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 newly certified family nurse practitioner (FNP) is establishing
an outpatient practice and is reviewing responsibilities
associated with prescriptive authority. Which action best
demonstrates safe, evidence-based prescribing practice for an
advanced practice registered nurse (APRN)?
A. Prescribe medications based primarily on patient preference
to maximize adherence.
B. Integrate the patient's diagnosis, comorbidities, medication
history, current evidence, and state/federal regulations before
issuing a prescription.
C. Delegate prescription decisions to collaborating physicians
whenever uncertainty exists.
D. Prescribe only medications included on the clinic's preferred
formulary regardless of patient-specific factors.
Correct Answer: B
Rationale: Safe APRN prescribing requires comprehensive
clinical assessment, individualized therapeutic decision-making,
consideration of patient-specific risks, current evidence-based
guidelines, and compliance with applicable legal and regulatory
requirements. Option A overemphasizes patient preference at
the expense of clinical appropriateness. Option C
,misunderstands the autonomous clinical decision-making
expected of APRNs within their scope of practice. Option D
ignores individualized care and clinical judgment.
Question 2
An APRN evaluates a patient before initiating
pharmacotherapy. Which information is most critical for
reducing preventable adverse drug events?
A. Favorite pharmacy
B. Comprehensive medication reconciliation, including
prescription drugs, over-the-counter products, supplements,
and herbal therapies
C. Insurance formulary tier
D. Preferred medication dosage form
Correct Answer: B
Rationale: Medication reconciliation is a cornerstone of safe
prescribing because it identifies potential drug interactions,
duplicate therapies, allergies, and contraindications before
treatment begins. Although insurance coverage and dosage
preferences influence prescribing, they are secondary to
medication safety.
Question 3
, A patient requests an antibiotic for symptoms consistent with a
viral upper respiratory infection. What is the most appropriate
prescribing response by the APRN?
A. Prescribe a broad-spectrum antibiotic because the patient
insists.
B. Explain why antibiotics are not indicated, recommend
symptomatic management, and discuss follow-up if symptoms
worsen.
C. Prescribe a short antibiotic course to improve patient
satisfaction.
D. Delay treatment until bacterial infection develops.
Correct Answer: B
Rationale: Evidence-based prescribing requires avoiding
unnecessary antibiotics, educating patients regarding viral
illnesses, recommending supportive care, and establishing clear
follow-up instructions. Options A and C contribute to
inappropriate antimicrobial use and resistance. Option D delays
appropriate patient education and symptom management.
Question 4
Before prescribing a new medication, an APRN reviews the
patient's estimated glomerular filtration rate (eGFR). What is
the primary reason for assessing renal function?
A. To determine medication cost
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 newly certified family nurse practitioner (FNP) is establishing
an outpatient practice and is reviewing responsibilities
associated with prescriptive authority. Which action best
demonstrates safe, evidence-based prescribing practice for an
advanced practice registered nurse (APRN)?
A. Prescribe medications based primarily on patient preference
to maximize adherence.
B. Integrate the patient's diagnosis, comorbidities, medication
history, current evidence, and state/federal regulations before
issuing a prescription.
C. Delegate prescription decisions to collaborating physicians
whenever uncertainty exists.
D. Prescribe only medications included on the clinic's preferred
formulary regardless of patient-specific factors.
Correct Answer: B
Rationale: Safe APRN prescribing requires comprehensive
clinical assessment, individualized therapeutic decision-making,
consideration of patient-specific risks, current evidence-based
guidelines, and compliance with applicable legal and regulatory
requirements. Option A overemphasizes patient preference at
the expense of clinical appropriateness. Option C
,misunderstands the autonomous clinical decision-making
expected of APRNs within their scope of practice. Option D
ignores individualized care and clinical judgment.
Question 2
An APRN evaluates a patient before initiating
pharmacotherapy. Which information is most critical for
reducing preventable adverse drug events?
A. Favorite pharmacy
B. Comprehensive medication reconciliation, including
prescription drugs, over-the-counter products, supplements,
and herbal therapies
C. Insurance formulary tier
D. Preferred medication dosage form
Correct Answer: B
Rationale: Medication reconciliation is a cornerstone of safe
prescribing because it identifies potential drug interactions,
duplicate therapies, allergies, and contraindications before
treatment begins. Although insurance coverage and dosage
preferences influence prescribing, they are secondary to
medication safety.
Question 3
, A patient requests an antibiotic for symptoms consistent with a
viral upper respiratory infection. What is the most appropriate
prescribing response by the APRN?
A. Prescribe a broad-spectrum antibiotic because the patient
insists.
B. Explain why antibiotics are not indicated, recommend
symptomatic management, and discuss follow-up if symptoms
worsen.
C. Prescribe a short antibiotic course to improve patient
satisfaction.
D. Delay treatment until bacterial infection develops.
Correct Answer: B
Rationale: Evidence-based prescribing requires avoiding
unnecessary antibiotics, educating patients regarding viral
illnesses, recommending supportive care, and establishing clear
follow-up instructions. Options A and C contribute to
inappropriate antimicrobial use and resistance. Option D delays
appropriate patient education and symptom management.
Question 4
Before prescribing a new medication, an APRN reviews the
patient's estimated glomerular filtration rate (eGFR). What is
the primary reason for assessing renal function?
A. To determine medication cost
