NR565 Midterm EXAM QUESTIONS WITH ACTUAL
CORRECT DETAILED ANSWERS GRADED A +
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 - ANSWER-b. Independent
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. - ANSWER-a. more patients
will have access to health care
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 - ANSWER-a. inaccessibility of patient care
b. higher health care costs
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 - ANSWER-a.
c.
d.
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. - ANSWER-a.
c.
d.
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 new position.
d. The APRN's authority will depend on federal regulations. - ANSWER-a.
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. - ANSWER-b.
c.
d.
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. - ANSWER-a.
A patient with chronic pain calls the provider's office to request a refill on theiroxycontin. 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. - ANSWER-b.
, 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. - ANSWER-b.
A patient taking three medications for hypertension is diagnosed with COPD. Which action
should 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. - ANSWER-b.
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. - ANSWER-c.
A patient recently prescribed hydrocodone calls to report they are 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
b. Prescription sent via electronic messenger
c. Dose higher than typically prescribed
CORRECT DETAILED ANSWERS GRADED A +
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 - ANSWER-b. Independent
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. - ANSWER-a. more patients
will have access to health care
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 - ANSWER-a. inaccessibility of patient care
b. higher health care costs
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 - ANSWER-a.
c.
d.
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. - ANSWER-a.
c.
d.
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 new position.
d. The APRN's authority will depend on federal regulations. - ANSWER-a.
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. - ANSWER-b.
c.
d.
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. - ANSWER-a.
A patient with chronic pain calls the provider's office to request a refill on theiroxycontin. 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. - ANSWER-b.
, 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. - ANSWER-b.
A patient taking three medications for hypertension is diagnosed with COPD. Which action
should 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. - ANSWER-b.
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. - ANSWER-c.
A patient recently prescribed hydrocodone calls to report they are 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
b. Prescription sent via electronic messenger
c. Dose higher than typically prescribed
