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 is preparing to begin prescribing medications in
a family practice clinic. Which action best demonstrates the APRN's
primary responsibility as a safe and effective prescriber?
A. Prescribing medications requested by patients if they are commonly
used
B. Selecting the least expensive medication regardless of clinical
evidence
C. Integrating patient assessment, current evidence, patient
preferences, and state prescribing regulations before initiating therapy
D. Deferring all prescribing decisions to the collaborating physician
Correct Answer: C
Rationale:
Safe prescribing requires integration of a comprehensive patient
assessment, evidence-based practice, patient values, medication risks
and benefits, and applicable federal and state prescribing laws. APRNs
are accountable for independent clinical decision-making within their
scope of practice. Option A ignores evidence-based care, Option B
prioritizes cost over clinical appropriateness, and Option D does not
reflect the autonomous clinical responsibilities expected of APRNs.
Question 2
,A 67-year-old woman with hypertension, chronic kidney disease,
osteoarthritis, and type 2 diabetes takes eight prescription medications
and several over-the-counter supplements. During an annual visit, the
APRN's first priority before prescribing a new medication is to:
A. Increase the dosage of current medications to improve adherence
B. Perform a comprehensive medication reconciliation
C. Recommend discontinuation of all supplements
D. Substitute all brand-name medications with generics
Correct Answer: B
Rationale:
Medication reconciliation is essential before initiating additional
therapy, particularly in patients with polypharmacy. It identifies
duplicate therapies, drug interactions, adherence issues, allergies, and
inappropriate medications. Supplements may contribute to interactions
but should not automatically be discontinued. Generic substitution may
reduce costs but is not the first priority.
Question 3
A patient requests an antibiotic for symptoms consistent with an
uncomplicated viral upper respiratory infection. What is the APRN's
best response?
A. Prescribe the antibiotic because patient satisfaction improves
outcomes.
B. Prescribe a broad-spectrum antibiotic for three days.
C. Explain why antibiotics are not indicated, recommend symptomatic
treatment, and provide follow-up instructions.
, D. Delay prescribing until symptoms persist for two days.
Correct Answer: C
Rationale:
Appropriate antimicrobial stewardship requires avoiding antibiotics for
viral illnesses. Patient education, symptomatic management, and clear
return precautions reduce unnecessary antibiotic use while maintaining
quality care. Prescribing antibiotics when not indicated contributes to
antimicrobial resistance and exposes patients to avoidable adverse
effects.
Question 4
Before prescribing a medication with known teratogenic potential to a
reproductive-age woman, the APRN should FIRST:
A. Prescribe folic acid supplementation
B. Discuss pregnancy intentions, contraception, and potential fetal risks
C. Recommend permanent sterilization
D. Delay treatment indefinitely
Correct Answer: B
Rationale:
Safe prescribing requires assessing pregnancy status, reproductive
goals, and contraceptive use before initiating teratogenic medications.
Shared decision-making and informed consent are essential. Folic acid
alone does not eliminate teratogenic risk, while delaying treatment or
recommending sterilization is inappropriate without individualized
discussion.
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 is preparing to begin prescribing medications in
a family practice clinic. Which action best demonstrates the APRN's
primary responsibility as a safe and effective prescriber?
A. Prescribing medications requested by patients if they are commonly
used
B. Selecting the least expensive medication regardless of clinical
evidence
C. Integrating patient assessment, current evidence, patient
preferences, and state prescribing regulations before initiating therapy
D. Deferring all prescribing decisions to the collaborating physician
Correct Answer: C
Rationale:
Safe prescribing requires integration of a comprehensive patient
assessment, evidence-based practice, patient values, medication risks
and benefits, and applicable federal and state prescribing laws. APRNs
are accountable for independent clinical decision-making within their
scope of practice. Option A ignores evidence-based care, Option B
prioritizes cost over clinical appropriateness, and Option D does not
reflect the autonomous clinical responsibilities expected of APRNs.
Question 2
,A 67-year-old woman with hypertension, chronic kidney disease,
osteoarthritis, and type 2 diabetes takes eight prescription medications
and several over-the-counter supplements. During an annual visit, the
APRN's first priority before prescribing a new medication is to:
A. Increase the dosage of current medications to improve adherence
B. Perform a comprehensive medication reconciliation
C. Recommend discontinuation of all supplements
D. Substitute all brand-name medications with generics
Correct Answer: B
Rationale:
Medication reconciliation is essential before initiating additional
therapy, particularly in patients with polypharmacy. It identifies
duplicate therapies, drug interactions, adherence issues, allergies, and
inappropriate medications. Supplements may contribute to interactions
but should not automatically be discontinued. Generic substitution may
reduce costs but is not the first priority.
Question 3
A patient requests an antibiotic for symptoms consistent with an
uncomplicated viral upper respiratory infection. What is the APRN's
best response?
A. Prescribe the antibiotic because patient satisfaction improves
outcomes.
B. Prescribe a broad-spectrum antibiotic for three days.
C. Explain why antibiotics are not indicated, recommend symptomatic
treatment, and provide follow-up instructions.
, D. Delay prescribing until symptoms persist for two days.
Correct Answer: C
Rationale:
Appropriate antimicrobial stewardship requires avoiding antibiotics for
viral illnesses. Patient education, symptomatic management, and clear
return precautions reduce unnecessary antibiotic use while maintaining
quality care. Prescribing antibiotics when not indicated contributes to
antimicrobial resistance and exposes patients to avoidable adverse
effects.
Question 4
Before prescribing a medication with known teratogenic potential to a
reproductive-age woman, the APRN should FIRST:
A. Prescribe folic acid supplementation
B. Discuss pregnancy intentions, contraception, and potential fetal risks
C. Recommend permanent sterilization
D. Delay treatment indefinitely
Correct Answer: B
Rationale:
Safe prescribing requires assessing pregnancy status, reproductive
goals, and contraceptive use before initiating teratogenic medications.
Shared decision-making and informed consent are essential. Folic acid
alone does not eliminate teratogenic risk, while delaying treatment or
recommending sterilization is inappropriate without individualized
discussion.
