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 is reviewing a state prescription drug
monitoring program (PDMP) before prescribing an opioid for acute
postoperative pain. Which action best reflects the advanced practice
nurse's role as a safe and effective prescriber?
A. Prescribe the opioid first and review the PDMP at the follow-up visit.
B. Review the PDMP, assess the patient's pain history and risk factors,
then determine whether opioid therapy is appropriate.
C. Prescribe a long-acting opioid to reduce the frequency of dosing.
D. Avoid prescribing any opioid because non-opioid medications are
always preferred.
Correct Answer: B
Rationale: Safe prescribing requires integrating clinical assessment,
review of the PDMP when applicable, evaluation of misuse risk, and
individualized treatment planning. Long-acting opioids are generally
inappropriate for acute pain, and opioids may be appropriate for
selected patients after careful assessment.
Question 2
A newly certified APRN is evaluating a patient with uncomplicated
hypertension. Which prescribing practice best demonstrates evidence-
based clinical decision-making?
A. Prescribe the medication most frequently used by colleagues.
B. Select therapy based solely on medication cost.
,C. Integrate current clinical guidelines, patient-specific factors,
comorbidities, and patient preferences before selecting therapy.
D. Begin treatment with two antihypertensive medications for every
patient.
Correct Answer: C
Rationale: Evidence-based prescribing integrates the best available
evidence, patient characteristics, clinician expertise, and shared
decision-making. Prescribing should never rely solely on habit, cost, or
generalized treatment approaches.
Question 3
An APRN evaluates a 74-year-old patient with chronic kidney disease
before initiating medication therapy. Which factor should receive the
greatest priority during prescribing?
A. Patient's favorite pharmacy
B. Insurance deductible
C. Renal function and potential need for dose adjustment
D. Medication color preference
Correct Answer: C
Rationale: Renal impairment significantly affects elimination of many
medications. Estimating kidney function before prescribing helps
reduce adverse drug events and guides dose adjustments. Other factors
may influence adherence but are secondary to medication safety.
Question 4
, A patient asks why an APRN discusses medication goals before writing a
prescription. Which response is most appropriate?
A. "Goals are mainly required for insurance approval."
B. "Establishing treatment goals helps determine whether the
medication is effective and whether changes are needed."
C. "Medication goals are only important for chronic diseases."
D. "Goals are primarily for documentation and have little impact on
prescribing."
Correct Answer: B
Rationale: Therapeutic goals provide measurable outcomes that guide
medication selection, monitoring, and follow-up. They support
individualized care and timely treatment modifications.
Question 5
An APRN prescribes an oral antibiotic for community-acquired
pneumonia. Which counseling point best promotes safe medication
use?
A. Stop the medication as soon as symptoms improve.
B. Double the next dose if one dose is missed.
C. Take the medication exactly as directed and report serious adverse
effects or allergic reactions promptly.
D. Share leftover medication with family members if they become ill.
Correct Answer: C
Rationale: Patient education is a core prescribing responsibility.
Completing therapy as directed and recognizing significant adverse
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 is reviewing a state prescription drug
monitoring program (PDMP) before prescribing an opioid for acute
postoperative pain. Which action best reflects the advanced practice
nurse's role as a safe and effective prescriber?
A. Prescribe the opioid first and review the PDMP at the follow-up visit.
B. Review the PDMP, assess the patient's pain history and risk factors,
then determine whether opioid therapy is appropriate.
C. Prescribe a long-acting opioid to reduce the frequency of dosing.
D. Avoid prescribing any opioid because non-opioid medications are
always preferred.
Correct Answer: B
Rationale: Safe prescribing requires integrating clinical assessment,
review of the PDMP when applicable, evaluation of misuse risk, and
individualized treatment planning. Long-acting opioids are generally
inappropriate for acute pain, and opioids may be appropriate for
selected patients after careful assessment.
Question 2
A newly certified APRN is evaluating a patient with uncomplicated
hypertension. Which prescribing practice best demonstrates evidence-
based clinical decision-making?
A. Prescribe the medication most frequently used by colleagues.
B. Select therapy based solely on medication cost.
,C. Integrate current clinical guidelines, patient-specific factors,
comorbidities, and patient preferences before selecting therapy.
D. Begin treatment with two antihypertensive medications for every
patient.
Correct Answer: C
Rationale: Evidence-based prescribing integrates the best available
evidence, patient characteristics, clinician expertise, and shared
decision-making. Prescribing should never rely solely on habit, cost, or
generalized treatment approaches.
Question 3
An APRN evaluates a 74-year-old patient with chronic kidney disease
before initiating medication therapy. Which factor should receive the
greatest priority during prescribing?
A. Patient's favorite pharmacy
B. Insurance deductible
C. Renal function and potential need for dose adjustment
D. Medication color preference
Correct Answer: C
Rationale: Renal impairment significantly affects elimination of many
medications. Estimating kidney function before prescribing helps
reduce adverse drug events and guides dose adjustments. Other factors
may influence adherence but are secondary to medication safety.
Question 4
, A patient asks why an APRN discusses medication goals before writing a
prescription. Which response is most appropriate?
A. "Goals are mainly required for insurance approval."
B. "Establishing treatment goals helps determine whether the
medication is effective and whether changes are needed."
C. "Medication goals are only important for chronic diseases."
D. "Goals are primarily for documentation and have little impact on
prescribing."
Correct Answer: B
Rationale: Therapeutic goals provide measurable outcomes that guide
medication selection, monitoring, and follow-up. They support
individualized care and timely treatment modifications.
Question 5
An APRN prescribes an oral antibiotic for community-acquired
pneumonia. Which counseling point best promotes safe medication
use?
A. Stop the medication as soon as symptoms improve.
B. Double the next dose if one dose is missed.
C. Take the medication exactly as directed and report serious adverse
effects or allergic reactions promptly.
D. Share leftover medication with family members if they become ill.
Correct Answer: C
Rationale: Patient education is a core prescribing responsibility.
Completing therapy as directed and recognizing significant adverse
