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 evaluating a proposal to
implement independent prescribing privileges within a
multispecialty clinic. During a meeting, the APRN explains that
prescribing involves more than writing a medication order. Which
statement best reflects the responsibilities of an APRN
prescriber?
A. Prescribing is limited to selecting an appropriate medication
and dosage.
B. Prescribing encompasses assessment, diagnosis, therapeutic
planning, patient education, monitoring, and ongoing evaluation of
treatment outcomes.
C. Prescribing authority allows delegation of medication selection
to nursing staff as long as protocols exist.
D. Prescribing responsibilities end once the prescription has been
transmitted to the pharmacy.
Correct Answer: B
Rationale: Safe prescribing is a comprehensive clinical process
requiring patient assessment, formulation of differential
diagnoses, individualized treatment selection, patient counseling,
monitoring for efficacy and adverse effects, and modification of
therapy based on clinical response. Medication selection
represents only one component of evidence-based prescribing.
,The remaining options incorrectly limit or misrepresent the
APRN's professional responsibilities.
Question 2
A 69-year-old man with hypertension, chronic kidney disease
stage 3, type 2 diabetes mellitus, and osteoarthritis presents with
worsening knee pain. His medication list includes lisinopril,
metformin, empagliflozin, and hydrochlorothiazide. Which
prescribing principle should most strongly influence the APRN's
therapeutic decision?
A. Select the newest medication available.
B. Consider the patient's comorbidities, current medications, and
potential drug interactions before initiating therapy.
C. Choose medications with the shortest half-life whenever
possible.
D. Prescribe combination therapy whenever multiple chronic
illnesses are present.
Correct Answer: B
Rationale: Evidence-based prescribing integrates the patient's
diagnoses, concurrent medications, renal function, age, and risk
for adverse drug interactions. Polypharmacy significantly
increases medication-related harm, making comprehensive
medication review essential before adding therapy. The other
options represent oversimplified prescribing strategies
unsupported by current practice.
Question 3
, A psychiatric-mental health nurse practitioner is considering
initiating pharmacotherapy for a patient with newly diagnosed
generalized anxiety disorder. Before selecting medication, which
action best demonstrates rational prescribing?
A. Selecting the medication with the lowest acquisition cost.
B. Identifying therapeutic goals and discussing expected benefits
and risks with the patient.
C. Choosing the medication most frequently prescribed in the
practice.
D. Prescribing a medication immediately to avoid delaying
treatment.
Correct Answer: B
Rationale: Rational prescribing begins with establishing clear
therapeutic goals, reviewing treatment options, engaging in
shared decision-making, and discussing anticipated benefits,
risks, monitoring, and patient preferences. Medication cost and
prescribing frequency may influence decisions but should not
supersede individualized care.
Question 4
A 74-year-old woman presents for medication review after seeing
multiple specialists. She is taking twelve prescription medications,
three over-the-counter products, and two herbal supplements.
Which action is the highest prescribing priority?
A. Refill all medications to avoid interruption.
B. Perform comprehensive medication reconciliation before
initiating additional therapy.
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 evaluating a proposal to
implement independent prescribing privileges within a
multispecialty clinic. During a meeting, the APRN explains that
prescribing involves more than writing a medication order. Which
statement best reflects the responsibilities of an APRN
prescriber?
A. Prescribing is limited to selecting an appropriate medication
and dosage.
B. Prescribing encompasses assessment, diagnosis, therapeutic
planning, patient education, monitoring, and ongoing evaluation of
treatment outcomes.
C. Prescribing authority allows delegation of medication selection
to nursing staff as long as protocols exist.
D. Prescribing responsibilities end once the prescription has been
transmitted to the pharmacy.
Correct Answer: B
Rationale: Safe prescribing is a comprehensive clinical process
requiring patient assessment, formulation of differential
diagnoses, individualized treatment selection, patient counseling,
monitoring for efficacy and adverse effects, and modification of
therapy based on clinical response. Medication selection
represents only one component of evidence-based prescribing.
,The remaining options incorrectly limit or misrepresent the
APRN's professional responsibilities.
Question 2
A 69-year-old man with hypertension, chronic kidney disease
stage 3, type 2 diabetes mellitus, and osteoarthritis presents with
worsening knee pain. His medication list includes lisinopril,
metformin, empagliflozin, and hydrochlorothiazide. Which
prescribing principle should most strongly influence the APRN's
therapeutic decision?
A. Select the newest medication available.
B. Consider the patient's comorbidities, current medications, and
potential drug interactions before initiating therapy.
C. Choose medications with the shortest half-life whenever
possible.
D. Prescribe combination therapy whenever multiple chronic
illnesses are present.
Correct Answer: B
Rationale: Evidence-based prescribing integrates the patient's
diagnoses, concurrent medications, renal function, age, and risk
for adverse drug interactions. Polypharmacy significantly
increases medication-related harm, making comprehensive
medication review essential before adding therapy. The other
options represent oversimplified prescribing strategies
unsupported by current practice.
Question 3
, A psychiatric-mental health nurse practitioner is considering
initiating pharmacotherapy for a patient with newly diagnosed
generalized anxiety disorder. Before selecting medication, which
action best demonstrates rational prescribing?
A. Selecting the medication with the lowest acquisition cost.
B. Identifying therapeutic goals and discussing expected benefits
and risks with the patient.
C. Choosing the medication most frequently prescribed in the
practice.
D. Prescribing a medication immediately to avoid delaying
treatment.
Correct Answer: B
Rationale: Rational prescribing begins with establishing clear
therapeutic goals, reviewing treatment options, engaging in
shared decision-making, and discussing anticipated benefits,
risks, monitoring, and patient preferences. Medication cost and
prescribing frequency may influence decisions but should not
supersede individualized care.
Question 4
A 74-year-old woman presents for medication review after seeing
multiple specialists. She is taking twelve prescription medications,
three over-the-counter products, and two herbal supplements.
Which action is the highest prescribing priority?
A. Refill all medications to avoid interruption.
B. Perform comprehensive medication reconciliation before
initiating additional therapy.
