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 certified APRN joins a primary care practice. During
orientation, the collaborating physician emphasizes that prescribing
authority carries legal and ethical responsibilities beyond selecting
medications. Which action best demonstrates the APRN's role as a safe
and accountable prescriber?
A. Prescribing medications based primarily on previous patient
experiences with similar conditions
B. Integrating patient assessment findings, current evidence, patient
preferences, and applicable prescribing laws before issuing a
prescription
C. Delegating medication selection to the collaborating physician
whenever uncertainty exists
D. Routinely prescribing brand-name medications to maximize
treatment consistency
Correct Answer: B
Rationale: Safe prescribing requires integrating a comprehensive
assessment, evidence-based recommendations, patient values, legal
requirements, and clinical judgment. Option A relies excessively on
anecdotal experience. Option C underutilizes the APRN's independent
clinical responsibilities. Option D lacks evidence and may unnecessarily
increase patient costs.
Question 2
,An APRN evaluates a 58-year-old man with newly diagnosed
hypertension. Before selecting pharmacotherapy, which additional
information is most essential to obtain?
A. Preferred pharmacy location
B. Complete medication, supplement, and allergy history
C. Employment status
D. Educational attainment
Correct Answer: B
Rationale: A thorough medication reconciliation identifies potential
drug interactions, allergies, duplicate therapies, and contraindications
before prescribing. The remaining options may influence care planning
but are less critical to immediate medication safety.
Question 3
A patient requests an antibiotic because of nasal congestion and sore
throat that began 24 hours ago. Examination is most consistent with an
uncomplicated viral upper respiratory infection. What is the most
appropriate prescribing decision?
A. Prescribe a broad-spectrum antibiotic immediately
B. Prescribe an antibiotic with instructions to begin if symptoms worsen
within 24 hours
C. Recommend symptomatic management and educate the patient
regarding the lack of antibiotic benefit
D. Prescribe two antibiotics to prevent bacterial resistance
Correct Answer: C
, Rationale: Evidence-based prescribing includes avoiding unnecessary
antibiotics for likely viral illnesses to reduce adverse effects and
antimicrobial resistance. Options A, B, and D represent inappropriate
antibiotic stewardship.
Question 4
An APRN prescribes a new medication for an older adult with multiple
chronic diseases. Which counseling point most directly promotes
medication safety?
A. Stop all previous medications immediately.
B. Take the medication exactly as prescribed and report any
unexpected adverse effects promptly.
C. Double the dose if symptoms do not improve within 24 hours.
D. Share leftover medication with family members who have similar
symptoms.
Correct Answer: B
Rationale: Patient education regarding adherence, adverse effect
recognition, and communication improves medication safety. The
remaining options promote unsafe medication practices.
Question 5
An APRN reviews a patient's medication list before prescribing. Which
activity best represents medication reconciliation?
A. Recording only prescription medications
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 certified APRN joins a primary care practice. During
orientation, the collaborating physician emphasizes that prescribing
authority carries legal and ethical responsibilities beyond selecting
medications. Which action best demonstrates the APRN's role as a safe
and accountable prescriber?
A. Prescribing medications based primarily on previous patient
experiences with similar conditions
B. Integrating patient assessment findings, current evidence, patient
preferences, and applicable prescribing laws before issuing a
prescription
C. Delegating medication selection to the collaborating physician
whenever uncertainty exists
D. Routinely prescribing brand-name medications to maximize
treatment consistency
Correct Answer: B
Rationale: Safe prescribing requires integrating a comprehensive
assessment, evidence-based recommendations, patient values, legal
requirements, and clinical judgment. Option A relies excessively on
anecdotal experience. Option C underutilizes the APRN's independent
clinical responsibilities. Option D lacks evidence and may unnecessarily
increase patient costs.
Question 2
,An APRN evaluates a 58-year-old man with newly diagnosed
hypertension. Before selecting pharmacotherapy, which additional
information is most essential to obtain?
A. Preferred pharmacy location
B. Complete medication, supplement, and allergy history
C. Employment status
D. Educational attainment
Correct Answer: B
Rationale: A thorough medication reconciliation identifies potential
drug interactions, allergies, duplicate therapies, and contraindications
before prescribing. The remaining options may influence care planning
but are less critical to immediate medication safety.
Question 3
A patient requests an antibiotic because of nasal congestion and sore
throat that began 24 hours ago. Examination is most consistent with an
uncomplicated viral upper respiratory infection. What is the most
appropriate prescribing decision?
A. Prescribe a broad-spectrum antibiotic immediately
B. Prescribe an antibiotic with instructions to begin if symptoms worsen
within 24 hours
C. Recommend symptomatic management and educate the patient
regarding the lack of antibiotic benefit
D. Prescribe two antibiotics to prevent bacterial resistance
Correct Answer: C
, Rationale: Evidence-based prescribing includes avoiding unnecessary
antibiotics for likely viral illnesses to reduce adverse effects and
antimicrobial resistance. Options A, B, and D represent inappropriate
antibiotic stewardship.
Question 4
An APRN prescribes a new medication for an older adult with multiple
chronic diseases. Which counseling point most directly promotes
medication safety?
A. Stop all previous medications immediately.
B. Take the medication exactly as prescribed and report any
unexpected adverse effects promptly.
C. Double the dose if symptoms do not improve within 24 hours.
D. Share leftover medication with family members who have similar
symptoms.
Correct Answer: B
Rationale: Patient education regarding adherence, adverse effect
recognition, and communication improves medication safety. The
remaining options promote unsafe medication practices.
Question 5
An APRN reviews a patient's medication list before prescribing. Which
activity best represents medication reconciliation?
A. Recording only prescription medications
