,
,
,
LEHNE’S,PHARMACOTHERAPEUTICS,FOR,ADVANCED,PRACTICE,NU
RSES,AND,PHYSICIAN,ASSISTANTS,2ND,EDITION,ROSENTHAL,
TEST,BANK QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES 2025 – 2026 UPDATE.,
,
,
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,to
,practice,under,physician,supervision.,How,would,the,APRN’s,prescriptive,authority,be,describ
ed?,
,
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,Proc
ess:,I,MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Pharmacologic,and,Parenteral,T
herapies,
,
,
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,practi
ce,gap.DIF:,Cognitive,Level:,ComprehensionREF:,p.,2TOP:,Nursing,Process:,Implementation,MS
C:,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,ap
ply.,
,
,
,
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,Inte
grity:,Pharmacologic,and,Parenteral,Therapies,
,
,
4. Which,aspects,support,the,APRN’s,provision,for,full,prescriptive,authority?,Select,all,that,appl
y.,
,
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,examin
ations,validate,the,ability,to,provide,safe,and,competent,care.,Licensure,ensures,compliance,with,st
andards,to,promote,public,health,and,safety.,Limited,prescriptive,authority,creates,numerous,barrie
rs,to,quality,,affordable,,and,accessible,patient,care.DIF:,Cognitive,Level:,ComprehensionREF:,pp.
,1-
2TOP:,Nursing,Process:,Implementation,MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integr
ity:,Pharmacologic,and,Parenteral,Therapies,
,
,
5. Which,aspects,support,the,APRN’s,provision,for,full,prescriptive,authority?,Select,all,that,appl
y.,
,
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,examin
ations,validate,the,ability,to,provide,safe,and,competent,care.,Licensure,ensures,compliance,with,st
andards,to,promote,public,health,and,safety.,Limited,prescriptive,authority,creates,numerous,barrie
rs,to,quality,,affordable,,and,accessible,patient,care.DIF:,Cognitive,Level:,
ComprehensionREF:,pp.,1-
2TOP:,Nursing,Process:,Implementation,MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integr
ity:,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,pra
ctitioners.,The,federal,government,does,not,regulate,prescriptive,authority.DIF:,Cognitive,Level:,Comprehen
sionREF:,p.,3TOP:,Nursing,Process:,Implementation,MSC:,NCLEX,Client,Needs,Category:,Physiologic,Inte
grity:,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,ma
ke,foods,recommendations,to,treat,the,patient’s,condition.,The,pharmacist,can,contact,the,prescribe
r,about,questionable,prescriptions,,but,cannot,alter,the,prescription,without,notification,of,and,appr
oval,by,the,provider.DIF:,Cognitive,Level:,ComprehensionREF:,p.,9TOP:,Nursing,Process:,Diagn
osis,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,i
s,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,h
igh,seizure,risk.,Writing,an,order,is,outside,the,scope,of,practice,for,the,charge,nurse.DIF:,Cognitiv
e,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.,Whic
h,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,impo
rtant,to,verify,the,patient’s,adherence,to,the,drug,regimen,and,determine,the,current,dosage,of,medic
ation;,however,,this,can,be,accomplished,by,scheduling,an,appointment,and,evaluating,the,patient,i
n,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,r
ed,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,pati
ent,would,be,assessed,for,respiratory,involvement,,but,these,actions,would,not,be,performed,first.D
IF:,Cognitive,Level:,ApplicationREF:,p.,6TOP:,Nursing,Process:,Implementation,MSC:,NCLEX,C
lient,Needs,Category:,Physiologic,Integrity:,Reduction,of,Risk,Potential,
,
,
11. A,patient,taking,three,medications,for,hypertension,is,diagnosed,with,COPD.,Which,action,sho
uld,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.,
,
ANS:,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,metabolis
m,but,would,not,be,the,first,action.,The,presence,of,insurance,coverage,would,affect,the,patient’s,ac
cess,to,treatment,but,may,not,affect,the,type,of,medication,prescribed.DIF:,Cognitive,Level:,Applic
ationREF:,p.,6TOP:,Nursing,Process:,Implementation,MSC:,NCLEX,Client,Needs,Category:,Phys
iologic,Integrity:,Reduction,of,Risk,Potential,
,
,
12. A,patient,with,diabetes,reports,losing,their,job,and,an,inability,to,purchase,required,medications
.,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.,
,
ANS:,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,medicatio
n.,Selecting,a,different,pharmacy,could,decrease,the,cost,of,the,medication,,as,costs,vary,based,on,th
e,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,
,
,
,
LEHNE’S,PHARMACOTHERAPEUTICS,FOR,ADVANCED,PRACTICE,NU
RSES,AND,PHYSICIAN,ASSISTANTS,2ND,EDITION,ROSENTHAL,
TEST,BANK QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES 2025 – 2026 UPDATE.,
,
,
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,to
,practice,under,physician,supervision.,How,would,the,APRN’s,prescriptive,authority,be,describ
ed?,
,
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,Proc
ess:,I,MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integrity:,Pharmacologic,and,Parenteral,T
herapies,
,
,
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,practi
ce,gap.DIF:,Cognitive,Level:,ComprehensionREF:,p.,2TOP:,Nursing,Process:,Implementation,MS
C:,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,ap
ply.,
,
,
,
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,Inte
grity:,Pharmacologic,and,Parenteral,Therapies,
,
,
4. Which,aspects,support,the,APRN’s,provision,for,full,prescriptive,authority?,Select,all,that,appl
y.,
,
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,examin
ations,validate,the,ability,to,provide,safe,and,competent,care.,Licensure,ensures,compliance,with,st
andards,to,promote,public,health,and,safety.,Limited,prescriptive,authority,creates,numerous,barrie
rs,to,quality,,affordable,,and,accessible,patient,care.DIF:,Cognitive,Level:,ComprehensionREF:,pp.
,1-
2TOP:,Nursing,Process:,Implementation,MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integr
ity:,Pharmacologic,and,Parenteral,Therapies,
,
,
5. Which,aspects,support,the,APRN’s,provision,for,full,prescriptive,authority?,Select,all,that,appl
y.,
,
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,examin
ations,validate,the,ability,to,provide,safe,and,competent,care.,Licensure,ensures,compliance,with,st
andards,to,promote,public,health,and,safety.,Limited,prescriptive,authority,creates,numerous,barrie
rs,to,quality,,affordable,,and,accessible,patient,care.DIF:,Cognitive,Level:,
ComprehensionREF:,pp.,1-
2TOP:,Nursing,Process:,Implementation,MSC:,NCLEX,Client,Needs,Category:,Physiologic,Integr
ity:,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,pra
ctitioners.,The,federal,government,does,not,regulate,prescriptive,authority.DIF:,Cognitive,Level:,Comprehen
sionREF:,p.,3TOP:,Nursing,Process:,Implementation,MSC:,NCLEX,Client,Needs,Category:,Physiologic,Inte
grity:,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,ma
ke,foods,recommendations,to,treat,the,patient’s,condition.,The,pharmacist,can,contact,the,prescribe
r,about,questionable,prescriptions,,but,cannot,alter,the,prescription,without,notification,of,and,appr
oval,by,the,provider.DIF:,Cognitive,Level:,ComprehensionREF:,p.,9TOP:,Nursing,Process:,Diagn
osis,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,i
s,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,h
igh,seizure,risk.,Writing,an,order,is,outside,the,scope,of,practice,for,the,charge,nurse.DIF:,Cognitiv
e,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.,Whic
h,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,impo
rtant,to,verify,the,patient’s,adherence,to,the,drug,regimen,and,determine,the,current,dosage,of,medic
ation;,however,,this,can,be,accomplished,by,scheduling,an,appointment,and,evaluating,the,patient,i
n,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,r
ed,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,pati
ent,would,be,assessed,for,respiratory,involvement,,but,these,actions,would,not,be,performed,first.D
IF:,Cognitive,Level:,ApplicationREF:,p.,6TOP:,Nursing,Process:,Implementation,MSC:,NCLEX,C
lient,Needs,Category:,Physiologic,Integrity:,Reduction,of,Risk,Potential,
,
,
11. A,patient,taking,three,medications,for,hypertension,is,diagnosed,with,COPD.,Which,action,sho
uld,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.,
,
ANS:,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,metabolis
m,but,would,not,be,the,first,action.,The,presence,of,insurance,coverage,would,affect,the,patient’s,ac
cess,to,treatment,but,may,not,affect,the,type,of,medication,prescribed.DIF:,Cognitive,Level:,Applic
ationREF:,p.,6TOP:,Nursing,Process:,Implementation,MSC:,NCLEX,Client,Needs,Category:,Phys
iologic,Integrity:,Reduction,of,Risk,Potential,
,
,
12. A,patient,with,diabetes,reports,losing,their,job,and,an,inability,to,purchase,required,medications
.,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.,
,
ANS:,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,medicatio
n.,Selecting,a,different,pharmacy,could,decrease,the,cost,of,the,medication,,as,costs,vary,based,on,th
e,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,
,
