,TEST BANK LEHNE’S PHARMACOTHERAPEUTICS
FOR ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL
WITH RATIONALES 2024/2025
Chapter 1: Prescriptive Authority Test Bank
z z z z z
z Multiple Choice z
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict the
z z z z z z z z z z z z z z z z z
types of medications the APRN is allowed to prescribe. State law does not require the APRN to practice
z z z z z z z z z z z z z z z z z z
under physician supervision. How would the APRN’s prescriptive authority be described?
z z z z z z z z z z z
a. Full authority z
b. Independent
c. Without limitation z
d. Limited authority z
ANS: B z
The APRN has independent prescriptive authority because the regulating body does not require that the
z z z z z z z z z z z z z z
APRN work under physician supervision. Full prescriptive authority gives the provider the right to
z z z z z z z z z z z z z z
prescribe independently and without limitation. Limited authority places restrictions on the types of
z z z z z z z z z z z z z
drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing Process: I MSC:
z z z z z z z z z z z z z z
NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
z z z z z z z z z z
2. Which factors increase the need for APRNs to have full prescriptive authority?
z z z z z z z z z z z
a. More patients will have access to health care.
z z z z z z z
b. Enrollment in medical schools is predicted to decrease. z z z z z z z
c. Physician’s assistants are being utilized less often. z z z z z z
,d. APRN education is more complex than education for physicians.
z z z z z z z z
ANS: A z
Implementation of the Affordable Care Act has increased the number of individuals with health care
z z z z z z z z z z z z z z
coverage, and thus the number who have access to health care services. The increase in the number of
z z z z z z z z z z z z z z z z z z
patients creates the need for more providers with prescriptive authority. APRNs can fill this practice
z z z z z z z z z z z z z z z
gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC: NCLEX
z z z z z z z z z z z
Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
z z z z z z z z z
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select all that
z z z z z z z z z z z z z
apply.
z
a. Inaccessibility of patient care z z z
b. Higher health care costs z z z
c. Higher quality medical treatment z z z
d. Improved collaborative care z z
e. Enhanced health literacy z z
ANS: A , B
z z z
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible patient
z z z z z z z z z z z z z
care. It may also lead to poor collaboration among providers and higher health care costs. It would not
z z z z z z z z z z z z z z z z z z
directly impact patient’s health literacy.DIF: Cognitive Level: ComprehensionREF:
z z z z z z z z
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity:
z z z z z z z z z z z
Pharmacologic and Parenteral Therapies
z z z z
4. Which aspects support the APRN’s provision for full prescriptive authority? Select all that apply.
z z z z z z z z z z z z z
a. Clinical education includes prescription of medications and disease processes.
z z z z z z z z
, b. Federal regulations support the provision of full authority for APRNs.
z z z z z z z z z
c. National examinations provide validation of the APRN’s ability to provide safecare.
z z z z z z z z z z
d. Licensure ensures compliance with health care and safety standards.
z z z z z z z z
e. Limiting provision can decrease health care affordability.
z z z z z z
ANS: A , C , D
z z z z z
APRNs are educated to practice and prescribe independently without supervision. National
z z z z z z z z z z
examinations validate the ability to provide safe and competent care. Licensure ensures compliance
z z z z z z z z z z z z z
with standards to promote public health and safety. Limited prescriptive authority creates numerous
z z z z z z z z z z z z z
barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level: ComprehensionREF: pp.
z z z z z z z z z z z z
1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity:
z z z z z z z z z z z
Pharmacologic and Parenteral Therapies
z z z z
5. Which aspects support the APRN’s provision for full prescriptive authority? Select all that apply.
z z z z z z z z z z z z z
a. Clinical education includes prescription of medications and disease processes.
z z z z z z z z
b. Federal regulations support the provision of full authority for APRNs.
z z z z z z z z z
c. National examinations provide validation of the APRN’s ability to provide safecare.
z z z z z z z z z z
d. Licensure ensures compliance with health care and safety standards.
z z z z z z z z
ANS: A , C , D
z z z z z
APRNs are educated to practice and prescribe independently without supervision. National
z z z z z z z z z z
examinations validate the ability to provide safe and competent care. Licensure ensures compliance
z z z z z z z z z z z z z
with standards to promote public health and safety. Limited prescriptive authority creates numerous
z z z z z z z z z z z z z
barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
z z z z z z z z z z
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
z z z z z z z z
Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
z z z z z z z
FOR ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL
WITH RATIONALES 2024/2025
Chapter 1: Prescriptive Authority Test Bank
z z z z z
z Multiple Choice z
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict the
z z z z z z z z z z z z z z z z z
types of medications the APRN is allowed to prescribe. State law does not require the APRN to practice
z z z z z z z z z z z z z z z z z z
under physician supervision. How would the APRN’s prescriptive authority be described?
z z z z z z z z z z z
a. Full authority z
b. Independent
c. Without limitation z
d. Limited authority z
ANS: B z
The APRN has independent prescriptive authority because the regulating body does not require that the
z z z z z z z z z z z z z z
APRN work under physician supervision. Full prescriptive authority gives the provider the right to
z z z z z z z z z z z z z z
prescribe independently and without limitation. Limited authority places restrictions on the types of
z z z z z z z z z z z z z
drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing Process: I MSC:
z z z z z z z z z z z z z z
NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
z z z z z z z z z z
2. Which factors increase the need for APRNs to have full prescriptive authority?
z z z z z z z z z z z
a. More patients will have access to health care.
z z z z z z z
b. Enrollment in medical schools is predicted to decrease. z z z z z z z
c. Physician’s assistants are being utilized less often. z z z z z z
,d. APRN education is more complex than education for physicians.
z z z z z z z z
ANS: A z
Implementation of the Affordable Care Act has increased the number of individuals with health care
z z z z z z z z z z z z z z
coverage, and thus the number who have access to health care services. The increase in the number of
z z z z z z z z z z z z z z z z z z
patients creates the need for more providers with prescriptive authority. APRNs can fill this practice
z z z z z z z z z z z z z z z
gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC: NCLEX
z z z z z z z z z z z
Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
z z z z z z z z z
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select all that
z z z z z z z z z z z z z
apply.
z
a. Inaccessibility of patient care z z z
b. Higher health care costs z z z
c. Higher quality medical treatment z z z
d. Improved collaborative care z z
e. Enhanced health literacy z z
ANS: A , B
z z z
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible patient
z z z z z z z z z z z z z
care. It may also lead to poor collaboration among providers and higher health care costs. It would not
z z z z z z z z z z z z z z z z z z
directly impact patient’s health literacy.DIF: Cognitive Level: ComprehensionREF:
z z z z z z z z
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity:
z z z z z z z z z z z
Pharmacologic and Parenteral Therapies
z z z z
4. Which aspects support the APRN’s provision for full prescriptive authority? Select all that apply.
z z z z z z z z z z z z z
a. Clinical education includes prescription of medications and disease processes.
z z z z z z z z
, b. Federal regulations support the provision of full authority for APRNs.
z z z z z z z z z
c. National examinations provide validation of the APRN’s ability to provide safecare.
z z z z z z z z z z
d. Licensure ensures compliance with health care and safety standards.
z z z z z z z z
e. Limiting provision can decrease health care affordability.
z z z z z z
ANS: A , C , D
z z z z z
APRNs are educated to practice and prescribe independently without supervision. National
z z z z z z z z z z
examinations validate the ability to provide safe and competent care. Licensure ensures compliance
z z z z z z z z z z z z z
with standards to promote public health and safety. Limited prescriptive authority creates numerous
z z z z z z z z z z z z z
barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level: ComprehensionREF: pp.
z z z z z z z z z z z z
1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity:
z z z z z z z z z z z
Pharmacologic and Parenteral Therapies
z z z z
5. Which aspects support the APRN’s provision for full prescriptive authority? Select all that apply.
z z z z z z z z z z z z z
a. Clinical education includes prescription of medications and disease processes.
z z z z z z z z
b. Federal regulations support the provision of full authority for APRNs.
z z z z z z z z z
c. National examinations provide validation of the APRN’s ability to provide safecare.
z z z z z z z z z z
d. Licensure ensures compliance with health care and safety standards.
z z z z z z z z
ANS: A , C , D
z z z z z
APRNs are educated to practice and prescribe independently without supervision. National
z z z z z z z z z z
examinations validate the ability to provide safe and competent care. Licensure ensures compliance
z z z z z z z z z z z z z
with standards to promote public health and safety. Limited prescriptive authority creates numerous
z z z z z z z z z z z z z
barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
z z z z z z z z z z
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
z z z z z z z z
Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
z z z z z z z
