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) is evaluating a 56-year-old patient
with newly diagnosed hypertension. The patient requests an antibiotic
"just in case" because they are traveling internationally next week,
although they have no symptoms of infection. Which action best
reflects the advanced practice nurse's responsibilities as a safe
prescriber?
A. Prescribe a broad-spectrum antibiotic because the patient is
traveling.
B. Decline the request, educate the patient about appropriate antibiotic
use, and recommend seeking evaluation if symptoms develop.
C. Prescribe a short course of antibiotics but advise the patient to use
them only if fever occurs.
D. Prescribe the antibiotic because patient satisfaction is an important
quality metric.
Correct Answer: B
Rationale:
Appropriate prescribing requires balancing patient preferences with
evidence-based practice and antimicrobial stewardship. Prescribing
antibiotics without a clinical indication exposes patients to unnecessary
adverse effects, contributes to antimicrobial resistance, and violates
principles of responsible prescribing. Patient education regarding when
antibiotics are indicated and appropriate follow-up if illness develops is
the safest approach.
• A: Incorrect. Travel alone is not an indication for empiric
antibiotics.
, • C: Incorrect. Providing antibiotics for self-diagnosis increases the
risk of inappropriate use.
• D: Incorrect. Patient satisfaction should never supersede safe,
evidence-based prescribing.
Question 2
An adult-gerontology primary care nurse practitioner (AGPCNP) is
preparing to prescribe a medication that is new to their clinical practice.
Which action should occur before issuing the prescription?
A. Assume the medication has a safety profile similar to others in the
same therapeutic class.
B. Review current evidence, prescribing information, contraindications,
monitoring recommendations, and potential interactions.
C. Ask the pharmacist to determine whether the medication is
appropriate after the prescription has been sent.
D. Prescribe the medication at the lowest available dose regardless of
the patient's condition.
Correct Answer: B
Rationale:
Safe prescribing requires the APRN to independently verify medication
indications, contraindications, dosing, adverse effects, drug
interactions, required monitoring, and patient-specific considerations
before prescribing. Maintaining current pharmacotherapeutic
knowledge is a professional responsibility and reduces medication
errors.
, • A: Incorrect. Medications within the same class may have
important pharmacokinetic, pharmacodynamic, and safety
differences.
• C: Incorrect. Pharmacists provide valuable collaboration but do
not replace the prescriber's responsibility for medication
selection.
• D: Incorrect. Dosing should be individualized based on the
patient's clinical status and evidence-based recommendations.
Question 3
A psychiatric-mental health nurse practitioner (PMHNP) is evaluating a
patient with depression who receives prescriptions from multiple
specialists. Before initiating pharmacotherapy, which action is most
important to reduce medication-related harm?
A. Ask the patient only about prescription medications written by
psychiatrists.
B. Obtain a complete medication history, including prescription drugs,
over-the-counter medications, supplements, and herbal products.
C. Delay treatment until every outside medical record has been
obtained.
D. Prescribe the antidepressant with the lowest reported incidence of
adverse effects regardless of potential interactions.
Correct Answer: B
Rationale:
A comprehensive medication reconciliation is a fundamental
component of safe prescribing. It identifies potential drug-drug
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) is evaluating a 56-year-old patient
with newly diagnosed hypertension. The patient requests an antibiotic
"just in case" because they are traveling internationally next week,
although they have no symptoms of infection. Which action best
reflects the advanced practice nurse's responsibilities as a safe
prescriber?
A. Prescribe a broad-spectrum antibiotic because the patient is
traveling.
B. Decline the request, educate the patient about appropriate antibiotic
use, and recommend seeking evaluation if symptoms develop.
C. Prescribe a short course of antibiotics but advise the patient to use
them only if fever occurs.
D. Prescribe the antibiotic because patient satisfaction is an important
quality metric.
Correct Answer: B
Rationale:
Appropriate prescribing requires balancing patient preferences with
evidence-based practice and antimicrobial stewardship. Prescribing
antibiotics without a clinical indication exposes patients to unnecessary
adverse effects, contributes to antimicrobial resistance, and violates
principles of responsible prescribing. Patient education regarding when
antibiotics are indicated and appropriate follow-up if illness develops is
the safest approach.
• A: Incorrect. Travel alone is not an indication for empiric
antibiotics.
, • C: Incorrect. Providing antibiotics for self-diagnosis increases the
risk of inappropriate use.
• D: Incorrect. Patient satisfaction should never supersede safe,
evidence-based prescribing.
Question 2
An adult-gerontology primary care nurse practitioner (AGPCNP) is
preparing to prescribe a medication that is new to their clinical practice.
Which action should occur before issuing the prescription?
A. Assume the medication has a safety profile similar to others in the
same therapeutic class.
B. Review current evidence, prescribing information, contraindications,
monitoring recommendations, and potential interactions.
C. Ask the pharmacist to determine whether the medication is
appropriate after the prescription has been sent.
D. Prescribe the medication at the lowest available dose regardless of
the patient's condition.
Correct Answer: B
Rationale:
Safe prescribing requires the APRN to independently verify medication
indications, contraindications, dosing, adverse effects, drug
interactions, required monitoring, and patient-specific considerations
before prescribing. Maintaining current pharmacotherapeutic
knowledge is a professional responsibility and reduces medication
errors.
, • A: Incorrect. Medications within the same class may have
important pharmacokinetic, pharmacodynamic, and safety
differences.
• C: Incorrect. Pharmacists provide valuable collaboration but do
not replace the prescriber's responsibility for medication
selection.
• D: Incorrect. Dosing should be individualized based on the
patient's clinical status and evidence-based recommendations.
Question 3
A psychiatric-mental health nurse practitioner (PMHNP) is evaluating a
patient with depression who receives prescriptions from multiple
specialists. Before initiating pharmacotherapy, which action is most
important to reduce medication-related harm?
A. Ask the patient only about prescription medications written by
psychiatrists.
B. Obtain a complete medication history, including prescription drugs,
over-the-counter medications, supplements, and herbal products.
C. Delay treatment until every outside medical record has been
obtained.
D. Prescribe the antidepressant with the lowest reported incidence of
adverse effects regardless of potential interactions.
Correct Answer: B
Rationale:
A comprehensive medication reconciliation is a fundamental
component of safe prescribing. It identifies potential drug-drug
