TEST BANK
,Chapter 1: Prescriptive Authority Test
Bank
Multiple Choices
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 safetystandards.
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 deliriumtremens requiring Ativan administration. The provider ofcare
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 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.
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 ofa 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
,performed ffirst.DIF: fCognitive fLevel: fApplicationREF: fp. f6TOP: fNursing fProcess:
fImplementation fMSC: fNCLEX fClient fNeeds f Category: fPhysiologic fIntegrity: f Reduction fof
fRisk fPotential
11. A fpatient ftaking fthree fmedications ffor fhypertension fis fdiagnosed fwith fCOPD. fWhich
faction f should f be ftaken fprior fto fprescribing f medications fto ftreat f COPD?
a. Obtain fbaseline flaboratory fvalues.
b. Obtain fa fcomplete fmedication f history.
c. Assess fliver fenzyme f levels.
d. Determine fif fpatient fhas finsurance f coverage.
ANS: fB
Prior fto fadding fmedications fto fthe ftreatment fregimen, fit fis fessential fto fassess ffor fany
fpotential fdrug- fdrug finteractions fthrough fa fcomplete fmedical fhistory. fBaseline f laboratory
fvalues fare fnot fnecessary f for fCOPD ftreatment. fLiver fenzyme f levels f may fgive f insight finto
fthe fpossibility fof faltered f metabolism fbut fwould fnot fbe fthe ffirst faction. fThe fpresence fof
finsurance fcoverage fwould faffect fthe fpatient’s f access fto ftreatment fbut fmay fnot faffect fthe
ftype fof f medication fprescribed.DIF: fCognitive fLevel: f ApplicationREF: fp. f6TOP: fNursing
fProcess: fImplementation fMSC: fNCLEX fClient fNeeds fCategory: fPhysiologic fIntegrity:
fReduction fof f Risk fPotential
12. A fpatient fwith fdiabetes freports flosing ftheir fjob fand fan finability fto fpurchase
frequired f medications. f Which faction f is f most f appropriate?
a. Provide fa f7-day fsample fpack.
b. Decrease fthe fdaily fdose fby fhalf.
c. Contact fa fdifferent f pharmacy.
d. Prescribe fa fdifferent f medication.
ANS: fC
Providing fa f7-day fsample fwill faddress fthe fpatient’s fimmediate fneed, fbut fwill fnot fhelp
fwith fthe fpatient’s flong-term fneed f for f medication. fDecreasing fthe fdaily fdose fwill fdiminish
fthe feffectiveness fof fthe f medication. fSelecting fa fdifferent fpharmacy fcould fdecrease fthe
fcost fof fthe f medication, fas fcosts fvary f based fon fthe f location fand fthe fpharmacy fdispensing
fthe f medication. fPrescribing fa fdifferent f medication fwould f be fthe f last foption.DIF: fCognitive
fLevel: f ApplicationREF: fp. f5TOP: fNursing fProcess: fImplementation fMSC: f NCLEX fClient
fNeeds fCategory: fPhysiologic fIntegrity: fReduction fof fRisk fPotential
13. Apatient frecently fprescribed fhydrocodone fcalls fto freport ftheyare funable fto ffill fthe
fprescription. fWhich f factors fcould fcontribute fto fthe f inability fto ffill fthe fprescription?
Select fall fthat fapply.
a. DEA fnumber f missing ffrom fprescription
, b. Prescription fsent fvia felectronic f messenger
c. Dose fhigher fthan ftypically fprescribed
d. Prescriber flicense fnumber fnot f included
e. Patient fname fand fdate fof fbirth fwere f handwritten
ANS: fA f, fB f, fD
In forder fto ffill fa fhydrocodone fprescription, fthe fprescriber fname, flicense fnumber, fDEA
fnumber, fand fcontact finformation f must fbe f included. fSchedule fII fmedications, fsuch fas
fnarcotics, f must f be fprescribed fusing fwritten f prescriptions. fThough fthe fpharmacist f may
fquestion fthe f high fdosing, fthat fwould f not fprevent f filling fthe fprescription. fThe fpatient’s
fname f and fdate fof f birth f must fbe f included fon fthe fprescription, f but fthere fare fno fregulations
fthat fthe fname fcannot fbe fhandwritten.DIF: fCognitive fLevel: fComprehensionREF: fpp. f6-
8TOP: fNursing fProcess: fDiagnosis fMSC: fNCLEX fClient fNeeds fCategory: fPhysiologic
fIntegrity: fReduction fof f Risk fPotential
Rosenthal: fLehne's fPharmacotherapeutics ffor fAdvanced fPractice fProviders, f2nd fEd.
fChapter f3: fPromoting fPositive fOutcomes fof fDrug fTherapy
Test fBank
fMultiple
fChoice
14. Apatient freports fthat fa fmedication fprescribed ffor frecurrent fmigraine fheadaches fis fnot
fworking. f Which faction f should f be ftaken f first?
a. Ask fthe fpatient fabout fthe fnumber fand ffrequency fof ftablets f taken.
b. Assess fthe fpatient’s fheadache fpain fon fa fscale f from f1 fto f 10.
c. Report fthe fpatient’s fcomplaint fto fthe f prescriber.
d. Suggest fbiofeedback fas fan fadjunct fto fdrug ftherapy.
ANS: fA
When fevaluating fthe feffectiveness fof fa fdrug, fit fis fimportant fto fdetermine fwhether fthe
fpatient f is fusing fthe fdrug fas fordered. fAsking fthe fpatient fto ftell fthe fnurse f how f many ftablets
fare ftaken fand f how foften f helps fthe f nurse fdetermine fcompliance. f Assessing fcurrent fpain
fdoes fnot fyield f information f about fhow fwell fthe fmedication fis fworking funless fthe fpatient f is
fcurrently ftaking f it. fThe fnurse fshould fgather fas f much f information fabout fcompliance,
fsymptoms, fand fdrug feffectiveness fas fpossible f before fcontacting fthe fprescriber.
fBiofeedback f may f be fan feffective fadjunct fto ftreatment, fbut f it fshould f not fbe frecommended
fwithout fcomplete f information fabout fdrug feffectiveness.DIF: fCognitive fLevel:
fApplicationREF: fpp. f15-16TOP: fNursing fProcess: fEvaluation fMSC: fNCLEX fClient fNeeds
fCategory: fPhysiologic fIntegrity: fPharmacologic fand fParenteral fTherapies
15. A fpatient fis fprescribed fmetronidazole ffor fbacterial fvaginosis. fWhich fpatient
fhistoryfinding fwould f be f most fconcerning?
,Chapter 1: Prescriptive Authority Test
Bank
Multiple Choices
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 safetystandards.
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 deliriumtremens requiring Ativan administration. The provider ofcare
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 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.
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 ofa 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
,performed ffirst.DIF: fCognitive fLevel: fApplicationREF: fp. f6TOP: fNursing fProcess:
fImplementation fMSC: fNCLEX fClient fNeeds f Category: fPhysiologic fIntegrity: f Reduction fof
fRisk fPotential
11. A fpatient ftaking fthree fmedications ffor fhypertension fis fdiagnosed fwith fCOPD. fWhich
faction f should f be ftaken fprior fto fprescribing f medications fto ftreat f COPD?
a. Obtain fbaseline flaboratory fvalues.
b. Obtain fa fcomplete fmedication f history.
c. Assess fliver fenzyme f levels.
d. Determine fif fpatient fhas finsurance f coverage.
ANS: fB
Prior fto fadding fmedications fto fthe ftreatment fregimen, fit fis fessential fto fassess ffor fany
fpotential fdrug- fdrug finteractions fthrough fa fcomplete fmedical fhistory. fBaseline f laboratory
fvalues fare fnot fnecessary f for fCOPD ftreatment. fLiver fenzyme f levels f may fgive f insight finto
fthe fpossibility fof faltered f metabolism fbut fwould fnot fbe fthe ffirst faction. fThe fpresence fof
finsurance fcoverage fwould faffect fthe fpatient’s f access fto ftreatment fbut fmay fnot faffect fthe
ftype fof f medication fprescribed.DIF: fCognitive fLevel: f ApplicationREF: fp. f6TOP: fNursing
fProcess: fImplementation fMSC: fNCLEX fClient fNeeds fCategory: fPhysiologic fIntegrity:
fReduction fof f Risk fPotential
12. A fpatient fwith fdiabetes freports flosing ftheir fjob fand fan finability fto fpurchase
frequired f medications. f Which faction f is f most f appropriate?
a. Provide fa f7-day fsample fpack.
b. Decrease fthe fdaily fdose fby fhalf.
c. Contact fa fdifferent f pharmacy.
d. Prescribe fa fdifferent f medication.
ANS: fC
Providing fa f7-day fsample fwill faddress fthe fpatient’s fimmediate fneed, fbut fwill fnot fhelp
fwith fthe fpatient’s flong-term fneed f for f medication. fDecreasing fthe fdaily fdose fwill fdiminish
fthe feffectiveness fof fthe f medication. fSelecting fa fdifferent fpharmacy fcould fdecrease fthe
fcost fof fthe f medication, fas fcosts fvary f based fon fthe f location fand fthe fpharmacy fdispensing
fthe f medication. fPrescribing fa fdifferent f medication fwould f be fthe f last foption.DIF: fCognitive
fLevel: f ApplicationREF: fp. f5TOP: fNursing fProcess: fImplementation fMSC: f NCLEX fClient
fNeeds fCategory: fPhysiologic fIntegrity: fReduction fof fRisk fPotential
13. Apatient frecently fprescribed fhydrocodone fcalls fto freport ftheyare funable fto ffill fthe
fprescription. fWhich f factors fcould fcontribute fto fthe f inability fto ffill fthe fprescription?
Select fall fthat fapply.
a. DEA fnumber f missing ffrom fprescription
, b. Prescription fsent fvia felectronic f messenger
c. Dose fhigher fthan ftypically fprescribed
d. Prescriber flicense fnumber fnot f included
e. Patient fname fand fdate fof fbirth fwere f handwritten
ANS: fA f, fB f, fD
In forder fto ffill fa fhydrocodone fprescription, fthe fprescriber fname, flicense fnumber, fDEA
fnumber, fand fcontact finformation f must fbe f included. fSchedule fII fmedications, fsuch fas
fnarcotics, f must f be fprescribed fusing fwritten f prescriptions. fThough fthe fpharmacist f may
fquestion fthe f high fdosing, fthat fwould f not fprevent f filling fthe fprescription. fThe fpatient’s
fname f and fdate fof f birth f must fbe f included fon fthe fprescription, f but fthere fare fno fregulations
fthat fthe fname fcannot fbe fhandwritten.DIF: fCognitive fLevel: fComprehensionREF: fpp. f6-
8TOP: fNursing fProcess: fDiagnosis fMSC: fNCLEX fClient fNeeds fCategory: fPhysiologic
fIntegrity: fReduction fof f Risk fPotential
Rosenthal: fLehne's fPharmacotherapeutics ffor fAdvanced fPractice fProviders, f2nd fEd.
fChapter f3: fPromoting fPositive fOutcomes fof fDrug fTherapy
Test fBank
fMultiple
fChoice
14. Apatient freports fthat fa fmedication fprescribed ffor frecurrent fmigraine fheadaches fis fnot
fworking. f Which faction f should f be ftaken f first?
a. Ask fthe fpatient fabout fthe fnumber fand ffrequency fof ftablets f taken.
b. Assess fthe fpatient’s fheadache fpain fon fa fscale f from f1 fto f 10.
c. Report fthe fpatient’s fcomplaint fto fthe f prescriber.
d. Suggest fbiofeedback fas fan fadjunct fto fdrug ftherapy.
ANS: fA
When fevaluating fthe feffectiveness fof fa fdrug, fit fis fimportant fto fdetermine fwhether fthe
fpatient f is fusing fthe fdrug fas fordered. fAsking fthe fpatient fto ftell fthe fnurse f how f many ftablets
fare ftaken fand f how foften f helps fthe f nurse fdetermine fcompliance. f Assessing fcurrent fpain
fdoes fnot fyield f information f about fhow fwell fthe fmedication fis fworking funless fthe fpatient f is
fcurrently ftaking f it. fThe fnurse fshould fgather fas f much f information fabout fcompliance,
fsymptoms, fand fdrug feffectiveness fas fpossible f before fcontacting fthe fprescriber.
fBiofeedback f may f be fan feffective fadjunct fto ftreatment, fbut f it fshould f not fbe frecommended
fwithout fcomplete f information fabout fdrug feffectiveness.DIF: fCognitive fLevel:
fApplicationREF: fpp. f15-16TOP: fNursing fProcess: fEvaluation fMSC: fNCLEX fClient fNeeds
fCategory: fPhysiologic fIntegrity: fPharmacologic fand fParenteral fTherapies
15. A fpatient fis fprescribed fmetronidazole ffor fbacterial fvaginosis. fWhich fpatient
fhistoryfinding fwould f be f most fconcerning?
