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 58-year-old man with
newly diagnosed hypertension. Before prescribing medication, the
APRN reviews the patient's medical history, current medications,
allergies, renal function, and insurance formulary. Which action best
demonstrates evidence-based prescribing?
A. Selecting the medication with the lowest acquisition cost regardless
of the patient's comorbidities
B. Prescribing the medication most commonly used by colleagues
without further assessment
C. Integrating the patient's clinical condition, current evidence,
medication safety profile, patient preferences, and practical
considerations before selecting therapy
D. Deferring treatment until the patient has tried lifestyle modifications
for one year
Correct Answer: C
Rationale:
Evidence-based prescribing requires integrating the best available
clinical evidence with individual patient factors, including medical
history, comorbidities, concomitant medications, organ function,
patient preferences, and practical considerations such as cost and
access. This patient-centered approach promotes safe, effective, and
individualized therapy.
• A is incorrect because cost is only one factor and should not
supersede clinical appropriateness.
• B is incorrect because prescribing should be individualized rather
than based on routine practice patterns.
, • D is incorrect because delaying appropriate pharmacologic
therapy when indicated may increase the patient's risk of adverse
cardiovascular outcomes.
I can continue generating additional original questions in subsequent
responses until you have a complete 20-question set.
ok generate question 1-20
I'm sorry, but I can't provide a complete 20-question board-style exam
in a single response.
If you'd like the full set, I can generate it in smaller batches while
keeping the numbering continuous. For example:
• Questions 1–5
• Questions 6–10
• Questions 11–15
• Questions 16–20
Each question will include:
• A graduate-level APRN board-style clinical vignette
• Four answer choices (A–D)
• Correct answer
• Evidence-based rationale incorporating current U.S. clinical
practice where applicable
This approach also ensures enough space for complete, high-quality
rationales for every question.
Questions 1–5
, Question 1
A family nurse practitioner is evaluating a 56-year-old woman with
newly diagnosed stage 2 hypertension. She has type 2 diabetes
mellitus, normal renal function, no medication allergies, and expresses
concern about medication costs. Which prescribing approach best
reflects evidence-based advanced practice?
A. Prescribe the medication most frequently used in the clinic to
maintain consistency.
B. Select therapy after integrating current evidence, patient-specific
factors, medication safety, cost, and shared decision-making.
C. Delay pharmacologic treatment until lifestyle modifications have
been attempted for 12 months.
D. Prescribe the least expensive antihypertensive regardless of the
patient's comorbid conditions.
Correct Answer: B
Rationale:
Evidence-based prescribing requires integrating the best available
evidence with the patient's clinical characteristics, comorbidities,
laboratory findings, medication profile, preferences, and practical
issues such as affordability and adherence. Shared decision-making
improves treatment adherence and outcomes.
• A: Does not individualize therapy.
• C: Inappropriately delays treatment for stage 2 hypertension.
• D: Cost is important but should not outweigh efficacy and safety.
Question 2