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 (FNP) has recently obtained prescriptive
authority and is evaluating a 58-year-old man with newly diagnosed
hypertension. Before initiating pharmacotherapy, which action best
demonstrates the APRN's legal and professional responsibility as a
prescriber?
A. Prescribe the medication with the lowest acquisition cost regardless
of patient-specific factors.
B. Verify state scope-of-practice requirements, assess patient-specific
risks and preferences, review current medications, and establish a
monitoring and follow-up plan.
C. Defer all prescribing decisions to the collaborating physician.
D. Prescribe according to the medication most commonly used within
the practice.
Correct Answer: B
Rationale: Safe prescribing requires the APRN to practice within state
laws and organizational policies while integrating comprehensive
patient assessment, medication reconciliation, shared decision-making,
documentation, and an individualized follow-up plan. Cost and
prescribing trends may influence therapy but should not override
patient-specific clinical considerations. Collaboration is appropriate
when indicated but does not eliminate the APRN's independent
responsibilities within the legal scope of practice.
Question 2
,An adult patient presents with dysuria and requests "the strongest
antibiotic available" because previous urinary tract infections resolved
quickly with antibiotics. Which response best reflects evidence-based
prescribing principles?
A. Prescribe the broadest-spectrum antibiotic available to minimize
treatment failure.
B. Delay treatment until symptoms become severe.
C. Select therapy based on the most likely pathogen, local resistance
patterns when available, allergy history, patient factors, and current
clinical guidelines.
D. Avoid prescribing antibiotics because resistance is increasing
nationally.
Correct Answer: C
Rationale: Appropriate antimicrobial stewardship emphasizes selecting
the narrowest effective therapy based on the suspected organism,
patient-specific characteristics, allergy history, renal function, local
susceptibility patterns, and current evidence-based recommendations.
Broad-spectrum therapy unnecessarily increases resistance and adverse
effects. Delaying appropriate therapy or withholding antibiotics despite
a likely bacterial infection is inappropriate.
Question 3
A 79-year-old woman with chronic kidney disease takes eight
prescription medications from multiple specialists. Before prescribing a
new medication, what should be the APRN's highest priority?
A. Determine whether a generic formulation is available.
, B. Perform medication reconciliation and evaluate for potential drug-
drug interactions and duplicate therapy.
C. Limit discussion to the new medication only.
D. Prescribe the standard adult dose because age alone does not
require modification.
Correct Answer: B
Rationale: Polypharmacy substantially increases the risk of medication-
related harm. Medication reconciliation identifies duplicate therapies,
interactions, inappropriate medications, adherence issues, and
opportunities for deprescribing. Renal function, age-related
pharmacokinetic changes, and comorbidities must also be considered
before selecting dosage. Generic availability is important but secondary
to patient safety.
Question 4
An APRN recommends initiating a medication that requires ongoing
laboratory monitoring. Which action best reflects the principles of
informed consent and shared decision-making?
A. Begin therapy immediately because the medication is guideline
recommended.
B. Explain expected benefits, potential adverse effects, monitoring
requirements, reasonable alternatives, and encourage patient
questions before prescribing.
C. Avoid discussing adverse effects to improve adherence.
D. Ask the pharmacist to obtain informed consent after the prescription
is dispensed.
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 (FNP) has recently obtained prescriptive
authority and is evaluating a 58-year-old man with newly diagnosed
hypertension. Before initiating pharmacotherapy, which action best
demonstrates the APRN's legal and professional responsibility as a
prescriber?
A. Prescribe the medication with the lowest acquisition cost regardless
of patient-specific factors.
B. Verify state scope-of-practice requirements, assess patient-specific
risks and preferences, review current medications, and establish a
monitoring and follow-up plan.
C. Defer all prescribing decisions to the collaborating physician.
D. Prescribe according to the medication most commonly used within
the practice.
Correct Answer: B
Rationale: Safe prescribing requires the APRN to practice within state
laws and organizational policies while integrating comprehensive
patient assessment, medication reconciliation, shared decision-making,
documentation, and an individualized follow-up plan. Cost and
prescribing trends may influence therapy but should not override
patient-specific clinical considerations. Collaboration is appropriate
when indicated but does not eliminate the APRN's independent
responsibilities within the legal scope of practice.
Question 2
,An adult patient presents with dysuria and requests "the strongest
antibiotic available" because previous urinary tract infections resolved
quickly with antibiotics. Which response best reflects evidence-based
prescribing principles?
A. Prescribe the broadest-spectrum antibiotic available to minimize
treatment failure.
B. Delay treatment until symptoms become severe.
C. Select therapy based on the most likely pathogen, local resistance
patterns when available, allergy history, patient factors, and current
clinical guidelines.
D. Avoid prescribing antibiotics because resistance is increasing
nationally.
Correct Answer: C
Rationale: Appropriate antimicrobial stewardship emphasizes selecting
the narrowest effective therapy based on the suspected organism,
patient-specific characteristics, allergy history, renal function, local
susceptibility patterns, and current evidence-based recommendations.
Broad-spectrum therapy unnecessarily increases resistance and adverse
effects. Delaying appropriate therapy or withholding antibiotics despite
a likely bacterial infection is inappropriate.
Question 3
A 79-year-old woman with chronic kidney disease takes eight
prescription medications from multiple specialists. Before prescribing a
new medication, what should be the APRN's highest priority?
A. Determine whether a generic formulation is available.
, B. Perform medication reconciliation and evaluate for potential drug-
drug interactions and duplicate therapy.
C. Limit discussion to the new medication only.
D. Prescribe the standard adult dose because age alone does not
require modification.
Correct Answer: B
Rationale: Polypharmacy substantially increases the risk of medication-
related harm. Medication reconciliation identifies duplicate therapies,
interactions, inappropriate medications, adherence issues, and
opportunities for deprescribing. Renal function, age-related
pharmacokinetic changes, and comorbidities must also be considered
before selecting dosage. Generic availability is important but secondary
to patient safety.
Question 4
An APRN recommends initiating a medication that requires ongoing
laboratory monitoring. Which action best reflects the principles of
informed consent and shared decision-making?
A. Begin therapy immediately because the medication is guideline
recommended.
B. Explain expected benefits, potential adverse effects, monitoring
requirements, reasonable alternatives, and encourage patient
questions before prescribing.
C. Avoid discussing adverse effects to improve adherence.
D. Ask the pharmacist to obtain informed consent after the prescription
is dispensed.
