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 is reviewing a request from a
pharmaceutical sales representative who offers free drug samples and
sponsored educational travel in exchange for increased prescribing of a
newly approved antihypertensive medication. Which response best
reflects ethical and evidence-based prescribing by the APRN?
A. Accept the offer because it reduces medication costs for patients.
B. Prescribe the medication only after critically evaluating the available
evidence, clinical guidelines, patient-specific factors, and potential
conflicts of interest.
C. Prescribe the medication only to uninsured patients because free
samples improve adherence.
D. Accept the educational travel but avoid accepting medication
samples.
Correct Answer: B
Rationale: APRNs are expected to prescribe based on the best available
evidence, patient preferences, safety, effectiveness, and current clinical
guidelines—not on marketing incentives. Recognizing and managing
conflicts of interest promotes ethical prescribing and protects patient
welfare. Options A, C, and D introduce financial or promotional
influences that may compromise professional judgment.
Question 2
,An APRN is preparing to prescribe an oral antibiotic for a patient with
acute bacterial sinusitis. Before selecting a medication, which action is
most important?
A. Determine whether the medication is available as a generic.
B. Review the patient's allergy history, current medications,
comorbidities, and renal function.
C. Select the least expensive medication regardless of efficacy.
D. Prescribe the newest FDA-approved antibiotic.
Correct Answer: B
Rationale: Safe prescribing begins with a comprehensive assessment
that includes allergies, drug interactions, organ function, comorbidities,
pregnancy status when applicable, and previous medication response.
These factors directly influence medication selection and patient safety.
Cost and novelty are secondary considerations after ensuring
appropriateness.
Question 3
A 72-year-old patient with chronic kidney disease requires initiation of
a medication primarily eliminated by the kidneys. Which prescribing
principle is most appropriate?
A. Begin with the maximum recommended dose to achieve rapid
therapeutic effect.
B. Avoid monitoring because renal function is stable.
C. Assess kidney function and adjust the dose or dosing interval when
indicated.
, D. Prescribe the standard adult dose because age alone does not
influence dosing.
Correct Answer: C
Rationale: Many medications require renal dose adjustment to prevent
toxicity. APRNs should assess estimated glomerular filtration rate
(eGFR) or creatinine clearance before prescribing renally eliminated
drugs. Standard dosing without renal assessment increases the risk of
adverse drug events.
Question 4
An APRN discusses treatment options with a patient newly diagnosed
with hypertension. The patient expresses concern about taking
medications long term. Which approach best demonstrates shared
decision-making?
A. Prescribe the medication without discussing alternatives.
B. Explain the benefits, risks, available treatment options, lifestyle
modifications, and incorporate the patient's preferences into the
treatment plan.
C. Delay treatment indefinitely until the patient requests medication.
D. Recommend only lifestyle modification regardless of blood pressure
severity.
Correct Answer: B
Rationale: Shared decision-making combines clinical evidence with
patient values and preferences. APRNs should discuss expected
benefits, potential adverse effects, monitoring, and alternative
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 is reviewing a request from a
pharmaceutical sales representative who offers free drug samples and
sponsored educational travel in exchange for increased prescribing of a
newly approved antihypertensive medication. Which response best
reflects ethical and evidence-based prescribing by the APRN?
A. Accept the offer because it reduces medication costs for patients.
B. Prescribe the medication only after critically evaluating the available
evidence, clinical guidelines, patient-specific factors, and potential
conflicts of interest.
C. Prescribe the medication only to uninsured patients because free
samples improve adherence.
D. Accept the educational travel but avoid accepting medication
samples.
Correct Answer: B
Rationale: APRNs are expected to prescribe based on the best available
evidence, patient preferences, safety, effectiveness, and current clinical
guidelines—not on marketing incentives. Recognizing and managing
conflicts of interest promotes ethical prescribing and protects patient
welfare. Options A, C, and D introduce financial or promotional
influences that may compromise professional judgment.
Question 2
,An APRN is preparing to prescribe an oral antibiotic for a patient with
acute bacterial sinusitis. Before selecting a medication, which action is
most important?
A. Determine whether the medication is available as a generic.
B. Review the patient's allergy history, current medications,
comorbidities, and renal function.
C. Select the least expensive medication regardless of efficacy.
D. Prescribe the newest FDA-approved antibiotic.
Correct Answer: B
Rationale: Safe prescribing begins with a comprehensive assessment
that includes allergies, drug interactions, organ function, comorbidities,
pregnancy status when applicable, and previous medication response.
These factors directly influence medication selection and patient safety.
Cost and novelty are secondary considerations after ensuring
appropriateness.
Question 3
A 72-year-old patient with chronic kidney disease requires initiation of
a medication primarily eliminated by the kidneys. Which prescribing
principle is most appropriate?
A. Begin with the maximum recommended dose to achieve rapid
therapeutic effect.
B. Avoid monitoring because renal function is stable.
C. Assess kidney function and adjust the dose or dosing interval when
indicated.
, D. Prescribe the standard adult dose because age alone does not
influence dosing.
Correct Answer: C
Rationale: Many medications require renal dose adjustment to prevent
toxicity. APRNs should assess estimated glomerular filtration rate
(eGFR) or creatinine clearance before prescribing renally eliminated
drugs. Standard dosing without renal assessment increases the risk of
adverse drug events.
Question 4
An APRN discusses treatment options with a patient newly diagnosed
with hypertension. The patient expresses concern about taking
medications long term. Which approach best demonstrates shared
decision-making?
A. Prescribe the medication without discussing alternatives.
B. Explain the benefits, risks, available treatment options, lifestyle
modifications, and incorporate the patient's preferences into the
treatment plan.
C. Delay treatment indefinitely until the patient requests medication.
D. Recommend only lifestyle modification regardless of blood pressure
severity.
Correct Answer: B
Rationale: Shared decision-making combines clinical evidence with
patient values and preferences. APRNs should discuss expected
benefits, potential adverse effects, monitoring, and alternative
