Exam (elaborations)

TEST BANK FOR Lehne's Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Edition by Laura D. Rosenthal , Jacqueline Rosenjack Burchum ISBN: 978-0323554954

0 purchase

Course
Pharmacotherapeutics For Advanced Practice

Institution
Pharmacotherapeutics For Advanced Practice

TEST BANK FOR Lehne's Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Edition by Laura D. Rosenthal , Jacqueline Rosenjack Burchum ISBN: 978-0323554954 TEST BANK FOR Lehne's Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Edition by Laur...

[Show more]

Preview 4 out of 503 pages

View example

Uploaded on March 8, 2025
Number of pages 503
Written in 2024/2025
Type Exam (elaborations)
Contains Questions & answers

test bank for lehnes pharmacotherapeutics for adv

Institution Pharmacotherapeutics For Advanced Practice
Course Pharmacotherapeutics For Advanced Practice

$17.99

Add to cart

Save

100% satisfaction guarantee
Immediately available after payment
Both online and in PDF
No strings attached

LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK

Chapter 1: Prescriptive Authority
FiF FiF FiF

FiF Test Bank
FiF

Multiple Choice FiF

1. An APRN works in a urology clinic under the supervision of a physician who does
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

not restrict the types of medications the APRN is allowed to prescribe. State law
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

does not require the APRN to practice under physician supervision. How would the
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

APRN‘s prescriptive authority be described?
FiF FiF FiF FiF FiF

a. Full authority FiF

b. Independent
c. Without limitation FiF

d. Limited authority FiF

ANS: B FiF

The APRN has independent prescriptive authority because the regulating body does not
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

require that the APRN work under physician supervision. Full prescriptive authority
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

gives the provider the right to prescribe independently and without limitation. Limited
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

authority places restrictions on the types of drugs that can be prescribed.DIF: Cognitive
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

Level: ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX Client Needs
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
FiF FiF FiF FiF FiF FiF FiF

2. Which factors increase the need for APRNs to have full prescriptive authority?
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

a. More patients will have access to health care.
FiF FiF FiF FiF FiF FiF FiF

b. Enrollment in medical schools is predicted to decrease. FiF FiF FiF FiF FiF FiF FiF

c. Physician‘s assistants are being utilized less often. FiF FiF FiF FiF FiF FiF

d. APRN education is more complex than education for physicians.
FiF FiF FiF FiF FiF FiF FiF FiF

ANS: A FiF

Implementation of the Affordable Care Act has increased the number of individuals
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

with health care coverage, and thus the number who have access to health care
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

services. The increase in the number of patients creates the need for more providers with
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

prescriptive authority. APRNs can fill this practice gap.DIF: Cognitive Level:
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client
FiF FiF FiF FiF FiF FiF FiF FiF FiF

Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
FiF FiF FiF FiF FiF FiF FiF FiF

3. Which factors could be attributed to limited prescriptive authority for
FiF FiF FiF FiF FiF FiF FiF FiF FiF

APRNs? Select all that apply.
FiF FiF FiF FiF FiF

, a. Inaccessibility of patient care FiF FiF FiF

b. Higher health care costs FiF FiF FiF

c. Higher quality medical treatment
FiF FiF FiF

d. Improved collaborative care FiF FiF

e. Enhanced health literacy FiF FiF

ANS: A , B FiF FiF FiF

Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

accessible patient care. It may also lead to poor collaboration among providers and
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

higher health care costs. It would not directly impact patient‘s health literacy.DIF:
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

Cognitive Level: ComprehensionREF:
FiF FiF FiF

p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category:
FiF FiF FiF FiF FiF FiF FiF FiF FiF

Physiologic Integrity: Pharmacologic and Parenteral Therapies
FiF FiF FiF FiF FiF FiF

4. Which aspects support the APRN‘s provision for full prescriptive
FiF FiF FiF FiF FiF FiF FiF FiF

authority? Select all that apply.
FiF FiF FiF FiF FiF

a. Clinical education includes prescription of medications and disease processes.
FiF FiF FiF FiF FiF FiF FiF FiF

b. Federal regulations support the provision of full authority for APRNs.
FiF FiF FiF FiF FiF FiF FiF FiF FiF

c. National examinations provide validation of the APRN‘s ability to provide safecare.
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

d. Licensure ensures compliance with health care and safety standards.
FiF FiF FiF FiF FiF FiF FiF FF
i

e. Limiting provision can decrease health care affordability.
FiF FiF FiF FiF FiF FiF

ANS: A , C , DFiF FiF FiF FiF FiF

APRNs are educated to practice and prescribe independently without supervision.
FiF FiF FiF FiF FiF FiF FiF FiF FiF

National examinations validate the ability to provide safe and competent care.
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

Licensure ensures compliance with standards to promote public health and safety.
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

Limited prescriptive authority creates numerous barriers to quality, affordable, and
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

accessible patient care.DIF: Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing
FiF FiF FiF FiF FiF FiF FiF FiF FiF

Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity:
FiF FiF FiF FiF FiF FiF FiF FiF FiF

Pharmacologic and Parenteral Therapies
FiF FiF FiF FiF

5. Which aspects support the APRN‘s provision for full prescriptive
FiF FiF FiF FiF FiF FiF FiF FiF

authority? Select all that apply.
FiF FiF FiF FiF FiF

a. Clinical education includes prescription of medications and disease processes.
FiF FiF FiF FiF FiF FiF FiF FiF

b. Federal regulations support the provision of full authority for APRNs.
FiF FiF FiF FiF FiF FiF FiF FiF FiF

c. National examinations provide validation of the APRN‘s ability to provide safecare.
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

d. Licensure ensures compliance with health care and safety standards.
FiF FiF FiF FiF FiF FiF FiF FiF

ANS: A , C , DFiF FiF FiF FiF FiF

APRNs are educated to practice and prescribe independently without supervision.
FiF FiF FiF FiF FiF FiF FiF FiF FiF

National examinations validate the ability to provide safe and competent care.
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

Licensure ensures compliance with standards to promote public health and safety.
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

Limited prescriptive authority creates numerous barriers to quality, affordable, and
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

accessible patient care.DIF: Cognitive Level:
FiF FiF FiF FiF FiF

,ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: F i F F i F F i F F i F F i F

NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral
FiF FiF FiF FiF FiF FiF FiF FiF FiF

Therapies
FiF

6. A family nurse practitioner practicing in Maine is hired at a practice across state
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

lines in Virginia. Which aspect of practice may change for the APRN?
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

a. The APRN will have less prescriptive authority in the new position.
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

b. The APRN will have more prescriptive authority in the new position.
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

c. The APRN will have equal prescriptive authority in the newposition.
FiF FiF FiF FiF FiF FiF FiF FiF FiF

d. The APRN‘s authority will depend on federalregulations.
FiF FiF FiF FiF FiF FiF

ANS: A FiF

Virginia allows limited prescriptive authority, while Maine gives full authority to
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

certified nurse practitioners. The federal government does not regulate prescriptive
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

authority.DIF: Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process:
FiF FiF FiF FiF FiF FiF FiF FiF

Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity:
FiF FiF FiF FiF FiF FiF FiF FiF

Pharmacologic and Parenteral Therapies
FiF FiF FiF FiF

2nd
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers,
FiF FiF FiF FiF FiF FiF FiF FiF Ed.

FiF Chapter 2: Rational Drug Selection and Prescription Writing
FiF FiF FiF FiF FiF FiF FiF

Test Bank FiF

FiF Multiple

Choice
FiF

7. How can collaboration with a pharmacist improve positive outcomes for
FiF FiF FiF FiF FiF FiF FiF FiF FiF

patients? Select all that apply.
FiF FiF FiF FiF FiF

a. Pharmacists can suggest foods that will help with the patient‘s condition.
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

b. Pharmacists have additional information on drug interactions.
FiF FiF FiF FiF FiF FiF

c. The pharmacist can suggest adequate medication dosing.
FiF FiF FiF FiF FiF FiF

d. Pharmacists have firsthand knowledge of the facility formulary.
FiF FiF FiF FiF FiF FiF FiF

e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
FiF FiF FiF FiF FiF FiF FiF FiF FiF

ANS: B , C , D FiF FiF FiF FiF FiF

Providers should collaborate with pharmacists because they will likely have additional
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

information on formulary, drug interactions, and suggestions for adequate medication
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

dosing. Dietitians can make foods recommendations to treat the patient‘s condition. The
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

pharmacist can contact the prescriber about questionable prescriptions, but cannot alter
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

the prescription without notification of and approval by the provider.DIF: Cognitive
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

Level: ComprehensionREF: p. 9TOP: Nursing Process: Diagnosis MSC: NCLEX Client
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

Needs Category: Physiologic Integrity: Reduction of Risk Potential
FiF FiF FiF FiF FiF FiF FiF FiF

, 8. A patient presents with delirium tremens requiring Ativan administration. The provider of
FiF FiF FiF FF
i FiF FiF FiF FiF FiF FiF FiF

care is not in the facility. Which action by the nurse is most appropriate?
FF
i FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF F i F

a. Obtain a telephone order. FiF FiF FiF

b. Contact the on-call hospitalist. FiF FiF FiF

c. Obtain an order from the charge nurse.
FiF FiF FiF FiF FiF FiF

d. Wait for a written Ativan order.
FiF FiF FiF FiF FiF

ANS: A F i F

In an emergency situation, such as delirium tremens with seizure activity, it is acceptable to
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

provide a telephone order. Contacting the on-call hospitalist or waiting for a written order
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

would take more time than available for a patient with high seizure risk. Writing an
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

order is outside the scope of practice for the charge nurse.DIF: Cognitive Level:
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

ApplicationREF: p. 7TOP: Nursing Process: Implementation MSC: NCLEX Client
FiF FiF FiF FiF FiF FiF FiF FiF FiF

Needs Category: Physiologic Integrity: Reduction of Risk Potential
FiF FiF FiF FiF FiF FiF FiF FiF

9. A patient with chronic pain calls the provider‘s office to request a refill on their
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

oxycontin. Which action is most appropriate?
Fi FiF FiF FiF FiF F i F

a. Fax an order to the pharmacy.
FiF FiF FiF FiF FiF

b. Schedule an appointment with the patient. FiF FiF FiF FiF FiF

c. Verify the patient‘s adherence to drug regimen.
FiF FiF FiF FiF FiF FiF

d. Determine the patient‘s current medication dosage. FiF FiF FiF FiF FiF

ANS: B FiF FiF

Schedule II medications are not eligible for refills, and prescriptions must be
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

handwritten. It is important to verify the patient‘s adherence to the drug regimen and
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

determine the current dosage of medication; however, this can be accomplished by
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

scheduling an appointment and evaluating the patient in person.DIF: Cognitive Level:
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

ApplicationREF: p. 8TOP: Nursing Process: Implementation MSC: NCLEX Client
FiF FiF FiF FiF FiF FiF FiF FiF FiF

Needs Category: Physiologic Integrity: Reduction of Risk Potential
FiF FiF FiF FiF FiF FiF FiF FiF

10. A patient prescribed amoxicillin for streptococcal pharyngitis reports new onset of a flat,
FiF FiF FiF FiF FiF FF
i FiF FiF FiF FiF FiF FiF

itchy red rash on the chest and neck. Which action is most important?
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF F i F

a. Provide a different prescription. FiF FiF FiF

b. Discontinue the medication. FiF FiF

c. Prescribe an antihistamine cream. FiF FiF FiF

d. Assess for respiratory compromise.
FiF FiF FiF

ANS: B FiF

The priority action is to discontinue the medication to prevent worsening of the
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

patient‘s symptoms. A different prescription would be provided, topical antihistamine may be
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

administered, and the patient would be assessed for respiratory involvement, but these
FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF FiF

actions would not be
FiF FiF FiF F i F

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller mariaseth. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $17.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

72056 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling

Exam (elaborations)

TEST BANK FOR Lehne's Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Edition by Laura D. Rosenthal , Jacqueline Rosenjack Burchum ISBN: 978-0323554954

Document information

Subjects

Connected book

More summaries for

Written for

Seller

Content preview