Pharmacotherapeutics for
Advanced Practice Nurse
Prescribers with Davis Edge
6th Edition
• Author(s)Teri Moser Woo; Wendy
L. Wright
TEST BANK
▪ The Foundation
▪ Pharmacotherapeutics with Single Drugs
▪ Pharmacotherapeutics with Multiple Drugs
▪ Special Drug Treatment Considerations
,Question 1
A family nurse practitioner (FNP) is evaluating a 56-year-old patient
with newly diagnosed hypertension. The patient asks whether a
prescription can be sent electronically to the pharmacy before leaving
the office. Which action best reflects the APRN's prescribing
responsibility?
A. Issue the prescription immediately because the diagnosis has been
established.
B. Complete a patient-specific assessment, verify the indication and
safety of therapy, and prescribe in accordance with state and federal
regulations.
C. Delegate medication selection to the clinic registered nurse because
hypertension treatment follows standard protocols.
D. Prescribe only after the collaborating physician electronically co-
signs every prescription.
Correct Answer: B
Rationale:
Safe prescribing begins with a comprehensive patient assessment,
confirmation of the diagnosis, evaluation of contraindications, allergies,
current medications, and patient-specific factors before selecting
therapy. The APRN must also comply with applicable state scope-of-
practice laws and federal prescribing regulations. Option A omits
essential clinical assessment. Option C inappropriately delegates a
,provider responsibility. Option D is incorrect because physician co-
signature requirements vary by state and practice authority.
Question 2
A 74-year-old woman presents for treatment of acute uncomplicated
cystitis. Her estimated glomerular filtration rate (eGFR) is 34
mL/min/1.73 m². Which prescribing principle should most strongly
guide the APRN's medication selection?
A. Select the least expensive antibiotic regardless of renal function.
B. Prescribe the standard adult dose because older adults often
underreport symptoms.
C. Consider renal function when selecting the medication and
determining the appropriate dose.
D. Avoid all antibiotics because adverse drug reactions increase with
age.
Correct Answer: C
Rationale:
Renal function significantly influences the elimination of many
medications. APRNs should evaluate kidney function before prescribing
drugs that require renal dose adjustment to reduce toxicity while
maintaining therapeutic effectiveness. Cost (Option A) is important but
should not supersede safety. Option B ignores altered
pharmacokinetics in kidney impairment. Option D is inappropriate
because infections should be treated with appropriately selected and
adjusted therapy.
, Question 3
A patient with type 2 diabetes brings a bag containing prescription
medications, over-the-counter products, vitamins, and several herbal
supplements. Before prescribing a new antihyperglycemic medication,
what is the APRN's highest priority?
A. Recommend discontinuing all nonprescription products.
B. Obtain a complete medication reconciliation to identify potential
interactions, duplications, and safety concerns.
C. Prescribe the medication with the lowest acquisition cost.
D. Focus only on medications prescribed by other healthcare providers.
Correct Answer: B
Rationale:
Medication reconciliation is a core prescribing responsibility that helps
identify drug-drug interactions, therapeutic duplication, adverse effect
risks, and adherence issues. Herbal products and supplements may
significantly affect pharmacotherapy. Option A is unnecessarily
restrictive without individualized assessment. Option C addresses
affordability but not medication safety. Option D ignores important
interaction risks from nonprescription agents.
Question 4
A patient requests an antibiotic because symptoms of a viral upper
respiratory infection began the previous day. Physical examination is
consistent with a viral illness, and there are no findings suggesting
bacterial infection. Which response best demonstrates evidence-based
prescribing?
Advanced Practice Nurse
Prescribers with Davis Edge
6th Edition
• Author(s)Teri Moser Woo; Wendy
L. Wright
TEST BANK
▪ The Foundation
▪ Pharmacotherapeutics with Single Drugs
▪ Pharmacotherapeutics with Multiple Drugs
▪ Special Drug Treatment Considerations
,Question 1
A family nurse practitioner (FNP) is evaluating a 56-year-old patient
with newly diagnosed hypertension. The patient asks whether a
prescription can be sent electronically to the pharmacy before leaving
the office. Which action best reflects the APRN's prescribing
responsibility?
A. Issue the prescription immediately because the diagnosis has been
established.
B. Complete a patient-specific assessment, verify the indication and
safety of therapy, and prescribe in accordance with state and federal
regulations.
C. Delegate medication selection to the clinic registered nurse because
hypertension treatment follows standard protocols.
D. Prescribe only after the collaborating physician electronically co-
signs every prescription.
Correct Answer: B
Rationale:
Safe prescribing begins with a comprehensive patient assessment,
confirmation of the diagnosis, evaluation of contraindications, allergies,
current medications, and patient-specific factors before selecting
therapy. The APRN must also comply with applicable state scope-of-
practice laws and federal prescribing regulations. Option A omits
essential clinical assessment. Option C inappropriately delegates a
,provider responsibility. Option D is incorrect because physician co-
signature requirements vary by state and practice authority.
Question 2
A 74-year-old woman presents for treatment of acute uncomplicated
cystitis. Her estimated glomerular filtration rate (eGFR) is 34
mL/min/1.73 m². Which prescribing principle should most strongly
guide the APRN's medication selection?
A. Select the least expensive antibiotic regardless of renal function.
B. Prescribe the standard adult dose because older adults often
underreport symptoms.
C. Consider renal function when selecting the medication and
determining the appropriate dose.
D. Avoid all antibiotics because adverse drug reactions increase with
age.
Correct Answer: C
Rationale:
Renal function significantly influences the elimination of many
medications. APRNs should evaluate kidney function before prescribing
drugs that require renal dose adjustment to reduce toxicity while
maintaining therapeutic effectiveness. Cost (Option A) is important but
should not supersede safety. Option B ignores altered
pharmacokinetics in kidney impairment. Option D is inappropriate
because infections should be treated with appropriately selected and
adjusted therapy.
, Question 3
A patient with type 2 diabetes brings a bag containing prescription
medications, over-the-counter products, vitamins, and several herbal
supplements. Before prescribing a new antihyperglycemic medication,
what is the APRN's highest priority?
A. Recommend discontinuing all nonprescription products.
B. Obtain a complete medication reconciliation to identify potential
interactions, duplications, and safety concerns.
C. Prescribe the medication with the lowest acquisition cost.
D. Focus only on medications prescribed by other healthcare providers.
Correct Answer: B
Rationale:
Medication reconciliation is a core prescribing responsibility that helps
identify drug-drug interactions, therapeutic duplication, adverse effect
risks, and adherence issues. Herbal products and supplements may
significantly affect pharmacotherapy. Option A is unnecessarily
restrictive without individualized assessment. Option C addresses
affordability but not medication safety. Option D ignores important
interaction risks from nonprescription agents.
Question 4
A patient requests an antibiotic because symptoms of a viral upper
respiratory infection began the previous day. Physical examination is
consistent with a viral illness, and there are no findings suggesting
bacterial infection. Which response best demonstrates evidence-based
prescribing?
