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 newly licensed APRN is developing a prescribing workflow for a
primary care practice. Which action best supports safe, evidence-based
prescribing while reducing the risk of medication-related harm?
A. Prescribe based primarily on personal clinical experience after
establishing a diagnosis.
B. Verify the diagnosis, review current medications and allergies, assess
patient-specific factors, and discuss risks, benefits, and alternatives
before prescribing.
C. Delay medication reconciliation until the follow-up visit to reduce
appointment length.
D. Prescribe brand-name medications whenever available to improve
treatment consistency.
Correct Answer: B
Rationale: Safe prescribing begins with accurate diagnosis, medication
reconciliation, allergy assessment, evaluation of comorbidities, organ
function, and patient preferences. Shared decision-making and
discussion of expected benefits, risks, and alternatives improve
adherence and reduce adverse events. Option A omits key safety steps.
Option C increases the risk of drug interactions and duplication. Option
D is not routinely necessary because many generic medications are
therapeutically equivalent.
,Question 2
A 74-year-old patient with hypertension, chronic kidney disease, type 2
diabetes, and osteoarthritis presents for medication renewal. The
patient currently takes eight prescription medications and several over-
the-counter supplements. Which prescribing principle should the APRN
prioritize?
A. Add medications individually without reviewing the current regimen.
B. Evaluate the medication regimen for unnecessary therapy,
interactions, adherence, and opportunities to simplify treatment.
C. Continue all medications because they were prescribed by
specialists.
D. Recommend discontinuing all supplements without assessing their
purpose.
Correct Answer: B
Rationale: Polypharmacy requires careful review for duplicate therapy,
drug interactions, adverse effects, adherence challenges, and
deprescribing opportunities. Medication optimization improves safety,
particularly in older adults. Automatically continuing or discontinuing
medications without assessment may cause harm.
Question 3
An APRN evaluates a patient with newly diagnosed community-
acquired pneumonia. Before selecting an antibiotic, which factor is
most important to assess to promote appropriate prescribing?
A. The patient's preferred pharmacy
, B. Recent antimicrobial exposure, allergies, comorbidities, and likely
pathogens
C. Whether the patient prefers tablets over capsules
D. Insurance copayment alone
Correct Answer: B
Rationale: Appropriate antimicrobial selection requires assessment of
likely pathogens, allergy history, prior antibiotic exposure, local
resistance patterns when available, organ function, and patient-specific
characteristics. Pharmacy preference and formulation are secondary
considerations after clinical appropriateness.
Question 4
An APRN is counseling a patient who is hesitant to begin a newly
prescribed medication after reading information online. Which
response best reflects patient-centered prescribing?
A. "You should take the medication because I prescribed it."
B. "The online information is inaccurate and should be ignored."
C. "Let's review your concerns, discuss the expected benefits and
possible adverse effects, and decide together on the best treatment
plan."
D. "Delay treatment until your symptoms become severe."
Correct Answer: C
Rationale: Shared decision-making encourages informed consent,
improves adherence, and respects patient autonomy. The APRN should
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 newly licensed APRN is developing a prescribing workflow for a
primary care practice. Which action best supports safe, evidence-based
prescribing while reducing the risk of medication-related harm?
A. Prescribe based primarily on personal clinical experience after
establishing a diagnosis.
B. Verify the diagnosis, review current medications and allergies, assess
patient-specific factors, and discuss risks, benefits, and alternatives
before prescribing.
C. Delay medication reconciliation until the follow-up visit to reduce
appointment length.
D. Prescribe brand-name medications whenever available to improve
treatment consistency.
Correct Answer: B
Rationale: Safe prescribing begins with accurate diagnosis, medication
reconciliation, allergy assessment, evaluation of comorbidities, organ
function, and patient preferences. Shared decision-making and
discussion of expected benefits, risks, and alternatives improve
adherence and reduce adverse events. Option A omits key safety steps.
Option C increases the risk of drug interactions and duplication. Option
D is not routinely necessary because many generic medications are
therapeutically equivalent.
,Question 2
A 74-year-old patient with hypertension, chronic kidney disease, type 2
diabetes, and osteoarthritis presents for medication renewal. The
patient currently takes eight prescription medications and several over-
the-counter supplements. Which prescribing principle should the APRN
prioritize?
A. Add medications individually without reviewing the current regimen.
B. Evaluate the medication regimen for unnecessary therapy,
interactions, adherence, and opportunities to simplify treatment.
C. Continue all medications because they were prescribed by
specialists.
D. Recommend discontinuing all supplements without assessing their
purpose.
Correct Answer: B
Rationale: Polypharmacy requires careful review for duplicate therapy,
drug interactions, adverse effects, adherence challenges, and
deprescribing opportunities. Medication optimization improves safety,
particularly in older adults. Automatically continuing or discontinuing
medications without assessment may cause harm.
Question 3
An APRN evaluates a patient with newly diagnosed community-
acquired pneumonia. Before selecting an antibiotic, which factor is
most important to assess to promote appropriate prescribing?
A. The patient's preferred pharmacy
, B. Recent antimicrobial exposure, allergies, comorbidities, and likely
pathogens
C. Whether the patient prefers tablets over capsules
D. Insurance copayment alone
Correct Answer: B
Rationale: Appropriate antimicrobial selection requires assessment of
likely pathogens, allergy history, prior antibiotic exposure, local
resistance patterns when available, organ function, and patient-specific
characteristics. Pharmacy preference and formulation are secondary
considerations after clinical appropriateness.
Question 4
An APRN is counseling a patient who is hesitant to begin a newly
prescribed medication after reading information online. Which
response best reflects patient-centered prescribing?
A. "You should take the medication because I prescribed it."
B. "The online information is inaccurate and should be ignored."
C. "Let's review your concerns, discuss the expected benefits and
possible adverse effects, and decide together on the best treatment
plan."
D. "Delay treatment until your symptoms become severe."
Correct Answer: C
Rationale: Shared decision-making encourages informed consent,
improves adherence, and respects patient autonomy. The APRN should
