TEST BANK
j
,Chapterj1:jPrescriptivejAuthorityjTestjBan
k
MultiplejChoices
1. AnjAPRNjworksjinjajurologyjclinicjunderjthejsupervisionjofjajphysicianjwhoj doesjnotjrestrictjth
ejtypesjofjmedicationsjthejAPRNjisjallowedjtojprescribe.jStatejlawjdoesjnotjrequirejthejAPRNjt
ojpracticejunderjphysicianjsupervision.jHowjwouldjthejAPRN’sjprescriptivejauthorityjbejdescri
bed?
a. Fulljauthority
b. Independent
c. Withoutj limitation
d. Limitedjauthority
ANS:jB
ThejAPRNjhasjindependentjprescriptivejauthorityjbecausejthejregulatingjbodyjdoesjnotjrequirejthat
jthejAPRNjworkjunderjphysicianjsupervision.jFulljprescriptivejauthorityjgivesjthejproviderjthejrigh
tjtojprescribejindependentlyjandjwithoutjlimitation.jLimitedjauthorityjplacesjrestrictionsjonjthejtype
sjofjdrugsjthatjcanjbejprescribed.DIF:jCognitivejLevel:jComprehensionREF:jp.j1TOP:jNursingjPro
cess:jIjMSC:jNCLEXjClientjNeedsjCategory:jPhysiologicjIntegrity:jPharmacologicjandjParenteralj
Therapies
2. WhichjfactorsjincreasejthejneedjforjAPRNsjtojhavejfulljprescriptivej authority?
a. Morejpatientsjwilljhavejaccessjtojhealthjcare.
b. Enrollmentjinjmedicaljschoolsjisjpredictedjtoj decrease.
c. Physician’sjassistantsjarejbeingjutilizedjlessj often.
d. APRNjeducationjisjmorejcomplexjthanjeducationjforjphysicians.
ANS:jA
ImplementationjofjthejAffordablejCarejActjhasjincreasedjthejnumberjofjindividualsjwithjhealthjcar
ejcoverage,jandjthusjthejnumberjwhojhavejaccessjtojhealthjcarejservices.jThejincreasejinjthejnumbe
rjofjpatientsjcreatesjthejneedjforjmorejprovidersjwithjprescriptivejauthority.jAPRNsjcanjfilljthisjpract
icejgap.DIF:jCognitivejLevel:jComprehensionREF:jp.j2TOP:jNursingjProcess:jImplementationjM
SC:jNCLEXjClientjNeedsjCategory:jPhysiologicjIntegrity:jPharmacologicjandjParenteraljTherapie
s
3. WhichjfactorsjcouldjbejattributedjtojlimitedjprescriptivejauthorityjforjAPRNs?jS
electjalljthatjapply.
, a. Inaccessibilityjofj patientjcare
b. Higherjhealthjcarejcosts
c. Higherjqualityjmedicaljtreatment
d. Improvedjcollaborativejcare
e. Enhancedjhealthj literacy
ANS:jAj,jB
LimitingjprescriptivejauthorityjforjAPRNsjcanjcreatejbarriersjtojquality,jaffordable,jandjaccessiblejp
atientjcare.jItjmayjalsojleadjtojpoorjcollaborationjamongjprovidersjandjhigherjhealthjcarejcosts.jItjw
ouldjnotjdirectlyjimpactjpatient’sjhealthjliteracy.DIF:jCognitivejLevel:jComprehensionREF:
p.j2TOP:jNursingjProcess:jImplementationjMSC:jNCLEXjClientjNeedsjCategory:jPhysiologicjInt
egrity:jPharmacologicjandjParenteraljTherapies
4. WhichjaspectsjsupportjthejAPRN’sjprovisionjforjfulljprescriptivejauthority?jS
electjalljthatjapply.
a. Clinicaljeducationjincludesjprescriptionjofjmedicationsjandjdiseasejprocesses.
b. FederaljregulationsjsupportjthejprovisionjofjfulljauthorityjforjAPRNs.
c. NationaljexaminationsjprovidejvalidationjofjthejAPRN’sjabilityjtojprovidejsafecare.
d. Licensurejensuresjcompliancejwithjhealthjcarejandj safetystandards.
e. Limitingjprovisionjcanjdecreasejhealthjcarejaffordability.
ANS:jAj,jCj,jD
APRNsjarejeducatedjtojpracticejandjprescribejindependentlyjwithoutjsupervision.jNationaljexamin
ationsjvalidatejthejabilityjtojprovidejsafejandjcompetentjcare.jLicensurejensuresjcompliancejwithjst
andardsjtojpromotejpublicjhealthjandjsafety.jLimitedjprescriptivejauthorityjcreatesjnumerousjbarrie
rsjtojquality,jaffordable,jandjaccessiblejpatientjcare.DIF:jCognitivejLevel:jComprehensionREF:jpp.j
1-
2TOP:jNursingjProcess:jImplementationjMSC:jNCLEXjClientjNeedsjCategory:jPhysiologicjIntegr
ity:jPharmacologicjandjParenteraljTherapies
5. WhichjaspectsjsupportjthejAPRN’sjprovisionjforjfulljprescriptivejauthority?jS
electjalljthatjapply.
a. Clinicaljeducationjincludesjprescriptionjofjmedicationsjandjdiseasejprocesses.
b. FederaljregulationsjsupportjthejprovisionjofjfulljauthorityjforjAPRNs.
c. NationaljexaminationsjprovidejvalidationjofjthejAPRN’sjabilityjtojprovidejsafecare.
d. Licensurejensuresjcompliancejwithjhealthjcarejandjsafetyjstandards.
ANS:jAj,jCj,jD
APRNsjarejeducatedjtojpracticejandjprescribejindependentlyjwithoutjsupervision.jNationaljexamin
ationsjvalidatejthejabilityjtojprovidejsafejandjcompetentjcare.jLicensurejensuresjcompliancejwithjst
andardsjtojpromotejpublicjhealthjandjsafety.jLimitedjprescriptivejauthorityjcreatesjnumerousjbarrie
rsjtojquality,jaffordable,jandjaccessiblejpatientjcare.DIF:jCognitivejLevel:
, ComprehensionREF:j pp.j 1-2TOP:j Nursingj Process:j Implementation
MSC:jNCLEXjClientj
NeedsjCategory:jPhysiologicjIntegrity:jPharmacologicjandjParenteraljTherapies
6. AjfamilyjnursejpractitionerjpracticingjinjMainejisjhiredjatjajpracticejacrossjstatejlinesjinjV
irginia.jWhichjaspectjofjpracticejmayjchangejforjthejAPRN?
a. ThejAPRNjwilljhavejlessjprescriptivejauthorityjinjthejnewj position.
b. ThejAPRNjwilljhavejmorejprescriptivejauthorityjinjthejnewjposition.
c. ThejAPRNjwilljhavejequaljprescriptivejauthorityjinjthejnewposition.
d. ThejAPRN’sjauthorityjwilljdependjonjfederalregulations.
ANS:jA
Virginiajallowsjlimitedjprescriptivejauthority,jwhilejMainejgivesjfulljauthorityjtojcertifiedjnursejpr
actitioners.jThejfederaljgovernmentjdoesjnotjregulatejprescriptivejauthority.DIF:jCognitivejLevel:j
ComprehensionREF:jp.j3TOP:jNursingjProcess:jImplementationjMSC:jNCLEXjClientjNeedsjCat
egory:jPhysiologicjIntegrity:jPharmacologicjandjParenteraljTherapies
Rosenthal:jLehne'sjPharmacotherapeuticsjforjAdvancedjPracticejProviders,j2ndjEd.jChapt
erj2:jRationaljDrugjSelectionjandjPrescriptionjWriting
TestjBankjMult
iplejChoice
7. Howjcanjcollaborationjwithjajpharmacistjimprovejpositivejoutcomesjforjpatients?jS
electjalljthatjapply.
a. Pharmacistsjcanjsuggestj foodsjthatjwilljhelpjwithjthejpatient’sjcondition.
b. Pharmacistsjhavejadditionaljinformationjonjdrugjinteractions.
c. Thejpharmacistjcanjsuggestjadequatejmedicationj dosing.
d. Pharmacistsjhavejfirsthandjknowledgejofjthejfacilityjformulary.
e. Pharmacyjcanjalterjprescriptionsjwhenjnecessaryjtojpreventjpatientjharm.
ANS:jBj,jCj,jD
Providersjshouldjcollaboratejwithjpharmacistsjbecausejtheyjwilljlikelyjhavejadditionaljinformationjo
njformulary,jdrugjinteractions,jandjsuggestionsjforjadequatejmedicationjdosing.jDietitiansjcanjmak
ejfoodsjrecommendationsjtojtreatjthejpatient’sjcondition.jThejpharmacistjcanjcontactjthejprescriberj
aboutjquestionablejprescriptions,jbutjcannotjalterjthejprescriptionjwithoutjnotificationjofjandjappro
valjbyjthejprovider.DIF:jCognitivejLevel:jComprehensionREF:jp.j9TOP:jNursingjProcess:jDiagno
sisjMSC:jNCLEXjClientjNeedsjCategory:jPhysiologicjIntegrity:jReductionjofjRiskjPotential
j
,Chapterj1:jPrescriptivejAuthorityjTestjBan
k
MultiplejChoices
1. AnjAPRNjworksjinjajurologyjclinicjunderjthejsupervisionjofjajphysicianjwhoj doesjnotjrestrictjth
ejtypesjofjmedicationsjthejAPRNjisjallowedjtojprescribe.jStatejlawjdoesjnotjrequirejthejAPRNjt
ojpracticejunderjphysicianjsupervision.jHowjwouldjthejAPRN’sjprescriptivejauthorityjbejdescri
bed?
a. Fulljauthority
b. Independent
c. Withoutj limitation
d. Limitedjauthority
ANS:jB
ThejAPRNjhasjindependentjprescriptivejauthorityjbecausejthejregulatingjbodyjdoesjnotjrequirejthat
jthejAPRNjworkjunderjphysicianjsupervision.jFulljprescriptivejauthorityjgivesjthejproviderjthejrigh
tjtojprescribejindependentlyjandjwithoutjlimitation.jLimitedjauthorityjplacesjrestrictionsjonjthejtype
sjofjdrugsjthatjcanjbejprescribed.DIF:jCognitivejLevel:jComprehensionREF:jp.j1TOP:jNursingjPro
cess:jIjMSC:jNCLEXjClientjNeedsjCategory:jPhysiologicjIntegrity:jPharmacologicjandjParenteralj
Therapies
2. WhichjfactorsjincreasejthejneedjforjAPRNsjtojhavejfulljprescriptivej authority?
a. Morejpatientsjwilljhavejaccessjtojhealthjcare.
b. Enrollmentjinjmedicaljschoolsjisjpredictedjtoj decrease.
c. Physician’sjassistantsjarejbeingjutilizedjlessj often.
d. APRNjeducationjisjmorejcomplexjthanjeducationjforjphysicians.
ANS:jA
ImplementationjofjthejAffordablejCarejActjhasjincreasedjthejnumberjofjindividualsjwithjhealthjcar
ejcoverage,jandjthusjthejnumberjwhojhavejaccessjtojhealthjcarejservices.jThejincreasejinjthejnumbe
rjofjpatientsjcreatesjthejneedjforjmorejprovidersjwithjprescriptivejauthority.jAPRNsjcanjfilljthisjpract
icejgap.DIF:jCognitivejLevel:jComprehensionREF:jp.j2TOP:jNursingjProcess:jImplementationjM
SC:jNCLEXjClientjNeedsjCategory:jPhysiologicjIntegrity:jPharmacologicjandjParenteraljTherapie
s
3. WhichjfactorsjcouldjbejattributedjtojlimitedjprescriptivejauthorityjforjAPRNs?jS
electjalljthatjapply.
, a. Inaccessibilityjofj patientjcare
b. Higherjhealthjcarejcosts
c. Higherjqualityjmedicaljtreatment
d. Improvedjcollaborativejcare
e. Enhancedjhealthj literacy
ANS:jAj,jB
LimitingjprescriptivejauthorityjforjAPRNsjcanjcreatejbarriersjtojquality,jaffordable,jandjaccessiblejp
atientjcare.jItjmayjalsojleadjtojpoorjcollaborationjamongjprovidersjandjhigherjhealthjcarejcosts.jItjw
ouldjnotjdirectlyjimpactjpatient’sjhealthjliteracy.DIF:jCognitivejLevel:jComprehensionREF:
p.j2TOP:jNursingjProcess:jImplementationjMSC:jNCLEXjClientjNeedsjCategory:jPhysiologicjInt
egrity:jPharmacologicjandjParenteraljTherapies
4. WhichjaspectsjsupportjthejAPRN’sjprovisionjforjfulljprescriptivejauthority?jS
electjalljthatjapply.
a. Clinicaljeducationjincludesjprescriptionjofjmedicationsjandjdiseasejprocesses.
b. FederaljregulationsjsupportjthejprovisionjofjfulljauthorityjforjAPRNs.
c. NationaljexaminationsjprovidejvalidationjofjthejAPRN’sjabilityjtojprovidejsafecare.
d. Licensurejensuresjcompliancejwithjhealthjcarejandj safetystandards.
e. Limitingjprovisionjcanjdecreasejhealthjcarejaffordability.
ANS:jAj,jCj,jD
APRNsjarejeducatedjtojpracticejandjprescribejindependentlyjwithoutjsupervision.jNationaljexamin
ationsjvalidatejthejabilityjtojprovidejsafejandjcompetentjcare.jLicensurejensuresjcompliancejwithjst
andardsjtojpromotejpublicjhealthjandjsafety.jLimitedjprescriptivejauthorityjcreatesjnumerousjbarrie
rsjtojquality,jaffordable,jandjaccessiblejpatientjcare.DIF:jCognitivejLevel:jComprehensionREF:jpp.j
1-
2TOP:jNursingjProcess:jImplementationjMSC:jNCLEXjClientjNeedsjCategory:jPhysiologicjIntegr
ity:jPharmacologicjandjParenteraljTherapies
5. WhichjaspectsjsupportjthejAPRN’sjprovisionjforjfulljprescriptivejauthority?jS
electjalljthatjapply.
a. Clinicaljeducationjincludesjprescriptionjofjmedicationsjandjdiseasejprocesses.
b. FederaljregulationsjsupportjthejprovisionjofjfulljauthorityjforjAPRNs.
c. NationaljexaminationsjprovidejvalidationjofjthejAPRN’sjabilityjtojprovidejsafecare.
d. Licensurejensuresjcompliancejwithjhealthjcarejandjsafetyjstandards.
ANS:jAj,jCj,jD
APRNsjarejeducatedjtojpracticejandjprescribejindependentlyjwithoutjsupervision.jNationaljexamin
ationsjvalidatejthejabilityjtojprovidejsafejandjcompetentjcare.jLicensurejensuresjcompliancejwithjst
andardsjtojpromotejpublicjhealthjandjsafety.jLimitedjprescriptivejauthorityjcreatesjnumerousjbarrie
rsjtojquality,jaffordable,jandjaccessiblejpatientjcare.DIF:jCognitivejLevel:
, ComprehensionREF:j pp.j 1-2TOP:j Nursingj Process:j Implementation
MSC:jNCLEXjClientj
NeedsjCategory:jPhysiologicjIntegrity:jPharmacologicjandjParenteraljTherapies
6. AjfamilyjnursejpractitionerjpracticingjinjMainejisjhiredjatjajpracticejacrossjstatejlinesjinjV
irginia.jWhichjaspectjofjpracticejmayjchangejforjthejAPRN?
a. ThejAPRNjwilljhavejlessjprescriptivejauthorityjinjthejnewj position.
b. ThejAPRNjwilljhavejmorejprescriptivejauthorityjinjthejnewjposition.
c. ThejAPRNjwilljhavejequaljprescriptivejauthorityjinjthejnewposition.
d. ThejAPRN’sjauthorityjwilljdependjonjfederalregulations.
ANS:jA
Virginiajallowsjlimitedjprescriptivejauthority,jwhilejMainejgivesjfulljauthorityjtojcertifiedjnursejpr
actitioners.jThejfederaljgovernmentjdoesjnotjregulatejprescriptivejauthority.DIF:jCognitivejLevel:j
ComprehensionREF:jp.j3TOP:jNursingjProcess:jImplementationjMSC:jNCLEXjClientjNeedsjCat
egory:jPhysiologicjIntegrity:jPharmacologicjandjParenteraljTherapies
Rosenthal:jLehne'sjPharmacotherapeuticsjforjAdvancedjPracticejProviders,j2ndjEd.jChapt
erj2:jRationaljDrugjSelectionjandjPrescriptionjWriting
TestjBankjMult
iplejChoice
7. Howjcanjcollaborationjwithjajpharmacistjimprovejpositivejoutcomesjforjpatients?jS
electjalljthatjapply.
a. Pharmacistsjcanjsuggestj foodsjthatjwilljhelpjwithjthejpatient’sjcondition.
b. Pharmacistsjhavejadditionaljinformationjonjdrugjinteractions.
c. Thejpharmacistjcanjsuggestjadequatejmedicationj dosing.
d. Pharmacistsjhavejfirsthandjknowledgejofjthejfacilityjformulary.
e. Pharmacyjcanjalterjprescriptionsjwhenjnecessaryjtojpreventjpatientjharm.
ANS:jBj,jCj,jD
Providersjshouldjcollaboratejwithjpharmacistsjbecausejtheyjwilljlikelyjhavejadditionaljinformationjo
njformulary,jdrugjinteractions,jandjsuggestionsjforjadequatejmedicationjdosing.jDietitiansjcanjmak
ejfoodsjrecommendationsjtojtreatjthejpatient’sjcondition.jThejpharmacistjcanjcontactjthejprescriberj
aboutjquestionablejprescriptions,jbutjcannotjalterjthejprescriptionjwithoutjnotificationjofjandjappro
valjbyjthejprovider.DIF:jCognitivejLevel:jComprehensionREF:jp.j9TOP:jNursingjProcess:jDiagno
sisjMSC:jNCLEXjClientjNeedsjCategory:jPhysiologicjIntegrity:jReductionjofjRiskjPotential
