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) begins practicing in a state that grants
full practice authority. A patient requests treatment for uncomplicated
cystitis. Before prescribing, the APRN reviews the patient's allergies,
renal function, current medications, pregnancy status, and recent urine
culture history.
Which prescribing principle is BEST demonstrated?
A. Prescribing based primarily on patient preference
B. Using a systematic assessment to ensure safe, evidence-based
medication selection
C. Selecting the least expensive medication regardless of clinical factors
D. Deferring all medication decisions to the collaborating physician
Correct Answer: B
Rationale: Safe prescribing begins with a comprehensive clinical
assessment that includes diagnosis, allergies, comorbidities, kidney and
liver function when appropriate, medication reconciliation, pregnancy
considerations, and potential drug interactions. Evidence-based
prescribing integrates these patient-specific factors with current clinical
guidelines. Patient preference and cost are important but should not
supersede clinical appropriateness. Full practice authority does not
eliminate the APRN's responsibility for independent clinical judgment.
Question 2
,A newly certified APRN is establishing prescribing practices. Which
action is MOST effective in reducing medication errors before
transmitting an electronic prescription?
A. Prescribing by brand name whenever possible
B. Reviewing the medication indication, dose, allergies, interactions,
and patient understanding before finalizing the prescription
C. Delegating all prescription review to office staff
D. Relying solely on electronic prescribing software to detect errors
Correct Answer: B
Rationale: Medication safety depends on a final verification that
confirms the indication, dose, frequency, route, allergies, potential
interactions, and patient-specific factors. Electronic prescribing systems
improve safety but cannot replace clinical judgment. Office staff cannot
assume responsibility for prescribing decisions, and routine brand-
name prescribing does not inherently reduce medication errors.
Question 3
An APRN evaluates a 74-year-old patient with hypertension, type 2
diabetes, chronic kidney disease, and osteoarthritis. The patient
currently takes nine prescription medications and several over-the-
counter supplements.
What should be the APRN's PRIORITY before adding another
medication?
A. Increase the dose of existing medications
B. Perform comprehensive medication reconciliation
, C. Discontinue all supplements immediately
D. Recommend herbal therapies instead
Correct Answer: B
Rationale: Polypharmacy substantially increases the risk of adverse
drug events, drug interactions, and therapeutic duplication. Medication
reconciliation—including prescription drugs, OTC medications, vitamins,
and herbal products—is an essential first step before initiating
additional therapy. Abrupt discontinuation of supplements without
assessment may be inappropriate, and empiric dose increases are
unsafe.
Question 4
An APRN prescribes an oral antibiotic for community-acquired
pneumonia. The patient states, "I usually stop taking antibiotics when I
feel better."
Which response BEST demonstrates effective patient counseling?
A. "That's acceptable if your symptoms resolve."
B. "Take the medication exactly as prescribed and contact me if
significant adverse effects occur."
C. "Double the dose if you miss one."
D. "Skip doses if gastrointestinal upset develops."
Correct Answer: B
Rationale: Effective prescribing includes patient education regarding
adherence, expected therapeutic effects, adverse reactions, and when
to seek medical attention. Premature discontinuation may contribute
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) begins practicing in a state that grants
full practice authority. A patient requests treatment for uncomplicated
cystitis. Before prescribing, the APRN reviews the patient's allergies,
renal function, current medications, pregnancy status, and recent urine
culture history.
Which prescribing principle is BEST demonstrated?
A. Prescribing based primarily on patient preference
B. Using a systematic assessment to ensure safe, evidence-based
medication selection
C. Selecting the least expensive medication regardless of clinical factors
D. Deferring all medication decisions to the collaborating physician
Correct Answer: B
Rationale: Safe prescribing begins with a comprehensive clinical
assessment that includes diagnosis, allergies, comorbidities, kidney and
liver function when appropriate, medication reconciliation, pregnancy
considerations, and potential drug interactions. Evidence-based
prescribing integrates these patient-specific factors with current clinical
guidelines. Patient preference and cost are important but should not
supersede clinical appropriateness. Full practice authority does not
eliminate the APRN's responsibility for independent clinical judgment.
Question 2
,A newly certified APRN is establishing prescribing practices. Which
action is MOST effective in reducing medication errors before
transmitting an electronic prescription?
A. Prescribing by brand name whenever possible
B. Reviewing the medication indication, dose, allergies, interactions,
and patient understanding before finalizing the prescription
C. Delegating all prescription review to office staff
D. Relying solely on electronic prescribing software to detect errors
Correct Answer: B
Rationale: Medication safety depends on a final verification that
confirms the indication, dose, frequency, route, allergies, potential
interactions, and patient-specific factors. Electronic prescribing systems
improve safety but cannot replace clinical judgment. Office staff cannot
assume responsibility for prescribing decisions, and routine brand-
name prescribing does not inherently reduce medication errors.
Question 3
An APRN evaluates a 74-year-old patient with hypertension, type 2
diabetes, chronic kidney disease, and osteoarthritis. The patient
currently takes nine prescription medications and several over-the-
counter supplements.
What should be the APRN's PRIORITY before adding another
medication?
A. Increase the dose of existing medications
B. Perform comprehensive medication reconciliation
, C. Discontinue all supplements immediately
D. Recommend herbal therapies instead
Correct Answer: B
Rationale: Polypharmacy substantially increases the risk of adverse
drug events, drug interactions, and therapeutic duplication. Medication
reconciliation—including prescription drugs, OTC medications, vitamins,
and herbal products—is an essential first step before initiating
additional therapy. Abrupt discontinuation of supplements without
assessment may be inappropriate, and empiric dose increases are
unsafe.
Question 4
An APRN prescribes an oral antibiotic for community-acquired
pneumonia. The patient states, "I usually stop taking antibiotics when I
feel better."
Which response BEST demonstrates effective patient counseling?
A. "That's acceptable if your symptoms resolve."
B. "Take the medication exactly as prescribed and contact me if
significant adverse effects occur."
C. "Double the dose if you miss one."
D. "Skip doses if gastrointestinal upset develops."
Correct Answer: B
Rationale: Effective prescribing includes patient education regarding
adherence, expected therapeutic effects, adverse reactions, and when
to seek medical attention. Premature discontinuation may contribute
