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 graduated nurse practitioner is reviewing legal and
professional responsibilities associated with prescribing. Which action
best demonstrates safe and accountable prescribing practice?
A. Prescribing medications based primarily on patient request to
improve satisfaction
B. Delegating all medication counseling responsibilities to nursing
staff
C. Performing a patient-specific assessment before initiating
pharmacotherapy
D. Using a colleague's DEA number when the prescriber is unavailable
Correct Answer: C
Rationale: Safe prescribing begins with a comprehensive patient
assessment that includes diagnosis, comorbidities, medication history,
allergies, and treatment goals. Prescribing based solely on patient
request is inappropriate. Medication counseling remains the
prescriber's responsibility even when reinforced by staff. Using
another clinician's DEA number is illegal and unethical.
Question 2
A nurse practitioner is evaluating a 72-year-old patient before
prescribing a new medication. Which factor is most important to
assess first to reduce the risk of adverse drug events?
A. Favorite pharmacy
B. Complete medication list, including over-the-counter products
,C. Marital status
D. Insurance copayment amount
Correct Answer: B
Rationale: Polypharmacy is a major cause of adverse drug events in
older adults. Reviewing all prescription medications, over-the-counter
products, supplements, and herbal therapies helps identify
interactions, duplication, and contraindications. The other factors
may influence care but do not directly affect medication safety.
Question 3
A patient requests an antibiotic for symptoms consistent with a viral
upper respiratory infection. What is the most appropriate prescribing
response?
A. Prescribe the antibiotic to maintain patient satisfaction
B. Prescribe a broad-spectrum antibiotic as a precaution
C. Explain why antibiotics are not indicated and discuss supportive
care
D. Provide a partial antibiotic course
Correct Answer: C
Rationale: Evidence-based prescribing requires selecting therapy only
when clinically indicated. Antibiotics are ineffective against viral
infections and unnecessary use contributes to antimicrobial resistance
and adverse effects. Prescribing antibiotics without indication is
inappropriate.
, Question 4
A nurse practitioner prescribes lisinopril for hypertension. Which
follow-up plan best reflects quality prescribing practice?
A. No follow-up is necessary if the patient feels well
B. Follow-up only if adverse effects occur
C. Schedule monitoring to evaluate efficacy, adherence, and adverse
effects
D. Reassess after one year
Correct Answer: C
Rationale: Prescribing includes ongoing monitoring and evaluation of
therapeutic outcomes. Follow-up allows assessment of blood pressure
response, laboratory monitoring when appropriate, adverse effects,
and medication adherence. Waiting for symptoms or delaying
reassessment may compromise patient safety.
Question 5
An APRN is preparing to prescribe a medication with known
teratogenic potential to a 28-year-old woman. What is the most
appropriate action before initiating therapy?
A. Prescribe immediately because pregnancy is unlikely
B. Discuss reproductive plans and pregnancy prevention strategies
C. Delay treatment indefinitely
D. Advise the patient to discontinue the medication if pregnancy
occurs
Correct Answer: B
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 graduated nurse practitioner is reviewing legal and
professional responsibilities associated with prescribing. Which action
best demonstrates safe and accountable prescribing practice?
A. Prescribing medications based primarily on patient request to
improve satisfaction
B. Delegating all medication counseling responsibilities to nursing
staff
C. Performing a patient-specific assessment before initiating
pharmacotherapy
D. Using a colleague's DEA number when the prescriber is unavailable
Correct Answer: C
Rationale: Safe prescribing begins with a comprehensive patient
assessment that includes diagnosis, comorbidities, medication history,
allergies, and treatment goals. Prescribing based solely on patient
request is inappropriate. Medication counseling remains the
prescriber's responsibility even when reinforced by staff. Using
another clinician's DEA number is illegal and unethical.
Question 2
A nurse practitioner is evaluating a 72-year-old patient before
prescribing a new medication. Which factor is most important to
assess first to reduce the risk of adverse drug events?
A. Favorite pharmacy
B. Complete medication list, including over-the-counter products
,C. Marital status
D. Insurance copayment amount
Correct Answer: B
Rationale: Polypharmacy is a major cause of adverse drug events in
older adults. Reviewing all prescription medications, over-the-counter
products, supplements, and herbal therapies helps identify
interactions, duplication, and contraindications. The other factors
may influence care but do not directly affect medication safety.
Question 3
A patient requests an antibiotic for symptoms consistent with a viral
upper respiratory infection. What is the most appropriate prescribing
response?
A. Prescribe the antibiotic to maintain patient satisfaction
B. Prescribe a broad-spectrum antibiotic as a precaution
C. Explain why antibiotics are not indicated and discuss supportive
care
D. Provide a partial antibiotic course
Correct Answer: C
Rationale: Evidence-based prescribing requires selecting therapy only
when clinically indicated. Antibiotics are ineffective against viral
infections and unnecessary use contributes to antimicrobial resistance
and adverse effects. Prescribing antibiotics without indication is
inappropriate.
, Question 4
A nurse practitioner prescribes lisinopril for hypertension. Which
follow-up plan best reflects quality prescribing practice?
A. No follow-up is necessary if the patient feels well
B. Follow-up only if adverse effects occur
C. Schedule monitoring to evaluate efficacy, adherence, and adverse
effects
D. Reassess after one year
Correct Answer: C
Rationale: Prescribing includes ongoing monitoring and evaluation of
therapeutic outcomes. Follow-up allows assessment of blood pressure
response, laboratory monitoring when appropriate, adverse effects,
and medication adherence. Waiting for symptoms or delaying
reassessment may compromise patient safety.
Question 5
An APRN is preparing to prescribe a medication with known
teratogenic potential to a 28-year-old woman. What is the most
appropriate action before initiating therapy?
A. Prescribe immediately because pregnancy is unlikely
B. Discuss reproductive plans and pregnancy prevention strategies
C. Delay treatment indefinitely
D. Advise the patient to discontinue the medication if pregnancy
occurs
Correct Answer: B
