Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
c c c c c c c c c
Edition Rosenthal Test Bank
c c c c 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
c c c
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND
c c c c c c
EDITION ROSENTHAL TEST BANK
c c c c
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
c c c c c c c c c
Edition Rosenthal Test Bank
c c c c 2
Chapter 1: Prescriptive Authority Test Bank
c c c c c
Multiple Choice
c c
1. An APRN works in a urology clinic under the supervision of a physician who does not
c c c c c c c c c c c c c c c
restrict the types of medications the APRN is allowed to prescribe. State law does not require the
c c c c c c c c c c c c c c c c c
APRN to practice under physician supervision. How would the APRN‘s prescriptive authority be
c c c c c c c c c c c c c
described?
c
a. Full authority c
b. Independent
c. Without limitation c
d. Limited authority c
ANS: B c
The APRN has independent prescriptive authority because the regulating body does not require
c c c c c c c c c c c c
that the APRN work under physician supervision. Full prescriptive authority gives the provider
c c c c c c c c c c c c c
the right to prescribe independently and without limitation. Limited authority places restrictions
c c c c c c c c c c c c
on the types of drugs that can be prescribed .DIF: Cognitive Level: Comprehension REF: p.
c c c c c c c c c c c c c c c
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity:
c c c c c c c c c c
Pharmacologic and Parenteral Therapies
c c c c
2. Which factors increase the need for APRNs to have full prescriptive authority?
c c c c c c c c c c c
a. More patients will have access to health care.
c c c c c c c
b. Enrollment in medical schools is predicted to decrease. c c c c c c c
c. Physician‘s assistants are being utilized less often. c c c c c c
d. APRN education is more complex than education for physicians.
c c c c c c c c
ANS: A c
Implementation of the Affordable Care Act has increased the number of individuals with health
c c c c c c c c c c c c c
care coverage, and thus the number who have access to health care services. The increase in the
c c c c c c c c c c c c c c c c c
number of patients creates the need for more providers with prescriptive authority. APRNs can
c c c c c c c c c c c c c c
fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursing Process:
c c c c c c c c c c c c c
cImplementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
c c c c c c c c
and Parenteral Therapies
c c c
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
c c c c c c c c c
Edition Rosenthal Test Bank
c c c c 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select all
c c c c c c c c c c c c
that apply.
c c
a. Inaccessibility of patient care c c c
b. Higher health care costs c c c
c. Higher quality medical treatment c c c
d. Improved collaborative care c c
e. Enhanced health literacy c c
ANS: A , B c c c
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
c c c c c c c c c c c
accessible patient care. It may also lead to poor collaboration among providers and higher health
c c c c c c c c c c c c c c c
care costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level:
c c c c c c c c c c c c
ComprehensionREF:
c
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
c c c c c c c c c c
Integrity: Pharmacologic and Parenteral Therapies
c c c c c
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select all
c c c c c c c c c c c
that apply.
c c
a. Clinical education includes prescription of medications and disease processes.
c c c c c c c c
b. Federal regulations support the provision of full authority for APRNs.
c c c c c c c c c
c. National examinations provide validation of the APRN‘s ability to provide safecare.
c c c c c c c c c c
d. Licensure ensures compliance with health care and safety standards.
c c c c c c c c
e. Limiting provision can decrease health care affordability.
c c c c c c
ANS: A , C , D c c c c c
APRNs are educated to practice and prescribe independently without supervision. National
c c c c c c c c c c
examinations validate the ability to provide safe and competent care. Licensure ensures
c c c c c c c c c c c c
compliance with standards to promote public health and safety. Limited prescriptive authority
c c c c c c c c c c c c
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
c c c c c c c c c c c
Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX
c c c c c c c c c
Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
c c c c c c c c c
Edition Rosenthal Test Bank
c c c c 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select all
c c c c c c c c c c c
that apply.
c c
a. Clinical education includes prescription of medications and disease processes.
c c c c c c c c
b. Federal regulations support the provision of full authority for APRNs.
c c c c c c c c c
c. National examinations provide validation of the APRN‘s ability to provide safecare.
c c c c c c c c c c
d. Licensure ensures compliance with health care and safety standards.
c c c c c c c c
ANS: A , C , D
c c c c c
APRNs are educated to practice and prescribe independently without supervision. National
c c c c c c c c c c
examinations validate the ability to provide safe and competent care. Licensure ensures
c c c c c c c c c c c c
compliance with standards to promote public health and safety. Limited prescriptive authority
c c c c c c c c c c c c
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
c c c c c c c c c c c
Level:
c
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation c MSC: NCLEX Client c c c c c c c
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in
c c c c c c c c c c c c c c c
Virginia. Which aspect of practice may change for the APRN?
c c c c c c c c c c
a. The APRN will have less prescriptive authority in the new position.
c c c c c c c c c c
b. The APRN will have more prescriptive authority in the new position.
c c c c c c c c c c
c. The APRN will have equal prescriptive authority in the new position.
c c c c c c c c c c
d. The APRN‘s authority will depend on federal regulations.
c c c c c c c
ANS: A
c c
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
c c c c c c c c c c c c
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
c c c c c c c c c c
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
c c c c c c c c c c
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c
c c c c c c c c c
Edition Rosenthal Test Bank
c c c c 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
c c c
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND
c c c c c c
EDITION ROSENTHAL TEST BANK
c c c c
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
c c c c c c c c c
Edition Rosenthal Test Bank
c c c c 2
Chapter 1: Prescriptive Authority Test Bank
c c c c c
Multiple Choice
c c
1. An APRN works in a urology clinic under the supervision of a physician who does not
c c c c c c c c c c c c c c c
restrict the types of medications the APRN is allowed to prescribe. State law does not require the
c c c c c c c c c c c c c c c c c
APRN to practice under physician supervision. How would the APRN‘s prescriptive authority be
c c c c c c c c c c c c c
described?
c
a. Full authority c
b. Independent
c. Without limitation c
d. Limited authority c
ANS: B c
The APRN has independent prescriptive authority because the regulating body does not require
c c c c c c c c c c c c
that the APRN work under physician supervision. Full prescriptive authority gives the provider
c c c c c c c c c c c c c
the right to prescribe independently and without limitation. Limited authority places restrictions
c c c c c c c c c c c c
on the types of drugs that can be prescribed .DIF: Cognitive Level: Comprehension REF: p.
c c c c c c c c c c c c c c c
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity:
c c c c c c c c c c
Pharmacologic and Parenteral Therapies
c c c c
2. Which factors increase the need for APRNs to have full prescriptive authority?
c c c c c c c c c c c
a. More patients will have access to health care.
c c c c c c c
b. Enrollment in medical schools is predicted to decrease. c c c c c c c
c. Physician‘s assistants are being utilized less often. c c c c c c
d. APRN education is more complex than education for physicians.
c c c c c c c c
ANS: A c
Implementation of the Affordable Care Act has increased the number of individuals with health
c c c c c c c c c c c c c
care coverage, and thus the number who have access to health care services. The increase in the
c c c c c c c c c c c c c c c c c
number of patients creates the need for more providers with prescriptive authority. APRNs can
c c c c c c c c c c c c c c
fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursing Process:
c c c c c c c c c c c c c
cImplementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
c c c c c c c c
and Parenteral Therapies
c c c
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
c c c c c c c c c
Edition Rosenthal Test Bank
c c c c 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select all
c c c c c c c c c c c c
that apply.
c c
a. Inaccessibility of patient care c c c
b. Higher health care costs c c c
c. Higher quality medical treatment c c c
d. Improved collaborative care c c
e. Enhanced health literacy c c
ANS: A , B c c c
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
c c c c c c c c c c c
accessible patient care. It may also lead to poor collaboration among providers and higher health
c c c c c c c c c c c c c c c
care costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level:
c c c c c c c c c c c c
ComprehensionREF:
c
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
c c c c c c c c c c
Integrity: Pharmacologic and Parenteral Therapies
c c c c c
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select all
c c c c c c c c c c c
that apply.
c c
a. Clinical education includes prescription of medications and disease processes.
c c c c c c c c
b. Federal regulations support the provision of full authority for APRNs.
c c c c c c c c c
c. National examinations provide validation of the APRN‘s ability to provide safecare.
c c c c c c c c c c
d. Licensure ensures compliance with health care and safety standards.
c c c c c c c c
e. Limiting provision can decrease health care affordability.
c c c c c c
ANS: A , C , D c c c c c
APRNs are educated to practice and prescribe independently without supervision. National
c c c c c c c c c c
examinations validate the ability to provide safe and competent care. Licensure ensures
c c c c c c c c c c c c
compliance with standards to promote public health and safety. Limited prescriptive authority
c c c c c c c c c c c c
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
c c c c c c c c c c c
Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX
c c c c c c c c c
Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c c
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
c c c c c c c c c
Edition Rosenthal Test Bank
c c c c 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select all
c c c c c c c c c c c
that apply.
c c
a. Clinical education includes prescription of medications and disease processes.
c c c c c c c c
b. Federal regulations support the provision of full authority for APRNs.
c c c c c c c c c
c. National examinations provide validation of the APRN‘s ability to provide safecare.
c c c c c c c c c c
d. Licensure ensures compliance with health care and safety standards.
c c c c c c c c
ANS: A , C , D
c c c c c
APRNs are educated to practice and prescribe independently without supervision. National
c c c c c c c c c c
examinations validate the ability to provide safe and competent care. Licensure ensures
c c c c c c c c c c c c
compliance with standards to promote public health and safety. Limited prescriptive authority
c c c c c c c c c c c c
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
c c c c c c c c c c c
Level:
c
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation c MSC: NCLEX Client c c c c c c c
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in
c c c c c c c c c c c c c c c
Virginia. Which aspect of practice may change for the APRN?
c c c c c c c c c c
a. The APRN will have less prescriptive authority in the new position.
c c c c c c c c c c
b. The APRN will have more prescriptive authority in the new position.
c c c c c c c c c c
c. The APRN will have equal prescriptive authority in the new position.
c c c c c c c c c c
d. The APRN‘s authority will depend on federal regulations.
c c c c c c c
ANS: A
c c
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
c c c c c c c c c c c c
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
c c c c c c c c c c
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
c c c c c c c c c c
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
c c c c c c c c
