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