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
• Print ISBN: 9781719648035
eText ISBN:9781719651585
, 1. A newly credentialed family nurse practitioner is preparing
to prescribe medications in a state where APRNs have full
practice authority. Which action best demonstrates the
APRN's professional responsibility when initiating
pharmacotherapy?
A. Prescribe medications according to personal clinical
experience whenever the diagnosis is familiar.
B. Select therapy based primarily on patient preference,
regardless of contraindications.
C. Integrate the patient's diagnosis, comorbidities, current
medications, allergies, and relevant monitoring needs before
prescribing.
D. Rely on the pharmacist to identify clinically significant
prescribing errors after the prescription is submitted.
Correct Answer:
C. Integrate the patient's diagnosis, comorbidities, current
medications, allergies, and relevant monitoring needs before
prescribing.
Rationale: Safe prescribing requires comprehensive assessment
and clinical reasoning before a medication is selected. The
APRN is responsible for evaluating the indication, potential
contraindications, drug interactions, patient-specific risks, and
monitoring requirements. Patient preferences are important
,but must be integrated with clinical appropriateness.
Pharmacists provide an important safety check, but the
prescribing APRN retains responsibility for appropriate
prescribing decisions.
2. An APRN evaluates a 72-year-old patient who takes eight
prescription medications and several over-the-counter
products. The patient reports dizziness and two recent
falls. Which prescribing action is most appropriate initially?
A. Add a medication to treat dizziness without changing the
existing regimen.
B. Perform a comprehensive medication reconciliation and
assess for medication-related adverse effects.
C. Discontinue all prescription medications until the dizziness
resolves.
D. Recommend that the patient avoid all over-the-counter
medications permanently.
Correct Answer:
B. Perform a comprehensive medication reconciliation and
assess for medication-related adverse effects.
Rationale: Polypharmacy increases the risk of adverse drug
events, drug-drug interactions, therapeutic duplication, and
prescribing cascades. The first step is to establish an accurate
medication list that includes prescription drugs,
nonprescription products, and supplements, then evaluate
whether medications contribute to dizziness and falls. Abrupt
, discontinuation of all medications is unsafe, and treating the
symptom without identifying the cause may worsen
polypharmacy.
3. An APRN is prescribing a medication for a patient who has
chronic kidney disease. Which principle should guide the
prescribing decision?
A. Use the standard adult dose because renal function does not
affect most medications.
B. Select the medication and dosage after considering renal
elimination and the patient's kidney function.
C. Automatically avoid all medications that undergo renal
elimination.
D. Double the dosing interval for every medication in patients
with kidney disease.
Correct Answer:
B. Select the medication and dosage after considering renal
elimination and the patient's kidney function.
Rationale: Reduced kidney function can decrease clearance of
medications or active metabolites, potentially increasing
exposure and toxicity. The APRN should determine whether
renal dose adjustment, altered dosing intervals, or an
alternative medication is appropriate. Not every renally
eliminated medication is contraindicated in kidney disease, and
dose adjustments vary by medication and degree of renal
impairment.
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
• Print ISBN: 9781719648035
eText ISBN:9781719651585
, 1. A newly credentialed family nurse practitioner is preparing
to prescribe medications in a state where APRNs have full
practice authority. Which action best demonstrates the
APRN's professional responsibility when initiating
pharmacotherapy?
A. Prescribe medications according to personal clinical
experience whenever the diagnosis is familiar.
B. Select therapy based primarily on patient preference,
regardless of contraindications.
C. Integrate the patient's diagnosis, comorbidities, current
medications, allergies, and relevant monitoring needs before
prescribing.
D. Rely on the pharmacist to identify clinically significant
prescribing errors after the prescription is submitted.
Correct Answer:
C. Integrate the patient's diagnosis, comorbidities, current
medications, allergies, and relevant monitoring needs before
prescribing.
Rationale: Safe prescribing requires comprehensive assessment
and clinical reasoning before a medication is selected. The
APRN is responsible for evaluating the indication, potential
contraindications, drug interactions, patient-specific risks, and
monitoring requirements. Patient preferences are important
,but must be integrated with clinical appropriateness.
Pharmacists provide an important safety check, but the
prescribing APRN retains responsibility for appropriate
prescribing decisions.
2. An APRN evaluates a 72-year-old patient who takes eight
prescription medications and several over-the-counter
products. The patient reports dizziness and two recent
falls. Which prescribing action is most appropriate initially?
A. Add a medication to treat dizziness without changing the
existing regimen.
B. Perform a comprehensive medication reconciliation and
assess for medication-related adverse effects.
C. Discontinue all prescription medications until the dizziness
resolves.
D. Recommend that the patient avoid all over-the-counter
medications permanently.
Correct Answer:
B. Perform a comprehensive medication reconciliation and
assess for medication-related adverse effects.
Rationale: Polypharmacy increases the risk of adverse drug
events, drug-drug interactions, therapeutic duplication, and
prescribing cascades. The first step is to establish an accurate
medication list that includes prescription drugs,
nonprescription products, and supplements, then evaluate
whether medications contribute to dizziness and falls. Abrupt
, discontinuation of all medications is unsafe, and treating the
symptom without identifying the cause may worsen
polypharmacy.
3. An APRN is prescribing a medication for a patient who has
chronic kidney disease. Which principle should guide the
prescribing decision?
A. Use the standard adult dose because renal function does not
affect most medications.
B. Select the medication and dosage after considering renal
elimination and the patient's kidney function.
C. Automatically avoid all medications that undergo renal
elimination.
D. Double the dosing interval for every medication in patients
with kidney disease.
Correct Answer:
B. Select the medication and dosage after considering renal
elimination and the patient's kidney function.
Rationale: Reduced kidney function can decrease clearance of
medications or active metabolites, potentially increasing
exposure and toxicity. The APRN should determine whether
renal dose adjustment, altered dosing intervals, or an
alternative medication is appropriate. Not every renally
eliminated medication is contraindicated in kidney disease, and
dose adjustments vary by medication and degree of renal
impairment.
