TEST BANK LEHNE’S PHARMACOTHERAPEUTICS
79 79 79 7
FOR ADVANCED PRACTICE NURSES AND PHYSIC
9 79 79 79 79 79
IAN ASSISTANTS 2ND EDITION ROSENTHAL WITH
79 79 79 79 79 79
RATIONALES 2024/2025 79
Chapter791:79Prescriptive79Authority79Test79Ban
k79Multiple79Choice
1. An79APRN79works79in79a79urology79clinic79under79the79supervision79of79a79physician79who79does79
not79restrict79the79types79of79medications79the79APRN79is79allowed79to79prescribe.79State79law79does79no
t79require79the79APRN79to79practice79under79physician79supervision.79How79would79the79APRN’s79prescri
ptive79authority79be79described?
a. Full79authority
b. Independent
c. Without79limitation
d. Limited79authority
ANS:79B
The79APRN79has79independent79prescriptive79authority79because79the79regulating79body79does79not79requ
ire79that79the79APRN79work79under79physician79supervision.79Full79prescriptive79authority79gives79the79pr
ovider79the79right79to79prescribe79independently79and79without79limitation.79Limited79authority79places79
restrictions79on79the79types79of79drugs79that79can79be79prescribed.DIF:79Cognitive79Level:79Comprehensio
nREF:79p.791TOP:79Nursing79Process:79I79MSC:79NCLEX79Client79Needs79Category:79Physiologic79Integrity:79
Pharmacologic79and79Parenteral79Therapies
2. Which79factors79increase79the79need79for79APRNs79to79have79full79prescriptive79authority?
a. More79patients79will79have79access79to79health79care.
b. Enrollment79in79medical79schools79is79predicted79to79decrease.
c. Physician’s79assistants79are79being79utilized79less79often.
,d. APRN79education79is79more79complex79than79education79for79physicians.
ANS:79A
Implementation79of79the79Affordable79Care79Act79has79increased79the79number79of79individuals79with79h
ealth79care79coverage,79and79thus79the79number79who79have79access79to79health79care79services.79The79in
crease79in79the79number79of79patients79creates79the79need79for79more79providers79with79prescriptive79au
thority.79APRNs79can79fill79this79practice79gap.DIF:79Cognitive79Level:79ComprehensionREF:79p.792TOP:79N
ursing79Process:79Implementation79MSC:79NCLEX79Client79Needs79Category:79Physiologic79Integrity:79Pha
rmacologic79and79Parenteral79Therapies
3. Which79factors79could79be79attributed79to79limited79prescriptive79authority79for79APRNs?79Sel
ect79all79that79apply.
a. Inaccessibility79of79patient79care
b. Higher79health79care79costs
c. Higher79quality79medical79treatment
d. Improved79collaborative79care
e. Enhanced79health79literacy
ANS:79A79,79B
Limiting79prescriptive79authority79for79APRNs79can79create79barriers79to79quality,79affordable,79and79acce
ssible79patient79care.79It79may79also79lead79to79poor79collaboration79among79providers79and79higher79heal
th79care79costs.79It79would79not79directly79impact79patient’s79health79literacy.DIF:79Cognitive79Level:79Co
mprehensionREF:
p.792TOP:79Nursing79Process:79Implementation79MSC:79NCLEX79Client79Needs79Category:79Physiologic79Int
egrity:79Pharmacologic79and79Parenteral79Therapies
4. Which79aspects79support79the79APRN’s79provision79for79full79prescriptive79authority?79Select79all79that
79apply.
a. Clinical79education79includes79prescription79of79medications79and79disease79processes.
,b. Federal79regulations79support79the79provision79of79full79authority79for79APRNs.
c. National79examinations79provide79validation79of79the79APRN’s79ability79to79provide79safecare.
d. Licensure79ensures79compliance79with79health79care79and79safety79standards.
e. Limiting79provision79can79decrease79health79care79affordability.
ANS:79A79,79C79,79D
APRNs79are79educated79to79practice79and79prescribe79independently79without79supervision.79National79
examinations79validate79the79ability79to79provide79safe79and79competent79care.79Licensure79ensures79c
ompliance79with79standards79to79promote79public79health79and79safety.79Limited79prescriptive79authori
ty79creates79numerous79barriers79to79quality,79affordable,79and79accessible79patient79care.DIF:79Cognitiv
e79Level:79ComprehensionREF:79pp.791-
2TOP:79Nursing79Process:79Implementation79MSC:79NCLEX79Client79Needs79Category:79Physiologic79Inte
grity:79Pharmacologic79and79Parenteral79Therapies
5. Which79aspects79support79the79APRN’s79provision79for79full79prescriptive79authority?79Select79all79that
79apply.
a. Clinical79education79includes79prescription79of79medications79and79disease79processes.
b. Federal79regulations79support79the79provision79of79full79authority79for79APRNs.
c. National79examinations79provide79validation79of79the79APRN’s79ability79to79provide79safecare.
d. Licensure79ensures79compliance79with79health79care79and79safety79standards.
ANS:79A79,79C79,79D
APRNs79are79educated79to79practice79and79prescribe79independently79without79supervision.79National79
examinations79validate79the79ability79to79provide79safe79and79competent79care.79Licensure79ensures79c
ompliance79with79standards79to79promote79public79health79and79safety.79Limited79prescriptive79authorit
y79creates79numerous79barriers79to79quality,79affordable,79and79accessible79patient79care.DIF:79Cognitiv
e79Level:
ComprehensionREF:79pp.791-2TOP:79Nursing79Process:79Implementation
MSC:79NCLEX79Client79Nee
ds79Category:79Physiologic79Integrity:79Pharmacologic79and79Parenteral79Therapies
, 6. A79family79nurse79practitioner79practicing79in79Maine79is79hired79at79a79practice79across79state79li
nes79in79Virginia.79Which79aspect79of79practice79may79change79for79the79APRN?
a. The79APRN79will79have79less79prescriptive79authority79in79the79new79position.
b. The79APRN79will79have79more79prescriptive79authority79in79the79new79position.
c. The79APRN79will79have79equal79prescriptive79authority79in79the79newposition.
d. The79APRN’s79authority79will79depend79on79federalregulations.
ANS:79A
Virginia79allows79limited79prescriptive79authority,79while79Maine79gives79full79authority79to79certified79nu
rse79practitioners.79The79federal79government79does79not79regulate79prescriptive79authority.DIF:79Cogniti
ve79Level:79ComprehensionREF:79p.793TOP:79Nursing79Process:79Implementation79MSC:79NCLEX79Client79N
eeds79Category:79Physiologic79Integrity:79Pharmacologic79and79Parenteral79Therapies
Rosenthal:79Lehne's79Pharmacotherapeutics79for79Advanced79Practice79Providers,792nd79Ed.79Chapter792:
79Rational79Drug79Selection79and79Prescription79Writing
Test79Bank79Multiple79Choice
7. How79can79collaboration79with79a79pharmacist79improve79positive79outcomes79for79patients?79Sel
ect79all79that79apply.
a. Pharmacists79can79suggest79foods79that79will79help79with79the79patient’s79condition.
b. Pharmacists79have79additional79information79on79drug79interactions.
c. The79pharmacist79can79suggest79adequate79medication79dosing.
d. Pharmacists79have79firsthand79knowledge79of79the79facility79formulary.
e. Pharmacy79can79alter79prescriptions79when79necessary79to79prevent79patient79harm.
ANS:79B79,79C79,79D
Providers79should79collaborate79with79pharmacists79because79they79will79likely79have79additional79infor
mation79on79formulary,79drug79interactions,79and79suggestions79for79adequate79medication79dosing.79D
ietitians79can79make79foods79recommendations79to79treat79the79patient’s79condition.79The79pharmacist
79can79contact79the79prescriber
79 79 79 7
FOR ADVANCED PRACTICE NURSES AND PHYSIC
9 79 79 79 79 79
IAN ASSISTANTS 2ND EDITION ROSENTHAL WITH
79 79 79 79 79 79
RATIONALES 2024/2025 79
Chapter791:79Prescriptive79Authority79Test79Ban
k79Multiple79Choice
1. An79APRN79works79in79a79urology79clinic79under79the79supervision79of79a79physician79who79does79
not79restrict79the79types79of79medications79the79APRN79is79allowed79to79prescribe.79State79law79does79no
t79require79the79APRN79to79practice79under79physician79supervision.79How79would79the79APRN’s79prescri
ptive79authority79be79described?
a. Full79authority
b. Independent
c. Without79limitation
d. Limited79authority
ANS:79B
The79APRN79has79independent79prescriptive79authority79because79the79regulating79body79does79not79requ
ire79that79the79APRN79work79under79physician79supervision.79Full79prescriptive79authority79gives79the79pr
ovider79the79right79to79prescribe79independently79and79without79limitation.79Limited79authority79places79
restrictions79on79the79types79of79drugs79that79can79be79prescribed.DIF:79Cognitive79Level:79Comprehensio
nREF:79p.791TOP:79Nursing79Process:79I79MSC:79NCLEX79Client79Needs79Category:79Physiologic79Integrity:79
Pharmacologic79and79Parenteral79Therapies
2. Which79factors79increase79the79need79for79APRNs79to79have79full79prescriptive79authority?
a. More79patients79will79have79access79to79health79care.
b. Enrollment79in79medical79schools79is79predicted79to79decrease.
c. Physician’s79assistants79are79being79utilized79less79often.
,d. APRN79education79is79more79complex79than79education79for79physicians.
ANS:79A
Implementation79of79the79Affordable79Care79Act79has79increased79the79number79of79individuals79with79h
ealth79care79coverage,79and79thus79the79number79who79have79access79to79health79care79services.79The79in
crease79in79the79number79of79patients79creates79the79need79for79more79providers79with79prescriptive79au
thority.79APRNs79can79fill79this79practice79gap.DIF:79Cognitive79Level:79ComprehensionREF:79p.792TOP:79N
ursing79Process:79Implementation79MSC:79NCLEX79Client79Needs79Category:79Physiologic79Integrity:79Pha
rmacologic79and79Parenteral79Therapies
3. Which79factors79could79be79attributed79to79limited79prescriptive79authority79for79APRNs?79Sel
ect79all79that79apply.
a. Inaccessibility79of79patient79care
b. Higher79health79care79costs
c. Higher79quality79medical79treatment
d. Improved79collaborative79care
e. Enhanced79health79literacy
ANS:79A79,79B
Limiting79prescriptive79authority79for79APRNs79can79create79barriers79to79quality,79affordable,79and79acce
ssible79patient79care.79It79may79also79lead79to79poor79collaboration79among79providers79and79higher79heal
th79care79costs.79It79would79not79directly79impact79patient’s79health79literacy.DIF:79Cognitive79Level:79Co
mprehensionREF:
p.792TOP:79Nursing79Process:79Implementation79MSC:79NCLEX79Client79Needs79Category:79Physiologic79Int
egrity:79Pharmacologic79and79Parenteral79Therapies
4. Which79aspects79support79the79APRN’s79provision79for79full79prescriptive79authority?79Select79all79that
79apply.
a. Clinical79education79includes79prescription79of79medications79and79disease79processes.
,b. Federal79regulations79support79the79provision79of79full79authority79for79APRNs.
c. National79examinations79provide79validation79of79the79APRN’s79ability79to79provide79safecare.
d. Licensure79ensures79compliance79with79health79care79and79safety79standards.
e. Limiting79provision79can79decrease79health79care79affordability.
ANS:79A79,79C79,79D
APRNs79are79educated79to79practice79and79prescribe79independently79without79supervision.79National79
examinations79validate79the79ability79to79provide79safe79and79competent79care.79Licensure79ensures79c
ompliance79with79standards79to79promote79public79health79and79safety.79Limited79prescriptive79authori
ty79creates79numerous79barriers79to79quality,79affordable,79and79accessible79patient79care.DIF:79Cognitiv
e79Level:79ComprehensionREF:79pp.791-
2TOP:79Nursing79Process:79Implementation79MSC:79NCLEX79Client79Needs79Category:79Physiologic79Inte
grity:79Pharmacologic79and79Parenteral79Therapies
5. Which79aspects79support79the79APRN’s79provision79for79full79prescriptive79authority?79Select79all79that
79apply.
a. Clinical79education79includes79prescription79of79medications79and79disease79processes.
b. Federal79regulations79support79the79provision79of79full79authority79for79APRNs.
c. National79examinations79provide79validation79of79the79APRN’s79ability79to79provide79safecare.
d. Licensure79ensures79compliance79with79health79care79and79safety79standards.
ANS:79A79,79C79,79D
APRNs79are79educated79to79practice79and79prescribe79independently79without79supervision.79National79
examinations79validate79the79ability79to79provide79safe79and79competent79care.79Licensure79ensures79c
ompliance79with79standards79to79promote79public79health79and79safety.79Limited79prescriptive79authorit
y79creates79numerous79barriers79to79quality,79affordable,79and79accessible79patient79care.DIF:79Cognitiv
e79Level:
ComprehensionREF:79pp.791-2TOP:79Nursing79Process:79Implementation
MSC:79NCLEX79Client79Nee
ds79Category:79Physiologic79Integrity:79Pharmacologic79and79Parenteral79Therapies
, 6. A79family79nurse79practitioner79practicing79in79Maine79is79hired79at79a79practice79across79state79li
nes79in79Virginia.79Which79aspect79of79practice79may79change79for79the79APRN?
a. The79APRN79will79have79less79prescriptive79authority79in79the79new79position.
b. The79APRN79will79have79more79prescriptive79authority79in79the79new79position.
c. The79APRN79will79have79equal79prescriptive79authority79in79the79newposition.
d. The79APRN’s79authority79will79depend79on79federalregulations.
ANS:79A
Virginia79allows79limited79prescriptive79authority,79while79Maine79gives79full79authority79to79certified79nu
rse79practitioners.79The79federal79government79does79not79regulate79prescriptive79authority.DIF:79Cogniti
ve79Level:79ComprehensionREF:79p.793TOP:79Nursing79Process:79Implementation79MSC:79NCLEX79Client79N
eeds79Category:79Physiologic79Integrity:79Pharmacologic79and79Parenteral79Therapies
Rosenthal:79Lehne's79Pharmacotherapeutics79for79Advanced79Practice79Providers,792nd79Ed.79Chapter792:
79Rational79Drug79Selection79and79Prescription79Writing
Test79Bank79Multiple79Choice
7. How79can79collaboration79with79a79pharmacist79improve79positive79outcomes79for79patients?79Sel
ect79all79that79apply.
a. Pharmacists79can79suggest79foods79that79will79help79with79the79patient’s79condition.
b. Pharmacists79have79additional79information79on79drug79interactions.
c. The79pharmacist79can79suggest79adequate79medication79dosing.
d. Pharmacists79have79firsthand79knowledge79of79the79facility79formulary.
e. Pharmacy79can79alter79prescriptions79when79necessary79to79prevent79patient79harm.
ANS:79B79,79C79,79D
Providers79should79collaborate79with79pharmacists79because79they79will79likely79have79additional79infor
mation79on79formulary,79drug79interactions,79and79suggestions79for79adequate79medication79dosing.79D
ietitians79can79make79foods79recommendations79to79treat79the79patient’s79condition.79The79pharmacist
79can79contact79the79prescriber
