ROSENTHAL LEHNE’S PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES AND PHYSICIAN
ASSISTANTS 300 MULTIPLE CHOICE QUESTIONS WITH
CORRECT ANSWERS AND RATIONALES
Chapter 1: Prescriptive Authority
1. An APRN works in a urology clinic under the supervision of a physician who
does not restrict the types of medications the APRN is allowed to prescribe. State
law does not require the APRN to practice under physician supervision. How
would the APRN's prescriptive authority be described?
A. Full authority
B. Independent
C. Without limitation
D. Limited authority
Correct Answer: B
Rationale: The APRN has independent prescriptive authority because the
regulating body does not require that the APRN work under physician supervision.
Full prescriptive authority gives the provider the right to prescribe independently
and without limitation. Limited authority places restrictions on the types of drugs
that can be prescribed .
,2. Which factors increase the need for APRNs to have full prescriptive authority?
A. More patients will have access to health care
B. Enrollment in medical schools is predicted to decrease
C. Physician's assistants are being utilized less often
D. APRN education is more complex than education for physicians
Correct Answer: A
Rationale: Implementation of the Affordable Care Act has increased the number
of individuals with health care coverage, and thus the number who have access to
health care services. The increase in the number of patients creates the need for
more providers with prescriptive authority. APRNs can fill this practice gap .
3. Which factors could be attributed to limited prescriptive authority for APRNs?
Select all that apply.
A. Inaccessibility of patient care
B. Higher health care costs
C. Higher quality medical treatment
D. Improved collaborative care
E. Enhanced health literacy
,Correct Answer: A, B
Rationale: Limiting prescriptive authority for APRNs can create barriers to quality,
affordable, and accessible patient care. It may also lead to poor collaboration
among providers and higher health care costs. It would not directly impact a
patient's health literacy .
4. Which aspects support the APRN's provision for full prescriptive authority?
Select all that apply.
A. Clinical education includes prescription of medications and disease processes
B. Federal regulations support the provision of full authority for APRNs
C. National examinations provide validation of the APRN's ability to provide safe
care
D. Licensure ensures compliance with health care and safety standards
E. Limiting provision can decrease health care affordability
Correct Answer: A, C, D
Rationale: APRNs are educated to practice and prescribe independently without
supervision. National examinations validate the ability to provide safe and
competent care. Licensure ensures compliance with standards to promote public
health and safety. Limited prescriptive authority creates barriers to quality,
affordable, and accessible patient care .
, 5. A family nurse practitioner practicing in Maine is hired at a practice across state
lines in Virginia. Which aspect of practice may change for the APRN?
A. The APRN will have less prescriptive authority in the new position
B. The APRN will have more prescriptive authority in the new position
C. The APRN will have equal prescriptive authority in the new position
D. The APRN's authority will depend on federal regulations
Correct Answer: A
Rationale: Virginia allows limited prescriptive authority, while Maine gives full
authority to certified nurse practitioners. The federal government does not
regulate prescriptive authority; it is determined by state law .
6. A patient recently prescribed hydrocodone calls to report they are unable to fill
the prescription. Which factors could contribute to the inability to fill the
prescription? Select all that apply.
A. DEA number missing from prescription
B. Prescription sent via electronic messenger
C. Dose higher than typically prescribed
D. Prescriber license number not included
E. Patient name and date of birth were handwritten
Correct Answer: A, B, D
ADVANCED PRACTICE NURSES AND PHYSICIAN
ASSISTANTS 300 MULTIPLE CHOICE QUESTIONS WITH
CORRECT ANSWERS AND RATIONALES
Chapter 1: Prescriptive Authority
1. An APRN works in a urology clinic under the supervision of a physician who
does not restrict the types of medications the APRN is allowed to prescribe. State
law does not require the APRN to practice under physician supervision. How
would the APRN's prescriptive authority be described?
A. Full authority
B. Independent
C. Without limitation
D. Limited authority
Correct Answer: B
Rationale: The APRN has independent prescriptive authority because the
regulating body does not require that the APRN work under physician supervision.
Full prescriptive authority gives the provider the right to prescribe independently
and without limitation. Limited authority places restrictions on the types of drugs
that can be prescribed .
,2. Which factors increase the need for APRNs to have full prescriptive authority?
A. More patients will have access to health care
B. Enrollment in medical schools is predicted to decrease
C. Physician's assistants are being utilized less often
D. APRN education is more complex than education for physicians
Correct Answer: A
Rationale: Implementation of the Affordable Care Act has increased the number
of individuals with health care coverage, and thus the number who have access to
health care services. The increase in the number of patients creates the need for
more providers with prescriptive authority. APRNs can fill this practice gap .
3. Which factors could be attributed to limited prescriptive authority for APRNs?
Select all that apply.
A. Inaccessibility of patient care
B. Higher health care costs
C. Higher quality medical treatment
D. Improved collaborative care
E. Enhanced health literacy
,Correct Answer: A, B
Rationale: Limiting prescriptive authority for APRNs can create barriers to quality,
affordable, and accessible patient care. It may also lead to poor collaboration
among providers and higher health care costs. It would not directly impact a
patient's health literacy .
4. Which aspects support the APRN's provision for full prescriptive authority?
Select all that apply.
A. Clinical education includes prescription of medications and disease processes
B. Federal regulations support the provision of full authority for APRNs
C. National examinations provide validation of the APRN's ability to provide safe
care
D. Licensure ensures compliance with health care and safety standards
E. Limiting provision can decrease health care affordability
Correct Answer: A, C, D
Rationale: APRNs are educated to practice and prescribe independently without
supervision. National examinations validate the ability to provide safe and
competent care. Licensure ensures compliance with standards to promote public
health and safety. Limited prescriptive authority creates barriers to quality,
affordable, and accessible patient care .
, 5. A family nurse practitioner practicing in Maine is hired at a practice across state
lines in Virginia. Which aspect of practice may change for the APRN?
A. The APRN will have less prescriptive authority in the new position
B. The APRN will have more prescriptive authority in the new position
C. The APRN will have equal prescriptive authority in the new position
D. The APRN's authority will depend on federal regulations
Correct Answer: A
Rationale: Virginia allows limited prescriptive authority, while Maine gives full
authority to certified nurse practitioners. The federal government does not
regulate prescriptive authority; it is determined by state law .
6. A patient recently prescribed hydrocodone calls to report they are unable to fill
the prescription. Which factors could contribute to the inability to fill the
prescription? Select all that apply.
A. DEA number missing from prescription
B. Prescription sent via electronic messenger
C. Dose higher than typically prescribed
D. Prescriber license number not included
E. Patient name and date of birth were handwritten
Correct Answer: A, B, D
