TestxcBankxcforxcLehne’sxcPharmacotherapeuticsxcforxcAdvancedxcPracticexcNursesxcandxcPhy
sicianxcAssistantsxc2ndxcEditionxcRosenthal
REVISEDxcEDITION
,Lehne’sxcPharmacotherapeuticsxcforxcAdvancedxcPracticexcNursesxcandxcPhysicianxcAssistantsxc
2ndxcEditionxcRosenthalxcTestxcBankxcREVISEDxcEDITION 2
Chapterxc1:xcPrescriptivexcAuthorityxcTestxcBankxc
MultiplexcChoice
1. AnxcAPRNxcworksxcinxcaxcurologyxcclinicxcunderxcthexcsupervisionxcofxcaxcphysicianxcwhoxcdo
esxcnotxcrestrictxcthexctypesxcofxcmedicationsxcthexcAPRNxcisxcallowedxctoxcprescribe.xcStatexclawxcdoesxc
notxcrequirexcthexcAPRNxctoxcpracticexcunderxcphysicianxcsupervision.xcHowxcwouldxcthexcAPRN‘sxcpr
escriptivexcauthorityxcbexcdescribed?
a. Fullxcauthority
b. Independent
c. Withoutxclimitation
d. Limitedxcauthority
ANS:xcB
ThexcAPRNxchasxcindependentxcprescriptivexcauthorityxcbecausexcthexcregulatingxcbodyxcdoesxcnotxcr
equirexcthatxcthexcAPRNxcworkxcunderxcphysicianxcsupervision.xcFullxcprescriptivexcauthorityxcgives
xcthexcproviderxcthexcrightxctoxcprescribexcindependentlyxcandxcwithoutxclimitation.xcLimitedxcauthorit
yxcplacesxcrestrictionsxconxcthexctypesxcofxcdrugsxcthatxccanxcbexcprescribedxc.DIF:xcCognitivexcLevel:x
cComprehensionxcREF:xcp.
1TOP:xcNursingxcProcess:xcIxcMSC:xcNCLEXxcClientxcNeedsxcCategory:xcPhysiologicxcInte
grity:xcPharmacologicxcandxcParenteralxcTherapies
2. WhichxcfactorsxcincreasexcthexcneedxcforxcAPRNsxctoxchavexcfullxcprescriptivexcauthority?
a. Morexcpatientsxcwillxchavexcaccessxctoxchealthxccare.
b. Enrollmentxcinxcmedicalxcschoolsxcisxcpredictedxctoxcdecrease.
c. Physician‘sxcassistantsxcarexcbeingxcutilizedxclessxcoften.
d. APRNxceducationxcisxcmorexccomplexxcthanxceducationxcforxcphysicians.
ANS:xcA
ImplementationxcofxcthexcAffordablexcCarexcActxchasxcincreasedxcthexcnumberxcofxcindividualsxcwithxc
healthxccarexccoverage,xcandxcthusxcthexcnumberxcwhoxchavexcaccessxctoxchealthxccarexcservices.xcThexci
ncreasexcinxcthexcnumberxcofxcpatientsxccreatesxcthexcneedxcforxcmorexcprovidersxcwithxcprescriptivexca
uthority.xcAPRNsxccanxcfillxcthisxcpracticexcgap.xcDIF:xcCognitivexcLevel:xcComprehensionxcREF:xcp.
xc2TOP:xcNursingxcProcess:xcImplementationxcMSC:xcNCLEXxcClientxcNeedsxcCategory: xcPhysiolo
gicxcIntegrity:xcPharmacologicxcandxcParenteralxcTherapies
,Lehne’sxcPharmacotherapeuticsxcforxcAdvancedxcPracticexcNursesxcandxcPhysicianxcAssistantsxc
2ndxcEditionxcRosenthalxcTestxcBankxcREVISEDxcEDITION 3
3. WhichxcfactorsxccouldxcbexcattributedxctoxclimitedxcprescriptivexcauthorityxcforxcAPRNs?xcSele
ctxcallxcthatxcapply.
a. Inaccessibilityxcofxcpatientxc care
b. Higherxchealthxccarexccosts
c. Higherxcqualityxcmedicalxctreatment
d. Improvedxccollaborativexccare
e. Enhancedxchealthxcliteracy
ANS:xcAxc,xcB
LimitingxcprescriptivexcauthorityxcforxcAPRNsxccanxccreatexcbarriersxctoxcquality,xcaffordable,xcandxca
ccessiblexcpatientxccare.xcItxcmayxcalsoxcleadxctoxcpoorxccollaborationxcamongxcprovidersxcandxchigherxc
healthxccarexccosts.xcItxcwouldxcnotxcdirectlyxcimpactxcpatient‘sxchealthxcliteracy.DIF:xcCognitivexcLe
vel:xcComprehensionREF:
p.xc2TOP:xcNursingxcProcess:xcImplementationxcMSC:xcNCLEXxcClientxcNeedsxcCategory:xcPhysiologicxcI
ntegrity:xcPharmacologicxcandxcParenteralxcTherapies
4. WhichxcaspectsxcsupportxcthexcAPRN‘sxcprovisionxcforxcfullxcprescriptivexcauthority?xcSele
ctxcallxcthatxcapply.
a. Clinicalxceducationxcincludesxcprescriptionxcofxcmedicationsxcandxcdiseasexcprocesses.
b. FederalxcregulationsxcsupportxcthexcprovisionxcofxcfullxcauthorityxcforxcAPRNs.
c. NationalxcexaminationsxcprovidexcvalidationxcofxcthexcAPRN‘sxcabilityxctoxcprovidexcsafecare.
d. Licensurexcensuresxccompliancexcwithxchealthxccarexcandxcsafetyxcstandards.
e. Limitingxcprovisionxccanxcdecreasexchealthxccarexcaffordability.
ANS:xcAxc,xcCxc,xcD
APRNsxcarexceducatedxctoxcpracticexcandxcprescribexcindependentlyxcwithoutxcsupervision.xcNational
xcexaminationsxcvalidatexcthexcabilityxctoxcprovidexcsafexcandxccompetentxccare.xcLicensurexcensuresxc
compliancexcwithxcstandardsxctoxcpromotexcpublicxchealthxcandxcsafety.xcLimitedxcprescriptivexcauthor
ityxccreatesxcnumerousxcbarriersxctoxcquality,xcaffordable,xcandxcaccessiblexcpatientxccare.DIF:xcCogn
itivexcLevel:xcComprehensionREF:xcpp.xc1-
2TOP:xcNursingxcProcess:xcImplementationxcMSC:xcNCLEXxcClientxcNeedsxcCategory:xcPhysiolog
icxcIntegrity:xcPharmacologicxcandxcParenteralxcTherapies
, Lehne’sxcPharmacotherapeuticsxcforxcAdvancedxcPracticexcNursesxcandxcPhysicianxcAssistantsxc
2ndxcEditionxcRosenthalxcTestxcBankxcREVISEDxcEDITION 4
5. WhichxcaspectsxcsupportxcthexcAPRN‘sxcprovisionxcforxcfullxcprescriptivexcauthority?xcSele
ctxcallxcthatxcapply.
a. Clinicalxceducationxcincludesxcprescriptionxcofxcmedicationsxcandxcdiseasexcprocesses.
b. FederalxcregulationsxcsupportxcthexcprovisionxcofxcfullxcauthorityxcforxcAPRNs.
c. NationalxcexaminationsxcprovidexcvalidationxcofxcthexcAPRN‘sxcabilityxctoxcprovidexcsafecare.
d. Licensurexcensuresxccompliancexcwithxchealthxccarexcandxcsafetyxcstandards.
ANS:xcAxc,xcCxc,xcD
APRNsxcarexceducatedxctoxcpracticexcandxcprescribexcindependentlyxcwithoutxcsupervision.xcNational
xcexaminationsxcvalidatexcthexcabilityxctoxcprovidexcsafexcandxccompetentxccare.xcLicensurexcensuresxc
compliancexcwithxcstandardsxctoxcpromotexcpublicxchealthxcandxcsafety.xcLimitedxcprescriptivexcauthori
tyxccreatesxcnumerousxcbarriersxctoxcquality,xcaffordable,xcandxcaccessiblexcpatientxccare.DIF:xcCogni
tivexcLevel:
ComprehensionxcREF:xcpp.x c 1-2TOP:xcNursingxcProcess:xcImplementation
MSC:xcNCLEXxcClien
txcNeedsxcCategory:xcPhysiologicxcIntegrity:xcPharmacologicxcandxcParenteralxcTherapies
6. AxcfamilyxcnursexcpractitionerxcpracticingxcinxcMainexcisxchiredxcatxcaxcpracticexcacrossxcstatexcl
inesxcinxcVirginia.xcWhichxcaspectxcofxcpracticexcmayxcchangexcforxcthexcAPRN?
a. ThexcAPRNxcwillxchavexclessxcprescriptivexcauthorityxcinxcthexcnewxcposition.
b. ThexcAPRNxcwillxchavexcmorexcprescriptivexcauthorityxcinxcthexcnewxcposition.
c. ThexcAPRNxcwillxchavexcequalxcprescriptivexcauthorityxcinxcthexcnewxcposition.
d. ThexcAPRN‘sxcauthorityxcwillxcdependxconxcfederalxcregulatio
ns.xcANS:xcA
Virginiaxcallowsxclimitedxcprescriptivexcauthority,xcwhilexcMainexcgivesxcfullxcauthorityxctoxccertifiedxc
nursexcpractitioners.xcThexcfederalxcgovernmentxcdoesxcnotxcregulatexcprescriptivexcauthority.DIF:xc
CognitivexcLevel:xcComprehensionREF:xcp.xc3TOP:xcNursingxcProcess:xcImplementationxcMSC:xcN
CLEXxcClientxcNeedsxcCategory:xcPhysiologicxcIntegrity:xcPharmacologicxcandxcParenteralxcTherap
ies
sicianxcAssistantsxc2ndxcEditionxcRosenthal
REVISEDxcEDITION
,Lehne’sxcPharmacotherapeuticsxcforxcAdvancedxcPracticexcNursesxcandxcPhysicianxcAssistantsxc
2ndxcEditionxcRosenthalxcTestxcBankxcREVISEDxcEDITION 2
Chapterxc1:xcPrescriptivexcAuthorityxcTestxcBankxc
MultiplexcChoice
1. AnxcAPRNxcworksxcinxcaxcurologyxcclinicxcunderxcthexcsupervisionxcofxcaxcphysicianxcwhoxcdo
esxcnotxcrestrictxcthexctypesxcofxcmedicationsxcthexcAPRNxcisxcallowedxctoxcprescribe.xcStatexclawxcdoesxc
notxcrequirexcthexcAPRNxctoxcpracticexcunderxcphysicianxcsupervision.xcHowxcwouldxcthexcAPRN‘sxcpr
escriptivexcauthorityxcbexcdescribed?
a. Fullxcauthority
b. Independent
c. Withoutxclimitation
d. Limitedxcauthority
ANS:xcB
ThexcAPRNxchasxcindependentxcprescriptivexcauthorityxcbecausexcthexcregulatingxcbodyxcdoesxcnotxcr
equirexcthatxcthexcAPRNxcworkxcunderxcphysicianxcsupervision.xcFullxcprescriptivexcauthorityxcgives
xcthexcproviderxcthexcrightxctoxcprescribexcindependentlyxcandxcwithoutxclimitation.xcLimitedxcauthorit
yxcplacesxcrestrictionsxconxcthexctypesxcofxcdrugsxcthatxccanxcbexcprescribedxc.DIF:xcCognitivexcLevel:x
cComprehensionxcREF:xcp.
1TOP:xcNursingxcProcess:xcIxcMSC:xcNCLEXxcClientxcNeedsxcCategory:xcPhysiologicxcInte
grity:xcPharmacologicxcandxcParenteralxcTherapies
2. WhichxcfactorsxcincreasexcthexcneedxcforxcAPRNsxctoxchavexcfullxcprescriptivexcauthority?
a. Morexcpatientsxcwillxchavexcaccessxctoxchealthxccare.
b. Enrollmentxcinxcmedicalxcschoolsxcisxcpredictedxctoxcdecrease.
c. Physician‘sxcassistantsxcarexcbeingxcutilizedxclessxcoften.
d. APRNxceducationxcisxcmorexccomplexxcthanxceducationxcforxcphysicians.
ANS:xcA
ImplementationxcofxcthexcAffordablexcCarexcActxchasxcincreasedxcthexcnumberxcofxcindividualsxcwithxc
healthxccarexccoverage,xcandxcthusxcthexcnumberxcwhoxchavexcaccessxctoxchealthxccarexcservices.xcThexci
ncreasexcinxcthexcnumberxcofxcpatientsxccreatesxcthexcneedxcforxcmorexcprovidersxcwithxcprescriptivexca
uthority.xcAPRNsxccanxcfillxcthisxcpracticexcgap.xcDIF:xcCognitivexcLevel:xcComprehensionxcREF:xcp.
xc2TOP:xcNursingxcProcess:xcImplementationxcMSC:xcNCLEXxcClientxcNeedsxcCategory: xcPhysiolo
gicxcIntegrity:xcPharmacologicxcandxcParenteralxcTherapies
,Lehne’sxcPharmacotherapeuticsxcforxcAdvancedxcPracticexcNursesxcandxcPhysicianxcAssistantsxc
2ndxcEditionxcRosenthalxcTestxcBankxcREVISEDxcEDITION 3
3. WhichxcfactorsxccouldxcbexcattributedxctoxclimitedxcprescriptivexcauthorityxcforxcAPRNs?xcSele
ctxcallxcthatxcapply.
a. Inaccessibilityxcofxcpatientxc care
b. Higherxchealthxccarexccosts
c. Higherxcqualityxcmedicalxctreatment
d. Improvedxccollaborativexccare
e. Enhancedxchealthxcliteracy
ANS:xcAxc,xcB
LimitingxcprescriptivexcauthorityxcforxcAPRNsxccanxccreatexcbarriersxctoxcquality,xcaffordable,xcandxca
ccessiblexcpatientxccare.xcItxcmayxcalsoxcleadxctoxcpoorxccollaborationxcamongxcprovidersxcandxchigherxc
healthxccarexccosts.xcItxcwouldxcnotxcdirectlyxcimpactxcpatient‘sxchealthxcliteracy.DIF:xcCognitivexcLe
vel:xcComprehensionREF:
p.xc2TOP:xcNursingxcProcess:xcImplementationxcMSC:xcNCLEXxcClientxcNeedsxcCategory:xcPhysiologicxcI
ntegrity:xcPharmacologicxcandxcParenteralxcTherapies
4. WhichxcaspectsxcsupportxcthexcAPRN‘sxcprovisionxcforxcfullxcprescriptivexcauthority?xcSele
ctxcallxcthatxcapply.
a. Clinicalxceducationxcincludesxcprescriptionxcofxcmedicationsxcandxcdiseasexcprocesses.
b. FederalxcregulationsxcsupportxcthexcprovisionxcofxcfullxcauthorityxcforxcAPRNs.
c. NationalxcexaminationsxcprovidexcvalidationxcofxcthexcAPRN‘sxcabilityxctoxcprovidexcsafecare.
d. Licensurexcensuresxccompliancexcwithxchealthxccarexcandxcsafetyxcstandards.
e. Limitingxcprovisionxccanxcdecreasexchealthxccarexcaffordability.
ANS:xcAxc,xcCxc,xcD
APRNsxcarexceducatedxctoxcpracticexcandxcprescribexcindependentlyxcwithoutxcsupervision.xcNational
xcexaminationsxcvalidatexcthexcabilityxctoxcprovidexcsafexcandxccompetentxccare.xcLicensurexcensuresxc
compliancexcwithxcstandardsxctoxcpromotexcpublicxchealthxcandxcsafety.xcLimitedxcprescriptivexcauthor
ityxccreatesxcnumerousxcbarriersxctoxcquality,xcaffordable,xcandxcaccessiblexcpatientxccare.DIF:xcCogn
itivexcLevel:xcComprehensionREF:xcpp.xc1-
2TOP:xcNursingxcProcess:xcImplementationxcMSC:xcNCLEXxcClientxcNeedsxcCategory:xcPhysiolog
icxcIntegrity:xcPharmacologicxcandxcParenteralxcTherapies
, Lehne’sxcPharmacotherapeuticsxcforxcAdvancedxcPracticexcNursesxcandxcPhysicianxcAssistantsxc
2ndxcEditionxcRosenthalxcTestxcBankxcREVISEDxcEDITION 4
5. WhichxcaspectsxcsupportxcthexcAPRN‘sxcprovisionxcforxcfullxcprescriptivexcauthority?xcSele
ctxcallxcthatxcapply.
a. Clinicalxceducationxcincludesxcprescriptionxcofxcmedicationsxcandxcdiseasexcprocesses.
b. FederalxcregulationsxcsupportxcthexcprovisionxcofxcfullxcauthorityxcforxcAPRNs.
c. NationalxcexaminationsxcprovidexcvalidationxcofxcthexcAPRN‘sxcabilityxctoxcprovidexcsafecare.
d. Licensurexcensuresxccompliancexcwithxchealthxccarexcandxcsafetyxcstandards.
ANS:xcAxc,xcCxc,xcD
APRNsxcarexceducatedxctoxcpracticexcandxcprescribexcindependentlyxcwithoutxcsupervision.xcNational
xcexaminationsxcvalidatexcthexcabilityxctoxcprovidexcsafexcandxccompetentxccare.xcLicensurexcensuresxc
compliancexcwithxcstandardsxctoxcpromotexcpublicxchealthxcandxcsafety.xcLimitedxcprescriptivexcauthori
tyxccreatesxcnumerousxcbarriersxctoxcquality,xcaffordable,xcandxcaccessiblexcpatientxccare.DIF:xcCogni
tivexcLevel:
ComprehensionxcREF:xcpp.x c 1-2TOP:xcNursingxcProcess:xcImplementation
MSC:xcNCLEXxcClien
txcNeedsxcCategory:xcPhysiologicxcIntegrity:xcPharmacologicxcandxcParenteralxcTherapies
6. AxcfamilyxcnursexcpractitionerxcpracticingxcinxcMainexcisxchiredxcatxcaxcpracticexcacrossxcstatexcl
inesxcinxcVirginia.xcWhichxcaspectxcofxcpracticexcmayxcchangexcforxcthexcAPRN?
a. ThexcAPRNxcwillxchavexclessxcprescriptivexcauthorityxcinxcthexcnewxcposition.
b. ThexcAPRNxcwillxchavexcmorexcprescriptivexcauthorityxcinxcthexcnewxcposition.
c. ThexcAPRNxcwillxchavexcequalxcprescriptivexcauthorityxcinxcthexcnewxcposition.
d. ThexcAPRN‘sxcauthorityxcwillxcdependxconxcfederalxcregulatio
ns.xcANS:xcA
Virginiaxcallowsxclimitedxcprescriptivexcauthority,xcwhilexcMainexcgivesxcfullxcauthorityxctoxccertifiedxc
nursexcpractitioners.xcThexcfederalxcgovernmentxcdoesxcnotxcregulatexcprescriptivexcauthority.DIF:xc
CognitivexcLevel:xcComprehensionREF:xcp.xc3TOP:xcNursingxcProcess:xcImplementationxcMSC:xcN
CLEXxcClientxcNeedsxcCategory:xcPhysiologicxcIntegrity:xcPharmacologicxcandxcParenteralxcTherap
ies