Test Bank For
Lehne's Pharmacotherapeutics For Advanced Practice
Nurses And Physician Assistants
By Resenthal And Burchum
,Chapter 1: Prescriptive Authority
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
CORRECT ANSWER: 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:
Comprehension ref: 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.
CORRECT ANSWER: 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: Comprehension ref: 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
CORRECT ANSWER: 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: Comprehension ref:
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 Safe care.
d. Licensure Ensures Compliance With Health Care And Safety Standards.
e. Limiting Provision Can Decrease Health Care Affordability.
CORRECT ANSWER: 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: Comprehension ref: 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.
CORRECT ANSWER: 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:
, Comprehension ref: 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 New position.
d. The APRN’s Authority Will Depend On Federalregulations.
CORRECT ANSWER: 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: Comprehension ref: P. 3TOP: Nursing Process: Implementation MSC: NCLEX
Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
.
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.
CORRECT ANSWER: 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:
Comprehension ref: P. 9TOP: Nursing Process: Diagnosis MSC: NCLEX Client Needs
Category: Physiologic Integrity: Reduction Of Risk Potential
Lehne's Pharmacotherapeutics For Advanced Practice
Nurses And Physician Assistants
By Resenthal And Burchum
,Chapter 1: Prescriptive Authority
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
CORRECT ANSWER: 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:
Comprehension ref: 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.
CORRECT ANSWER: 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: Comprehension ref: 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
CORRECT ANSWER: 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: Comprehension ref:
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 Safe care.
d. Licensure Ensures Compliance With Health Care And Safety Standards.
e. Limiting Provision Can Decrease Health Care Affordability.
CORRECT ANSWER: 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: Comprehension ref: 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.
CORRECT ANSWER: 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:
, Comprehension ref: 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 New position.
d. The APRN’s Authority Will Depend On Federalregulations.
CORRECT ANSWER: 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: Comprehension ref: P. 3TOP: Nursing Process: Implementation MSC: NCLEX
Client Needs Category: Physiologic Integrity: Pharmacologic And Parenteral Therapies
.
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.
CORRECT ANSWER: 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:
Comprehension ref: P. 9TOP: Nursing Process: Diagnosis MSC: NCLEX Client Needs
Category: Physiologic Integrity: Reduction Of Risk Potential
