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 62-year-old man with
newly diagnosed hypertension. The patient asks whether the APRN can
independently prescribe medication. Before initiating therapy, the
APRN confirms that state law grants full practice authority.
Which action best reflects the APRN's professional responsibility as a
prescriber?
A. Prescribe medication solely according to patient preference
regardless of clinical evidence.
B. Select evidence-based therapy after assessing the patient's diagnosis,
comorbidities, medications, and individual risk factors.
C. Prescribe only medications previously recommended by
collaborating physicians.
D. Delay treatment until a physician signs the prescription.
Correct Answer: B
Rationale:
Safe prescribing requires integration of evidence-based medicine with
individualized patient assessment, including diagnosis, comorbid
conditions, current medications, allergies, organ function, and patient
preferences. APRNs practicing within their legal scope are accountable
for selecting appropriate pharmacologic therapy and monitoring
outcomes. Option A ignores evidence-based care. Option C may not
reflect state practice authority or patient-specific needs. Option D is
unnecessary in jurisdictions where APRNs have independent
prescriptive authority.
Question 2
,A nurse practitioner evaluates a 75-year-old woman with osteoarthritis
requesting medication for chronic knee pain. Her history includes
chronic kidney disease stage 3, hypertension, and heart failure. Current
medications include lisinopril, furosemide, and low-dose aspirin.
Which prescribing principle should most strongly influence the initial
medication decision?
A. Choose the medication with the fastest onset of action.
B. Consider potential drug-disease and drug-drug interactions before
selecting therapy.
C. Prescribe the newest medication available because it is likely more
effective.
D. Increase the starting dose to achieve symptom control quickly.
Correct Answer: B
Rationale:
Comprehensive prescribing requires evaluation of comorbidities and
concurrent medications before selecting therapy. In this patient,
medications such as NSAIDs could worsen renal function, elevate blood
pressure, reduce diuretic effectiveness, and exacerbate heart failure.
The safest prescribing decision begins with identifying potential
interactions and contraindications. Option A emphasizes speed over
safety. Option C is not evidence-based. Option D increases the risk of
adverse effects, particularly in older adults.
Question 3
A 58-year-old patient with type 2 diabetes presents for follow-up.
Before prescribing an additional antihyperglycemic medication, the
APRN performs medication reconciliation.
, What is the primary purpose of medication reconciliation during the
prescribing process?
A. Reduce the number of follow-up visits.
B. Verify all current medications to identify duplication, interactions,
omissions, and potential safety concerns.
C. Determine whether the patient qualifies for prescription assistance
programs.
D. Ensure the pharmacy has the medication in stock before prescribing.
Correct Answer: B
Rationale:
Medication reconciliation is a critical patient safety process that
compares all prescription medications, over-the-counter drugs,
supplements, and herbal products to identify therapeutic duplication,
interactions, omissions, dosing errors, and unnecessary medications. It
reduces preventable adverse drug events and supports safe prescribing.
Options A, C, and D may be helpful in patient care but are not the
primary objective of medication reconciliation.
Question 4
An APRN plans to prescribe an oral anticoagulant for a patient with
newly diagnosed atrial fibrillation. Before finalizing the prescription, the
APRN reviews the patient's estimated glomerular filtration rate (eGFR).
Why is assessment of renal function an essential component of safe
prescribing?
A. Renal function only affects antibiotic dosing.
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 62-year-old man with
newly diagnosed hypertension. The patient asks whether the APRN can
independently prescribe medication. Before initiating therapy, the
APRN confirms that state law grants full practice authority.
Which action best reflects the APRN's professional responsibility as a
prescriber?
A. Prescribe medication solely according to patient preference
regardless of clinical evidence.
B. Select evidence-based therapy after assessing the patient's diagnosis,
comorbidities, medications, and individual risk factors.
C. Prescribe only medications previously recommended by
collaborating physicians.
D. Delay treatment until a physician signs the prescription.
Correct Answer: B
Rationale:
Safe prescribing requires integration of evidence-based medicine with
individualized patient assessment, including diagnosis, comorbid
conditions, current medications, allergies, organ function, and patient
preferences. APRNs practicing within their legal scope are accountable
for selecting appropriate pharmacologic therapy and monitoring
outcomes. Option A ignores evidence-based care. Option C may not
reflect state practice authority or patient-specific needs. Option D is
unnecessary in jurisdictions where APRNs have independent
prescriptive authority.
Question 2
,A nurse practitioner evaluates a 75-year-old woman with osteoarthritis
requesting medication for chronic knee pain. Her history includes
chronic kidney disease stage 3, hypertension, and heart failure. Current
medications include lisinopril, furosemide, and low-dose aspirin.
Which prescribing principle should most strongly influence the initial
medication decision?
A. Choose the medication with the fastest onset of action.
B. Consider potential drug-disease and drug-drug interactions before
selecting therapy.
C. Prescribe the newest medication available because it is likely more
effective.
D. Increase the starting dose to achieve symptom control quickly.
Correct Answer: B
Rationale:
Comprehensive prescribing requires evaluation of comorbidities and
concurrent medications before selecting therapy. In this patient,
medications such as NSAIDs could worsen renal function, elevate blood
pressure, reduce diuretic effectiveness, and exacerbate heart failure.
The safest prescribing decision begins with identifying potential
interactions and contraindications. Option A emphasizes speed over
safety. Option C is not evidence-based. Option D increases the risk of
adverse effects, particularly in older adults.
Question 3
A 58-year-old patient with type 2 diabetes presents for follow-up.
Before prescribing an additional antihyperglycemic medication, the
APRN performs medication reconciliation.
, What is the primary purpose of medication reconciliation during the
prescribing process?
A. Reduce the number of follow-up visits.
B. Verify all current medications to identify duplication, interactions,
omissions, and potential safety concerns.
C. Determine whether the patient qualifies for prescription assistance
programs.
D. Ensure the pharmacy has the medication in stock before prescribing.
Correct Answer: B
Rationale:
Medication reconciliation is a critical patient safety process that
compares all prescription medications, over-the-counter drugs,
supplements, and herbal products to identify therapeutic duplication,
interactions, omissions, dosing errors, and unnecessary medications. It
reduces preventable adverse drug events and supports safe prescribing.
Options A, C, and D may be helpful in patient care but are not the
primary objective of medication reconciliation.
Question 4
An APRN plans to prescribe an oral anticoagulant for a patient with
newly diagnosed atrial fibrillation. Before finalizing the prescription, the
APRN reviews the patient's estimated glomerular filtration rate (eGFR).
Why is assessment of renal function an essential component of safe
prescribing?
A. Renal function only affects antibiotic dosing.
