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 preparing to prescribe an
antihypertensive medication for a newly diagnosed patient. Which
action best reflects the APRN prescriber's professional responsibility
before initiating therapy?
A. Prescribe the medication based primarily on patient preference
B. Evaluate the patient's diagnosis, comorbidities, current medications,
and potential contraindications
C. Begin treatment immediately and obtain additional history at follow-
up
D. Prescribe the medication with the lowest acquisition cost regardless
of clinical factors
Correct Answer: B
Rationale:
Safe prescribing requires a comprehensive assessment of the patient's
diagnosis, medical history, concurrent medications, allergies, and
potential contraindications before selecting therapy. This approach
promotes evidence-based prescribing and minimizes adverse
outcomes. Options A, C, and D fail to incorporate essential clinical
evaluation necessary for safe medication management.
Question 2
A 68-year-old patient with chronic kidney disease requires initiation of
a new medication that is primarily eliminated unchanged by the
kidneys. What is the most appropriate prescribing action?
,A. Prescribe the standard adult dose
B. Double the dose to achieve therapeutic concentrations
C. Assess renal function and adjust dosing accordingly
D. Avoid prescribing any medication metabolized by the kidneys
Correct Answer: C
Rationale:
Renal impairment can reduce drug clearance and increase the risk of
toxicity. APRN prescribers should assess renal function, commonly
using estimated glomerular filtration rate (eGFR), and adjust dosing as
indicated. Standard dosing may lead to accumulation, while doubling
the dose increases toxicity risk. Many renally eliminated medications
can still be used safely with appropriate dose adjustments.
Question 3
An APRN is evaluating a patient's medication list before prescribing.
Which finding represents the highest priority concern?
A. Use of a daily multivitamin
B. Concurrent use of two medications from the same therapeutic class
without a clear indication
C. Occasional use of acetaminophen
D. Use of a low-sodium diet
Correct Answer: B
Rationale:
Duplicate therapy may increase adverse effects and toxicity without
improving therapeutic benefit. Medication reconciliation is a critical
, prescribing responsibility. The other findings generally do not represent
significant prescribing concerns unless additional clinical factors are
present.
Question 4
A patient asks why an APRN spends time reviewing all medications,
supplements, and herbal products before prescribing. What is the best
response?
A. Federal regulations require it for every prescription
B. Insurance companies require complete medication lists
C. Medication interactions may alter safety or effectiveness
D. Pharmacists need the information to process prescriptions
Correct Answer: C
Rationale:
Prescription medications, over-the-counter agents, supplements, and
herbal products may interact through pharmacokinetic or
pharmacodynamic mechanisms, affecting efficacy and safety.
Comprehensive medication review helps identify potential interactions
and supports safe prescribing practices.
Question 5
A patient with newly diagnosed bacterial sinusitis requests an antibiotic
that worked for a family member. What is the best prescribing
approach?
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 preparing to prescribe an
antihypertensive medication for a newly diagnosed patient. Which
action best reflects the APRN prescriber's professional responsibility
before initiating therapy?
A. Prescribe the medication based primarily on patient preference
B. Evaluate the patient's diagnosis, comorbidities, current medications,
and potential contraindications
C. Begin treatment immediately and obtain additional history at follow-
up
D. Prescribe the medication with the lowest acquisition cost regardless
of clinical factors
Correct Answer: B
Rationale:
Safe prescribing requires a comprehensive assessment of the patient's
diagnosis, medical history, concurrent medications, allergies, and
potential contraindications before selecting therapy. This approach
promotes evidence-based prescribing and minimizes adverse
outcomes. Options A, C, and D fail to incorporate essential clinical
evaluation necessary for safe medication management.
Question 2
A 68-year-old patient with chronic kidney disease requires initiation of
a new medication that is primarily eliminated unchanged by the
kidneys. What is the most appropriate prescribing action?
,A. Prescribe the standard adult dose
B. Double the dose to achieve therapeutic concentrations
C. Assess renal function and adjust dosing accordingly
D. Avoid prescribing any medication metabolized by the kidneys
Correct Answer: C
Rationale:
Renal impairment can reduce drug clearance and increase the risk of
toxicity. APRN prescribers should assess renal function, commonly
using estimated glomerular filtration rate (eGFR), and adjust dosing as
indicated. Standard dosing may lead to accumulation, while doubling
the dose increases toxicity risk. Many renally eliminated medications
can still be used safely with appropriate dose adjustments.
Question 3
An APRN is evaluating a patient's medication list before prescribing.
Which finding represents the highest priority concern?
A. Use of a daily multivitamin
B. Concurrent use of two medications from the same therapeutic class
without a clear indication
C. Occasional use of acetaminophen
D. Use of a low-sodium diet
Correct Answer: B
Rationale:
Duplicate therapy may increase adverse effects and toxicity without
improving therapeutic benefit. Medication reconciliation is a critical
, prescribing responsibility. The other findings generally do not represent
significant prescribing concerns unless additional clinical factors are
present.
Question 4
A patient asks why an APRN spends time reviewing all medications,
supplements, and herbal products before prescribing. What is the best
response?
A. Federal regulations require it for every prescription
B. Insurance companies require complete medication lists
C. Medication interactions may alter safety or effectiveness
D. Pharmacists need the information to process prescriptions
Correct Answer: C
Rationale:
Prescription medications, over-the-counter agents, supplements, and
herbal products may interact through pharmacokinetic or
pharmacodynamic mechanisms, affecting efficacy and safety.
Comprehensive medication review helps identify potential interactions
and supports safe prescribing practices.
Question 5
A patient with newly diagnosed bacterial sinusitis requests an antibiotic
that worked for a family member. What is the best prescribing
approach?
