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. The patient requests an antibiotic
because he believes it will "prevent complications" while waiting for his
blood pressure medication to work. The patient has no signs of
infection. Which action best demonstrates evidence-based prescribing?
A. Prescribe a broad-spectrum antibiotic because the patient is at
increased cardiovascular risk.
B. Explain why antibiotics are not indicated, initiate guideline-directed
antihypertensive therapy, and provide education regarding the
treatment plan.
C. Delay antihypertensive therapy until laboratory results confirm there
is no infection.
D. Prescribe a short course of antibiotics because patient satisfaction is
an important quality metric.
Correct Answer: B
Rationale:
Evidence-based prescribing requires selecting medications only when
there is a clear clinical indication. Antibiotics have no role in treating
uncomplicated hypertension and unnecessary prescribing contributes
to antimicrobial resistance, adverse drug reactions, and increased
healthcare costs. Patient education is an essential responsibility of the
APRN prescriber. Option A exposes the patient to unnecessary risk.
Option C delays appropriate therapy without clinical justification.
Option D prioritizes patient expectations over evidence-based care.
Question 2
,A nurse practitioner is considering prescribing an oral medication for an
80-year-old woman with chronic kidney disease and multiple chronic
illnesses. Which factor should receive the highest priority before
selecting the initial medication and dose?
A. The patient's preferred pharmacy
B. Current renal function and the need for dosage adjustment
C. Whether the medication is available as a generic product
D. The patient's insurance copayment
Correct Answer: B
Rationale:
Older adults frequently experience reduced renal clearance, increasing
the risk of medication accumulation and toxicity. Assessing kidney
function before prescribing is essential for selecting appropriate
medications and determining whether dosage adjustments are
necessary. Cost and pharmacy preference are important but should not
supersede patient safety. Generic availability should be considered
after determining that the medication is appropriate and safe.
Question 3
A psychiatric-mental health nurse practitioner (PMHNP) is preparing to
prescribe a medication with a known risk of serious adverse effects
requiring ongoing laboratory monitoring. Which prescribing action best
fulfills the APRN's professional responsibility?
A. Delegate all medication counseling to the dispensing pharmacist.
B. Prescribe the medication without discussing potential risks because
written information accompanies the prescription.
, C. Discuss expected benefits, potential risks, required laboratory
monitoring, warning symptoms, and establish an appropriate follow-up
plan.
D. Delay discussion of adverse effects until the patient experiences one.
Correct Answer: C
Rationale:
Safe prescribing includes informed consent, patient counseling, shared
decision-making, baseline assessment, monitoring, and scheduled
follow-up. APRNs remain responsible for ensuring patients understand
the benefits, risks, and monitoring requirements of prescribed
medications. Although pharmacists reinforce counseling, the prescriber
retains responsibility for initial education. Options A, B, and D fail to
meet professional and ethical standards for safe prescribing.
Question 4
An adult-gerontology primary care nurse practitioner (AGPCNP)
evaluates a patient who takes prescriptions from multiple specialists
and several over-the-counter herbal supplements. Before prescribing
an additional medication, what is the most appropriate initial action?
A. Prescribe the medication because specialists have already evaluated
the patient.
B. Obtain a complete medication reconciliation, including prescription
medications, over-the-counter products, vitamins, and herbal
supplements.
C. Recommend discontinuing all supplements before obtaining further
information.
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. The patient requests an antibiotic
because he believes it will "prevent complications" while waiting for his
blood pressure medication to work. The patient has no signs of
infection. Which action best demonstrates evidence-based prescribing?
A. Prescribe a broad-spectrum antibiotic because the patient is at
increased cardiovascular risk.
B. Explain why antibiotics are not indicated, initiate guideline-directed
antihypertensive therapy, and provide education regarding the
treatment plan.
C. Delay antihypertensive therapy until laboratory results confirm there
is no infection.
D. Prescribe a short course of antibiotics because patient satisfaction is
an important quality metric.
Correct Answer: B
Rationale:
Evidence-based prescribing requires selecting medications only when
there is a clear clinical indication. Antibiotics have no role in treating
uncomplicated hypertension and unnecessary prescribing contributes
to antimicrobial resistance, adverse drug reactions, and increased
healthcare costs. Patient education is an essential responsibility of the
APRN prescriber. Option A exposes the patient to unnecessary risk.
Option C delays appropriate therapy without clinical justification.
Option D prioritizes patient expectations over evidence-based care.
Question 2
,A nurse practitioner is considering prescribing an oral medication for an
80-year-old woman with chronic kidney disease and multiple chronic
illnesses. Which factor should receive the highest priority before
selecting the initial medication and dose?
A. The patient's preferred pharmacy
B. Current renal function and the need for dosage adjustment
C. Whether the medication is available as a generic product
D. The patient's insurance copayment
Correct Answer: B
Rationale:
Older adults frequently experience reduced renal clearance, increasing
the risk of medication accumulation and toxicity. Assessing kidney
function before prescribing is essential for selecting appropriate
medications and determining whether dosage adjustments are
necessary. Cost and pharmacy preference are important but should not
supersede patient safety. Generic availability should be considered
after determining that the medication is appropriate and safe.
Question 3
A psychiatric-mental health nurse practitioner (PMHNP) is preparing to
prescribe a medication with a known risk of serious adverse effects
requiring ongoing laboratory monitoring. Which prescribing action best
fulfills the APRN's professional responsibility?
A. Delegate all medication counseling to the dispensing pharmacist.
B. Prescribe the medication without discussing potential risks because
written information accompanies the prescription.
, C. Discuss expected benefits, potential risks, required laboratory
monitoring, warning symptoms, and establish an appropriate follow-up
plan.
D. Delay discussion of adverse effects until the patient experiences one.
Correct Answer: C
Rationale:
Safe prescribing includes informed consent, patient counseling, shared
decision-making, baseline assessment, monitoring, and scheduled
follow-up. APRNs remain responsible for ensuring patients understand
the benefits, risks, and monitoring requirements of prescribed
medications. Although pharmacists reinforce counseling, the prescriber
retains responsibility for initial education. Options A, B, and D fail to
meet professional and ethical standards for safe prescribing.
Question 4
An adult-gerontology primary care nurse practitioner (AGPCNP)
evaluates a patient who takes prescriptions from multiple specialists
and several over-the-counter herbal supplements. Before prescribing
an additional medication, what is the most appropriate initial action?
A. Prescribe the medication because specialists have already evaluated
the patient.
B. Obtain a complete medication reconciliation, including prescription
medications, over-the-counter products, vitamins, and herbal
supplements.
C. Recommend discontinuing all supplements before obtaining further
information.
