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 family nurse practitioner (FNP) evaluates a 58-year-old man with
newly diagnosed hypertension. His medical history includes type 2
diabetes mellitus and stage 2 chronic kidney disease. He asks, "Why are
you recommending this medication instead of the one my neighbor
takes?" Which response best demonstrates evidence-based
prescribing?
A. "This medication is the newest option available and is generally
superior to older drugs."
B. "Your treatment is based on your health conditions, current clinical
evidence, potential benefits, possible risks, and your personal
treatment goals."
C. "I prescribe this medication because it is the least expensive option
regardless of medical history."
D. "Your insurance formulary determines which medication is most
appropriate."
Correct Answer: B
Rationale:
Evidence-based prescribing integrates the best available scientific
evidence, patient-specific factors, clinician expertise, and the patient's
preferences and goals. Diabetes and chronic kidney disease influence
antihypertensive selection because certain agents provide additional
renal and cardiovascular benefits. Cost and formulary considerations
are important but should not override clinical appropriateness. Newer
medications are not automatically superior.
Question 2
,A nurse practitioner is preparing to prescribe an antibiotic for a 72-
year-old woman with community-acquired pneumonia. Her estimated
glomerular filtration rate (eGFR) is 28 mL/min/1.73 m². Which
prescribing principle is most appropriate before finalizing the
prescription?
A. Use the standard adult dose because older adults often tolerate
antibiotics well.
B. Select the medication solely according to the patient's age.
C. Evaluate whether the medication requires renal dose adjustment to
reduce the risk of drug accumulation and toxicity.
D. Reduce every medication dose by 50% in all patients older than 65
years.
Correct Answer: C
Rationale:
Reduced renal function can significantly alter the clearance of many
medications. Prescribers should review renal function before initiating
medications that are primarily eliminated by the kidneys and adjust
dosing when indicated. Age alone should not determine dosing, and
empirically reducing all medications by 50% is neither evidence-based
nor safe.
Question 3
A 30-year-old woman who is 10 weeks pregnant presents with
symptoms consistent with an uncomplicated urinary tract infection.
Before selecting an antimicrobial agent, what is the most important
prescribing consideration?
A. Choose the medication with the longest half-life.
, B. Select an antibiotic with demonstrated effectiveness against likely
pathogens while considering fetal safety.
C. Avoid treating the infection until after the first trimester.
D. Prescribe the same antibiotic the patient received several years ago.
Correct Answer: B
Rationale:
Pregnancy requires careful evaluation of both maternal benefit and
fetal safety. Appropriate antibiotic selection should consider pathogen
susceptibility, maternal allergies, gestational age, and available safety
data during pregnancy. Delaying treatment may increase maternal and
fetal complications, while previous treatment history alone is
insufficient for current prescribing decisions.
Question 4
A psychiatric-mental health nurse practitioner (PMHNP) is considering
initiating a medication associated with a clinically significant risk of QT
interval prolongation. Which action best reflects safe prescribing
practice?
A. Begin treatment without reviewing the patient's medication list.
B. Assess for other QT-prolonging medications, electrolyte
abnormalities, and cardiac risk factors before prescribing.
C. Avoid discussing potential adverse effects to prevent unnecessary
anxiety.
D. Schedule follow-up only if the patient develops symptoms.
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 family nurse practitioner (FNP) evaluates a 58-year-old man with
newly diagnosed hypertension. His medical history includes type 2
diabetes mellitus and stage 2 chronic kidney disease. He asks, "Why are
you recommending this medication instead of the one my neighbor
takes?" Which response best demonstrates evidence-based
prescribing?
A. "This medication is the newest option available and is generally
superior to older drugs."
B. "Your treatment is based on your health conditions, current clinical
evidence, potential benefits, possible risks, and your personal
treatment goals."
C. "I prescribe this medication because it is the least expensive option
regardless of medical history."
D. "Your insurance formulary determines which medication is most
appropriate."
Correct Answer: B
Rationale:
Evidence-based prescribing integrates the best available scientific
evidence, patient-specific factors, clinician expertise, and the patient's
preferences and goals. Diabetes and chronic kidney disease influence
antihypertensive selection because certain agents provide additional
renal and cardiovascular benefits. Cost and formulary considerations
are important but should not override clinical appropriateness. Newer
medications are not automatically superior.
Question 2
,A nurse practitioner is preparing to prescribe an antibiotic for a 72-
year-old woman with community-acquired pneumonia. Her estimated
glomerular filtration rate (eGFR) is 28 mL/min/1.73 m². Which
prescribing principle is most appropriate before finalizing the
prescription?
A. Use the standard adult dose because older adults often tolerate
antibiotics well.
B. Select the medication solely according to the patient's age.
C. Evaluate whether the medication requires renal dose adjustment to
reduce the risk of drug accumulation and toxicity.
D. Reduce every medication dose by 50% in all patients older than 65
years.
Correct Answer: C
Rationale:
Reduced renal function can significantly alter the clearance of many
medications. Prescribers should review renal function before initiating
medications that are primarily eliminated by the kidneys and adjust
dosing when indicated. Age alone should not determine dosing, and
empirically reducing all medications by 50% is neither evidence-based
nor safe.
Question 3
A 30-year-old woman who is 10 weeks pregnant presents with
symptoms consistent with an uncomplicated urinary tract infection.
Before selecting an antimicrobial agent, what is the most important
prescribing consideration?
A. Choose the medication with the longest half-life.
, B. Select an antibiotic with demonstrated effectiveness against likely
pathogens while considering fetal safety.
C. Avoid treating the infection until after the first trimester.
D. Prescribe the same antibiotic the patient received several years ago.
Correct Answer: B
Rationale:
Pregnancy requires careful evaluation of both maternal benefit and
fetal safety. Appropriate antibiotic selection should consider pathogen
susceptibility, maternal allergies, gestational age, and available safety
data during pregnancy. Delaying treatment may increase maternal and
fetal complications, while previous treatment history alone is
insufficient for current prescribing decisions.
Question 4
A psychiatric-mental health nurse practitioner (PMHNP) is considering
initiating a medication associated with a clinically significant risk of QT
interval prolongation. Which action best reflects safe prescribing
practice?
A. Begin treatment without reviewing the patient's medication list.
B. Assess for other QT-prolonging medications, electrolyte
abnormalities, and cardiac risk factors before prescribing.
C. Avoid discussing potential adverse effects to prevent unnecessary
anxiety.
D. Schedule follow-up only if the patient develops symptoms.
Correct Answer: B
