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) begins practicing in a
state that grants full practice authority. A 62-year-old patient with
newly diagnosed hypertension asks whether the APRN can
independently prescribe medication without physician approval. Which
response by the APRN is most appropriate?
A. "I can prescribe independently because state law grants full practice
authority, provided I practice within my education, certification, and
professional standards."
B. "I may prescribe only after obtaining a physician's verbal approval for
each new medication."
C. "I may prescribe independently only for medications that are not
controlled substances."
D. "Independent prescribing authority is determined solely by my
employer rather than state regulations."
Correct Answer: A
Rationale: In states with full practice authority, APRNs may evaluate
patients, diagnose, order and interpret diagnostic tests, and prescribe
medications independently within the scope defined by state law,
certification, education, and professional standards. Employer policies
may influence workflow but do not supersede state law regarding
licensure. Physician approval is not universally required in full practice
authority states, and controlled substance prescribing depends on state
and federal requirements, including DEA registration where applicable.
Question 2
,An adult-gerontology primary care nurse practitioner (AGPCNP) is
preparing to prescribe a medication for an older adult with multiple
chronic conditions. Before selecting therapy, which action best reflects
evidence-based prescribing principles?
A. Prescribe the medication with the lowest acquisition cost regardless
of patient characteristics.
B. Evaluate the patient's diagnosis, comorbidities, current medications,
allergies, renal and hepatic function, and treatment goals before
selecting therapy.
C. Select the medication most commonly prescribed by colleagues in
the practice.
D. Delay treatment until all specialty consultations have been
completed.
Correct Answer: B
Rationale: Safe prescribing requires a comprehensive patient
assessment before medication selection. This includes confirming the
diagnosis, reviewing concurrent medications for interactions,
identifying allergies, assessing renal and hepatic function, considering
age-related pharmacokinetic changes, evaluating patient preferences,
and establishing therapeutic goals. Cost is one consideration but should
not override safety and efficacy. Prescribing based solely on colleague
preference or unnecessarily delaying treatment is inconsistent with
patient-centered care.
Question 3
A psychiatric-mental health nurse practitioner (PMHNP) is considering
pharmacotherapy for a patient with newly diagnosed depression.
, During the medication history, the patient reports taking several herbal
supplements purchased online. What is the APRN's best initial action?
A. Recommend discontinuing all supplements immediately without
further discussion.
B. Ignore the supplements because they are available without a
prescription.
C. Obtain detailed information about each supplement, including dose,
frequency, and reason for use, before prescribing.
D. Delay treatment until the patient provides receipts for all purchased
supplements.
Correct Answer: C
Rationale: A complete medication history includes prescription
medications, over-the-counter products, vitamins, and herbal
supplements because these agents may have clinically significant
pharmacodynamic and pharmacokinetic interactions with prescribed
medications. Collecting complete information allows the APRN to
assess safety and counsel the patient appropriately. Automatically
discontinuing supplements without assessment or ignoring them may
increase patient risk.
Question 4
An APRN evaluates a patient with type 2 diabetes who has not achieved
glycemic goals despite lifestyle modifications. Before initiating
medication therapy, the APRN engages the patient in a discussion
about treatment options, expected benefits, adverse effects, cost, and
administration preferences. Which prescribing principle is being
demonstrated?
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) begins practicing in a
state that grants full practice authority. A 62-year-old patient with
newly diagnosed hypertension asks whether the APRN can
independently prescribe medication without physician approval. Which
response by the APRN is most appropriate?
A. "I can prescribe independently because state law grants full practice
authority, provided I practice within my education, certification, and
professional standards."
B. "I may prescribe only after obtaining a physician's verbal approval for
each new medication."
C. "I may prescribe independently only for medications that are not
controlled substances."
D. "Independent prescribing authority is determined solely by my
employer rather than state regulations."
Correct Answer: A
Rationale: In states with full practice authority, APRNs may evaluate
patients, diagnose, order and interpret diagnostic tests, and prescribe
medications independently within the scope defined by state law,
certification, education, and professional standards. Employer policies
may influence workflow but do not supersede state law regarding
licensure. Physician approval is not universally required in full practice
authority states, and controlled substance prescribing depends on state
and federal requirements, including DEA registration where applicable.
Question 2
,An adult-gerontology primary care nurse practitioner (AGPCNP) is
preparing to prescribe a medication for an older adult with multiple
chronic conditions. Before selecting therapy, which action best reflects
evidence-based prescribing principles?
A. Prescribe the medication with the lowest acquisition cost regardless
of patient characteristics.
B. Evaluate the patient's diagnosis, comorbidities, current medications,
allergies, renal and hepatic function, and treatment goals before
selecting therapy.
C. Select the medication most commonly prescribed by colleagues in
the practice.
D. Delay treatment until all specialty consultations have been
completed.
Correct Answer: B
Rationale: Safe prescribing requires a comprehensive patient
assessment before medication selection. This includes confirming the
diagnosis, reviewing concurrent medications for interactions,
identifying allergies, assessing renal and hepatic function, considering
age-related pharmacokinetic changes, evaluating patient preferences,
and establishing therapeutic goals. Cost is one consideration but should
not override safety and efficacy. Prescribing based solely on colleague
preference or unnecessarily delaying treatment is inconsistent with
patient-centered care.
Question 3
A psychiatric-mental health nurse practitioner (PMHNP) is considering
pharmacotherapy for a patient with newly diagnosed depression.
, During the medication history, the patient reports taking several herbal
supplements purchased online. What is the APRN's best initial action?
A. Recommend discontinuing all supplements immediately without
further discussion.
B. Ignore the supplements because they are available without a
prescription.
C. Obtain detailed information about each supplement, including dose,
frequency, and reason for use, before prescribing.
D. Delay treatment until the patient provides receipts for all purchased
supplements.
Correct Answer: C
Rationale: A complete medication history includes prescription
medications, over-the-counter products, vitamins, and herbal
supplements because these agents may have clinically significant
pharmacodynamic and pharmacokinetic interactions with prescribed
medications. Collecting complete information allows the APRN to
assess safety and counsel the patient appropriately. Automatically
discontinuing supplements without assessment or ignoring them may
increase patient risk.
Question 4
An APRN evaluates a patient with type 2 diabetes who has not achieved
glycemic goals despite lifestyle modifications. Before initiating
medication therapy, the APRN engages the patient in a discussion
about treatment options, expected benefits, adverse effects, cost, and
administration preferences. Which prescribing principle is being
demonstrated?
