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 newly certified APRN is preparing to begin independent prescribing in
a primary care clinic. Before issuing the first prescription, which action
is the highest priority to ensure legally compliant prescribing?
A. Confirm the state's APRN prescriptive authority requirements,
collaborative or supervisory requirements (if applicable), and DEA
registration requirements before prescribing controlled substances.
B. Memorize the dosing recommendations for the 100 most commonly
prescribed medications.
C. Purchase a commercial drug reference mobile application.
D. Develop a personal formulary before seeing patients.
Correct Answer: A
Rationale: Prescribing authority is governed by state and federal law.
APRNs must understand state-specific scope of practice, prescriptive
authority, controlled substance regulations, and DEA requirements
before prescribing. While drug references and a personal formulary are
valuable, they do not replace legal compliance. Memorizing medication
doses is neither realistic nor sufficient for safe prescribing.
Question 2
A 72-year-old woman with hypertension, osteoarthritis, chronic kidney
disease stage 3, and type 2 diabetes takes eight medications prescribed
by multiple clinicians. She presents for routine follow-up with a new
APRN.
Which intervention best demonstrates safe prescribing principles?
,A. Add another antihypertensive because her blood pressure is slightly
above goal.
B. Perform comprehensive medication reconciliation before initiating
any additional medication.
C. Continue all medications because specialists initiated them.
D. Discontinue every medication that is not absolutely essential.
Correct Answer: B
Rationale: Medication reconciliation is essential before prescribing,
especially in patients with polypharmacy. Reviewing indications,
effectiveness, adverse effects, duplications, interactions, and
adherence reduces medication-related harm. Automatically adding or
discontinuing medications without assessment increases patient risk.
Question 3
A patient requests an antibiotic because of nasal congestion,
rhinorrhea, and sore throat for two days. Examination is consistent with
a viral upper respiratory infection.
Which prescribing decision best reflects evidence-based practice?
A. Prescribe amoxicillin to satisfy patient expectations.
B. Prescribe azithromycin because it has convenient dosing.
C. Recommend symptomatic treatment and educate the patient
regarding why antibiotics are not indicated.
D. Prescribe ciprofloxacin because it has broad antimicrobial coverage.
Correct Answer: C
, Rationale: Appropriate prescribing includes avoiding unnecessary
antibiotics. Viral infections do not benefit from antibacterial therapy,
and unnecessary prescribing contributes to antimicrobial resistance,
adverse drug reactions, and increased healthcare costs. Patient
education is an essential component of responsible prescribing.
Question 4
An APRN evaluates a patient with newly diagnosed hypertension.
Before selecting pharmacotherapy, which information is most critical?
A. Favorite pharmacy
B. Family income only
C. Comprehensive assessment including comorbidities, current
medications, allergies, renal function, and patient preferences
D. Number of previous clinic visits
Correct Answer: C
Rationale: Safe prescribing begins with a comprehensive patient
assessment. Medication choice should consider comorbid illnesses,
concurrent medications, organ function, allergies, lifestyle, patient
goals, and potential contraindications. These factors improve efficacy
while minimizing adverse events.
Question 5
A patient asks why the APRN spends considerable time discussing
treatment goals before prescribing medication.
Which response is most appropriate?
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 newly certified APRN is preparing to begin independent prescribing in
a primary care clinic. Before issuing the first prescription, which action
is the highest priority to ensure legally compliant prescribing?
A. Confirm the state's APRN prescriptive authority requirements,
collaborative or supervisory requirements (if applicable), and DEA
registration requirements before prescribing controlled substances.
B. Memorize the dosing recommendations for the 100 most commonly
prescribed medications.
C. Purchase a commercial drug reference mobile application.
D. Develop a personal formulary before seeing patients.
Correct Answer: A
Rationale: Prescribing authority is governed by state and federal law.
APRNs must understand state-specific scope of practice, prescriptive
authority, controlled substance regulations, and DEA requirements
before prescribing. While drug references and a personal formulary are
valuable, they do not replace legal compliance. Memorizing medication
doses is neither realistic nor sufficient for safe prescribing.
Question 2
A 72-year-old woman with hypertension, osteoarthritis, chronic kidney
disease stage 3, and type 2 diabetes takes eight medications prescribed
by multiple clinicians. She presents for routine follow-up with a new
APRN.
Which intervention best demonstrates safe prescribing principles?
,A. Add another antihypertensive because her blood pressure is slightly
above goal.
B. Perform comprehensive medication reconciliation before initiating
any additional medication.
C. Continue all medications because specialists initiated them.
D. Discontinue every medication that is not absolutely essential.
Correct Answer: B
Rationale: Medication reconciliation is essential before prescribing,
especially in patients with polypharmacy. Reviewing indications,
effectiveness, adverse effects, duplications, interactions, and
adherence reduces medication-related harm. Automatically adding or
discontinuing medications without assessment increases patient risk.
Question 3
A patient requests an antibiotic because of nasal congestion,
rhinorrhea, and sore throat for two days. Examination is consistent with
a viral upper respiratory infection.
Which prescribing decision best reflects evidence-based practice?
A. Prescribe amoxicillin to satisfy patient expectations.
B. Prescribe azithromycin because it has convenient dosing.
C. Recommend symptomatic treatment and educate the patient
regarding why antibiotics are not indicated.
D. Prescribe ciprofloxacin because it has broad antimicrobial coverage.
Correct Answer: C
, Rationale: Appropriate prescribing includes avoiding unnecessary
antibiotics. Viral infections do not benefit from antibacterial therapy,
and unnecessary prescribing contributes to antimicrobial resistance,
adverse drug reactions, and increased healthcare costs. Patient
education is an essential component of responsible prescribing.
Question 4
An APRN evaluates a patient with newly diagnosed hypertension.
Before selecting pharmacotherapy, which information is most critical?
A. Favorite pharmacy
B. Family income only
C. Comprehensive assessment including comorbidities, current
medications, allergies, renal function, and patient preferences
D. Number of previous clinic visits
Correct Answer: C
Rationale: Safe prescribing begins with a comprehensive patient
assessment. Medication choice should consider comorbid illnesses,
concurrent medications, organ function, allergies, lifestyle, patient
goals, and potential contraindications. These factors improve efficacy
while minimizing adverse events.
Question 5
A patient asks why the APRN spends considerable time discussing
treatment goals before prescribing medication.
Which response is most appropriate?
