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
,Question 1
A family nurse practitioner (FNP) is opening a new primary care
practice and is reviewing responsibilities related to prescribing
medications. Which action best demonstrates appropriate
prescribing practice?
A. Prescribing medications primarily based on patient request
to improve satisfaction scores
B. Prescribing only medications personally used in previous
clinical settings
C. Performing a comprehensive assessment, confirming an
appropriate diagnosis, considering evidence-based treatment
options, and discussing risks and benefits before issuing a
prescription
D. Delegating all medication selection decisions to collaborating
pharmacists
Correct Answer: C
Rationale: Safe prescribing begins with a comprehensive
patient assessment, an accurate diagnosis, evaluation of
therapeutic alternatives, and shared decision-making that
incorporates patient preferences, risks, benefits, and current
evidence-based guidelines. Prescribers retain responsibility for
medication selection even when collaborating with
,pharmacists. Prescribing based solely on patient preference or
habit does not meet the standard of care.
Question 2
An APRN is evaluating a 72-year-old woman with hypertension,
osteoarthritis, chronic kidney disease stage 3, and type 2
diabetes. Which prescribing approach best reflects principles of
individualized pharmacotherapy?
A. Select the least expensive medication regardless of
comorbidities
B. Choose therapy after evaluating renal function, concurrent
medications, treatment goals, adverse-effect risks, and patient
preferences
C. Avoid prescribing any new medication because of the
patient's age
D. Prescribe multiple medications simultaneously to achieve
rapid disease control
Correct Answer: B
Rationale: Individualized prescribing considers age,
comorbidities, organ function, concurrent medications,
treatment goals, adherence, cost, and patient preferences.
Older adults frequently require individualized dosing and
careful medication selection because of increased susceptibility
to adverse drug events.
, Question 3
Before prescribing an antibiotic for suspected bacterial sinusitis,
which additional information is most important for the APRN to
obtain?
A. Favorite pharmacy
B. History of medication allergies and previous hypersensitivity
reactions
C. Educational level
D. Marital status
Correct Answer: B
Rationale: Medication allergy history is essential before
initiating therapy because allergic reactions may be life-
threatening. Although pharmacy preference and social history
are useful, they do not supersede patient safety during
prescribing.
Question 4
An APRN prescribes a new antihypertensive medication. Which
counseling statement best promotes safe medication use?
A. "Stop taking the medication whenever your blood pressure
improves."
B. "Double the next dose if one dose is missed."
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
,Question 1
A family nurse practitioner (FNP) is opening a new primary care
practice and is reviewing responsibilities related to prescribing
medications. Which action best demonstrates appropriate
prescribing practice?
A. Prescribing medications primarily based on patient request
to improve satisfaction scores
B. Prescribing only medications personally used in previous
clinical settings
C. Performing a comprehensive assessment, confirming an
appropriate diagnosis, considering evidence-based treatment
options, and discussing risks and benefits before issuing a
prescription
D. Delegating all medication selection decisions to collaborating
pharmacists
Correct Answer: C
Rationale: Safe prescribing begins with a comprehensive
patient assessment, an accurate diagnosis, evaluation of
therapeutic alternatives, and shared decision-making that
incorporates patient preferences, risks, benefits, and current
evidence-based guidelines. Prescribers retain responsibility for
medication selection even when collaborating with
,pharmacists. Prescribing based solely on patient preference or
habit does not meet the standard of care.
Question 2
An APRN is evaluating a 72-year-old woman with hypertension,
osteoarthritis, chronic kidney disease stage 3, and type 2
diabetes. Which prescribing approach best reflects principles of
individualized pharmacotherapy?
A. Select the least expensive medication regardless of
comorbidities
B. Choose therapy after evaluating renal function, concurrent
medications, treatment goals, adverse-effect risks, and patient
preferences
C. Avoid prescribing any new medication because of the
patient's age
D. Prescribe multiple medications simultaneously to achieve
rapid disease control
Correct Answer: B
Rationale: Individualized prescribing considers age,
comorbidities, organ function, concurrent medications,
treatment goals, adherence, cost, and patient preferences.
Older adults frequently require individualized dosing and
careful medication selection because of increased susceptibility
to adverse drug events.
, Question 3
Before prescribing an antibiotic for suspected bacterial sinusitis,
which additional information is most important for the APRN to
obtain?
A. Favorite pharmacy
B. History of medication allergies and previous hypersensitivity
reactions
C. Educational level
D. Marital status
Correct Answer: B
Rationale: Medication allergy history is essential before
initiating therapy because allergic reactions may be life-
threatening. Although pharmacy preference and social history
are useful, they do not supersede patient safety during
prescribing.
Question 4
An APRN prescribes a new antihypertensive medication. Which
counseling statement best promotes safe medication use?
A. "Stop taking the medication whenever your blood pressure
improves."
B. "Double the next dose if one dose is missed."
