilityn ton providen safen care.
d. Licensuren ensuresn compliancen withnhealthncaren and n safetynstandards.
ANS:n A n,n Cn ,n D
APRNsn aren educatedn ton practicen and n prescriben independentlynwithoutn supervision.n Nationaln exami
nationsn validatenthen abilityn ton providen safen andn competentn care.n Licensuren ensuresn compliancen withn
standardsnton promoten publicn healthn and n safety.n Limitedn pnrescriptiven authorityn createsn numerousnbar
riersn ton quality,n affordable,n and n accessiblen patient ncare.DIF:nCognitiven Level:
,Rosenthaln Lehne’sn Pharmacotherapeuticsn forn Advancedn Practicen Providers:
2 n1
stnEditionn(TestBank)
ComprehensionREF:n pp.n 1-
2TOP:n Nursingn Process:n Implementationn MSC:nNCLEXn Client nNeedsn Category:n Physiologicn Inte
grity:n Pharmacologicn and n Parenteraln Therapies
6. A n familyn nursen practitionern practicingn inn Mainen isn hired n at n an practicen acrossn staten linesn innV
irginia.n Whichn aspect n of npracticen mayn changen forn then APRN?
a. ThenAPRN n willn haven lessnprescriptiven authorityn innthen new nposition.
b. ThenAPRN n willn haven morenprescriptiven authorityn innthen new nposition.
c. ThenAPRN n willn haven equalnprescriptiven authorityn inn then new nposition.
d. Then APRN‘sn authoritynwilln depend n onn federalnregulations.
ANS:n A
Virginian allowsn limitedn prescriptiven authority,n whilen Mainen givesn fullnauthoritynton certifiedn nursen pr
actitioners.n Then federaln government ndoesn notn regulaten prescriptiven authority.DIF:n Cognitiven Level:
n ComprehensionREF:n p.n 3TOP:n Nursingn Process:n Implementationn MSC:n NCLEX nClient n NeedsnCa
tegory:n Physiologicn Integrity:n Pharmacologicn and n Parenteraln Therapies
Rosenthal:n Lehne'sn Pharmacotherapeutics n forn Advancedn Practice n Providers,n 1stn Ed.
Chaptern2:nRationalnDrugnSelectionnandnPrescriptionnWritingn
TestnBank
MultiplenChoice
7. How ncanncollaborationnwithnanpharmacist n improven positiven outcomesn fornpatients?n
Select n alln that n apply.
a. Pharmacistsncannsuggest n foodsnthat n willn helpn withnthen patient‘sn condition.
b. Pharmacistsn haven additionaln informationnonndrugn interactions.
c. Thenpharmacist n cannsuggest nadequaten medicationndosing.
d. Pharmacistsn haven firsthand n knowledgenof nthen facilitynformulary.
e. Pharmacyncannaltern prescriptionsn whennnecessarynton prevent n patient n harm.
ANS:n Bn,n Cn ,n D
Providersnshould ncollaboratenwithnpharmacistsnbecausentheynwillnlikelynhavenadditionalninformationn
onn formulary,n drugn interactions,n and n suggestionsnforn adequaten medicationndosing.n Dietitiansn cann m
aken foodsn recommendationsn ton treatn then patient‘sn condition.n Then pharmacist n cann contactn then prescri
bern about n questionablen prescriptions,n but n cannot n alternthen prescriptionn withoutn notificationn ofn andn a
pprovaln byn then provider.DIF:n Cognitiven Level:n ComprehensnionREF:n p.n 9TOP:n Nursingn Process:n D
iagnosisn MSC:n NCLEX n Client n Needsn Category:n Physiologicn Integrity:n Reductionnof nRiskn Potential
, Rosenthaln Lehne’sn Pharmacotherapeuticsn forn Advancedn Practicen Providers:
2 n1
stnEditionn(TestBank)
8. A npatient n presentsnwithndeliriumn tremensn requiringnAtivannadministration.n Then providern ofcaren i
sn not n inn then facility.n Whichnactionnbynthen nursen isn most n appropriate?
a. Obtainnan telephonen order.
b. Contact n then on-calln hospitalist.
c. Obtainnannordern fromnthen chargen nurse.
d. Wait n fornan writtennAtivannorder.
ANS:n A
Inn ann emergencyn situation,n suchn asndeliriumn tremensn withn seizuren activity,n itn isn acceptablenton provid
en antelephonen order.n Contactingnthen on-
callnhospitalist n orn waitingnforn an writtennordernwouldn taken moren timen thann availablen forn an patientn withn
highn seizuren risk.n Writingn ann ordern isn outsidenthen scopen of npracticenfornthen chargen nurse.DIF:nCognit
iven Level:n ApplicationREF:np.n 7TOP:nNursingn Process:n Implementationn MSC:nNCLEX nClient n Nee
dsn Category:n Physiologicn Integrity:n Reductionn of n Riskn Potential
9. A n patient n withnchronicn painn callsn then provider‘sn officen tonrequest n an refilln onn theirn oxycontin.nW
hichn actionn isn most n appropriate?
a. Faxnannordernton then pharmacy.
b. Schedulen annappointment n withnthen patient.
c. Verifyn then patient‘sn adherencen ton drugnregimen.
d. Determinenthen patient‘sn current n medicationndosage.
ANS:n n B
SchedulenIIn medicationsn aren notn eligiblen forn refills,n and n prescriptionsn must n ben handwritten.nIt n isn imp
ortant nton verifynthen patient‘sn adherencentonthendrugn regimenn andndeterminen then current ndosagen ofn me
dication;n however,nthisn cann ben accomplished n byn schedulingn ann appointmentn andn evaluatingnthen pati
ent n inn person.DIF:n Cognitiven Level:n ApplicationREF:n p.n 8TOP:nNursingn Process:n Implementationn
MSC:nNCLEX n Client n Needsn Category:n Physiologicn Integrity:n Reductionn of n Riskn Potential
10. A npatient nprescribed namoxicillinn fornstreptococcalnpharyngitisnreportsn new nonset nof a n flat,nitchyn r
ed n rashn onn then chest n and n neck.n Whichn actionn isn most n important?
a. Providenandifferent nprescription.
b. Discontinuen then medication.
c. Prescribenannantihistaminen cream.
d. Assessn fornrespiratoryncompromise.
ANS:n B
Then priorityn actionn isntondiscontinuenthen medicationn ton preventn worseningn ofn then patient‘sn symptom
s.nAndifferentnprescriptionnwouldnbenprovided,ntopicalnantihistaminenmaynbenadministered,n andn then p
atient n would n ben assessed n forn respiratoryn involvement,n but n thesen actionsn would n not n be
1stnEditionn(TestBank)
Rosenthal:n Lehne'sn Pharmacotherapeutics n forn Advancedn Practice n Providers,n 1stn Ed.
Chaptern1:nPrescriptivenAuthoritynTe
stnBank
MultiplenChoice
1. AnnAPRNnworksn innan urologynclinicn undern then supervisionnof nan physiciann whondoesn notn restrict n th
en typesn ofn medicationsnthenAPRNn isn allowednton prescribe.n Staten lawndoesn notn requiren then APRN n
ton practicen undernphysiciannsupervision.n How nwouldnthen APRN‘sn prescriptiven authorityn bendescr
ibed?
a. Fullnauthority
b. Independent
c. Without nlimitation
d. Limited nauthority
ANS:n B
Then APRNn hasn independentn prescriptiven authorityn becausen then regulatingn bodyndoesn notn requiren tha
t nthenAPRN nworkn undern physiciann supervision.n Fulln prescriptiven authorityn givesn then providern then rig
ht nton prescriben independentlyn andn withoutn limitation.n Limited n authorityn placesn restrictionsn onnthen ty
pesn ofndrugsn thatn cannben prescribed.DIF:nCognitiven Level:n ComprehensionREF:np.n 1TOP:nNursingn
Process:n I n MSC:n NCLEXn Clientn Needsn Category:n Physiologicn Integrity:n Pharmacologicn and n Par
enteraln Therapies
2. Whichnfactorsn increasen then need n fornAPRNsnton haven fullnprescriptivenauthority?
a. Morenpatientsn willn havenaccessnton healthncare.
b. Enrollment n inn medicalnschoolsn isnpredicted n ton decrease.
c. Physician‘snassistantsnarenbeingnutilized n lessnoften.
d. APRN neducationn isn moren complexnthanneducationn fornphysicians.
ANS:n A
Implementationn ofnthenAffordablen Caren Actn hasn increased nthen numbern of n individualsn withn healthn ca
ren coverage,n andn thusn then numbern whon haven accessn ton healthncaren services.n Then increasen innthen num
bernofpatientsn createsn then need nforn moren providersn withnprescriptiven authority.n APRNsncannfilln thisn p
racticen gap.DIF:nCognitiven Level:n ComprehensionREF:n p.n 2TOP:n Nursingn Process:n Implementatio
nn MSC:nNCLEXn Client nNeedsn Category:n Physiologicn Integrity:n Pharmacologicn and n Parenteraln Th
erapies
3. Whichnfactorsncould nbenattributed nton limited nprescriptivenauthoritynforn APRNs?n
Select n alln that n apply.
,Rosenthaln Lehne’sn Pharmacotherapeuticsn forn Advancedn Practicen Providers:
2 n1
stnEditionn(TestBank)
a. Inaccessibilitynof npatient n care
b. Highern healthncarencosts
c. Highernqualityn medicalntreatment
d. Improved ncollaborativencare
e. Enhanced n healthnliteracy
ANS:n A n,n B
LimitingnprescriptivenauthoritynfornAPRNsncanncreatenbarriersntonquality,naffordable,nand naccessiblen
patient ncare.nItn mayn alson leadnton poorn collaborationnamongn providersn andn highern healthncaren costs.n It
n would n not n directlyn impact n patient‘sn healthn literacy.DIF:n Cognitiven Level:n ComprehensionREF:
p.n 2TOP:n Nursingn Process:n Implementationn MSC:n NCLEX nClient n NeedsnCategory:n Physiologicn In
tegrity:n Pharmacologicn and n Parenteraln Therapies
4. Whichnaspectsnsupport nthenAPRN‘snprovisionnforn fullnprescriptivenauthority?n
Select n alln that n apply.
a. Clinicalneducationn includesn prescriptionnof n medicationsn and n diseasen processes.
b. Federalnregulationsn support n then provisionnof nfullnauthorityn forn APRNs.
c. Nationalnexaminationsnproviden validationnof nthen APRN‘sn abilityn ton providen safen care.
d. Licensuren ensuresn compliancen withnhealthncaren and n safetynstandards.
e. Limitingnprovisionncanndecreasen healthncaren affordability.
ANS:n A n,n Cn ,n D
APRNsn aren educatedn ton practicen and n prescriben independentlynwithoutn supervision.n Nationaln exami
nationsn validatenthen abilityn ton providen safen andn competentn care.n Licensuren ensuresn compliancen withn
standardsnton promoten publicn healthn and n safety.n Limitedn prescriptiven authorityn createsn numerousnbar
riersnton quality,n affordable,n andn accessiblen patientncare.DIF:nCognitiven Level:n ComprehensionREF:n
pp.n 1-
2TOP:n Nursingn Process:n Implementationn MSC:n NCLEXn Clientn NeedsnCategory:n Physiologicn Inte
grity:n Pharmacologicn and n Parenteraln Therapies
5. Whichnaspectsnsupport nthenAPRN‘snprovisionnforn fullnprescriptivenauthority?n
Select n alln that n apply.
a. Clinicalneducationn includesn prescriptionnof n medicationsn and n diseasen processes.
b. Federalnregulationsn support n then provisionnof nfullnauthorityn forn APRNs.
c. Nationalnexaminationsnproviden validationnof nthen APRN‘sn abilityn ton providen safen care.
d. Licensuren ensuresn compliancen withnhealthncaren and n safetynstandards.
ANS:n A n,n Cn ,n D
APRNsn aren educatedn ton practicen and n prescriben independentlynwithoutn supervision.n Nationaln exami
nationsn validatenthen abilityn ton providen safen andn competentn care.n Licensuren ensuresn compliancen withn
standardsnton promoten publicn healthn and n safety.n Limitedn pnrescriptiven authorityn createsn numerousnbar
riersn ton quality,n affordable,n and n accessiblen patient ncare.DIF:nCognitiven Level:
,Rosenthaln Lehne’sn Pharmacotherapeuticsn forn Advancedn Practicen Providers:
2 n1
stnEditionn(TestBank)
ComprehensionREF:n pp.n 1-
2TOP:n Nursingn Process:n Implementationn MSC:nNCLEXn Client nNeedsn Category:n Physiologicn Inte
grity:n Pharmacologicn and n Parenteraln Therapies
6. A n familyn nursen practitionern practicingn inn Mainen isn hired n at n an practicen acrossn staten linesn innV
irginia.n Whichn aspect n of npracticen mayn changen forn then APRN?
a. ThenAPRN n willn haven lessnprescriptiven authorityn innthen new nposition.
b. ThenAPRN n willn haven morenprescriptiven authorityn innthen new nposition.
c. ThenAPRN n willn haven equalnprescriptiven authorityn inn then new nposition.
d. Then APRN‘sn authoritynwilln depend n onn federalnregulations.
ANS:n A
Virginian allowsn limitedn prescriptiven authority,n whilen Mainen givesn fullnauthoritynton certifiedn nursen pr
actitioners.n Then federaln government ndoesn notn regulaten prescriptiven authority.DIF:n Cognitiven Level:
n ComprehensionREF:n p.n 3TOP:n Nursingn Process:n Implementationn MSC:n NCLEX nClient n NeedsnCa
tegory:n Physiologicn Integrity:n Pharmacologicn and n Parenteraln Therapies
Rosenthal:n Lehne'sn Pharmacotherapeutics n forn Advancedn Practice n Providers,n 1stn Ed.
Chaptern2:nRationalnDrugnSelectionnandnPrescriptionnWritingn
TestnBank
MultiplenChoice
7. How ncanncollaborationnwithnanpharmacist n improven positiven outcomesn fornpatients?n
Select n alln that n apply.
a. Pharmacistsncannsuggest n foodsnthat n willn helpn withnthen patient‘sn condition.
b. Pharmacistsn haven additionaln informationnonndrugn interactions.
c. Thenpharmacist n cannsuggest nadequaten medicationndosing.
d. Pharmacistsn haven firsthand n knowledgenof nthen facilitynformulary.
e. Pharmacyncannaltern prescriptionsn whennnecessarynton prevent n patient n harm.
ANS:n Bn,n Cn ,n D
Providersnshould ncollaboratenwithnpharmacistsnbecausentheynwillnlikelynhavenadditionalninformationn
onn formulary,n drugn interactions,n and n suggestionsnforn adequaten medicationndosing.n Dietitiansn cann m
aken foodsn recommendationsn ton treatn then patient‘sn condition.n Then pharmacist n cann contactn then prescri
bern about n questionablen prescriptions,n but n cannot n alternthen prescriptionn withoutn notificationn ofn andn a
pprovaln byn then provider.DIF:n Cognitiven Level:n ComprehensnionREF:n p.n 9TOP:n Nursingn Process:n D
iagnosisn MSC:n NCLEX n Client n Needsn Category:n Physiologicn Integrity:n Reductionnof nRiskn Potential
, Rosenthaln Lehne’sn Pharmacotherapeuticsn forn Advancedn Practicen Providers:
2 n1
stnEditionn(TestBank)
8. A npatient n presentsnwithndeliriumn tremensn requiringnAtivannadministration.n Then providern ofcaren i
sn not n inn then facility.n Whichnactionnbynthen nursen isn most n appropriate?
a. Obtainnan telephonen order.
b. Contact n then on-calln hospitalist.
c. Obtainnannordern fromnthen chargen nurse.
d. Wait n fornan writtennAtivannorder.
ANS:n A
Inn ann emergencyn situation,n suchn asndeliriumn tremensn withn seizuren activity,n itn isn acceptablenton provid
en antelephonen order.n Contactingnthen on-
callnhospitalist n orn waitingnforn an writtennordernwouldn taken moren timen thann availablen forn an patientn withn
highn seizuren risk.n Writingn ann ordern isn outsidenthen scopen of npracticenfornthen chargen nurse.DIF:nCognit
iven Level:n ApplicationREF:np.n 7TOP:nNursingn Process:n Implementationn MSC:nNCLEX nClient n Nee
dsn Category:n Physiologicn Integrity:n Reductionn of n Riskn Potential
9. A n patient n withnchronicn painn callsn then provider‘sn officen tonrequest n an refilln onn theirn oxycontin.nW
hichn actionn isn most n appropriate?
a. Faxnannordernton then pharmacy.
b. Schedulen annappointment n withnthen patient.
c. Verifyn then patient‘sn adherencen ton drugnregimen.
d. Determinenthen patient‘sn current n medicationndosage.
ANS:n n B
SchedulenIIn medicationsn aren notn eligiblen forn refills,n and n prescriptionsn must n ben handwritten.nIt n isn imp
ortant nton verifynthen patient‘sn adherencentonthendrugn regimenn andndeterminen then current ndosagen ofn me
dication;n however,nthisn cann ben accomplished n byn schedulingn ann appointmentn andn evaluatingnthen pati
ent n inn person.DIF:n Cognitiven Level:n ApplicationREF:n p.n 8TOP:nNursingn Process:n Implementationn
MSC:nNCLEX n Client n Needsn Category:n Physiologicn Integrity:n Reductionn of n Riskn Potential
10. A npatient nprescribed namoxicillinn fornstreptococcalnpharyngitisnreportsn new nonset nof a n flat,nitchyn r
ed n rashn onn then chest n and n neck.n Whichn actionn isn most n important?
a. Providenandifferent nprescription.
b. Discontinuen then medication.
c. Prescribenannantihistaminen cream.
d. Assessn fornrespiratoryncompromise.
ANS:n B
Then priorityn actionn isntondiscontinuenthen medicationn ton preventn worseningn ofn then patient‘sn symptom
s.nAndifferentnprescriptionnwouldnbenprovided,ntopicalnantihistaminenmaynbenadministered,n andn then p
atient n would n ben assessed n forn respiratoryn involvement,n but n thesen actionsn would n not n be
