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 newly established
primary care practice to improve medication safety. Which action best
reflects the APRN's professional responsibility as an independent
prescriber?
A. Prescribe medications based primarily on patient preference to
maximize adherence.
B. Integrate the patient's diagnosis, comorbidities, current medications,
evidence-based guidelines, and shared decision-making before
selecting therapy.
C. Prescribe the newest medication within each drug class because
newer agents are generally safer.
D. Defer all medication decisions requiring risk-benefit analysis to a
collaborating physician.
Correct Answer: B
Rationale:
Advanced practice registered nurses (APRNs) are responsible for
comprehensive clinical decision-making that integrates patient
assessment, evidence-based practice, comorbidities, medication
history, patient values, cost, and safety. Shared decision-making is a
hallmark of high-quality prescribing. Patient preference alone should
not override evidence (A). Newer medications are not inherently safer
or more effective (C). Independent prescribing requires the APRN to
perform clinical judgment rather than routinely deferring decisions (D).
Question 2
,A 72-year-old woman with hypertension, osteoarthritis, type 2
diabetes, and chronic kidney disease presents for medication review.
She currently takes 12 prescription medications from four different
specialists. What is the most appropriate initial prescribing action by
the APRN?
A. Continue all medications because each was prescribed by a
specialist.
B. Perform a comprehensive medication reconciliation and assess for
therapeutic duplication, interactions, adherence, and potentially
inappropriate medications.
C. Discontinue all medications that were not prescribed by the APRN.
D. Replace all brand-name medications with generics regardless of
therapeutic equivalence.
Correct Answer: B
Rationale:
Medication reconciliation is a core responsibility of APRN prescribers
and is especially important in patients with polypharmacy. The review
should identify duplications, drug interactions, adverse effects, renal
dosing issues, and medications that may no longer be indicated.
Continuing all medications without review (A), discontinuing
medications arbitrarily (C), or automatically substituting all brands with
generics (D) may compromise patient safety.
Question 3
An APRN is preparing to prescribe an antibiotic for a patient with
community-acquired pneumonia. Which factor should receive the
highest priority before issuing the prescription?
, A. The patient's preferred pharmacy
B. The patient's history of medication allergies
C. The medication's television advertising
D. The patient's insurance deductible
Correct Answer: B
Rationale:
Medication allergies must be evaluated before prescribing because
failure to identify serious hypersensitivity reactions may result in life-
threatening adverse events. Although pharmacy preference (A),
medication cost (D), and patient access are important considerations,
patient safety takes precedence. Advertising (C) should never influence
evidence-based prescribing.
Question 4
An APRN prescribes a new antihypertensive medication. Which
intervention best demonstrates effective patient-centered prescribing?
A. Providing only written instructions
B. Asking the patient to repeat back how and when the medication will
be taken
C. Instructing the patient to stop the medication if blood pressure
normalizes
D. Advising the patient to double the next dose if one dose is missed
Correct Answer: B
Rationale:
The teach-back method confirms patient understanding and reduces
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 newly established
primary care practice to improve medication safety. Which action best
reflects the APRN's professional responsibility as an independent
prescriber?
A. Prescribe medications based primarily on patient preference to
maximize adherence.
B. Integrate the patient's diagnosis, comorbidities, current medications,
evidence-based guidelines, and shared decision-making before
selecting therapy.
C. Prescribe the newest medication within each drug class because
newer agents are generally safer.
D. Defer all medication decisions requiring risk-benefit analysis to a
collaborating physician.
Correct Answer: B
Rationale:
Advanced practice registered nurses (APRNs) are responsible for
comprehensive clinical decision-making that integrates patient
assessment, evidence-based practice, comorbidities, medication
history, patient values, cost, and safety. Shared decision-making is a
hallmark of high-quality prescribing. Patient preference alone should
not override evidence (A). Newer medications are not inherently safer
or more effective (C). Independent prescribing requires the APRN to
perform clinical judgment rather than routinely deferring decisions (D).
Question 2
,A 72-year-old woman with hypertension, osteoarthritis, type 2
diabetes, and chronic kidney disease presents for medication review.
She currently takes 12 prescription medications from four different
specialists. What is the most appropriate initial prescribing action by
the APRN?
A. Continue all medications because each was prescribed by a
specialist.
B. Perform a comprehensive medication reconciliation and assess for
therapeutic duplication, interactions, adherence, and potentially
inappropriate medications.
C. Discontinue all medications that were not prescribed by the APRN.
D. Replace all brand-name medications with generics regardless of
therapeutic equivalence.
Correct Answer: B
Rationale:
Medication reconciliation is a core responsibility of APRN prescribers
and is especially important in patients with polypharmacy. The review
should identify duplications, drug interactions, adverse effects, renal
dosing issues, and medications that may no longer be indicated.
Continuing all medications without review (A), discontinuing
medications arbitrarily (C), or automatically substituting all brands with
generics (D) may compromise patient safety.
Question 3
An APRN is preparing to prescribe an antibiotic for a patient with
community-acquired pneumonia. Which factor should receive the
highest priority before issuing the prescription?
, A. The patient's preferred pharmacy
B. The patient's history of medication allergies
C. The medication's television advertising
D. The patient's insurance deductible
Correct Answer: B
Rationale:
Medication allergies must be evaluated before prescribing because
failure to identify serious hypersensitivity reactions may result in life-
threatening adverse events. Although pharmacy preference (A),
medication cost (D), and patient access are important considerations,
patient safety takes precedence. Advertising (C) should never influence
evidence-based prescribing.
Question 4
An APRN prescribes a new antihypertensive medication. Which
intervention best demonstrates effective patient-centered prescribing?
A. Providing only written instructions
B. Asking the patient to repeat back how and when the medication will
be taken
C. Instructing the patient to stop the medication if blood pressure
normalizes
D. Advising the patient to double the next dose if one dose is missed
Correct Answer: B
Rationale:
The teach-back method confirms patient understanding and reduces
