TESTBANK
b
,Chapter1:Prescriptive Authority Test Bank
b b b b b
Multiple Choices b
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict the
b b b b b b b b b b b b b b b b b
types of medications the APRN is allowed to prescribe. State law does not require the APRN to
b b b b b b b b b b b b b b b b b
practice under physician supervision. How would the APRN’s prescriptive authority be
b b b b b b b b b b b
described? b
a. Full authority b
b. Independent
c. Without limitation b
d. Limited authority b
ANS: B b
The APRN has independent prescriptive authority because the regulating body does not require that
b b b b b b b b b b b b b
the APRN work under physician supervision. Full prescriptive authority gives the provider the right
b b b b b b b b b b b b b b
to prescribe independently and without limitation. Limited authority places restrictions on the types
b b b b b b b b b b b b b
of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing
b b b b b b b b b b b b
Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
b b b b b b b b b b b
Parenteral Therapies
b b
2. Which factors increase the need for APRNs to have full prescriptive authority?
b b b b b b b b b b b
a. More patients will have access to health care.
b b b b b b b
b. Enrollment inmedical schools ispredicted to decrease. b b b b b b b
c. Physician’s assistants are beingutilized less often. b b b b b b
d. APRN education is more complex than education for physicians.
b b b b b b b b
ANS: A b
Implementation of the Affordable Care Act has increased the number of individuals with health care
b b b b b b b b b b b b b b
coverage, and thus the number who have access to health care services. The increase in the number of
b b b b b b b b b b b b b b b b b b
patients creates the need for more providers with prescriptive authority. APRNs can fill this practice
b b b b b b b b b b b b b b b
gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC:
b b b b b b b b b b
NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
b b b b b b b b b b
3. Whichfactors could beattributed tolimited prescriptive authority for APRNs?
b b b b b b b b b b
Select all that apply.
b b b b
, a. Inaccessibility of patient care b b b
b. Higher health care costs b b b
c. Higher quality medical treatment b b b
d. Improved collaborative care b b
e. Enhanced health literacy b b
ANS: A , B b b b
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
b b b b b b b b b b b b
patient care. It may also lead to poor collaboration among providers and higher health care costs. It
b b b b b b b b b b b b b b b b b
would not directly impact patient’s health literacy.DIF: Cognitive Level: ComprehensionREF:
b b b b b b b b b b
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
b b b b b b b b b b
Integrity: Pharmacologic and Parenteral Therapies
b b b b b
4. Whichaspects supporttheAPRN’s provision for fullprescriptiveauthority?
b b b b b b b b b
Select all that apply.
b b b b
a. Clinical education includes prescription of medications and diseaseprocesses.
b b b b b b b b
b. Federal regulations support the provision of full authority forAPRNs.
b b b b b b b b b
c. National examinations provide validation of the APRN’s ability to provide safecare.
b b b b b b b b b b
d. Licensure ensures compliance with health care and safetystandards. b b b b b b b
e. Limiting provision can decrease health care affordability. b b b b b b
ANS: A , C , D b b b b b
APRNs are educated to practice and prescribe independently without supervision. National
b b b b b b b b b b
examinations validate the ability to provide safe and competent care. Licensure ensures compliance
b b b b b b b b b b b b b
with standards to promote public health and safety. Limited prescriptive authority creates numerous
b b b b b b b b b b b b b
barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level: ComprehensionREF:
b b b b b b b b b b b
pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
b b b b b b b b b b b
Integrity: Pharmacologic and Parenteral Therapies
b b b b b
5. Whichaspects supporttheAPRN’s provision for fullprescriptiveauthority?
b b b b b b b b b
Select all that apply.
b b b b
a. Clinical education includes prescription of medications and diseaseprocesses.
b b b b b b b b
b. Federal regulations support the provision of full authority forAPRNs.
b b b b b b b b b
c. National examinations provide validation of the APRN’s ability to provide safecare.
b b b b b b b b b b
d. Licensure ensures compliance with health care and safetystandards. b b b b b b b b
ANS: A , C , D b b b b b
APRNs are educated to practice and prescribe independently without supervision. National
b b b b b b b b b b
examinations validate the ability to provide safe and competent care. Licensure ensures compliance
b b b b b b b b b b b b b
with standards to promote public health and safety. Limited prescriptive authority creates numerous
b b b b b b b b b b b b b
barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
b b b b b b b b b b
, ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC:NCLEXClient b b b b b b b
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
b b b b b b b b
6. Afamily nurse practitioner practicing inMaine is hired at apractice across state lines in
b b b b b b b b b b b b b b b
Virginia. Which aspect of practice may change for the APRN?
b b b b b b b b b b
a. The APRN will have lessprescriptive authority in the new position.
b b b b b b b b b b
b. The APRN will have more prescriptive authority inthe newposition.
b b b b b b b b b b
c. The APRN will have equal prescriptive authority inthe newposition.
b b b b b b b b b
d. The APRN’s authority will depend on federalregulations.
b b b b b b
ANS: A b
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
b b b b b b b b b b b b
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
b b b b b b b b b b
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
b b b b b b b b b b
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
b b b b b b b b
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed. Chapter
b b b b b b b b b
2: Rational Drug Selection and Prescription Writing
b b b b b b b
Test Bank b
MultipleChoice
b b
7. Howcan collaboration with apharmacist improvepositiveoutcomes for patients?
b b b b b b b b b b
Select all that apply.
b b b b
a. Pharmacists can suggest foods that will help with the patient’s condition. b b b b b b b b b b
b. Pharmacists have additional information on drug interactions. b b b b b b
c. The pharmacist can suggest adequate medication dosing.
b b b b b b
d. Pharmacists have firsthand knowledge of the facility formulary. b b b b b b b
e. Pharmacy can alter prescriptions when necessary to prevent patient harm. b b b b b b b b b
ANS: B , C , D b b b b b
Providers should collaborate with pharmacists because they will likely have additional information on
b b b b b b b b b b b b
formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can make
b b b b b b b b b b b b
foods recommendations to treat the patient’s condition. The pharmacist can contact the prescriber
b b b b b b b b b b b b b
about questionable prescriptions, but cannot alter the prescription without notification of and
b b b b b b b b b b b b
approval by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing Process:
b b b b b b b b b b b
Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
b b b b b b b b b b b b
b
,Chapter1:Prescriptive Authority Test Bank
b b b b b
Multiple Choices b
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict the
b b b b b b b b b b b b b b b b b
types of medications the APRN is allowed to prescribe. State law does not require the APRN to
b b b b b b b b b b b b b b b b b
practice under physician supervision. How would the APRN’s prescriptive authority be
b b b b b b b b b b b
described? b
a. Full authority b
b. Independent
c. Without limitation b
d. Limited authority b
ANS: B b
The APRN has independent prescriptive authority because the regulating body does not require that
b b b b b b b b b b b b b
the APRN work under physician supervision. Full prescriptive authority gives the provider the right
b b b b b b b b b b b b b b
to prescribe independently and without limitation. Limited authority places restrictions on the types
b b b b b b b b b b b b b
of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing
b b b b b b b b b b b b
Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
b b b b b b b b b b b
Parenteral Therapies
b b
2. Which factors increase the need for APRNs to have full prescriptive authority?
b b b b b b b b b b b
a. More patients will have access to health care.
b b b b b b b
b. Enrollment inmedical schools ispredicted to decrease. b b b b b b b
c. Physician’s assistants are beingutilized less often. b b b b b b
d. APRN education is more complex than education for physicians.
b b b b b b b b
ANS: A b
Implementation of the Affordable Care Act has increased the number of individuals with health care
b b b b b b b b b b b b b b
coverage, and thus the number who have access to health care services. The increase in the number of
b b b b b b b b b b b b b b b b b b
patients creates the need for more providers with prescriptive authority. APRNs can fill this practice
b b b b b b b b b b b b b b b
gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC:
b b b b b b b b b b
NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
b b b b b b b b b b
3. Whichfactors could beattributed tolimited prescriptive authority for APRNs?
b b b b b b b b b b
Select all that apply.
b b b b
, a. Inaccessibility of patient care b b b
b. Higher health care costs b b b
c. Higher quality medical treatment b b b
d. Improved collaborative care b b
e. Enhanced health literacy b b
ANS: A , B b b b
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
b b b b b b b b b b b b
patient care. It may also lead to poor collaboration among providers and higher health care costs. It
b b b b b b b b b b b b b b b b b
would not directly impact patient’s health literacy.DIF: Cognitive Level: ComprehensionREF:
b b b b b b b b b b
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
b b b b b b b b b b
Integrity: Pharmacologic and Parenteral Therapies
b b b b b
4. Whichaspects supporttheAPRN’s provision for fullprescriptiveauthority?
b b b b b b b b b
Select all that apply.
b b b b
a. Clinical education includes prescription of medications and diseaseprocesses.
b b b b b b b b
b. Federal regulations support the provision of full authority forAPRNs.
b b b b b b b b b
c. National examinations provide validation of the APRN’s ability to provide safecare.
b b b b b b b b b b
d. Licensure ensures compliance with health care and safetystandards. b b b b b b b
e. Limiting provision can decrease health care affordability. b b b b b b
ANS: A , C , D b b b b b
APRNs are educated to practice and prescribe independently without supervision. National
b b b b b b b b b b
examinations validate the ability to provide safe and competent care. Licensure ensures compliance
b b b b b b b b b b b b b
with standards to promote public health and safety. Limited prescriptive authority creates numerous
b b b b b b b b b b b b b
barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level: ComprehensionREF:
b b b b b b b b b b b
pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
b b b b b b b b b b b
Integrity: Pharmacologic and Parenteral Therapies
b b b b b
5. Whichaspects supporttheAPRN’s provision for fullprescriptiveauthority?
b b b b b b b b b
Select all that apply.
b b b b
a. Clinical education includes prescription of medications and diseaseprocesses.
b b b b b b b b
b. Federal regulations support the provision of full authority forAPRNs.
b b b b b b b b b
c. National examinations provide validation of the APRN’s ability to provide safecare.
b b b b b b b b b b
d. Licensure ensures compliance with health care and safetystandards. b b b b b b b b
ANS: A , C , D b b b b b
APRNs are educated to practice and prescribe independently without supervision. National
b b b b b b b b b b
examinations validate the ability to provide safe and competent care. Licensure ensures compliance
b b b b b b b b b b b b b
with standards to promote public health and safety. Limited prescriptive authority creates numerous
b b b b b b b b b b b b b
barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
b b b b b b b b b b
, ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC:NCLEXClient b b b b b b b
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
b b b b b b b b
6. Afamily nurse practitioner practicing inMaine is hired at apractice across state lines in
b b b b b b b b b b b b b b b
Virginia. Which aspect of practice may change for the APRN?
b b b b b b b b b b
a. The APRN will have lessprescriptive authority in the new position.
b b b b b b b b b b
b. The APRN will have more prescriptive authority inthe newposition.
b b b b b b b b b b
c. The APRN will have equal prescriptive authority inthe newposition.
b b b b b b b b b
d. The APRN’s authority will depend on federalregulations.
b b b b b b
ANS: A b
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
b b b b b b b b b b b b
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
b b b b b b b b b b
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
b b b b b b b b b b
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
b b b b b b b b
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed. Chapter
b b b b b b b b b
2: Rational Drug Selection and Prescription Writing
b b b b b b b
Test Bank b
MultipleChoice
b b
7. Howcan collaboration with apharmacist improvepositiveoutcomes for patients?
b b b b b b b b b b
Select all that apply.
b b b b
a. Pharmacists can suggest foods that will help with the patient’s condition. b b b b b b b b b b
b. Pharmacists have additional information on drug interactions. b b b b b b
c. The pharmacist can suggest adequate medication dosing.
b b b b b b
d. Pharmacists have firsthand knowledge of the facility formulary. b b b b b b b
e. Pharmacy can alter prescriptions when necessary to prevent patient harm. b b b b b b b b b
ANS: B , C , D b b b b b
Providers should collaborate with pharmacists because they will likely have additional information on
b b b b b b b b b b b b
formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can make
b b b b b b b b b b b b
foods recommendations to treat the patient’s condition. The pharmacist can contact the prescriber
b b b b b b b b b b b b b
about questionable prescriptions, but cannot alter the prescription without notification of and
b b b b b b b b b b b b
approval by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing Process:
b b b b b b b b b b b
Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
b b b b b b b b b b b b
