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) is preparing to
prescribe medications independently in a primary care clinic. Before
initiating pharmacotherapy for a patient with newly diagnosed
hypertension, which action best demonstrates evidence-based
prescribing?
A. Select the medication with the lowest acquisition cost without
reviewing patient factors.
B. Prescribe based primarily on pharmaceutical marketing materials.
C. Integrate the patient's medical history, current medications,
preferences, and current clinical practice guidelines before selecting
therapy.
D. Choose the medication most frequently prescribed by colleagues
regardless of patient characteristics.
Correct Answer: C
Rationale: Safe, evidence-based prescribing requires individualized
therapeutic decision-making that integrates patient-specific factors,
available evidence, current U.S. clinical guidelines, comorbidities,
concurrent medications, and patient preferences. Cost may influence
therapy but should not supersede clinical appropriateness. Marketing
materials and prescribing habits alone are insufficient bases for
therapeutic decisions.
Question 2
,An APRN evaluates a 72-year-old patient who takes medications
prescribed by multiple specialists. Before prescribing an additional
medication, which action is most likely to reduce medication-related
harm?
A. Increase the dose slowly without reviewing existing medications.
B. Perform comprehensive medication reconciliation, including
prescription drugs, over-the-counter products, and herbal supplements.
C. Prescribe the newest medication available.
D. Delay reviewing renal function until the follow-up visit.
Correct Answer: B
Rationale: Medication reconciliation is a cornerstone of safe
prescribing and identifies duplications, interactions, inappropriate
therapies, and adherence issues. Older adults are particularly
vulnerable to adverse drug events due to polypharmacy. Dose
adjustments and laboratory evaluation should occur before prescribing
when clinically indicated.
Question 3
A patient requests an antibiotic for symptoms consistent with a viral
upper respiratory infection. Which response best reflects evidence-
based prescribing?
A. Prescribe antibiotics to maintain patient satisfaction.
B. Recommend an antibiotic because symptoms have lasted 48 hours.
C. Explain why antibiotics are unlikely to help, discuss symptomatic
management, and provide return precautions.
, D. Prescribe a broad-spectrum antibiotic to prevent bacterial infection.
Correct Answer: C
Rationale: Antibiotic stewardship emphasizes avoiding unnecessary
antibiotic use for viral illnesses. Patient education regarding expected
illness duration, symptomatic treatment, and indications for
reevaluation supports safe prescribing and reduces antimicrobial
resistance.
Question 4
Before prescribing a medication primarily eliminated through the
kidneys, which assessment is most important?
A. Eye color
B. Estimated glomerular filtration rate (eGFR)
C. Height only
D. Dominant hand
Correct Answer: B
Rationale: Renal function directly influences elimination of many
medications. Assessing eGFR helps determine whether dosage
adjustment or an alternative medication is appropriate. Height and eye
color have no role in renal dosing decisions.
Question 5
An APRN prescribes a new antihypertensive medication. Which follow-
up plan best supports safe prescribing?
A. No follow-up unless adverse effects occur.
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) is preparing to
prescribe medications independently in a primary care clinic. Before
initiating pharmacotherapy for a patient with newly diagnosed
hypertension, which action best demonstrates evidence-based
prescribing?
A. Select the medication with the lowest acquisition cost without
reviewing patient factors.
B. Prescribe based primarily on pharmaceutical marketing materials.
C. Integrate the patient's medical history, current medications,
preferences, and current clinical practice guidelines before selecting
therapy.
D. Choose the medication most frequently prescribed by colleagues
regardless of patient characteristics.
Correct Answer: C
Rationale: Safe, evidence-based prescribing requires individualized
therapeutic decision-making that integrates patient-specific factors,
available evidence, current U.S. clinical guidelines, comorbidities,
concurrent medications, and patient preferences. Cost may influence
therapy but should not supersede clinical appropriateness. Marketing
materials and prescribing habits alone are insufficient bases for
therapeutic decisions.
Question 2
,An APRN evaluates a 72-year-old patient who takes medications
prescribed by multiple specialists. Before prescribing an additional
medication, which action is most likely to reduce medication-related
harm?
A. Increase the dose slowly without reviewing existing medications.
B. Perform comprehensive medication reconciliation, including
prescription drugs, over-the-counter products, and herbal supplements.
C. Prescribe the newest medication available.
D. Delay reviewing renal function until the follow-up visit.
Correct Answer: B
Rationale: Medication reconciliation is a cornerstone of safe
prescribing and identifies duplications, interactions, inappropriate
therapies, and adherence issues. Older adults are particularly
vulnerable to adverse drug events due to polypharmacy. Dose
adjustments and laboratory evaluation should occur before prescribing
when clinically indicated.
Question 3
A patient requests an antibiotic for symptoms consistent with a viral
upper respiratory infection. Which response best reflects evidence-
based prescribing?
A. Prescribe antibiotics to maintain patient satisfaction.
B. Recommend an antibiotic because symptoms have lasted 48 hours.
C. Explain why antibiotics are unlikely to help, discuss symptomatic
management, and provide return precautions.
, D. Prescribe a broad-spectrum antibiotic to prevent bacterial infection.
Correct Answer: C
Rationale: Antibiotic stewardship emphasizes avoiding unnecessary
antibiotic use for viral illnesses. Patient education regarding expected
illness duration, symptomatic treatment, and indications for
reevaluation supports safe prescribing and reduces antimicrobial
resistance.
Question 4
Before prescribing a medication primarily eliminated through the
kidneys, which assessment is most important?
A. Eye color
B. Estimated glomerular filtration rate (eGFR)
C. Height only
D. Dominant hand
Correct Answer: B
Rationale: Renal function directly influences elimination of many
medications. Assessing eGFR helps determine whether dosage
adjustment or an alternative medication is appropriate. Height and eye
color have no role in renal dosing decisions.
Question 5
An APRN prescribes a new antihypertensive medication. Which follow-
up plan best supports safe prescribing?
A. No follow-up unless adverse effects occur.
