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
An APRN is evaluating whether to prescribe an antibiotic for an
adult patient with symptoms consistent with a viral upper
respiratory infection. Which action best reflects evidence-based
prescribing?
A. Prescribe a broad-spectrum antibiotic to prevent secondary
infection.
B. Prescribe an antibiotic because the patient requests one.
C. Withhold antibiotics and provide appropriate symptomatic
treatment and counseling.
D. Prescribe two antibiotics at reduced doses.
Correct Answer: C.
Rationale: APRNs should prescribe medications only when
clinically indicated. Viral infections do not benefit from antibiotics,
and unnecessary prescribing contributes to antimicrobial
resistance and adverse drug events. Patient education and
symptomatic management are appropriate. The other options
reflect inappropriate prescribing practices.
Question 2
A newly licensed APRN is reviewing responsibilities associated
with prescribing authority. Which factor should always be
considered before initiating pharmacotherapy?
,A. The patient's insurance formulary only
B. Drug cost without considering efficacy
C. Patient-specific factors including comorbidities, allergies, and
concomitant medications
D. Prescribing the newest medication available
Correct Answer: C.
Rationale: Safe prescribing requires assessment of the whole
patient, including allergies, renal and hepatic function, concurrent
medications, pregnancy status when applicable, and comorbid
conditions. Drug cost and formularies are important
considerations but should not supersede clinical appropriateness.
Question 3
An APRN prescribes lisinopril for hypertension. Which counseling
point is most appropriate?
A. Stop taking the medication once blood pressure improves.
B. Report facial swelling or difficulty breathing immediately.
C. Double the dose if blood pressure remains elevated after one
day.
D. Avoid all dietary potassium indefinitely.
Correct Answer: B.
Rationale: Angioedema is a potentially life-threatening adverse
effect of ACE inhibitors and requires immediate evaluation.
Patients should not independently discontinue or increase doses.
Dietary counseling should be individualized rather than universally
prohibiting potassium-containing foods.
, Question 4
A 78-year-old patient with multiple chronic conditions presents for
medication management and takes twelve prescribed
medications. What is the APRN's best initial action?
A. Add another medication for symptom management.
B. Perform a comprehensive medication reconciliation.
C. Discontinue all medications immediately.
D. Change all medications to generic alternatives.
Correct Answer: B.
Rationale: Medication reconciliation is fundamental to reducing
prescribing errors and identifying drug interactions, therapeutic
duplication, and potentially inappropriate medications.
Polypharmacy requires thoughtful evaluation rather than
indiscriminate discontinuation or substitution.
Question 5
An APRN is prescribing medication for a breastfeeding patient.
Which principle is most appropriate?
A. All medications are contraindicated during lactation.
B. Medication safety should be evaluated individually before
prescribing.
C. Herbal supplements are always safer than prescription
medications.
D. The lowest-cost medication is always preferred.
Correct Answer: B.
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
An APRN is evaluating whether to prescribe an antibiotic for an
adult patient with symptoms consistent with a viral upper
respiratory infection. Which action best reflects evidence-based
prescribing?
A. Prescribe a broad-spectrum antibiotic to prevent secondary
infection.
B. Prescribe an antibiotic because the patient requests one.
C. Withhold antibiotics and provide appropriate symptomatic
treatment and counseling.
D. Prescribe two antibiotics at reduced doses.
Correct Answer: C.
Rationale: APRNs should prescribe medications only when
clinically indicated. Viral infections do not benefit from antibiotics,
and unnecessary prescribing contributes to antimicrobial
resistance and adverse drug events. Patient education and
symptomatic management are appropriate. The other options
reflect inappropriate prescribing practices.
Question 2
A newly licensed APRN is reviewing responsibilities associated
with prescribing authority. Which factor should always be
considered before initiating pharmacotherapy?
,A. The patient's insurance formulary only
B. Drug cost without considering efficacy
C. Patient-specific factors including comorbidities, allergies, and
concomitant medications
D. Prescribing the newest medication available
Correct Answer: C.
Rationale: Safe prescribing requires assessment of the whole
patient, including allergies, renal and hepatic function, concurrent
medications, pregnancy status when applicable, and comorbid
conditions. Drug cost and formularies are important
considerations but should not supersede clinical appropriateness.
Question 3
An APRN prescribes lisinopril for hypertension. Which counseling
point is most appropriate?
A. Stop taking the medication once blood pressure improves.
B. Report facial swelling or difficulty breathing immediately.
C. Double the dose if blood pressure remains elevated after one
day.
D. Avoid all dietary potassium indefinitely.
Correct Answer: B.
Rationale: Angioedema is a potentially life-threatening adverse
effect of ACE inhibitors and requires immediate evaluation.
Patients should not independently discontinue or increase doses.
Dietary counseling should be individualized rather than universally
prohibiting potassium-containing foods.
, Question 4
A 78-year-old patient with multiple chronic conditions presents for
medication management and takes twelve prescribed
medications. What is the APRN's best initial action?
A. Add another medication for symptom management.
B. Perform a comprehensive medication reconciliation.
C. Discontinue all medications immediately.
D. Change all medications to generic alternatives.
Correct Answer: B.
Rationale: Medication reconciliation is fundamental to reducing
prescribing errors and identifying drug interactions, therapeutic
duplication, and potentially inappropriate medications.
Polypharmacy requires thoughtful evaluation rather than
indiscriminate discontinuation or substitution.
Question 5
An APRN is prescribing medication for a breastfeeding patient.
Which principle is most appropriate?
A. All medications are contraindicated during lactation.
B. Medication safety should be evaluated individually before
prescribing.
C. Herbal supplements are always safer than prescription
medications.
D. The lowest-cost medication is always preferred.
Correct Answer: B.
