Lehne's Pharmacotherapeutics for Adva
./ ./ ./
nced Practice Nurses and
./ ./ ./
Physician 2nd Edition
./ ./
by Laura Rosenthal DNP
./ ./ ./
,LEHNE’S./PHARMACOTHERAPEUTICS./FOR./ADVANCED./PRACTICE./NURSES./AND
PHYSICIAN./ASSISTANTS./2ND./EDITION./ROSENTHAL./TEST./BANK
Chapter./1:./Prescriptive./Authority./Te
st./Bank
Multiple./Choice
1. An./APRN./works./in./a./urology./clinic./under./the./supervision./of./a./physician./who. / does./not./restri
ct./the./types./of./medications./the./APRN./is./allowed./to./prescribe../State./law./does./not./require./th
e./APRN./to./practice./under./physician./supervision../How./would./the./APRN‘s./prescriptive./author
ity./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./restriction
s./on./the./types./of./drugs./that./can./be./prescribed.DIF:./Cognitive./Level:./ComprehensionREF:./p../1T
OP:./Nursing./Process:./I./MSC:./NCLEX./Client./Needs./Category:./Physiologic./Integrity:./Pharmaco
logic./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./th
e./number./of./patients./creates./the./need./for./more./providers./with./prescriptive./authority../APRNs./can./f
ill./this./practice./gap.DIF:./Cognitive./Level:./ComprehensionREF:./p../2TOP:./Nursing./Process:./Imp
lementation./MSC:./NCLEX./Client./Needs./Category:./Physiologic./Integrity:./Pharmacologic./and./Pa
renteral./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./cost
s../It./would./not./directly./impact./patient‘s./health./literacy.DIF:./Cognitive./Level:./ComprehensionR
EF:
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./safety./standards.
e. Limiting./provision./can./decrease./health./care./affordability.
ANS:./A./,./C./,./D
APRNs./are./educated./to./practice./and./prescribe./independently./without./supervision../National./exa
minations./validate./the./ability./to./provide./safe./and./competent./care../Licensure./ensures./complianc
e./with./standards./to./promote./public./health./and./safety../Limited./prescriptive./authority./creates./nu
merous./barriers./to./quality,./affordable,./and./accessible./patient./care.DIF:./Cognitive./Level:./Compre
hensionREF:./pp../1-
2TOP:./Nursing./Process:./Implementation./MSC:./NCLEX./Client./Needs./Category:./Physiologic./Int
egrity:./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./exa
minations./validate./the./ability./to./provide./safe./and./competent./care../Licensure./ensures./complianc
e./with./standards./to./promote./public./health./and./safety../Limited./prescriptive./authority./creates./nu
merous./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./i
n./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./nurs
e./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../Chapt
er./2:./Rational./Drug./Selection./and./Prescription./Writing
Test./Bank./Mult
iple./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./p
rescriber./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
./ ./ ./
nced Practice Nurses and
./ ./ ./
Physician 2nd Edition
./ ./
by Laura Rosenthal DNP
./ ./ ./
,LEHNE’S./PHARMACOTHERAPEUTICS./FOR./ADVANCED./PRACTICE./NURSES./AND
PHYSICIAN./ASSISTANTS./2ND./EDITION./ROSENTHAL./TEST./BANK
Chapter./1:./Prescriptive./Authority./Te
st./Bank
Multiple./Choice
1. An./APRN./works./in./a./urology./clinic./under./the./supervision./of./a./physician./who. / does./not./restri
ct./the./types./of./medications./the./APRN./is./allowed./to./prescribe../State./law./does./not./require./th
e./APRN./to./practice./under./physician./supervision../How./would./the./APRN‘s./prescriptive./author
ity./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./restriction
s./on./the./types./of./drugs./that./can./be./prescribed.DIF:./Cognitive./Level:./ComprehensionREF:./p../1T
OP:./Nursing./Process:./I./MSC:./NCLEX./Client./Needs./Category:./Physiologic./Integrity:./Pharmaco
logic./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./th
e./number./of./patients./creates./the./need./for./more./providers./with./prescriptive./authority../APRNs./can./f
ill./this./practice./gap.DIF:./Cognitive./Level:./ComprehensionREF:./p../2TOP:./Nursing./Process:./Imp
lementation./MSC:./NCLEX./Client./Needs./Category:./Physiologic./Integrity:./Pharmacologic./and./Pa
renteral./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./cost
s../It./would./not./directly./impact./patient‘s./health./literacy.DIF:./Cognitive./Level:./ComprehensionR
EF:
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./safety./standards.
e. Limiting./provision./can./decrease./health./care./affordability.
ANS:./A./,./C./,./D
APRNs./are./educated./to./practice./and./prescribe./independently./without./supervision../National./exa
minations./validate./the./ability./to./provide./safe./and./competent./care../Licensure./ensures./complianc
e./with./standards./to./promote./public./health./and./safety../Limited./prescriptive./authority./creates./nu
merous./barriers./to./quality,./affordable,./and./accessible./patient./care.DIF:./Cognitive./Level:./Compre
hensionREF:./pp../1-
2TOP:./Nursing./Process:./Implementation./MSC:./NCLEX./Client./Needs./Category:./Physiologic./Int
egrity:./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./exa
minations./validate./the./ability./to./provide./safe./and./competent./care../Licensure./ensures./complianc
e./with./standards./to./promote./public./health./and./safety../Limited./prescriptive./authority./creates./nu
merous./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./i
n./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./nurs
e./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../Chapt
er./2:./Rational./Drug./Selection./and./Prescription./Writing
Test./Bank./Mult
iple./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./p
rescriber./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
