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 preparing to prescribe a
newly approved antihypertensive medication for a patient with
uncontrolled hypertension despite lifestyle modification.
Before prescribing, the APRN reviews the patient's complete
medication list, allergies, renal function, and insurance
formulary. Which action best demonstrates the APRN's primary
responsibility as a safe prescriber?
A. Selecting the newest medication because it is likely more
effective than older agents
B. Prescribing the medication requested by the patient to
improve satisfaction
C. Integrating patient-specific clinical factors, evidence, safety,
cost, and shared decision-making before selecting therapy
D. Choosing the medication with the fewest reported adverse
effects regardless of efficacy
Correct Answer: C
Rationale: Safe prescribing requires individualized clinical
decision-making that integrates the patient's medical history,
comorbidities, organ function, concurrent medications,
evidence-based guidelines, affordability, and patient
preferences. Newer medications are not inherently superior
,(A). Patient preference is important but should not override
safety or evidence (B). Selecting therapy solely based on
adverse-effect frequency ignores effectiveness and patient-
specific considerations (D).
Question 2
A newly licensed APRN joins a primary care practice. A
pharmaceutical representative offers complimentary meals and
educational materials while promoting a newly marketed
diabetes medication. Which response best reflects professional
prescribing ethics?
A. Accept promotional information as the primary basis for
selecting medications
B. Prescribe the promoted medication to patients who have
prescription insurance
C. Critically evaluate independent evidence before
incorporating the medication into clinical practice
D. Avoid prescribing all newly approved medications regardless
of supporting evidence
Correct Answer: C
Rationale: Ethical prescribing requires objective evaluation of
independent scientific evidence rather than relying on
promotional materials. Industry information may introduce
, bias. Completely avoiding all new medications (D) is
inappropriate when evidence supports their use.
Question 3
An APRN evaluates a 78-year-old patient with chronic kidney
disease who requires initiation of antibiotic therapy. Which
prescribing principle is most appropriate?
A. Standard adult dosing is appropriate because age alone does
not alter pharmacokinetics.
B. Assess renal function before determining the initial dose and
monitoring plan.
C. Avoid all antibiotics in older adults whenever possible.
D. Reduce every medication dose by 50% regardless of renal
function.
Correct Answer: B
Rationale: Renal function is a major determinant of drug
clearance. Appropriate dosing requires assessment of kidney
function before prescribing. Standard dosing (A), universal dose
reductions (D), or avoidance of necessary therapy (C) are not
evidence-based.
Question 4
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 preparing to prescribe a
newly approved antihypertensive medication for a patient with
uncontrolled hypertension despite lifestyle modification.
Before prescribing, the APRN reviews the patient's complete
medication list, allergies, renal function, and insurance
formulary. Which action best demonstrates the APRN's primary
responsibility as a safe prescriber?
A. Selecting the newest medication because it is likely more
effective than older agents
B. Prescribing the medication requested by the patient to
improve satisfaction
C. Integrating patient-specific clinical factors, evidence, safety,
cost, and shared decision-making before selecting therapy
D. Choosing the medication with the fewest reported adverse
effects regardless of efficacy
Correct Answer: C
Rationale: Safe prescribing requires individualized clinical
decision-making that integrates the patient's medical history,
comorbidities, organ function, concurrent medications,
evidence-based guidelines, affordability, and patient
preferences. Newer medications are not inherently superior
,(A). Patient preference is important but should not override
safety or evidence (B). Selecting therapy solely based on
adverse-effect frequency ignores effectiveness and patient-
specific considerations (D).
Question 2
A newly licensed APRN joins a primary care practice. A
pharmaceutical representative offers complimentary meals and
educational materials while promoting a newly marketed
diabetes medication. Which response best reflects professional
prescribing ethics?
A. Accept promotional information as the primary basis for
selecting medications
B. Prescribe the promoted medication to patients who have
prescription insurance
C. Critically evaluate independent evidence before
incorporating the medication into clinical practice
D. Avoid prescribing all newly approved medications regardless
of supporting evidence
Correct Answer: C
Rationale: Ethical prescribing requires objective evaluation of
independent scientific evidence rather than relying on
promotional materials. Industry information may introduce
, bias. Completely avoiding all new medications (D) is
inappropriate when evidence supports their use.
Question 3
An APRN evaluates a 78-year-old patient with chronic kidney
disease who requires initiation of antibiotic therapy. Which
prescribing principle is most appropriate?
A. Standard adult dosing is appropriate because age alone does
not alter pharmacokinetics.
B. Assess renal function before determining the initial dose and
monitoring plan.
C. Avoid all antibiotics in older adults whenever possible.
D. Reduce every medication dose by 50% regardless of renal
function.
Correct Answer: B
Rationale: Renal function is a major determinant of drug
clearance. Appropriate dosing requires assessment of kidney
function before prescribing. Standard dosing (A), universal dose
reductions (D), or avoidance of necessary therapy (C) are not
evidence-based.
Question 4
