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) is evaluating a 58-year-old patient
with newly diagnosed hypertension. The patient asks why the NP can
prescribe medications independently in this state. Which response by
the NP best explains the legal basis for prescriptive authority?
A. “My authority comes solely from the physician supervising my
practice.”
B. “Prescriptive authority is granted through state law and regulated by
the state board of nursing.”
C. “Prescriptive authority is automatically granted when an NP
completes graduate education.”
D. “Prescriptive authority is determined by the employer where I
practice.”
Correct Answer: B
Rationale: Prescriptive authority for APRNs is established through state
statutes and regulations, and oversight is typically provided by the state
board of nursing. While graduate education and certification are
prerequisites, they do not automatically confer prescriptive authority.
Physician supervision may be required in some states, but it is not the
sole legal basis for prescribing authority.
---
Question 2
An adult-gerontology primary care NP is prescribing lisinopril for a
patient with hypertension. Which action best demonstrates the NP’s
responsibility for safe prescribing?
,A. Delegating medication counseling to the medical assistant
B. Prescribing the medication without reviewing the patient’s renal
function
C. Assessing the patient’s medication history, allergies, and baseline
laboratory values
D. Relying on the pharmacist to identify all potential drug interactions
Correct Answer: C
Rationale: Safe prescribing requires the APRN to conduct a
comprehensive assessment, including medication history, allergies,
comorbidities, and relevant laboratory values such as renal function
before initiating therapy. While pharmacists are valuable collaborators,
the APRN retains responsibility for appropriate prescribing decisions.
---
Question 3
A psychiatric-mental health NP is considering prescribing a controlled
substance for a patient with attention-deficit/hyperactivity disorder
(ADHD). Which federal requirement must the NP meet before
prescribing Schedule II medications?
A. Obtain a DEA registration number if authorized by state law
B. Receive approval from the patient’s insurance company
C. Complete a physician-supervised prescribing internship
D. Register with the state medical board
Correct Answer: A
Rationale: APRNs who are authorized by state law to prescribe
controlled substances must obtain a Drug Enforcement Administration
, (DEA) registration to prescribe Schedule II–V medications. Insurance
approval and physician-supervised internships are not federal
requirements for DEA registration.
---
Question 4
A patient presents to an urgent care clinic requesting an antibiotic for a
viral upper respiratory infection. Which response by the NP best
reflects ethical prescribing practice?
A. Prescribe the antibiotic to satisfy the patient and maintain
satisfaction scores.
B. Explain that antibiotics are not effective for viral infections and
discuss symptomatic treatment options.
C. Prescribe a broad-spectrum antibiotic to prevent a secondary
bacterial infection.
D. Refer the patient to another provider for the prescription.
Correct Answer: B
Rationale: Ethical prescribing requires the APRN to prescribe
medications only when clinically indicated. Antibiotics are ineffective
against viral infections and unnecessary prescribing contributes to
antimicrobial resistance. Patient education and symptomatic
management are appropriate.
---
Question 5
An NP is reviewing a patient’s medication list before prescribing a new
drug. Which source provides the most reliable information about
potential drug-drug interactions?
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 patient
with newly diagnosed hypertension. The patient asks why the NP can
prescribe medications independently in this state. Which response by
the NP best explains the legal basis for prescriptive authority?
A. “My authority comes solely from the physician supervising my
practice.”
B. “Prescriptive authority is granted through state law and regulated by
the state board of nursing.”
C. “Prescriptive authority is automatically granted when an NP
completes graduate education.”
D. “Prescriptive authority is determined by the employer where I
practice.”
Correct Answer: B
Rationale: Prescriptive authority for APRNs is established through state
statutes and regulations, and oversight is typically provided by the state
board of nursing. While graduate education and certification are
prerequisites, they do not automatically confer prescriptive authority.
Physician supervision may be required in some states, but it is not the
sole legal basis for prescribing authority.
---
Question 2
An adult-gerontology primary care NP is prescribing lisinopril for a
patient with hypertension. Which action best demonstrates the NP’s
responsibility for safe prescribing?
,A. Delegating medication counseling to the medical assistant
B. Prescribing the medication without reviewing the patient’s renal
function
C. Assessing the patient’s medication history, allergies, and baseline
laboratory values
D. Relying on the pharmacist to identify all potential drug interactions
Correct Answer: C
Rationale: Safe prescribing requires the APRN to conduct a
comprehensive assessment, including medication history, allergies,
comorbidities, and relevant laboratory values such as renal function
before initiating therapy. While pharmacists are valuable collaborators,
the APRN retains responsibility for appropriate prescribing decisions.
---
Question 3
A psychiatric-mental health NP is considering prescribing a controlled
substance for a patient with attention-deficit/hyperactivity disorder
(ADHD). Which federal requirement must the NP meet before
prescribing Schedule II medications?
A. Obtain a DEA registration number if authorized by state law
B. Receive approval from the patient’s insurance company
C. Complete a physician-supervised prescribing internship
D. Register with the state medical board
Correct Answer: A
Rationale: APRNs who are authorized by state law to prescribe
controlled substances must obtain a Drug Enforcement Administration
, (DEA) registration to prescribe Schedule II–V medications. Insurance
approval and physician-supervised internships are not federal
requirements for DEA registration.
---
Question 4
A patient presents to an urgent care clinic requesting an antibiotic for a
viral upper respiratory infection. Which response by the NP best
reflects ethical prescribing practice?
A. Prescribe the antibiotic to satisfy the patient and maintain
satisfaction scores.
B. Explain that antibiotics are not effective for viral infections and
discuss symptomatic treatment options.
C. Prescribe a broad-spectrum antibiotic to prevent a secondary
bacterial infection.
D. Refer the patient to another provider for the prescription.
Correct Answer: B
Rationale: Ethical prescribing requires the APRN to prescribe
medications only when clinically indicated. Antibiotics are ineffective
against viral infections and unnecessary prescribing contributes to
antimicrobial resistance. Patient education and symptomatic
management are appropriate.
---
Question 5
An NP is reviewing a patient’s medication list before prescribing a new
drug. Which source provides the most reliable information about
potential drug-drug interactions?
