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