LEHNE’S,PHARMACOTHERAPEUTICS,FOR
ADVANCED,PRACTICE,NURSES,AND
PHYSICIAN,ASSISTANTS,2ND,EDITION,ROSENTHAL
TEST,BANK
Chapter,1:,Prescriptive,Authority
Test,Bank
Multiple,Choice
1. An,APRN,works,in,a,urology,clinic,under,the,supervision,of,a,physician,who,does,not,restrict,th
e,types,of,medications,the,APRN,is,allowed,to,prescribe.,State,law,does,not,require,the,APRN,t
o,practice,under,physician,supervision.,How,would,the,APRN’s,prescriptive,authority,be,descr
ibed?
a. Full,authority
b. Independent
c. Without,limitation
d. Limited,authority
ANS:,B
The,APRN,has,independent,prescriptive,authority,because,the,regulating,body,does,not,require,t
hat,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,t
he,types,of,drugs,that,can,be,prescribed.DIF:,Cognitive,Level:,ComprehensionREF:,p.,1TOP:,Nursi
ng,Process:,I,MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Pharmacologic,and,Parent
eral,Therapies
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.
ANS:,A
Implementation,of,the,Affordable,Care,Act,has,increased,the,number,of,individuals,with,health,ca
re,coverage,,and,thus,the,number,who,have,access,to,health,care,services.,The,increase,in,the,nu
mber,of,patients,creates,the,need,for,more,providers,with,prescriptive,authority.,APRNs,can,fill,th
is,practice,gap.DIF:,Cognitive,Level:,ComprehensionREF:,p.,2TOP:,Nursing,Process:,Implementatio
n,MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Pharmacologic,and,Parenteral,Therapi
es
,3. Which,factors,could,be,attributed,to,limited,prescriptive,authority,for,APRNs?,Select,all,that,a
pply.
a. Inaccessibility,of,patient,care
b. Higher,health,care,costs
c. Higher,quality,medical,treatment
d. Improved,collaborative,care
e. Enhanced,health,literacy
ANS:,A,,,B
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,patient’s,health,literacy.DIF:,Cognitive,Level:
ComprehensionREF:
p.,2TOP:,Nursing,Process:,Implementation,MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integri
ty:,Pharmacologic,and,Parenteral,Therapies
4. Which,aspects,support,the,APRN’s,provision,for,full,prescriptive,authority?,Select,all,that,ap
ply.
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,safecare.
d. Licensure,ensures,compliance,with,health,care,and,safety,standards.
e. Limiting,provision,can,decrease,health,care,affordability.
ANS:,A,,,C,,,D
APRNs,are,educated,to,practice,and,prescribe,independently,without,supervision.,National,exami
nations,validate,the,ability,to,provide,safe,and,competent,care.,Licensure,ensures,compliance,wit
h,standards,to,promote,public,health,and,safety.,Limited,prescriptive,authority,creates,numerous
,barriers,to,quality,,affordable,,and,accessible,patient,care.DIF:,Cognitive,Level:,ComprehensionR
EF:,pp.,1-2TOP:,Nursing,Process:,Implementation,MSC:,NCLEX,Client
Needs,Category:,Physiologic,Integrity:,Pharmacologic,and,Parenteral,Therapies
5. Which,aspects,support,the,APRN’s,provision,for,full,prescriptive,authority?,Select,all,that,ap
ply.
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,safecare.
d. Licensure,ensures,compliance,with,health,care,and,safety,standards.
ANS:,A,,,C,,,D
APRNs,are,educated,to,practice,and,prescribe,independently,without,supervision.,National,exami
nations,validate,the,ability,to,provide,safe,and,competent,care.,Licensure,ensures,compliance,wit
h,standards,to,promote,public,health,and,safety.,Limited,prescriptive,authority,creates,numerous
,barriers,to,quality,,affordable,,and,accessible,patient,care.DIF:,Cognitive,Level:
,ComprehensionREF:,pp.,1-
2TOP:,Nursing,Process:,Implementation,MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrit
y:,Pharmacologic,and,Parenteral,Therapies
6. A,family,nurse,practitioner,practicing,in,Maine,is,hired,at,a,practice,across,state,lines,in,Virgi
nia.,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,newposition.
d. The,APRN’s,authority,will,depend,on,federalregulations.
ANS:,A
Virginia,allows,limited,prescriptive,authority,,while,Maine,gives,full,authority,to,certified,nurse,pr
actitioners.,The,federal,government,does,not,regulate,prescriptive,authority.DIF:,Cognitive,Level:
,ComprehensionREF:,p.,3TOP:,Nursing,Process:,Implementation,MSC:,NCLEX,Client,Needs,Catego
ry:,Physiologic,Integrity:,Pharmacologic,and,Parenteral,Therapies
Rosenthal:,Lehne's,Pharmacotherapeutics,for,Advanced,Practice,Providers,,2nd,Ed.,
Chapter,2:,Rational,Drug,Selection,and,Prescription,Writing
Test,Bank,
Multiple,Choice
7. How,can,collaboration,with,a,pharmacist,improve,positive,outcomes,for,patients?,Select,all,
that,apply.
a. Pharmacists,can,suggest,foods,that,will,help,with,the,patient’s,condition.
b. Pharmacists,have,additional,information,on,drug,interactions.
c. The,pharmacist,can,suggest,adequate,medication,dosing.
d. Pharmacists,have,firsthand,knowledge,of,the,facility,formulary.
e. Pharmacy,can,alter,prescriptions,when,necessary,to,prevent,patient,harm.
ANS:,B,,,C,,,D
Providers,should,collaborate,with,pharmacists,because,they,will,likely,have,additional,informatio
n,on,formulary,,drug,interactions,,and,suggestions,for,adequate,medication,dosing.,Dietitians,can
,make,foods,recommendations,to,treat,the,patient’s,condition.,The,pharmacist,can,contact,the,pr
escriber,about,questionable,prescriptions,,but,cannot,alter,the,prescription,without,notification,
of,and,approval,by,the,provider.DIF:,Cognitive,Level:,ComprehensionREF:,p.,9TOP:,Nursing,Proces
s:,Diagnosis,MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:
Reduction,of,Risk,Potential
8. A,patient,presents,with,delirium,tremens,requiring,Ativan,administration.,The,provider,of,c
are,is,not,in,the,facility.,Which,action,by,the,nurse,is,most,appropriate?
a. Obtain,a,telephone,order.
, b. Contact,the,on-call,hospitalist.
c. Obtain,an,order,from,the,charge,nurse.
d. Wait,for,a,written,Ativan,order.
ANS:,A
In,an,emergency,situation,,such,as,delirium,tremens,with,seizure,activity,,it,is,acceptable,to,provi
de,a,telephone,order.,Contacting,the,on-
call,hospitalist,or,waiting,for,a,written,order,would,take,more,time,than,available,for,a,patient,wit
h,high,seizure,risk.,Writing,an,order,is,outside,the,scope,of,practice,for,the,charge,nurse.DIF:,Cogn
itive,Level:,ApplicationREF:,p.,7TOP:,Nursing,Process:,Implementation,MSC:,NCLEX,Client,Needs,C
ategory:,Physiologic,Integrity:,Reduction,of,Risk,Potential
9. A,patient,with,chronic,pain,calls,the,provider’s,office,to,request,a,refill,on,their,oxycontin.,
Which,action,is,most,appropriate?
a. Fax,an,order,to,the,pharmacy.
b. Schedule,an,appointment,with,the,patient.
c. Verify,the,patient’s,adherence,to,drug,regimen.
d. Determine,the,patient’s,current,medication,dosage.
ANS:,B
Schedule,II,medications,are,not,eligible,for,refills,,and,prescriptions,must,be,handwritten.,It,is,imp
ortant,to,verify,the,patient’s,adherence,to,the,drug,regimen,and,determine,the,current,dosage,of,
medication;,however,,this,can,be,accomplished,by,scheduling,an,appointment,and,evaluating,the
,patient,in,person.DIF:,Cognitive,Level:,ApplicationREF:,p.,8TOP:,Nursing,Process:,Implementation
,MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Reduction,of,Risk,Potential
10. A,patient,prescribed,amoxicillin,for,streptococcal,pharyngitis,reports,new,onset,of,a,flat,,itc
hy,red,rash,on,the,chest,and,neck.,Which,action,is,most,important?
a. Provide,a,different,prescription.
b. Discontinue,the,medication.
c. Prescribe,an,antihistamine,cream.
d. Assess,for,respiratory,compromise.
ANS:,B
The,priority,action,is,to,discontinue,the,medication,to,prevent,worsening,of,the,patient’s,sympto
ms.,A,different,prescription,would,be,provided,,topical,antihistamine,may,be,administered,,and,t
he,patient,would,be,assessed,for,respiratory,involvement,,but,these,actions,would,not,be
performed,first.DIF:,Cognitive,Level:,ApplicationREF:,p.,6TOP:,Nursing,Process:,Implementation,M
SC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Reduction,of,Risk,Potential
11. A,patient,taking,three,medications,for,hypertension,is,diagnosed,with,COPD.,Which,action,s
hould,be,taken,prior,to,prescribing,medications,to,treat,COPD?
a. Obtain,baseline,laboratory,values.
ADVANCED,PRACTICE,NURSES,AND
PHYSICIAN,ASSISTANTS,2ND,EDITION,ROSENTHAL
TEST,BANK
Chapter,1:,Prescriptive,Authority
Test,Bank
Multiple,Choice
1. An,APRN,works,in,a,urology,clinic,under,the,supervision,of,a,physician,who,does,not,restrict,th
e,types,of,medications,the,APRN,is,allowed,to,prescribe.,State,law,does,not,require,the,APRN,t
o,practice,under,physician,supervision.,How,would,the,APRN’s,prescriptive,authority,be,descr
ibed?
a. Full,authority
b. Independent
c. Without,limitation
d. Limited,authority
ANS:,B
The,APRN,has,independent,prescriptive,authority,because,the,regulating,body,does,not,require,t
hat,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,t
he,types,of,drugs,that,can,be,prescribed.DIF:,Cognitive,Level:,ComprehensionREF:,p.,1TOP:,Nursi
ng,Process:,I,MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Pharmacologic,and,Parent
eral,Therapies
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.
ANS:,A
Implementation,of,the,Affordable,Care,Act,has,increased,the,number,of,individuals,with,health,ca
re,coverage,,and,thus,the,number,who,have,access,to,health,care,services.,The,increase,in,the,nu
mber,of,patients,creates,the,need,for,more,providers,with,prescriptive,authority.,APRNs,can,fill,th
is,practice,gap.DIF:,Cognitive,Level:,ComprehensionREF:,p.,2TOP:,Nursing,Process:,Implementatio
n,MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Pharmacologic,and,Parenteral,Therapi
es
,3. Which,factors,could,be,attributed,to,limited,prescriptive,authority,for,APRNs?,Select,all,that,a
pply.
a. Inaccessibility,of,patient,care
b. Higher,health,care,costs
c. Higher,quality,medical,treatment
d. Improved,collaborative,care
e. Enhanced,health,literacy
ANS:,A,,,B
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,patient’s,health,literacy.DIF:,Cognitive,Level:
ComprehensionREF:
p.,2TOP:,Nursing,Process:,Implementation,MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integri
ty:,Pharmacologic,and,Parenteral,Therapies
4. Which,aspects,support,the,APRN’s,provision,for,full,prescriptive,authority?,Select,all,that,ap
ply.
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,safecare.
d. Licensure,ensures,compliance,with,health,care,and,safety,standards.
e. Limiting,provision,can,decrease,health,care,affordability.
ANS:,A,,,C,,,D
APRNs,are,educated,to,practice,and,prescribe,independently,without,supervision.,National,exami
nations,validate,the,ability,to,provide,safe,and,competent,care.,Licensure,ensures,compliance,wit
h,standards,to,promote,public,health,and,safety.,Limited,prescriptive,authority,creates,numerous
,barriers,to,quality,,affordable,,and,accessible,patient,care.DIF:,Cognitive,Level:,ComprehensionR
EF:,pp.,1-2TOP:,Nursing,Process:,Implementation,MSC:,NCLEX,Client
Needs,Category:,Physiologic,Integrity:,Pharmacologic,and,Parenteral,Therapies
5. Which,aspects,support,the,APRN’s,provision,for,full,prescriptive,authority?,Select,all,that,ap
ply.
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,safecare.
d. Licensure,ensures,compliance,with,health,care,and,safety,standards.
ANS:,A,,,C,,,D
APRNs,are,educated,to,practice,and,prescribe,independently,without,supervision.,National,exami
nations,validate,the,ability,to,provide,safe,and,competent,care.,Licensure,ensures,compliance,wit
h,standards,to,promote,public,health,and,safety.,Limited,prescriptive,authority,creates,numerous
,barriers,to,quality,,affordable,,and,accessible,patient,care.DIF:,Cognitive,Level:
,ComprehensionREF:,pp.,1-
2TOP:,Nursing,Process:,Implementation,MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrit
y:,Pharmacologic,and,Parenteral,Therapies
6. A,family,nurse,practitioner,practicing,in,Maine,is,hired,at,a,practice,across,state,lines,in,Virgi
nia.,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,newposition.
d. The,APRN’s,authority,will,depend,on,federalregulations.
ANS:,A
Virginia,allows,limited,prescriptive,authority,,while,Maine,gives,full,authority,to,certified,nurse,pr
actitioners.,The,federal,government,does,not,regulate,prescriptive,authority.DIF:,Cognitive,Level:
,ComprehensionREF:,p.,3TOP:,Nursing,Process:,Implementation,MSC:,NCLEX,Client,Needs,Catego
ry:,Physiologic,Integrity:,Pharmacologic,and,Parenteral,Therapies
Rosenthal:,Lehne's,Pharmacotherapeutics,for,Advanced,Practice,Providers,,2nd,Ed.,
Chapter,2:,Rational,Drug,Selection,and,Prescription,Writing
Test,Bank,
Multiple,Choice
7. How,can,collaboration,with,a,pharmacist,improve,positive,outcomes,for,patients?,Select,all,
that,apply.
a. Pharmacists,can,suggest,foods,that,will,help,with,the,patient’s,condition.
b. Pharmacists,have,additional,information,on,drug,interactions.
c. The,pharmacist,can,suggest,adequate,medication,dosing.
d. Pharmacists,have,firsthand,knowledge,of,the,facility,formulary.
e. Pharmacy,can,alter,prescriptions,when,necessary,to,prevent,patient,harm.
ANS:,B,,,C,,,D
Providers,should,collaborate,with,pharmacists,because,they,will,likely,have,additional,informatio
n,on,formulary,,drug,interactions,,and,suggestions,for,adequate,medication,dosing.,Dietitians,can
,make,foods,recommendations,to,treat,the,patient’s,condition.,The,pharmacist,can,contact,the,pr
escriber,about,questionable,prescriptions,,but,cannot,alter,the,prescription,without,notification,
of,and,approval,by,the,provider.DIF:,Cognitive,Level:,ComprehensionREF:,p.,9TOP:,Nursing,Proces
s:,Diagnosis,MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:
Reduction,of,Risk,Potential
8. A,patient,presents,with,delirium,tremens,requiring,Ativan,administration.,The,provider,of,c
are,is,not,in,the,facility.,Which,action,by,the,nurse,is,most,appropriate?
a. Obtain,a,telephone,order.
, b. Contact,the,on-call,hospitalist.
c. Obtain,an,order,from,the,charge,nurse.
d. Wait,for,a,written,Ativan,order.
ANS:,A
In,an,emergency,situation,,such,as,delirium,tremens,with,seizure,activity,,it,is,acceptable,to,provi
de,a,telephone,order.,Contacting,the,on-
call,hospitalist,or,waiting,for,a,written,order,would,take,more,time,than,available,for,a,patient,wit
h,high,seizure,risk.,Writing,an,order,is,outside,the,scope,of,practice,for,the,charge,nurse.DIF:,Cogn
itive,Level:,ApplicationREF:,p.,7TOP:,Nursing,Process:,Implementation,MSC:,NCLEX,Client,Needs,C
ategory:,Physiologic,Integrity:,Reduction,of,Risk,Potential
9. A,patient,with,chronic,pain,calls,the,provider’s,office,to,request,a,refill,on,their,oxycontin.,
Which,action,is,most,appropriate?
a. Fax,an,order,to,the,pharmacy.
b. Schedule,an,appointment,with,the,patient.
c. Verify,the,patient’s,adherence,to,drug,regimen.
d. Determine,the,patient’s,current,medication,dosage.
ANS:,B
Schedule,II,medications,are,not,eligible,for,refills,,and,prescriptions,must,be,handwritten.,It,is,imp
ortant,to,verify,the,patient’s,adherence,to,the,drug,regimen,and,determine,the,current,dosage,of,
medication;,however,,this,can,be,accomplished,by,scheduling,an,appointment,and,evaluating,the
,patient,in,person.DIF:,Cognitive,Level:,ApplicationREF:,p.,8TOP:,Nursing,Process:,Implementation
,MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Reduction,of,Risk,Potential
10. A,patient,prescribed,amoxicillin,for,streptococcal,pharyngitis,reports,new,onset,of,a,flat,,itc
hy,red,rash,on,the,chest,and,neck.,Which,action,is,most,important?
a. Provide,a,different,prescription.
b. Discontinue,the,medication.
c. Prescribe,an,antihistamine,cream.
d. Assess,for,respiratory,compromise.
ANS:,B
The,priority,action,is,to,discontinue,the,medication,to,prevent,worsening,of,the,patient’s,sympto
ms.,A,different,prescription,would,be,provided,,topical,antihistamine,may,be,administered,,and,t
he,patient,would,be,assessed,for,respiratory,involvement,,but,these,actions,would,not,be
performed,first.DIF:,Cognitive,Level:,ApplicationREF:,p.,6TOP:,Nursing,Process:,Implementation,M
SC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Reduction,of,Risk,Potential
11. A,patient,taking,three,medications,for,hypertension,is,diagnosed,with,COPD.,Which,action,s
hould,be,taken,prior,to,prescribing,medications,to,treat,COPD?
a. Obtain,baseline,laboratory,values.
