--
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
-- -- -- --
PRACTICE NURSES AND -- --
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL
-- -- -- -- --
TEST BANK all chapters complete and verified A+ study tips
-- -- -- -- -- -- -- -- --
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--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
ANS:--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.
ANS:--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--
and-Parenteral--Therapies
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
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--
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.
ANS:--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--
Needs-Category:--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.
ANS:--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-Needs--Category:--Physiologic--Integrity:--Pharmacologic--and--Parenteral--Therapies
6. 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--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--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
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--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
, --
8. A-patient-- presents--with--delirium-tremens--requiring--Ativan--administration.-- The--provider--of-care-
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--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.
ANS:- - 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,--itchy-
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--
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
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
-- -- -- --
PRACTICE NURSES AND -- --
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL
-- -- -- -- --
TEST BANK all chapters complete and verified A+ study tips
-- -- -- -- -- -- -- -- --
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--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
ANS:--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.
ANS:--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--
and-Parenteral--Therapies
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
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--
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.
ANS:--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--
Needs-Category:--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.
ANS:--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-Needs--Category:--Physiologic--Integrity:--Pharmacologic--and--Parenteral--Therapies
6. 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--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--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
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--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
, --
8. A-patient-- presents--with--delirium-tremens--requiring--Ativan--administration.-- The--provider--of-care-
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--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.
ANS:- - 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,--itchy-
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--
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
