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 family nurse practitioner (FNP) joins a primary care
practice. During orientation, the collaborating physician emphasizes
that prescribing medications is only one aspect of responsible
prescribing. Which action best reflects the advanced practice nurse's
role as an evidence-based prescriber?
A. Selecting medications primarily based on personal clinical experience
B. Prescribing the newest available medication whenever possible
C. Integrating patient preferences, current evidence, clinical judgment,
and individual patient factors when developing a treatment plan
D. Following pharmaceutical representative recommendations when
guideline recommendations are unavailable
Correct Answer: C
Rationale:
Advanced practice prescribers are expected to integrate the best
available clinical evidence with their expertise while considering patient
values, comorbidities, cost, adherence potential, and safety. Shared
decision-making promotes individualized, patient-centered care and
improves therapeutic outcomes. Option A relies too heavily on
anecdotal experience. Option B incorrectly assumes newer medications
are always superior. Option D introduces potential bias and should
never replace independent appraisal of evidence.
Question 2
An adult patient with newly diagnosed hypertension states, "I stopped
taking my last blood pressure medicine because it made me feel tired."
,Before selecting another antihypertensive medication, what is the most
appropriate next step for the APRN?
A. Prescribe a medication from a different drug class without further
discussion.
B. Explore the patient's previous medication experience, adherence,
adverse effects, and treatment goals.
C. Recommend lifestyle modifications only and delay pharmacologic
therapy indefinitely.
D. Increase the previous medication dose because tolerance usually
develops.
Correct Answer: B
Rationale:
Effective prescribing begins with a comprehensive assessment that
identifies previous medication use, adverse effects, adherence barriers,
and patient expectations. Understanding why therapy failed helps
guide individualized medication selection and reduces the risk of future
nonadherence. Option A ignores important clinical information. Option
C may delay necessary treatment when medication is indicated. Option
D could worsen adverse effects and is not appropriate without
evaluation.
Question 3
An APRN is preparing to prescribe an oral medication for an 80-year-old
patient with chronic kidney disease. Which factor should receive the
highest priority before determining the initial dose?
A. The patient's preferred pharmacy
, B. Estimated renal function
C. Whether the medication is available in a generic formulation
D. The patient's insurance copayment
Correct Answer: B
Rationale:
Many medications are eliminated through the kidneys. Assessing renal
function is essential to determine whether dose reduction, extended
dosing intervals, or an alternative medication is necessary to prevent
toxicity. While medication cost and pharmacy preference influence
adherence, they do not supersede patient safety. Prescribing without
considering renal function increases the risk of adverse drug events.
Question 4
A patient with type 2 diabetes tells the APRN, "I don't think I need
medication because I feel fine." Which response best demonstrates
patient-centered prescribing?
A. "You should start the medication because diabetes always requires
treatment."
B. "Let's discuss how diabetes can affect your health over time and
review the benefits and risks of treatment so we can decide together."
C. "If you refuse medication, there is nothing more I can do."
D. "You should take the medication first and ask questions later."
Correct Answer: B
Rationale:
Shared decision-making is a fundamental responsibility of APRN
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 family nurse practitioner (FNP) joins a primary care
practice. During orientation, the collaborating physician emphasizes
that prescribing medications is only one aspect of responsible
prescribing. Which action best reflects the advanced practice nurse's
role as an evidence-based prescriber?
A. Selecting medications primarily based on personal clinical experience
B. Prescribing the newest available medication whenever possible
C. Integrating patient preferences, current evidence, clinical judgment,
and individual patient factors when developing a treatment plan
D. Following pharmaceutical representative recommendations when
guideline recommendations are unavailable
Correct Answer: C
Rationale:
Advanced practice prescribers are expected to integrate the best
available clinical evidence with their expertise while considering patient
values, comorbidities, cost, adherence potential, and safety. Shared
decision-making promotes individualized, patient-centered care and
improves therapeutic outcomes. Option A relies too heavily on
anecdotal experience. Option B incorrectly assumes newer medications
are always superior. Option D introduces potential bias and should
never replace independent appraisal of evidence.
Question 2
An adult patient with newly diagnosed hypertension states, "I stopped
taking my last blood pressure medicine because it made me feel tired."
,Before selecting another antihypertensive medication, what is the most
appropriate next step for the APRN?
A. Prescribe a medication from a different drug class without further
discussion.
B. Explore the patient's previous medication experience, adherence,
adverse effects, and treatment goals.
C. Recommend lifestyle modifications only and delay pharmacologic
therapy indefinitely.
D. Increase the previous medication dose because tolerance usually
develops.
Correct Answer: B
Rationale:
Effective prescribing begins with a comprehensive assessment that
identifies previous medication use, adverse effects, adherence barriers,
and patient expectations. Understanding why therapy failed helps
guide individualized medication selection and reduces the risk of future
nonadherence. Option A ignores important clinical information. Option
C may delay necessary treatment when medication is indicated. Option
D could worsen adverse effects and is not appropriate without
evaluation.
Question 3
An APRN is preparing to prescribe an oral medication for an 80-year-old
patient with chronic kidney disease. Which factor should receive the
highest priority before determining the initial dose?
A. The patient's preferred pharmacy
, B. Estimated renal function
C. Whether the medication is available in a generic formulation
D. The patient's insurance copayment
Correct Answer: B
Rationale:
Many medications are eliminated through the kidneys. Assessing renal
function is essential to determine whether dose reduction, extended
dosing intervals, or an alternative medication is necessary to prevent
toxicity. While medication cost and pharmacy preference influence
adherence, they do not supersede patient safety. Prescribing without
considering renal function increases the risk of adverse drug events.
Question 4
A patient with type 2 diabetes tells the APRN, "I don't think I need
medication because I feel fine." Which response best demonstrates
patient-centered prescribing?
A. "You should start the medication because diabetes always requires
treatment."
B. "Let's discuss how diabetes can affect your health over time and
review the benefits and risks of treatment so we can decide together."
C. "If you refuse medication, there is nothing more I can do."
D. "You should take the medication first and ask questions later."
Correct Answer: B
Rationale:
Shared decision-making is a fundamental responsibility of APRN
