,Chapter 1: Prescriptive Authority
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Test Bank
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Multiple Choice w
1. An APRN works in a urology clinic under the supervision of a physician who does not
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restrict the types of medications the APRN is allowed to prescribe. State law does not
w w w w w w w w w w w w w w w
require the APRN to practice under physician supervision. How would the APRN‘s
w w w w w w w w w w w w
prescriptive authority be described?
w w w w
a. Full authority w
b. Independent
c. Without limitation w
d. Limited authority w
ANS: B w
The APRN has independent prescriptive authority because the regulating body does not require
w w w w w w w w w w w w
that the APRN work under physician supervision. Full prescriptive authority gives the
w w w w w w w w w w w w
provider the right to prescribe independently and without limitation. Limited authority places
w w w w w w w w w w w w
restrictions on the types of drugs that can be prescribed.DIF: Cognitive Level:
w w w w w w w w w w w w
ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX Client Needs Category:
w w w w w w w w w w w
Physiologic Integrity: 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.
w w w w w w w
b. Enrollment in medical schools is predicted to decrease.
w w w w w w w
c. Physician‘s assistants are being utilized less often.
w w w w w w
d. APRN education is more complex than education for physicians.
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ANS: A w
Implementation of the Affordable Care Act has increased the number of individuals with
w w w w w w w w w w w w
whealth care coverage, and thus the number who have access to health care services. The
w w w w w w w w w w w w w w
wincrease in the number of patients creates the need for more providers with prescriptive
w w w w w w w w w w w w w
wauthority. APRNs can fill this practice gap.DIF: Cognitive Level: ComprehensionREF: p.
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w2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
w w w w w w w w w
wIntegrity: Pharmacologic and Parenteral Therapies
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3. Which factors could be attributed to limited prescriptive authority for
w w w w w w w w w
APRNs? Select all that apply.
w w w w w
, a. Inaccessibility of patient care w w w
b. Higher health care costs w w w
c. Higher quality medical treatment
w w w
d. Improved collaborative care w w
e. Enhanced health literacy w w
ANS: A , B w w w
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
w w w w w w w w w w w
accessible patient care. It may also lead to poor collaboration among providers and higher
w w w w w w w w w w w w w w
health care costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level:
w w w w w w w w w w w w w
ComprehensionREF:
w
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
w w w w w w w w w w
Integrity: Pharmacologic and Parenteral Therapies
w w w w w
4. Which aspects support the APRN‘s provision for full prescriptive
w w w w w w w w
authority? Select all that apply.
w w w w w
a. Clinical education includes prescription of medications and disease processes.
w w w w w w w w
b. Federal regulations support the provision of full authority for APRNs.
w w w w w w w w w
c. National examinations provide validation of the APRN‘s ability to provide safecare.
w w w w w w w w w w
d. Licensure ensures compliance with health care and safety standards.
w w w w w w w w
e. Limiting provision can decrease health care affordability.
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ANS: A , C , D
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APRNs are educated to practice and prescribe independently without supervision. National
w w w w w w w w w w
examinations validate the ability to provide safe and competent care. Licensure ensures
w w w w w w w w w w w w
compliance with standards to promote public health and safety. Limited prescriptive authority
w w w w w w w w w w w w
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
w w w w w w w w w w w
Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX
w w w w w w w w w
Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
w w w w w w w w w
5. Which aspects support the APRN‘s provision for full prescriptive
w w w w w w w w
authority? Select all that apply.
w w w w w
a. Clinical education includes prescription of medications and disease processes.
w w w w w w w w
b. Federal regulations support the provision of full authority for APRNs.
w w w w w w w w w
c. National examinations provide validation of the APRN‘s ability to provide safecare.
w w w w w w w w w w
d. Licensure ensures compliance with health care and safety standards.
w w w w w w w w
ANS: A , C , D
w w w w w
APRNs are educated to practice and prescribe independently without supervision. National
w w w w w w w w w w
examinations validate the ability to provide safe and competent care. Licensure ensures
w w w w w w w w w w w w
compliance with standards to promote public health and safety. Limited prescriptive authority
w w w w w w w w w w w w
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
w w w w w w w w w w w
Level:
w
, ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client w w w w w w w
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
w w w w w w w w
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines
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in Virginia. Which aspect of practice may change for the APRN?
w w w w w w w w w w w
a. The APRN will have less prescriptive authority in the new position.
w w w w w w w w w w
b. The APRN will have more prescriptive authority in the new position.
w w w w w w w w w w
c. The APRN will have equal prescriptive authority in the newposition.
w w w w w w w w w
d. The APRN‘s authority will depend on federalregulations.
w w w w w w
ANS: A w
Virginia allows limited prescriptive authority, while Maine gives full authority to certified
w w w w w w w w w w w
nurse practitioners. The federal government does not regulate prescriptive authority.DIF:
w w w w w w w w w w
Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC:
w w w w w w w w w
NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral
w w w w w w w w w
Therapies
w
2nd
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers,
w w w w w w w Ed.
w
Chapter 2: Rational Drug Selection and Prescription Writing
w w w w w w w w
Test Bank
w
Multiple
w
Choice
w
7. How can collaboration with a pharmacist improve positive outcomes for
w w w w w w w w w
patients? Select all that apply.
w w w w w
a. Pharmacists can suggest foods that will help with the patient‘s condition.
w w w w w w w w w w
b. Pharmacists have additional information on drug interactions.
w w w w w w
c. The pharmacist can suggest adequate medication dosing.
w w w w w w
d. Pharmacists have firsthand knowledge of the facility formulary.
w w w w w w w
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
w w w w w w w w w
ANS: B , C , D
w w w w w
Providers should collaborate with pharmacists because they will likely have additional information
w w w w w w w w w w w
on formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians
w w w w w w w w w w w
can make foods recommendations to treat the patient‘s condition. The pharmacist can contact
w w w w w w w w w w w w w
the prescriber about questionable prescriptions, but cannot alter the prescription without
w w w w w w w w w w w
notification of and approval by the provider.DIF: Cognitive Level: ComprehensionREF: p.
w w w w w w w w w w w
9TOP: Nursing Process: Diagnosis MSC: NCLEX Client Needs Category: Physiologic
w w w w w w w w w w
Integrity: Reduction of Risk Potential
w w w w w
w w w
Test Bank
w w
Multiple Choice w
1. An APRN works in a urology clinic under the supervision of a physician who does not
w w w w w w w w w w w w w w w
restrict the types of medications the APRN is allowed to prescribe. State law does not
w w w w w w w w w w w w w w w
require the APRN to practice under physician supervision. How would the APRN‘s
w w w w w w w w w w w w
prescriptive authority be described?
w w w w
a. Full authority w
b. Independent
c. Without limitation w
d. Limited authority w
ANS: B w
The APRN has independent prescriptive authority because the regulating body does not require
w w w w w w w w w w w w
that the APRN work under physician supervision. Full prescriptive authority gives the
w w w w w w w w w w w w
provider the right to prescribe independently and without limitation. Limited authority places
w w w w w w w w w w w w
restrictions on the types of drugs that can be prescribed.DIF: Cognitive Level:
w w w w w w w w w w w w
ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX Client Needs Category:
w w w w w w w w w w w
Physiologic Integrity: Pharmacologic and Parenteral Therapies
w w w w w w
2. Which factors increase the need for APRNs to have full prescriptive authority?
w w w w w w w w w w w
a. More patients will have access to health care.
w w w w w w w
b. Enrollment in medical schools is predicted to decrease.
w w w w w w w
c. Physician‘s assistants are being utilized less often.
w w w w w w
d. APRN education is more complex than education for physicians.
w w w w w w w w
ANS: A w
Implementation of the Affordable Care Act has increased the number of individuals with
w w w w w w w w w w w w
whealth care coverage, and thus the number who have access to health care services. The
w w w w w w w w w w w w w w
wincrease in the number of patients creates the need for more providers with prescriptive
w w w w w w w w w w w w w
wauthority. APRNs can fill this practice gap.DIF: Cognitive Level: ComprehensionREF: p.
w w w w w w w w w w
w2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
w w w w w w w w w
wIntegrity: Pharmacologic and Parenteral Therapies
w w w w
3. Which factors could be attributed to limited prescriptive authority for
w w w w w w w w w
APRNs? Select all that apply.
w w w w w
, a. Inaccessibility of patient care w w w
b. Higher health care costs w w w
c. Higher quality medical treatment
w w w
d. Improved collaborative care w w
e. Enhanced health literacy w w
ANS: A , B w w w
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
w w w w w w w w w w w
accessible patient care. It may also lead to poor collaboration among providers and higher
w w w w w w w w w w w w w w
health care costs. It would not directly impact patient‘s health literacy.DIF: Cognitive Level:
w w w w w w w w w w w w w
ComprehensionREF:
w
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
w w w w w w w w w w
Integrity: Pharmacologic and Parenteral Therapies
w w w w w
4. Which aspects support the APRN‘s provision for full prescriptive
w w w w w w w w
authority? Select all that apply.
w w w w w
a. Clinical education includes prescription of medications and disease processes.
w w w w w w w w
b. Federal regulations support the provision of full authority for APRNs.
w w w w w w w w w
c. National examinations provide validation of the APRN‘s ability to provide safecare.
w w w w w w w w w w
d. Licensure ensures compliance with health care and safety standards.
w w w w w w w w
e. Limiting provision can decrease health care affordability.
w w w w w w
ANS: A , C , D
w w w w w
APRNs are educated to practice and prescribe independently without supervision. National
w w w w w w w w w w
examinations validate the ability to provide safe and competent care. Licensure ensures
w w w w w w w w w w w w
compliance with standards to promote public health and safety. Limited prescriptive authority
w w w w w w w w w w w w
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
w w w w w w w w w w w
Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX
w w w w w w w w w
Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
w w w w w w w w w
5. Which aspects support the APRN‘s provision for full prescriptive
w w w w w w w w
authority? Select all that apply.
w w w w w
a. Clinical education includes prescription of medications and disease processes.
w w w w w w w w
b. Federal regulations support the provision of full authority for APRNs.
w w w w w w w w w
c. National examinations provide validation of the APRN‘s ability to provide safecare.
w w w w w w w w w w
d. Licensure ensures compliance with health care and safety standards.
w w w w w w w w
ANS: A , C , D
w w w w w
APRNs are educated to practice and prescribe independently without supervision. National
w w w w w w w w w w
examinations validate the ability to provide safe and competent care. Licensure ensures
w w w w w w w w w w w w
compliance with standards to promote public health and safety. Limited prescriptive authority
w w w w w w w w w w w w
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
w w w w w w w w w w w
Level:
w
, ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client w w w w w w w
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
w w w w w w w w
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines
w w w w w w w w w w w w w w
in Virginia. Which aspect of practice may change for the APRN?
w w w w w w w w w w w
a. The APRN will have less prescriptive authority in the new position.
w w w w w w w w w w
b. The APRN will have more prescriptive authority in the new position.
w w w w w w w w w w
c. The APRN will have equal prescriptive authority in the newposition.
w w w w w w w w w
d. The APRN‘s authority will depend on federalregulations.
w w w w w w
ANS: A w
Virginia allows limited prescriptive authority, while Maine gives full authority to certified
w w w w w w w w w w w
nurse practitioners. The federal government does not regulate prescriptive authority.DIF:
w w w w w w w w w w
Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC:
w w w w w w w w w
NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral
w w w w w w w w w
Therapies
w
2nd
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers,
w w w w w w w Ed.
w
Chapter 2: Rational Drug Selection and Prescription Writing
w w w w w w w w
Test Bank
w
Multiple
w
Choice
w
7. How can collaboration with a pharmacist improve positive outcomes for
w w w w w w w w w
patients? Select all that apply.
w w w w w
a. Pharmacists can suggest foods that will help with the patient‘s condition.
w w w w w w w w w w
b. Pharmacists have additional information on drug interactions.
w w w w w w
c. The pharmacist can suggest adequate medication dosing.
w w w w w w
d. Pharmacists have firsthand knowledge of the facility formulary.
w w w w w w w
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
w w w w w w w w w
ANS: B , C , D
w w w w w
Providers should collaborate with pharmacists because they will likely have additional information
w w w w w w w w w w w
on formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians
w w w w w w w w w w w
can make foods recommendations to treat the patient‘s condition. The pharmacist can contact
w w w w w w w w w w w w w
the prescriber about questionable prescriptions, but cannot alter the prescription without
w w w w w w w w w w w
notification of and approval by the provider.DIF: Cognitive Level: ComprehensionREF: p.
w w w w w w w w w w w
9TOP: Nursing Process: Diagnosis MSC: NCLEX Client Needs Category: Physiologic
w w w w w w w w w w
Integrity: Reduction of Risk Potential
w w w w w
