Pharmacotherapeutics for Advanced Practice
Nurse Prescribers with Davis Edge
6th Edition
TEST BANK
Reference: Ch. 1, Section: Roles & Responsibilities of the APRN
Prescriber
Question Stem: A new APRN with full prescriptive authority
begins practice in a primary care clinic. Which responsibility
best reflects the advanced prescriber role?
A. Delegating all medication counseling to clinic nurses.
B. Independently evaluating, diagnosing, and initiating
pharmacologic therapy within competence and scope.
C. Referring every new medication decision to the supervising
physician.
D. Accepting pharmaceutical company recommendations as
primary therapy guidance.
Correct Answer: B
Rationale (correct): APRN prescribers are expected to evaluate,
diagnose, and initiate pharmacologic therapy autonomously
within their education, competence, and state scope of
practice. This aligns with the chapter’s emphasis on advanced
clinical decision-making. F. A. Davis+1
,Rationale (A): Delegation of counseling undermines prescriber
accountability; APRNs retain responsibility for patient
education. Scribd
Rationale (C): Routine referral for all decisions contradicts
autonomous practice where allowed. F. A. Davis
Rationale (D): Industry recommendations are not a substitute
for evidence-based clinical judgment. Scribd
Teaching Point: APRNs must prescribe within competence and
scope; clinical judgment is primary.
Citation: Woo & Wright, Ch. 1, Roles & responsibilities. F. A.
Davis+1
2.
Reference: Ch. 1, Section: Legal & Professional Issues in
Prescribing
Question Stem: An APRN is deciding whether to prescribe a
controlled opioid for chronic noncancer pain. Which
legal/professional step is most important before prescribing?
A. Prescribing a standard opioid dose without documentation to
expedite care.
B. Checking state controlled-substance regulations and
documenting informed consent and treatment plan.
C. Never prescribing opioids under any circumstances.
D. Prescribing solely based on patient request if pain scores are
high.
Correct Answer: B
,Rationale (correct): APRNs must know state regulations for
controlled substances and document informed consent,
treatment objectives, and monitoring plans to meet legal and
professional standards. F. A. Davis+1
Rationale (A): Failing to document is professionally and legally
unsafe. Scribd
Rationale (C): Blanket refusal is inappropriate; opioids may be
indicated with safeguards. F. A. Davis
Rationale (D): Patient request alone is insufficient without
assessment, risk evaluation, and documentation. Scribd
Teaching Point: Always verify regulations and document
consent and monitoring for controlled drugs.
Citation: Woo & Wright, Ch. 1, Legal & professional issues. F. A.
Davis+1
3.
Reference: Ch. 1, Section: Interprofessional Collaboration
(Physicians & Pharmacists)
Question Stem: A pharmacist contacts an APRN with concern
about a patient’s drug interaction. The APRN should:
A. Ignore the pharmacist; the APRN knows the patient best.
B. Thank the pharmacist, review the interaction, and adjust
therapy collaboratively if needed.
C. Instruct the pharmacist to fill the prescribed medication
without change.
D. Switch the patient to a new unrelated drug without
, discussing with the pharmacist.
Correct Answer: B
Rationale (correct): Effective prescribers collaborate with
pharmacists to optimize therapy, review interactions, and make
shared adjustments for patient safety. Scribd+1
Rationale (A): Ignoring pharmacist input risks patient safety and
misses valuable expertise. Scribd
Rationale (C): Blindly instructing without review may
perpetuate harm. Scribd
Rationale (D): Arbitrary switching without rationale or
collaboration may be unsafe. F. A. Davis
Teaching Point: Use pharmacists as medication-safety partners.
Citation: Woo & Wright, Ch. 1, Interprofessional collaboration.
Scribd+1
4.
Reference: Ch. 1, Section: The Prescribing Process — Patient
Assessment & Diagnosis
Question Stem: Before starting a new antihypertensive, which
element is most essential for safe prescribing?
A. Patient’s favorite pharmacy.
B. Complete assessment including comorbidities, current meds,
allergies, and baseline labs.
C. Prescribing the newest drug on the market first.
D. Assuming home blood pressure readings are always accurate
without verification.
Nurse Prescribers with Davis Edge
6th Edition
TEST BANK
Reference: Ch. 1, Section: Roles & Responsibilities of the APRN
Prescriber
Question Stem: A new APRN with full prescriptive authority
begins practice in a primary care clinic. Which responsibility
best reflects the advanced prescriber role?
A. Delegating all medication counseling to clinic nurses.
B. Independently evaluating, diagnosing, and initiating
pharmacologic therapy within competence and scope.
C. Referring every new medication decision to the supervising
physician.
D. Accepting pharmaceutical company recommendations as
primary therapy guidance.
Correct Answer: B
Rationale (correct): APRN prescribers are expected to evaluate,
diagnose, and initiate pharmacologic therapy autonomously
within their education, competence, and state scope of
practice. This aligns with the chapter’s emphasis on advanced
clinical decision-making. F. A. Davis+1
,Rationale (A): Delegation of counseling undermines prescriber
accountability; APRNs retain responsibility for patient
education. Scribd
Rationale (C): Routine referral for all decisions contradicts
autonomous practice where allowed. F. A. Davis
Rationale (D): Industry recommendations are not a substitute
for evidence-based clinical judgment. Scribd
Teaching Point: APRNs must prescribe within competence and
scope; clinical judgment is primary.
Citation: Woo & Wright, Ch. 1, Roles & responsibilities. F. A.
Davis+1
2.
Reference: Ch. 1, Section: Legal & Professional Issues in
Prescribing
Question Stem: An APRN is deciding whether to prescribe a
controlled opioid for chronic noncancer pain. Which
legal/professional step is most important before prescribing?
A. Prescribing a standard opioid dose without documentation to
expedite care.
B. Checking state controlled-substance regulations and
documenting informed consent and treatment plan.
C. Never prescribing opioids under any circumstances.
D. Prescribing solely based on patient request if pain scores are
high.
Correct Answer: B
,Rationale (correct): APRNs must know state regulations for
controlled substances and document informed consent,
treatment objectives, and monitoring plans to meet legal and
professional standards. F. A. Davis+1
Rationale (A): Failing to document is professionally and legally
unsafe. Scribd
Rationale (C): Blanket refusal is inappropriate; opioids may be
indicated with safeguards. F. A. Davis
Rationale (D): Patient request alone is insufficient without
assessment, risk evaluation, and documentation. Scribd
Teaching Point: Always verify regulations and document
consent and monitoring for controlled drugs.
Citation: Woo & Wright, Ch. 1, Legal & professional issues. F. A.
Davis+1
3.
Reference: Ch. 1, Section: Interprofessional Collaboration
(Physicians & Pharmacists)
Question Stem: A pharmacist contacts an APRN with concern
about a patient’s drug interaction. The APRN should:
A. Ignore the pharmacist; the APRN knows the patient best.
B. Thank the pharmacist, review the interaction, and adjust
therapy collaboratively if needed.
C. Instruct the pharmacist to fill the prescribed medication
without change.
D. Switch the patient to a new unrelated drug without
, discussing with the pharmacist.
Correct Answer: B
Rationale (correct): Effective prescribers collaborate with
pharmacists to optimize therapy, review interactions, and make
shared adjustments for patient safety. Scribd+1
Rationale (A): Ignoring pharmacist input risks patient safety and
misses valuable expertise. Scribd
Rationale (C): Blindly instructing without review may
perpetuate harm. Scribd
Rationale (D): Arbitrary switching without rationale or
collaboration may be unsafe. F. A. Davis
Teaching Point: Use pharmacists as medication-safety partners.
Citation: Woo & Wright, Ch. 1, Interprofessional collaboration.
Scribd+1
4.
Reference: Ch. 1, Section: The Prescribing Process — Patient
Assessment & Diagnosis
Question Stem: Before starting a new antihypertensive, which
element is most essential for safe prescribing?
A. Patient’s favorite pharmacy.
B. Complete assessment including comorbidities, current meds,
allergies, and baseline labs.
C. Prescribing the newest drug on the market first.
D. Assuming home blood pressure readings are always accurate
without verification.
