Pharmacotherapeutics for Advanced Practice
Nurse Prescribers with Davis Edge
6th Edition
TEST BANK
1. Reference: Ch. 1, Section: Foundational Prescribing
Competencies
Question: A patient with hypertension is found to have
suboptimal blood pressure control on their current medication.
The advanced practice nurse (APN) decides to switch the
patient to a different antihypertensive drug class that is better
suited for the patient's comorbid condition. The APN's action
best demonstrates which of the following?
A. Pharmacodynamics
B. Rational drug selection
C. Pharmacoeconomics
D. Patient adherence counseling
Correct Answer: B
Rationales:
, • Correct: Rational drug selection involves choosing the
most appropriate medication based on patient-specific
factors, including diagnosis, comorbidities, and evidence-
based guidelines. Switching to a more suitable drug class
directly exemplifies this process.
• Incorrect A: Pharmacodynamics is the study of a drug's
effects on the body, which is a scientific principle used to
inform drug selection, but not the act of selecting itself.
• Incorrect C: Pharmacoeconomics considers the cost of
therapy, which may be one factor in selection, but the
scenario emphasizes clinical suitability for a comorbid
condition.
• Incorrect D: Patient adherence counseling is a vital
communication skill but is not the primary action
described in the scenario.
Teaching Point: Rational drug selection tailors therapy to
individual patient factors and clinical evidence.
2. Reference: Ch. 1, Section: Legal and Ethical Prescribing
Question: An APN is prescribing a Schedule II controlled
substance for a patient with chronic pain. Which of the
following is a mandatory legal requirement for the APN
prescriber in this situation?
A. Obtain written informed consent from the patient before
initiating therapy.
B. Utilize the state's prescription drug monitoring program
(PDMP).
,C. Provide a detailed psychological assessment of the patient.
D. Dispense a maximum 48-hour supply of the medication.
Correct Answer: B
Rationales:
• Correct: Federal and state laws often mandate that
prescribers check the PDMP before prescribing controlled
substances to monitor for potential misuse or duplication.
• Incorrect A: While informed consent is a critical ethical
practice, it is not universally a legal mandate for
prescribing all Schedule II substances.
• Incorrect C: A psychological assessment may be clinically
prudent for some patients but is not a blanket legal
requirement for prescribing.
• Incorrect D: APNs typically prescribe, not dispense,
medications, and there is no universal 48-hour supply
limit.
Teaching Point: Using the PDMP is a key legal and safety
step in prescribing controlled substances.
3. Reference: Ch. 1, Section: Foundational Prescribing
Competencies
Question: When developing a treatment plan for a new
diagnosis, the APN integrates knowledge of a drug's mechanism
of action, side effects, and monitoring parameters. This
knowledge base is best described as:
A. Pharmacotherapeutics
, B. Pharmacokinetics
C. Pharmacogenetics
D. Pharmacoeconomics
Correct Answer: A
Rationales:
• Correct: Pharmacotherapeutics is the application of drug
information to prevent and treat disease, directly
encompassing the use of knowledge about mechanisms,
effects, and monitoring for clinical decision-making.
• Incorrect B: Pharmacokinetics describes what the body
does to the drug (absorption, distribution, metabolism,
excretion), not its clinical use.
• Incorrect C: Pharmacogenetics focuses on how genetic
variation affects drug response, which is a subset of a
larger knowledge base.
• Incorrect D: Pharmacoeconomics deals with the cost-
effectiveness of drug therapy.
Teaching Point: Pharmacotherapeutics is the discipline of
using drugs for a specific therapeutic purpose.
4. Reference: Ch. 1, Section: The Prescribing Process
Question: During a follow-up visit for heart failure, an APN is
evaluating the effectiveness of a newly prescribed medication.
Which component of the SOAP note is most appropriate for the
APN to document this assessment?
A. Subjective
Nurse Prescribers with Davis Edge
6th Edition
TEST BANK
1. Reference: Ch. 1, Section: Foundational Prescribing
Competencies
Question: A patient with hypertension is found to have
suboptimal blood pressure control on their current medication.
The advanced practice nurse (APN) decides to switch the
patient to a different antihypertensive drug class that is better
suited for the patient's comorbid condition. The APN's action
best demonstrates which of the following?
A. Pharmacodynamics
B. Rational drug selection
C. Pharmacoeconomics
D. Patient adherence counseling
Correct Answer: B
Rationales:
, • Correct: Rational drug selection involves choosing the
most appropriate medication based on patient-specific
factors, including diagnosis, comorbidities, and evidence-
based guidelines. Switching to a more suitable drug class
directly exemplifies this process.
• Incorrect A: Pharmacodynamics is the study of a drug's
effects on the body, which is a scientific principle used to
inform drug selection, but not the act of selecting itself.
• Incorrect C: Pharmacoeconomics considers the cost of
therapy, which may be one factor in selection, but the
scenario emphasizes clinical suitability for a comorbid
condition.
• Incorrect D: Patient adherence counseling is a vital
communication skill but is not the primary action
described in the scenario.
Teaching Point: Rational drug selection tailors therapy to
individual patient factors and clinical evidence.
2. Reference: Ch. 1, Section: Legal and Ethical Prescribing
Question: An APN is prescribing a Schedule II controlled
substance for a patient with chronic pain. Which of the
following is a mandatory legal requirement for the APN
prescriber in this situation?
A. Obtain written informed consent from the patient before
initiating therapy.
B. Utilize the state's prescription drug monitoring program
(PDMP).
,C. Provide a detailed psychological assessment of the patient.
D. Dispense a maximum 48-hour supply of the medication.
Correct Answer: B
Rationales:
• Correct: Federal and state laws often mandate that
prescribers check the PDMP before prescribing controlled
substances to monitor for potential misuse or duplication.
• Incorrect A: While informed consent is a critical ethical
practice, it is not universally a legal mandate for
prescribing all Schedule II substances.
• Incorrect C: A psychological assessment may be clinically
prudent for some patients but is not a blanket legal
requirement for prescribing.
• Incorrect D: APNs typically prescribe, not dispense,
medications, and there is no universal 48-hour supply
limit.
Teaching Point: Using the PDMP is a key legal and safety
step in prescribing controlled substances.
3. Reference: Ch. 1, Section: Foundational Prescribing
Competencies
Question: When developing a treatment plan for a new
diagnosis, the APN integrates knowledge of a drug's mechanism
of action, side effects, and monitoring parameters. This
knowledge base is best described as:
A. Pharmacotherapeutics
, B. Pharmacokinetics
C. Pharmacogenetics
D. Pharmacoeconomics
Correct Answer: A
Rationales:
• Correct: Pharmacotherapeutics is the application of drug
information to prevent and treat disease, directly
encompassing the use of knowledge about mechanisms,
effects, and monitoring for clinical decision-making.
• Incorrect B: Pharmacokinetics describes what the body
does to the drug (absorption, distribution, metabolism,
excretion), not its clinical use.
• Incorrect C: Pharmacogenetics focuses on how genetic
variation affects drug response, which is a subset of a
larger knowledge base.
• Incorrect D: Pharmacoeconomics deals with the cost-
effectiveness of drug therapy.
Teaching Point: Pharmacotherapeutics is the discipline of
using drugs for a specific therapeutic purpose.
4. Reference: Ch. 1, Section: The Prescribing Process
Question: During a follow-up visit for heart failure, an APN is
evaluating the effectiveness of a newly prescribed medication.
Which component of the SOAP note is most appropriate for the
APN to document this assessment?
A. Subjective
