Pharmacotherapeutics for Advanced Practice
Nurse Prescribers with Davis Edge
6th Edition
NCLEX/HESI-Style Questions
Question 1
Reference: Ch. 1, Section: Core Competencies of the Prescriber
Question Stem: A nurse practitioner is conducting an initial visit
for a patient with hypertension. The provider selects a thiazide
diuretic based on the patient's profile and current clinical
guidelines. This decision best demonstrates which core
competency of the advanced practice nurse prescriber?
Options:
A) Building a therapeutic relationship
B) Diagnostic reasoning
C) Therapeutic reasoning
D) Patient education
Correct Answer: C
Rationales:
Correct: Therapeutic reasoning involves the process of selecting
an appropriate treatment, such as a medication, based on the
patient's condition, evidence, and guidelines.
Incorrect A: While a good relationship is foundational, this
choice specifically describes a treatment selection action.
,Incorrect B: Diagnostic reasoning pertains to identifying the
patient's health problem, which has already been established as
hypertension.
Incorrect D: Patient education is a critical subsequent step, but
it occurs after the treatment decision has been made.
Teaching Point: Therapeutic reasoning focuses on the rational
selection of drug therapy.
Citation: Pharmacotherapeutics for Advanced Practice Nurse
Prescribers (6th ed.) by Woo & Wright.
Question 2
Reference: Ch. 1, Section: Legal and Ethical Foundations for
Prescribing
Question Stem: An experienced nurse practitioner prescribes a
medication for an off-label use that is supported by strong
clinical evidence. What is the primary legal standard that will be
applied to this prescribing decision?
Options:
A) Whether the drug manufacturer has approved this specific
use
B) The standard of care a reasonable prescriber would follow
C) Institutional policy where the prescriber is employed
D) The personal preference of the patient
Correct Answer: B
Rationales:
Correct: Prescribers are held to a legal "standard of care," which
is based on what a reasonable and prudent practitioner with
,similar training would do in a similar situation, not solely on
FDA-approved labels.
Incorrect A: FDA-approved labeling is important, but off-label
use is legal and common when supported by evidence.
Incorrect C: Institutional policy must itself conform to the
broader legal standard of care.
Incorrect D: Patient preference must be considered in shared
decision-making but does not set the legal standard for the
prescription's appropriateness.
Teaching Point: The legal standard for prescribing is based on
actions of a reasonable prescriber.
Citation: Pharmacotherapeutics for Advanced Practice Nurse
Prescribers (6th ed.) by Woo & Wright.
Question 3
Reference: Ch. 1, Section: The Prescribing Process
Question Stem: When initiating a new medication, an advanced
practice nurse ensures the patient understands the drug's
purpose, potential side effects, and what to do if they occur.
This action is most critical for achieving which outcome?
Options:
A) Reducing drug acquisition cost
B) Promoting patient adherence and safety
C) Streamlining the prescription renewal process
D) Fulfilling manufacturer's medication guide requirements
Correct Answer: B
Rationales:
, Correct: Comprehensive patient education directly addresses
adherence and safety by empowering the patient to manage
their therapy and recognize potential problems.
Incorrect A: Education does not directly affect the drug's cost.
Incorrect C: While education may help with renewals, this is not
its primary purpose.
Incorrect D: Providing a medication guide is a regulatory
requirement, but the described in-depth conversation goes
beyond this to achieve therapeutic goals.
Teaching Point: Effective patient education is a cornerstone of
safe and effective pharmacotherapy.
Citation: Pharmacotherapeutics for Advanced Practice Nurse
Prescribers (6th ed.) by Woo & Wright.
How to Develop More Questions
Since the specific chapter content isn't available through the
search results, here are suggestions for accessing the necessary
information:
Review Chapter 1 Thoroughly: Carefully read the chapter,
paying close attention to definitions, key concepts, and any "key
point" boxes.
Use Supplementary Materials: If your textbook includes Davis
Edge, the associated online case studies and quizzes are an
excellent resource for understanding how the book's concepts
are applied and assessed.
Nurse Prescribers with Davis Edge
6th Edition
NCLEX/HESI-Style Questions
Question 1
Reference: Ch. 1, Section: Core Competencies of the Prescriber
Question Stem: A nurse practitioner is conducting an initial visit
for a patient with hypertension. The provider selects a thiazide
diuretic based on the patient's profile and current clinical
guidelines. This decision best demonstrates which core
competency of the advanced practice nurse prescriber?
Options:
A) Building a therapeutic relationship
B) Diagnostic reasoning
C) Therapeutic reasoning
D) Patient education
Correct Answer: C
Rationales:
Correct: Therapeutic reasoning involves the process of selecting
an appropriate treatment, such as a medication, based on the
patient's condition, evidence, and guidelines.
Incorrect A: While a good relationship is foundational, this
choice specifically describes a treatment selection action.
,Incorrect B: Diagnostic reasoning pertains to identifying the
patient's health problem, which has already been established as
hypertension.
Incorrect D: Patient education is a critical subsequent step, but
it occurs after the treatment decision has been made.
Teaching Point: Therapeutic reasoning focuses on the rational
selection of drug therapy.
Citation: Pharmacotherapeutics for Advanced Practice Nurse
Prescribers (6th ed.) by Woo & Wright.
Question 2
Reference: Ch. 1, Section: Legal and Ethical Foundations for
Prescribing
Question Stem: An experienced nurse practitioner prescribes a
medication for an off-label use that is supported by strong
clinical evidence. What is the primary legal standard that will be
applied to this prescribing decision?
Options:
A) Whether the drug manufacturer has approved this specific
use
B) The standard of care a reasonable prescriber would follow
C) Institutional policy where the prescriber is employed
D) The personal preference of the patient
Correct Answer: B
Rationales:
Correct: Prescribers are held to a legal "standard of care," which
is based on what a reasonable and prudent practitioner with
,similar training would do in a similar situation, not solely on
FDA-approved labels.
Incorrect A: FDA-approved labeling is important, but off-label
use is legal and common when supported by evidence.
Incorrect C: Institutional policy must itself conform to the
broader legal standard of care.
Incorrect D: Patient preference must be considered in shared
decision-making but does not set the legal standard for the
prescription's appropriateness.
Teaching Point: The legal standard for prescribing is based on
actions of a reasonable prescriber.
Citation: Pharmacotherapeutics for Advanced Practice Nurse
Prescribers (6th ed.) by Woo & Wright.
Question 3
Reference: Ch. 1, Section: The Prescribing Process
Question Stem: When initiating a new medication, an advanced
practice nurse ensures the patient understands the drug's
purpose, potential side effects, and what to do if they occur.
This action is most critical for achieving which outcome?
Options:
A) Reducing drug acquisition cost
B) Promoting patient adherence and safety
C) Streamlining the prescription renewal process
D) Fulfilling manufacturer's medication guide requirements
Correct Answer: B
Rationales:
, Correct: Comprehensive patient education directly addresses
adherence and safety by empowering the patient to manage
their therapy and recognize potential problems.
Incorrect A: Education does not directly affect the drug's cost.
Incorrect C: While education may help with renewals, this is not
its primary purpose.
Incorrect D: Providing a medication guide is a regulatory
requirement, but the described in-depth conversation goes
beyond this to achieve therapeutic goals.
Teaching Point: Effective patient education is a cornerstone of
safe and effective pharmacotherapy.
Citation: Pharmacotherapeutics for Advanced Practice Nurse
Prescribers (6th ed.) by Woo & Wright.
How to Develop More Questions
Since the specific chapter content isn't available through the
search results, here are suggestions for accessing the necessary
information:
Review Chapter 1 Thoroughly: Carefully read the chapter,
paying close attention to definitions, key concepts, and any "key
point" boxes.
Use Supplementary Materials: If your textbook includes Davis
Edge, the associated online case studies and quizzes are an
excellent resource for understanding how the book's concepts
are applied and assessed.
