Pharmacotherapeutics for Advanced Practice
Nurse Prescribers with Davis Edge
6th Edition
TEST BANK
Reference: Ch. 1, Section: Prescriptive Authority and Scope
Question Stem: An experienced APRN in a state with
collaborative practice requirements begins prescribing a new
antihypertensive. Which action best demonstrates the APRN is
practicing within typical prescriptive authority?
A. Prescribing outside formulary for a first-line drug without
consulting collaborator.
B. Verifying state practice act, documenting rationale, and
following collaborative agreement.
C. Delegating prescription decisions to an RN on the team.
D. Prescribing controlled opioid for chronic pain without
reviewing state PDMP.
Correct Answer: B
Rationales:
• Correct (B): Verifying the state practice act, documenting
clinical rationale, and following the written collaborative
agreement aligns with legal/professional responsibilities
, for APRN prescribers. The textbook emphasizes using
statutes and agreements to define safe, lawful prescribing.
• A: Prescribing outside an agreed formulary without
consultation risks exceeding delegated authority and is
inconsistent with safe prescriptive practice.
• C: Delegation of prescribing decisions to an RN is
inappropriate—prescribing is a prescriber’s responsibility.
• D: Prescribing controlled substances without PDMP review
breaches specific regulatory requirements and patient-
safety safeguards.
Teaching Point: Know and follow your state's practice act
and collaborative agreement.
Citation: Woo TM & Wright WL. (2024).
Pharmacotherapeutics for Advanced Practice Nurse
Prescribers (6th ed.), Ch. 1: The Role of the Advanced
Practice Nurse as Prescriber. F.A. Davis.
2
Reference: Ch. 1, Section: Legal and Professional
Responsibilities
Question Stem: A patient calls reporting a rash after starting a
new medication the APRN prescribed. What is the APRN’s
immediate professional responsibility?
A. Ignore until the next scheduled visit.
B. Evaluate allergy severity, advise discontinuation if severe,
,document contact, and arrange follow-up.
C. Tell the patient to take an antihistamine and avoid
documentation.
D. Transfer responsibility to the pharmacist.
Correct Answer: B
Rationales:
• Correct (B): The APRN must assess adverse reactions
promptly, advise appropriate action (e.g., discontinue
suspected agent if severe), document the encounter, and
plan follow-up—core components of safe prescribing in
the chapter.
• A: Delaying assessment risks patient harm and violates
professional duty.
• C: Recommending over-the-counter treatment without
assessment and failing to document neglects safety and
record keeping.
• D: While pharmacists can advise, ultimate prescriptive
management and documentation remain the prescriber’s
responsibility.
Teaching Point: Prompt assessment and documentation of
adverse reactions are mandatory.
Citation: Woo & Wright, Ch. 1, The Role of the Advanced
Practice Nurse as Prescriber. F.A. Davis.
3
, Reference: Ch. 1, Section: Prescribing Safety & Error Prevention
Question Stem: To minimize prescribing errors when converting
a hospital medication list to an outpatient prescription, the
APRN should first:
A. Rely solely on the inpatient discharge summary.
B. Perform medication reconciliation with the patient and verify
dosages and indications.
C. Reorder all hospital medications for outpatient use without
review.
D. Ask the patient to continue whatever they remember.
Correct Answer: B
Rationales:
• Correct (B): The textbook emphasizes medication
reconciliation—verifying what the patient actually takes,
doses, and reasons—reduces errors during care
transitions.
• A: Discharge summaries may contain inaccuracies; direct
reconciliation is safer.
• C: Automatically continuing inpatient meds risks
duplication, inappropriate duration, and adverse effects.
• D: Patient memory alone is often incomplete and
insufficient for safe prescribing.
Teaching Point: Always perform direct medication
reconciliation at transitions of care.
Citation: Woo & Wright, Ch. 1, The Role of the Advanced
Practice Nurse as Prescriber. F.A. Davis.
Nurse Prescribers with Davis Edge
6th Edition
TEST BANK
Reference: Ch. 1, Section: Prescriptive Authority and Scope
Question Stem: An experienced APRN in a state with
collaborative practice requirements begins prescribing a new
antihypertensive. Which action best demonstrates the APRN is
practicing within typical prescriptive authority?
A. Prescribing outside formulary for a first-line drug without
consulting collaborator.
B. Verifying state practice act, documenting rationale, and
following collaborative agreement.
C. Delegating prescription decisions to an RN on the team.
D. Prescribing controlled opioid for chronic pain without
reviewing state PDMP.
Correct Answer: B
Rationales:
• Correct (B): Verifying the state practice act, documenting
clinical rationale, and following the written collaborative
agreement aligns with legal/professional responsibilities
, for APRN prescribers. The textbook emphasizes using
statutes and agreements to define safe, lawful prescribing.
• A: Prescribing outside an agreed formulary without
consultation risks exceeding delegated authority and is
inconsistent with safe prescriptive practice.
• C: Delegation of prescribing decisions to an RN is
inappropriate—prescribing is a prescriber’s responsibility.
• D: Prescribing controlled substances without PDMP review
breaches specific regulatory requirements and patient-
safety safeguards.
Teaching Point: Know and follow your state's practice act
and collaborative agreement.
Citation: Woo TM & Wright WL. (2024).
Pharmacotherapeutics for Advanced Practice Nurse
Prescribers (6th ed.), Ch. 1: The Role of the Advanced
Practice Nurse as Prescriber. F.A. Davis.
2
Reference: Ch. 1, Section: Legal and Professional
Responsibilities
Question Stem: A patient calls reporting a rash after starting a
new medication the APRN prescribed. What is the APRN’s
immediate professional responsibility?
A. Ignore until the next scheduled visit.
B. Evaluate allergy severity, advise discontinuation if severe,
,document contact, and arrange follow-up.
C. Tell the patient to take an antihistamine and avoid
documentation.
D. Transfer responsibility to the pharmacist.
Correct Answer: B
Rationales:
• Correct (B): The APRN must assess adverse reactions
promptly, advise appropriate action (e.g., discontinue
suspected agent if severe), document the encounter, and
plan follow-up—core components of safe prescribing in
the chapter.
• A: Delaying assessment risks patient harm and violates
professional duty.
• C: Recommending over-the-counter treatment without
assessment and failing to document neglects safety and
record keeping.
• D: While pharmacists can advise, ultimate prescriptive
management and documentation remain the prescriber’s
responsibility.
Teaching Point: Prompt assessment and documentation of
adverse reactions are mandatory.
Citation: Woo & Wright, Ch. 1, The Role of the Advanced
Practice Nurse as Prescriber. F.A. Davis.
3
, Reference: Ch. 1, Section: Prescribing Safety & Error Prevention
Question Stem: To minimize prescribing errors when converting
a hospital medication list to an outpatient prescription, the
APRN should first:
A. Rely solely on the inpatient discharge summary.
B. Perform medication reconciliation with the patient and verify
dosages and indications.
C. Reorder all hospital medications for outpatient use without
review.
D. Ask the patient to continue whatever they remember.
Correct Answer: B
Rationales:
• Correct (B): The textbook emphasizes medication
reconciliation—verifying what the patient actually takes,
doses, and reasons—reduces errors during care
transitions.
• A: Discharge summaries may contain inaccuracies; direct
reconciliation is safer.
• C: Automatically continuing inpatient meds risks
duplication, inappropriate duration, and adverse effects.
• D: Patient memory alone is often incomplete and
insufficient for safe prescribing.
Teaching Point: Always perform direct medication
reconciliation at transitions of care.
Citation: Woo & Wright, Ch. 1, The Role of the Advanced
Practice Nurse as Prescriber. F.A. Davis.
