Pharmacotherapeutics for Advanced Practice
Nurse Prescribers with Davis Edge
6th Edition
TEST BANK
Reference: Ch. 1, Section: Roles and responsibilities
Question Stem: A 34-year-old patient asks why their nurse
practitioner (NP) is authorized to prescribe controlled
medications. As an APRN prescriber, which statement best
explains the basis for prescriptive authority?
Options:
A. Federal law grants prescriptive authority directly to APRNs
without state restrictions.
B. Each state’s nurse practice act defines APRN prescriptive
authority and scopes of practice.
C. Hospital bylaws alone determine an APRN’s ability to
prescribe in outpatient clinics.
D. Prescriptive authority is automatic once an APRN passes
national certification.
Correct Answer: B
Rationales:
• Correct (B): State nurse practice acts and state regulations
establish APRN scope and prescriptive authority; APRNs
, must follow state statutes and rules when prescribing. This
is standard regulatory guidance in Chapter 1.
studymerit.com+1
• A: Incorrect — federal law (except for specific federal
facilities) does not grant prescriptive authority to APRNs;
authority is primarily state regulated.
• C: Incorrect — hospital bylaws may add restrictions but
cannot confer authority beyond what state law permits.
• D: Incorrect — national certification is required for
licensure/certification but does not, by itself, create legal
prescriptive authority.
Teaching Point: Prescribing authority is primarily governed
by state nurse practice acts.
Citation: Woo, T. M., & Wright, W. L., Ch. 1, The Role of the
Advanced Practice Nurse as Prescriber. studymerit.com+1
2
Reference: Ch. 1, Section: Legal and regulatory issues
Question Stem: An APRN plans to begin prescribing Schedule II
opioids in a state that allows it. Which regulatory requirement
should the APRN confirm before writing the first prescription?
Options:
A. That the patient signs a nationwide opioid waiver.
B. That the APRN is registered with the DEA and complies with
state controlled-substance registration rules.
,C. That the prescribing physician co-signs every Schedule II
prescription.
D. That the patient has tried all non-pharmacologic therapies
first.
Correct Answer: B
Rationales:
• Correct (B): APRNs must follow DEA registration and any
additional state controlled-substance registration or
certification requirements before prescribing Schedules II–
V. Chapter 1 emphasizes regulatory registration.
studymerit.com+1
• A: Incorrect — there is no single “nationwide opioid
waiver” required universally for prescribers; requirements
vary by program and state.
• C: Incorrect — co-signing is not universally required and
cannot replace necessary APRN DEA/state registrations.
• D: Incorrect — while best practice includes considering
nonpharmacologic treatments, it is not a regulatory
prerequisite to prescribing an opioid.
Teaching Point: Verify DEA and state controlled-substance
registration before prescribing controlled drugs.
Citation: Woo & Wright, Ch.1. studymerit.com+1
3
, Reference: Ch. 1, Section: Collaboration with physicians and
other prescribers
Question Stem: An APRN in collaborative practice must clarify
responsibilities with a supervising physician. Which written
agreement element most directly protects patient safety and
clarifies prescribing responsibility?
Options:
A. A statement that the physician will cover phone calls outside
business hours.
B. A collaborative practice agreement that specifies scope of
prescribing authority, referral processes, and limits.
C. A clause allowing the APRN to prescribe any medication the
physician previously prescribed.
D. A general letter of support from the physician without
procedural details.
Correct Answer: B
Rationales:
• Correct (B): Chapter 1 highlights that collaborative
agreements should clearly define clinical responsibilities,
prescribing scope, referral pathways, and limits to promote
safe prescribing. studymerit.com+1
• A: Incorrect — while on-call coverage can be useful, it does
not define prescribing scope or safeguards.
• C: Incorrect — vague or blanket permissions do not define
safe limits and may conflict with regulations.
Nurse Prescribers with Davis Edge
6th Edition
TEST BANK
Reference: Ch. 1, Section: Roles and responsibilities
Question Stem: A 34-year-old patient asks why their nurse
practitioner (NP) is authorized to prescribe controlled
medications. As an APRN prescriber, which statement best
explains the basis for prescriptive authority?
Options:
A. Federal law grants prescriptive authority directly to APRNs
without state restrictions.
B. Each state’s nurse practice act defines APRN prescriptive
authority and scopes of practice.
C. Hospital bylaws alone determine an APRN’s ability to
prescribe in outpatient clinics.
D. Prescriptive authority is automatic once an APRN passes
national certification.
Correct Answer: B
Rationales:
• Correct (B): State nurse practice acts and state regulations
establish APRN scope and prescriptive authority; APRNs
, must follow state statutes and rules when prescribing. This
is standard regulatory guidance in Chapter 1.
studymerit.com+1
• A: Incorrect — federal law (except for specific federal
facilities) does not grant prescriptive authority to APRNs;
authority is primarily state regulated.
• C: Incorrect — hospital bylaws may add restrictions but
cannot confer authority beyond what state law permits.
• D: Incorrect — national certification is required for
licensure/certification but does not, by itself, create legal
prescriptive authority.
Teaching Point: Prescribing authority is primarily governed
by state nurse practice acts.
Citation: Woo, T. M., & Wright, W. L., Ch. 1, The Role of the
Advanced Practice Nurse as Prescriber. studymerit.com+1
2
Reference: Ch. 1, Section: Legal and regulatory issues
Question Stem: An APRN plans to begin prescribing Schedule II
opioids in a state that allows it. Which regulatory requirement
should the APRN confirm before writing the first prescription?
Options:
A. That the patient signs a nationwide opioid waiver.
B. That the APRN is registered with the DEA and complies with
state controlled-substance registration rules.
,C. That the prescribing physician co-signs every Schedule II
prescription.
D. That the patient has tried all non-pharmacologic therapies
first.
Correct Answer: B
Rationales:
• Correct (B): APRNs must follow DEA registration and any
additional state controlled-substance registration or
certification requirements before prescribing Schedules II–
V. Chapter 1 emphasizes regulatory registration.
studymerit.com+1
• A: Incorrect — there is no single “nationwide opioid
waiver” required universally for prescribers; requirements
vary by program and state.
• C: Incorrect — co-signing is not universally required and
cannot replace necessary APRN DEA/state registrations.
• D: Incorrect — while best practice includes considering
nonpharmacologic treatments, it is not a regulatory
prerequisite to prescribing an opioid.
Teaching Point: Verify DEA and state controlled-substance
registration before prescribing controlled drugs.
Citation: Woo & Wright, Ch.1. studymerit.com+1
3
, Reference: Ch. 1, Section: Collaboration with physicians and
other prescribers
Question Stem: An APRN in collaborative practice must clarify
responsibilities with a supervising physician. Which written
agreement element most directly protects patient safety and
clarifies prescribing responsibility?
Options:
A. A statement that the physician will cover phone calls outside
business hours.
B. A collaborative practice agreement that specifies scope of
prescribing authority, referral processes, and limits.
C. A clause allowing the APRN to prescribe any medication the
physician previously prescribed.
D. A general letter of support from the physician without
procedural details.
Correct Answer: B
Rationales:
• Correct (B): Chapter 1 highlights that collaborative
agreements should clearly define clinical responsibilities,
prescribing scope, referral pathways, and limits to promote
safe prescribing. studymerit.com+1
• A: Incorrect — while on-call coverage can be useful, it does
not define prescribing scope or safeguards.
• C: Incorrect — vague or blanket permissions do not define
safe limits and may conflict with regulations.
