Pharmacotherapeutics for Advanced Practice
Nurse Prescribers with Davis Edge
6th Edition
TEST BANK
Question Stem: A newly licensed APRN is reviewing state
regulations before writing prescriptions. Which action best
reflects appropriate verification of prescriptive authority?
A. Rely on the employer’s clinic policy as sole source of
prescriptive limits.
B. Consult the state board of nursing and current statutes for
prescriptive authority and restrictions.
C. Assume prescriptive authority is identical across all states for
APRNs.
D. Rely on the DEA registration alone to determine scope of
drugs the APRN may prescribe.
Correct Answer: B
Rationales:
• B (Correct): APRNs must verify their prescriptive authority
by consulting state board regulations and statutes, which
define scope, supervision/collaboration requirements, and
restrictions. This aligns with recommended practice for
legal compliance.
, • A: Clinic policy may supplement but cannot supersede
state law; relying solely on employer policy risks illegal
prescribing.
• C: Prescriptive authority varies widely by state; assuming
uniformity is incorrect.
• D: DEA registration permits prescribing controlled
substances at the federal level but does not define state-
level scope or collaborative requirements.
Teaching Point: Always confirm prescriptive authority via
current state board rules and statutes.
Citation: Woo & Wright — Ch. 1, “Scope of Prescriptive
Authority.”
2
Reference: Ch. 1, Section: Legal and Ethical Responsibilities
Question Stem: An APRN prescriber is asked by a patient to
write a prescription previously issued by another provider who
is unavailable. What is the best ethical/legal approach?
A. Reissue the same medication without evaluation because
prior therapy was effective.
B. Refuse and tell the patient to wait until the previous provider
returns.
C. Evaluate the patient and clinical records; prescribe only if
clinically appropriate and within scope.
D. Prescribe a higher dose to ensure efficacy since the previous
,provider may have under-dosed.
Correct Answer: C
Rationales:
• C (Correct): APRNs must perform an appropriate
assessment and chart review before prescribing; re-
prescribing requires clinical justification and falls within
ethical/legal responsibilities.
• A: Prescribing without evaluation may violate standards of
care and legal obligations.
• B: Refusing without offering appropriate evaluation may
neglect patient needs; collaboration or temporary bridging
may be appropriate.
• D: Increasing dose without clinical rationale is unsafe and
unethical.
Teaching Point: Prescribe after appropriate assessment
and record review, not merely on patient request.
Citation: Woo & Wright — Ch. 1, “Legal and Ethical
Responsibilities.”
3
Reference: Ch. 1, Section: Controlled Substances and DEA
Registration
Question Stem: An APRN with a current DEA registration wants
to prescribe schedule II opioids. Which statement is most
accurate?
, A. DEA registration automatically authorizes prescribing of all
schedule II–V drugs regardless of state rules.
B. The APRN must comply with both federal DEA requirements
and state-specific controlled-substance regulations.
C. Federal law prohibits APRNs from ever prescribing schedule II
substances.
D. A hospital credential is sufficient; no DEA registration is
required for outpatient prescriptions.
Correct Answer: B
Rationales:
• B (Correct): Prescribers must meet federal DEA registration
requirements and also follow state laws that may add
restrictions or supervisory requirements for controlled
substances.
• A: DEA registration is necessary but not sufficient; state
laws may further limit prescriptive authority.
• C: Federal law does not universally prohibit APRNs from
prescribing schedule II drugs; allowances depend on DEA
registration and state law.
• D: Hospital credentialing does not replace DEA registration
for prescribing controlled substances in outpatient
settings.
Teaching Point: Meet both federal DEA and applicable
state controlled-substance rules before prescribing.
Citation: Woo & Wright — Ch. 1, “Controlled Substances
and DEA Registration.”
Nurse Prescribers with Davis Edge
6th Edition
TEST BANK
Question Stem: A newly licensed APRN is reviewing state
regulations before writing prescriptions. Which action best
reflects appropriate verification of prescriptive authority?
A. Rely on the employer’s clinic policy as sole source of
prescriptive limits.
B. Consult the state board of nursing and current statutes for
prescriptive authority and restrictions.
C. Assume prescriptive authority is identical across all states for
APRNs.
D. Rely on the DEA registration alone to determine scope of
drugs the APRN may prescribe.
Correct Answer: B
Rationales:
• B (Correct): APRNs must verify their prescriptive authority
by consulting state board regulations and statutes, which
define scope, supervision/collaboration requirements, and
restrictions. This aligns with recommended practice for
legal compliance.
, • A: Clinic policy may supplement but cannot supersede
state law; relying solely on employer policy risks illegal
prescribing.
• C: Prescriptive authority varies widely by state; assuming
uniformity is incorrect.
• D: DEA registration permits prescribing controlled
substances at the federal level but does not define state-
level scope or collaborative requirements.
Teaching Point: Always confirm prescriptive authority via
current state board rules and statutes.
Citation: Woo & Wright — Ch. 1, “Scope of Prescriptive
Authority.”
2
Reference: Ch. 1, Section: Legal and Ethical Responsibilities
Question Stem: An APRN prescriber is asked by a patient to
write a prescription previously issued by another provider who
is unavailable. What is the best ethical/legal approach?
A. Reissue the same medication without evaluation because
prior therapy was effective.
B. Refuse and tell the patient to wait until the previous provider
returns.
C. Evaluate the patient and clinical records; prescribe only if
clinically appropriate and within scope.
D. Prescribe a higher dose to ensure efficacy since the previous
,provider may have under-dosed.
Correct Answer: C
Rationales:
• C (Correct): APRNs must perform an appropriate
assessment and chart review before prescribing; re-
prescribing requires clinical justification and falls within
ethical/legal responsibilities.
• A: Prescribing without evaluation may violate standards of
care and legal obligations.
• B: Refusing without offering appropriate evaluation may
neglect patient needs; collaboration or temporary bridging
may be appropriate.
• D: Increasing dose without clinical rationale is unsafe and
unethical.
Teaching Point: Prescribe after appropriate assessment
and record review, not merely on patient request.
Citation: Woo & Wright — Ch. 1, “Legal and Ethical
Responsibilities.”
3
Reference: Ch. 1, Section: Controlled Substances and DEA
Registration
Question Stem: An APRN with a current DEA registration wants
to prescribe schedule II opioids. Which statement is most
accurate?
, A. DEA registration automatically authorizes prescribing of all
schedule II–V drugs regardless of state rules.
B. The APRN must comply with both federal DEA requirements
and state-specific controlled-substance regulations.
C. Federal law prohibits APRNs from ever prescribing schedule II
substances.
D. A hospital credential is sufficient; no DEA registration is
required for outpatient prescriptions.
Correct Answer: B
Rationales:
• B (Correct): Prescribers must meet federal DEA registration
requirements and also follow state laws that may add
restrictions or supervisory requirements for controlled
substances.
• A: DEA registration is necessary but not sufficient; state
laws may further limit prescriptive authority.
• C: Federal law does not universally prohibit APRNs from
prescribing schedule II drugs; allowances depend on DEA
registration and state law.
• D: Hospital credentialing does not replace DEA registration
for prescribing controlled substances in outpatient
settings.
Teaching Point: Meet both federal DEA and applicable
state controlled-substance rules before prescribing.
Citation: Woo & Wright — Ch. 1, “Controlled Substances
and DEA Registration.”
