Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2n
wl wl wl wl wl wl wl wl wl
dEdition Rosenthal Test Bank
lw wl wl wl 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
wl wl wl lw
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND
wl wl wl wl wl wl
EDITION ROSENTHAL TEST BANK
wl wl wl
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2n
wl wl wl wl wl wl wl wl wl
dEdition Rosenthal Test Bank
lw wl wl wl 2
Chapter 1: Prescriptive Authority Test Banwl wl wl wl wl
kMultiple Choice
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1. An APRN works in a urology clinic under the supervision of a physician who does no
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t restrict the types of medications the APRN is allowed to prescribe. State law does not requir
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
e theAPRN to practice under physician supervision. How would the APRN‘s prescriptive auth
wl lw wl wl wl wl wl wl wl wl wl wl wl
ority bedescribed? wl lw
a. Full authority wl
b. Independent
c. Without limitation wl
d. Limited authority wl
ANS: B wl
The APRN has independent prescriptive authority because the regulating body does not requ
wl wl wl wl wl wl wl wl wl wl wl wl
irethat the APRN work under physician supervision. Full prescriptive authority gives the pro
lw wl wl wl wl wl wl wl wl wl wl wl wl
viderthe right to prescribe independently and without limitation. Limited authority places restr
lw wl wl wl wl wl wl wl wl wl wl wl
ictionson the types of drugs that can be prescribed .DIF: Cognitive Level: Comprehension R
lw wl wl wl wl wl wl wl wl wl wl wl wl wl
EF: p. wl
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrit
wl wl wl wl wl wl wl wl wl wl
y:Pharmacologic and Parenteral Therapies
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2. Which factors increase the need for APRNs to have full prescriptive authority?
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a. More patients will have access to health care.
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b. Enrollment in medical schools is predicted to decrease.
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c. Physician‘s assistants are being utilized less often. wl wl wl wl wl wl
d. APRN education is more complex than education for physicians.
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ANS: A wl
Implementation of the Affordable Care Act has increased the number of individuals with hea
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lthcare coverage, and thus the number who have access to health care services. The increase
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in thenumber of patients creates the need for more providers with prescriptive authority. AP
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RNs can fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursin
wl wl wl wl wl wl wl wl wl wl wl wl wl
g Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pha
wl wl wl wl wl wl wl wl wl wl
rmacologic and Parenteral Therapies wl wl wl
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2n
wl wl wl wl wl wl wl wl wl
dEdition Rosenthal Test Bank
lw wl wl wl 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select
wl wl wl wl wl wl wl wl wl wl wl wl
allthat apply.
lw wl
a. Inaccessibility of patient care wl wl wl
b. Higher health care costs wl wl wl
c. Higher quality medical treatment
wl wl wl
d. Improved collaborative care wl wl
e. Enhanced health literacy wl wl
ANS: A , B wl wl wl
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and acces
wl wl wl wl wl wl wl wl wl wl wl wl
sible patient care. It may also lead to poor collaboration among providers and higher healthcar
wl wl wl wl wl wl wl wl wl wl wl wl wl wl lw
e costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level: Comprehe
wl wl wl wl wl wl wl wl wl wl wl wl
nsionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
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Integrity: Pharmacologic and Parenteral Therapies
wl wl wl wl
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select
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allthat apply.
lw wl
a. Clinical education includes prescription of medications and disease processes.
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b. Federal regulations support the provision of full authority for APRNs.
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c. National examinations provide validation of the APRN‘s ability to provide safecare.
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d. Licensure ensures compliance with health care and safety standards.
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e. Limiting provision can decrease health care affordability.
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ANS: A , C , D wl wl wl wl wl
APRNs are educated to practice and prescribe independently without supervision. National
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examinations validate the ability to provide safe and competent care. Licensure ensures co
wl wl wl wl wl wl wl wl wl wl wl wl
mpliance with standards to promote public health and safety. Limited prescriptive authority
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creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
wl wl wl wl wl wl wl wl wl wl wl
Level: ComprehensionREF: pp. 1-
wl wl wl
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologi
wl wl wl wl wl wl wl wl wl
c Integrity: Pharmacologic and Parenteral Therapies
wl wl wl wl wl
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2n
wl wl wl wl wl wl wl wl wl
dEdition Rosenthal Test Bank
lw wl wl wl 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select
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allthat apply.
lw wl
a. Clinical education includes prescription of medications and disease processes.
wl wl wl wl wl wl wl wl
b. Federal regulations support the provision of full authority for APRNs.
wl wl wl wl wl wl wl wl wl
c. National examinations provide validation of the APRN‘s ability to provide safecare.
wl wl wl wl wl wl wl wl wl wl
d. Licensure ensures compliance with health care and safety standards.
wl wl wl wl wl wl wl wl
ANS: A , C , D wl wl wl wl wl
APRNs are educated to practice and prescribe independently without supervision. National ex
wl wl wl wl wl wl wl wl wl wl wl
aminations validate the ability to provide safe and competent care. Licensure ensures complia
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nce with standards to promote public health and safety. Limited prescriptive authoritycreates n
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l wl
umerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
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Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation wl wl w l wl wl wl
MSC: NCLEX Clien wl wl
tNeeds Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
lw wl wl wl wl wl wl wl
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines
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inVirginia. Which aspect of practice may change for the APRN?
wl lw wl wl wl wl wl wl wl wl wl
a. The APRN will have less prescriptive authority in the new position.
wl wl wl wl wl wl wl wl wl wl
b. The APRN will have more prescriptive authority in the new position.
wl wl wl wl wl wl wl wl wl wl
c. The APRN will have equal prescriptive authority in the new position.
wl wl wl wl wl wl wl wl wl wl
d. The APRN‘s authority will depend on federal regulation
wl wl wl wl wl wl wl
s.ANS: A
lw wl
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nur
wl wl wl wl wl wl wl wl wl wl wl wl
sepractitioners. The federal government does not regulate prescriptive authority.DIF: Cognitiv
lw wl wl wl wl wl wl wl wl wl
e Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Clie
wl wl wl wl wl wl wl wl wl wl
nt Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
wl wl wl wl wl wl wl wl
wl wl wl wl wl wl wl wl wl
dEdition Rosenthal Test Bank
lw wl wl wl 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
wl wl wl lw
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND
wl wl wl wl wl wl
EDITION ROSENTHAL TEST BANK
wl wl wl
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2n
wl wl wl wl wl wl wl wl wl
dEdition Rosenthal Test Bank
lw wl wl wl 2
Chapter 1: Prescriptive Authority Test Banwl wl wl wl wl
kMultiple Choice
lw wl
1. An APRN works in a urology clinic under the supervision of a physician who does no
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
t restrict the types of medications the APRN is allowed to prescribe. State law does not requir
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
e theAPRN to practice under physician supervision. How would the APRN‘s prescriptive auth
wl lw wl wl wl wl wl wl wl wl wl wl wl
ority bedescribed? wl lw
a. Full authority wl
b. Independent
c. Without limitation wl
d. Limited authority wl
ANS: B wl
The APRN has independent prescriptive authority because the regulating body does not requ
wl wl wl wl wl wl wl wl wl wl wl wl
irethat the APRN work under physician supervision. Full prescriptive authority gives the pro
lw wl wl wl wl wl wl wl wl wl wl wl wl
viderthe right to prescribe independently and without limitation. Limited authority places restr
lw wl wl wl wl wl wl wl wl wl wl wl
ictionson the types of drugs that can be prescribed .DIF: Cognitive Level: Comprehension R
lw wl wl wl wl wl wl wl wl wl wl wl wl wl
EF: p. wl
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrit
wl wl wl wl wl wl wl wl wl wl
y:Pharmacologic and Parenteral Therapies
lw wl wl wl
2. Which factors increase the need for APRNs to have full prescriptive authority?
wl wl wl wl wl wl wl wl wl wl wl
a. More patients will have access to health care.
wl wl wl wl wl wl wl
b. Enrollment in medical schools is predicted to decrease.
wl wl wl wl wl wl wl
c. Physician‘s assistants are being utilized less often. wl wl wl wl wl wl
d. APRN education is more complex than education for physicians.
wl wl wl wl wl wl wl wl
ANS: A wl
Implementation of the Affordable Care Act has increased the number of individuals with hea
wl wl wl wl wl wl wl wl wl wl wl wl wl
lthcare coverage, and thus the number who have access to health care services. The increase
lw wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
in thenumber of patients creates the need for more providers with prescriptive authority. AP
wl lw wl wl wl wl wl wl wl wl wl wl wl wl
RNs can fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursin
wl wl wl wl wl wl wl wl wl wl wl wl wl
g Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pha
wl wl wl wl wl wl wl wl wl wl
rmacologic and Parenteral Therapies wl wl wl
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2n
wl wl wl wl wl wl wl wl wl
dEdition Rosenthal Test Bank
lw wl wl wl 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select
wl wl wl wl wl wl wl wl wl wl wl wl
allthat apply.
lw wl
a. Inaccessibility of patient care wl wl wl
b. Higher health care costs wl wl wl
c. Higher quality medical treatment
wl wl wl
d. Improved collaborative care wl wl
e. Enhanced health literacy wl wl
ANS: A , B wl wl wl
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and acces
wl wl wl wl wl wl wl wl wl wl wl wl
sible patient care. It may also lead to poor collaboration among providers and higher healthcar
wl wl wl wl wl wl wl wl wl wl wl wl wl wl lw
e costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level: Comprehe
wl wl wl wl wl wl wl wl wl wl wl wl
nsionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
wl wl wl wl wl wl wl wl wl wl lw
Integrity: Pharmacologic and Parenteral Therapies
wl wl wl wl
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select
wl wl wl wl wl wl wl wl wl wl wl
allthat apply.
lw wl
a. Clinical education includes prescription of medications and disease processes.
wl wl wl wl wl wl wl wl
b. Federal regulations support the provision of full authority for APRNs.
wl wl wl wl wl wl wl wl wl
c. National examinations provide validation of the APRN‘s ability to provide safecare.
wl wl wl wl wl wl wl wl wl wl
d. Licensure ensures compliance with health care and safety standards.
wl wl wl wl wl wl wl wl
e. Limiting provision can decrease health care affordability.
wl wl wl wl wl wl
ANS: A , C , D wl wl wl wl wl
APRNs are educated to practice and prescribe independently without supervision. National
wl wl wl wl wl wl wl wl wl wl wl
examinations validate the ability to provide safe and competent care. Licensure ensures co
wl wl wl wl wl wl wl wl wl wl wl wl
mpliance with standards to promote public health and safety. Limited prescriptive authority
wl wl wl wl wl wl wl wl wl wl wl lw
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
wl wl wl wl wl wl wl wl wl wl wl
Level: ComprehensionREF: pp. 1-
wl wl wl
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologi
wl wl wl wl wl wl wl wl wl
c Integrity: Pharmacologic and Parenteral Therapies
wl wl wl wl wl
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2n
wl wl wl wl wl wl wl wl wl
dEdition Rosenthal Test Bank
lw wl wl wl 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select
wl wl wl wl wl wl wl wl wl wl wl
allthat apply.
lw wl
a. Clinical education includes prescription of medications and disease processes.
wl wl wl wl wl wl wl wl
b. Federal regulations support the provision of full authority for APRNs.
wl wl wl wl wl wl wl wl wl
c. National examinations provide validation of the APRN‘s ability to provide safecare.
wl wl wl wl wl wl wl wl wl wl
d. Licensure ensures compliance with health care and safety standards.
wl wl wl wl wl wl wl wl
ANS: A , C , D wl wl wl wl wl
APRNs are educated to practice and prescribe independently without supervision. National ex
wl wl wl wl wl wl wl wl wl wl wl
aminations validate the ability to provide safe and competent care. Licensure ensures complia
wl wl wl wl wl wl wl wl wl wl wl wl
nce with standards to promote public health and safety. Limited prescriptive authoritycreates n
wl wl wl wl wl wl wl wl wl wl wl w
l wl
umerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
wl wl wl wl wl wl wl wl wl wl
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation wl wl w l wl wl wl
MSC: NCLEX Clien wl wl
tNeeds Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
lw wl wl wl wl wl wl wl
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines
wl wl wl wl wl wl wl wl wl wl wl wl wl wl
inVirginia. Which aspect of practice may change for the APRN?
wl lw wl wl wl wl wl wl wl wl wl
a. The APRN will have less prescriptive authority in the new position.
wl wl wl wl wl wl wl wl wl wl
b. The APRN will have more prescriptive authority in the new position.
wl wl wl wl wl wl wl wl wl wl
c. The APRN will have equal prescriptive authority in the new position.
wl wl wl wl wl wl wl wl wl wl
d. The APRN‘s authority will depend on federal regulation
wl wl wl wl wl wl wl
s.ANS: A
lw wl
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nur
wl wl wl wl wl wl wl wl wl wl wl wl
sepractitioners. The federal government does not regulate prescriptive authority.DIF: Cognitiv
lw wl wl wl wl wl wl wl wl wl
e Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Clie
wl wl wl wl wl wl wl wl wl wl
nt Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
wl wl wl wl wl wl wl wl
