1
TEST BANK LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
PRACTICE NURSES AND PHYSICIAN ASSISTANTS
2ND EDITION BY LAURA D. ROSENTHAL & JACQUELINE
ROSENJACK BURCHUM
9780323554954 CHAPTER 1-92| COMPLETE GUIDE A+
, 2
Chapter 1: Prescriptive Authority
MULTIPLE CHOICE
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 AuthorityBe Described?
a. Full Authority
b. Independent
c. Without Limitation
d. Limited Authority
CORRECT ANSWER: B
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.DIF: Cognitive Level:
Comprehensionref: P. 1TOP: Nursing Process: I MSC: NCLEX Client Needs Category:
Physiologic Integrity: Pharmacologic And Parenteral 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.
CORRECT ANSWER: A
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.DIF: Cognitive Level:
Comprehensionref: P. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
Category: Physiologic Integrity: Pharmacologic AndParenteral Therapies
3. Which Factors Could Be Attributed To Limited Prescriptive Authority For
Aprns?Select All That Apply.
, 3
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
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
Integrity: Pharmacologic And Parenteral Therapies
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 Safecare.
d. Licensure Ensures Compliance With HEALTH Care And Safety Standards.
e. Limiting Provision Can Decrease HEALTH Care Affordability.
CORRECT ANSWER: A , C , D
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 Numerous Barriers To Quality, Affordable, And Accessible Patient Care.DIF:
Cognitive Level: Comprehensionref: Pp. 1-2TOP: Nursing Process: Implementation MSC:
NCLEX Client NeedsCategory: Physiologic Integrity: Pharmacologic And Parenteral Therapies
5. 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 Safecare.
d. Licensure Ensures Compliance With HEALTH Care And Safety Standards.
CORRECT ANSWER: A , C , D
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 Numerous Barriers To Quality, Affordable, And Accessible Patient Care.DIF:
Cognitive Level:
, 4
Comprehensionref: Pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
6. A Family Nurse Practitioner Practicing In Maine Is Hired At A Practice Across State
Lines InVirginia. 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.
CORRECT ANSWER: A
Virginia Allows Limited Prescriptive Authority, While Maine Gives Full Authority To Certified
Nurse Practitioners. The Federal Government Does Not Regulate Prescriptive Authority.DIF:
Cognitive Level: Comprehensionref: P. 3TOP: Nursing Process: Implementation MSC: NCLEX
Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
Chapter 2: Rational Drug Selection And Prescription Writing
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.
CORRECT ANSWER: B , C , D
Providers Should Collaborate With Pharmacists Because They Will Likely Have Additional
Information 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 Prescriber About Questionable Prescriptions, But Cannot Alter The
Prescription Without Notification Of And Approval By The Provider.DIF: Cognitive Level:
Comprehensionref: P. 9TOP: Nursing Process: Diagnosis MSC: NCLEX Client Needs Category:
Physiologic Integrity: Reduction Of Risk Potential
, 5
8. A Patient Presents With Delirium Tremens Requiring Ativan Administration. The Provider Of
CareIs 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.
CORRECT ANSWER: A
In An Emergency Situation, Such As Delirium Tremens With Seizure Activity, It Is Acceptable To
Provide A Telephone Order. Contacting The On-Call Hospitalist Or Waiting For A Written Order
Would Take More Time Than Available For A Patient With High Seizure Risk. Writing An Order
Is Outside The Scope Of Practice For The Charge Nurse.DIF: Cognitive Level: Applicationref:
P. 7TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: 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.
CORRECT ANSWER: B
Schedule II Medications Are Not Eligible For Refills, And Prescriptions Must Be Handwritten. It
Is Important 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,
ItchyRed 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.
CORRECT ANSWER: B
The Priority Action Is To Discontinue The Medication To Prevent Worsening Of The Patient’s
Symptoms. A Different Prescription Would Be Provided, Topical Antihistamine May Be
Administered, And The Patient Would Be Assessed For Respiratory Involvement, But These
Actions Would Not Be
, 6
Performed First.DIF: Cognitive Level: Applicationref: P. 6TOP: Nursing Process:
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction Of Risk
Potential
11. A Patient Taking Three Medications For Hypertension Is Diagnosed With COPD. Which
ActionShould Be Taken Prior To Prescribing Medications To Treat COPD?
a. Obtain Baseline Laboratory Values.
b. Obtain A Complete Medication History.
c. Assess Liver Enzyme Levels.
d. Determine If Patient Has Insurance Coverage.
CORRECT ANSWER: B
Prior To Adding Medications To The Treatment Regimen, It Is Essential To Assess For Any
Potential Drug- Drug Interactions Through A Complete Medical History. Baseline Laboratory
Values Are Not Necessary For COPD Treatment. Liver Enzyme Levels May Give Insight Into
The Possibility Of Altered Metabolism But Would Not Be The First Action. The Presence Of
Insurance Coverage Would Affect The Patient’s Access To Treatment But May Not Affect The
Type Of Medication Prescribed.DIF: Cognitive Level: Applicationref: P. 6TOP: Nursing
Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction
Of Risk Potential
12. A Patient With Diabetes Reports Losing Their Job And An Inability To Purchase
RequiredMedications. Which Action Is Most Appropriate?
a. Provide A 7-Day Sample Pack.
b. Decrease The Daily Dose By Half.
c. Contact A Different Pharmacy.
d. Prescribe A Different Medication.
CORRECT ANSWER: C
Providing A 7-Day Sample Will Address The Patient’s Immediate Need, But Will Not Help
With The Patient’s Long-Term Need For Medication. Decreasing The Daily Dose Will Diminish
The Effectiveness Of The Medication. Selecting A Different Pharmacy Could Decrease The Cost
Of The Medication, As Costs Vary Based On The Location And The Pharmacy Dispensing The
Medication. Prescribing A Different Medication Would Be The Last Option.DIF: Cognitive
Level: Applicationref: P. 5TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
Category: Physiologic Integrity: Reduction Of Risk Potential
13. A Patient Recently Prescribed Hydrocodone Calls To Report Theyare 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
, 7
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
In Order To Fill A Hydrocodone Prescription, The Prescriber Name, License Number, DEA
Number, And Contact Information Must Be Included. Schedule II Medications, Such As
Narcotics, Must Be Prescribed Using Written Prescriptions. Though The Pharmacist May
Question The High Dosing, That Would Not Prevent Filling The Prescription. The Patient’s
Name And Date Of Birth Must Be Included On The Prescription, But There Are No Regulations
That The Name Cannot Be Handwritten.DIF: Cognitive Level: Comprehensionref: Pp. 6-8TOP:
Nursing Process: Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity:
Reduction Of Risk Potential
Chapter 3: Promoting Positive Outcomes Of Drug Therapy
MULTIPLE
CHOICE
14. A Patient Reports That A Medication Prescribed For Recurrent Migraine Headaches Is Not
Working.Which Action Should Be Taken First?
a. Ask The Patient About The Number And Frequency Of Tablets Taken.
b. Assess The Patient’s Headache Pain On A Scale From 1 To 10.
c. Report The Patient’s Complaint To The Prescriber.
d. Suggest Biofeedback As An Adjunct To Drug Therapy.
CORRECT ANSWER: A
When Evaluating The Effectiveness Of A Drug, It Is Important To Determine Whether The
Patient Is Using The Drug As Ordered. Asking The Patient To Tell The Nurse How Many Tablets
Are Taken And How Often Helps The Nurse Determine Compliance. Assessing Current Pain
Does Not Yield Information About How Well The Medication Is Working Unless The Patient Is
Currently Taking It. The Nurse Should Gather As Much Information About Compliance,
Symptoms, And Drug Effectiveness As Possible Before Contacting The Prescriber. Biofeedback
May Be An Effective Adjunct To Treatment, But It Should Not Be Recommended Without
Complete Information About Drug Effectiveness.DIF: Cognitive Level: Applicationref: Pp. 15-
16TOP: Nursing Process: Evaluation MSC: NCLEX Client Needs Category: Physiologic
Integrity: Pharmacologic And Parenteral Therapies
15. A Patient Is Prescribed Metronidazole For Bacterial Vaginosis. Which Patient History
FindingWould Be Most Concerning?
TEST BANK LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
PRACTICE NURSES AND PHYSICIAN ASSISTANTS
2ND EDITION BY LAURA D. ROSENTHAL & JACQUELINE
ROSENJACK BURCHUM
9780323554954 CHAPTER 1-92| COMPLETE GUIDE A+
, 2
Chapter 1: Prescriptive Authority
MULTIPLE CHOICE
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 AuthorityBe Described?
a. Full Authority
b. Independent
c. Without Limitation
d. Limited Authority
CORRECT ANSWER: B
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.DIF: Cognitive Level:
Comprehensionref: P. 1TOP: Nursing Process: I MSC: NCLEX Client Needs Category:
Physiologic Integrity: Pharmacologic And Parenteral 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.
CORRECT ANSWER: A
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.DIF: Cognitive Level:
Comprehensionref: P. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
Category: Physiologic Integrity: Pharmacologic AndParenteral Therapies
3. Which Factors Could Be Attributed To Limited Prescriptive Authority For
Aprns?Select All That Apply.
, 3
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
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
Integrity: Pharmacologic And Parenteral Therapies
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 Safecare.
d. Licensure Ensures Compliance With HEALTH Care And Safety Standards.
e. Limiting Provision Can Decrease HEALTH Care Affordability.
CORRECT ANSWER: A , C , D
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 Numerous Barriers To Quality, Affordable, And Accessible Patient Care.DIF:
Cognitive Level: Comprehensionref: Pp. 1-2TOP: Nursing Process: Implementation MSC:
NCLEX Client NeedsCategory: Physiologic Integrity: Pharmacologic And Parenteral Therapies
5. 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 Safecare.
d. Licensure Ensures Compliance With HEALTH Care And Safety Standards.
CORRECT ANSWER: A , C , D
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 Numerous Barriers To Quality, Affordable, And Accessible Patient Care.DIF:
Cognitive Level:
, 4
Comprehensionref: Pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
6. A Family Nurse Practitioner Practicing In Maine Is Hired At A Practice Across State
Lines InVirginia. 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.
CORRECT ANSWER: A
Virginia Allows Limited Prescriptive Authority, While Maine Gives Full Authority To Certified
Nurse Practitioners. The Federal Government Does Not Regulate Prescriptive Authority.DIF:
Cognitive Level: Comprehensionref: P. 3TOP: Nursing Process: Implementation MSC: NCLEX
Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
Chapter 2: Rational Drug Selection And Prescription Writing
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.
CORRECT ANSWER: B , C , D
Providers Should Collaborate With Pharmacists Because They Will Likely Have Additional
Information 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 Prescriber About Questionable Prescriptions, But Cannot Alter The
Prescription Without Notification Of And Approval By The Provider.DIF: Cognitive Level:
Comprehensionref: P. 9TOP: Nursing Process: Diagnosis MSC: NCLEX Client Needs Category:
Physiologic Integrity: Reduction Of Risk Potential
, 5
8. A Patient Presents With Delirium Tremens Requiring Ativan Administration. The Provider Of
CareIs 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.
CORRECT ANSWER: A
In An Emergency Situation, Such As Delirium Tremens With Seizure Activity, It Is Acceptable To
Provide A Telephone Order. Contacting The On-Call Hospitalist Or Waiting For A Written Order
Would Take More Time Than Available For A Patient With High Seizure Risk. Writing An Order
Is Outside The Scope Of Practice For The Charge Nurse.DIF: Cognitive Level: Applicationref:
P. 7TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: 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.
CORRECT ANSWER: B
Schedule II Medications Are Not Eligible For Refills, And Prescriptions Must Be Handwritten. It
Is Important 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,
ItchyRed 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.
CORRECT ANSWER: B
The Priority Action Is To Discontinue The Medication To Prevent Worsening Of The Patient’s
Symptoms. A Different Prescription Would Be Provided, Topical Antihistamine May Be
Administered, And The Patient Would Be Assessed For Respiratory Involvement, But These
Actions Would Not Be
, 6
Performed First.DIF: Cognitive Level: Applicationref: P. 6TOP: Nursing Process:
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction Of Risk
Potential
11. A Patient Taking Three Medications For Hypertension Is Diagnosed With COPD. Which
ActionShould Be Taken Prior To Prescribing Medications To Treat COPD?
a. Obtain Baseline Laboratory Values.
b. Obtain A Complete Medication History.
c. Assess Liver Enzyme Levels.
d. Determine If Patient Has Insurance Coverage.
CORRECT ANSWER: B
Prior To Adding Medications To The Treatment Regimen, It Is Essential To Assess For Any
Potential Drug- Drug Interactions Through A Complete Medical History. Baseline Laboratory
Values Are Not Necessary For COPD Treatment. Liver Enzyme Levels May Give Insight Into
The Possibility Of Altered Metabolism But Would Not Be The First Action. The Presence Of
Insurance Coverage Would Affect The Patient’s Access To Treatment But May Not Affect The
Type Of Medication Prescribed.DIF: Cognitive Level: Applicationref: P. 6TOP: Nursing
Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction
Of Risk Potential
12. A Patient With Diabetes Reports Losing Their Job And An Inability To Purchase
RequiredMedications. Which Action Is Most Appropriate?
a. Provide A 7-Day Sample Pack.
b. Decrease The Daily Dose By Half.
c. Contact A Different Pharmacy.
d. Prescribe A Different Medication.
CORRECT ANSWER: C
Providing A 7-Day Sample Will Address The Patient’s Immediate Need, But Will Not Help
With The Patient’s Long-Term Need For Medication. Decreasing The Daily Dose Will Diminish
The Effectiveness Of The Medication. Selecting A Different Pharmacy Could Decrease The Cost
Of The Medication, As Costs Vary Based On The Location And The Pharmacy Dispensing The
Medication. Prescribing A Different Medication Would Be The Last Option.DIF: Cognitive
Level: Applicationref: P. 5TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
Category: Physiologic Integrity: Reduction Of Risk Potential
13. A Patient Recently Prescribed Hydrocodone Calls To Report Theyare 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
, 7
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
In Order To Fill A Hydrocodone Prescription, The Prescriber Name, License Number, DEA
Number, And Contact Information Must Be Included. Schedule II Medications, Such As
Narcotics, Must Be Prescribed Using Written Prescriptions. Though The Pharmacist May
Question The High Dosing, That Would Not Prevent Filling The Prescription. The Patient’s
Name And Date Of Birth Must Be Included On The Prescription, But There Are No Regulations
That The Name Cannot Be Handwritten.DIF: Cognitive Level: Comprehensionref: Pp. 6-8TOP:
Nursing Process: Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity:
Reduction Of Risk Potential
Chapter 3: Promoting Positive Outcomes Of Drug Therapy
MULTIPLE
CHOICE
14. A Patient Reports That A Medication Prescribed For Recurrent Migraine Headaches Is Not
Working.Which Action Should Be Taken First?
a. Ask The Patient About The Number And Frequency Of Tablets Taken.
b. Assess The Patient’s Headache Pain On A Scale From 1 To 10.
c. Report The Patient’s Complaint To The Prescriber.
d. Suggest Biofeedback As An Adjunct To Drug Therapy.
CORRECT ANSWER: A
When Evaluating The Effectiveness Of A Drug, It Is Important To Determine Whether The
Patient Is Using The Drug As Ordered. Asking The Patient To Tell The Nurse How Many Tablets
Are Taken And How Often Helps The Nurse Determine Compliance. Assessing Current Pain
Does Not Yield Information About How Well The Medication Is Working Unless The Patient Is
Currently Taking It. The Nurse Should Gather As Much Information About Compliance,
Symptoms, And Drug Effectiveness As Possible Before Contacting The Prescriber. Biofeedback
May Be An Effective Adjunct To Treatment, But It Should Not Be Recommended Without
Complete Information About Drug Effectiveness.DIF: Cognitive Level: Applicationref: Pp. 15-
16TOP: Nursing Process: Evaluation MSC: NCLEX Client Needs Category: Physiologic
Integrity: Pharmacologic And Parenteral Therapies
15. A Patient Is Prescribed Metronidazole For Bacterial Vaginosis. Which Patient History
FindingWould Be Most Concerning?
