Lehne’s Pharmacotherapeutics
for Advanced Practice Nurses
and Physician Assistants (2nd
Edition Rosenthal Test Bank)
Actual Exam Study Guide.
Graded A+. With Questions And
100% Verified Answers. Latest
2026 Update
Independent
Ch 1 Prescriptive Authority 2. Which factors increase the need for APRNs to
have full prescriptive authority?
a. More patients will have access to health care.
Ch 1 Prescriptive Authority 3. Which factors could be attributed to limited
prescriptive authority for APRNs? Select all that apply.
a. Inaccessibility of patient care
b. Higher health care costs
,Ch 1 Prescriptive Authority 4. Which aspects support the APRN's provision for
full prescriptive authority? Select all that apply
a. Clinical education includes prescription of medications and disease
processes.
c. National examinations provide validation of the APRN's ability to provide safe
care.
d. Licensure ensures compliance with health care and safety standards.
Ch 1 Prescriptive Authority 5. Which aspects support the APRN's provision for
full prescriptive authority? Select all that apply.
a. Clinical education includes prescription of medications and disease
processes.
c. National examinations provide validation of the APRN's ability to provide safe
care.
d. Licensure ensures compliance with health care and safety standards.
Ch 1 Prescriptive Authority 6. A family nurse practitioner practicing in Maine is
hired at a practice across state lines in Virginia. Which aspect of practice may
change for the APRN?
a. The APRN will have less prescriptive authority in the new position.
Ch 2 Rational Drug Selection and Prescription Writing 7. How can collaboration
with a pharmacist improve positive outcomes for patients? Select all that apply.
b. Pharmacists have additional information on drug interactions.
c. The pharmacist can suggest adequate medication dosing.
d. Pharmacists have firsthand knowledge of the facility formulary.
Ch 2 Rational Drug Selection and Prescription Writing 8. A patient presents with
delirium tremens requiring Ativan administration. The provider of care is not in
the facility. Which action by the nurse is most appropriate?
a. Obtain a telephone order.
Ch 2 Rational Drug Selection and Prescription Writing 9. A patient with chronic
pain calls the provider's office to request a refill on their oxycontin. Which
action is most appropriate?
,b. Schedule an appointment with the patient.
Ch 2 Rational Drug Selection and Prescription Writing 10. A patient prescribed
amoxicillin for streptococcal pharyngitis reports new onset of a flat, itchy red
rash on the chest and neck. Which action is most important?
b. Discontinue the medication.
Ch 2 Rational Drug Selection and Prescription Writing 11. A patient taking three
medications for hypertension is diagnosed with COPD. Which action should be
taken prior to prescribing medications to treat COPD?
b. Obtain a complete medication history.
Ch 2 Rational Drug Selection and Prescription Writing 12. A patient with
diabetes reports losing their job and an inability to purchase required
medications. Which action is most appropriate?
c. Contact a different pharmacy.
Ch 2 Rational Drug Selection and Prescription Writing 13. A patient recently
prescribed hydrocodone calls to report they are unable to fill the prescription.
Which factors could contribute to the inability to fill the prescription? Select all
that apply.
a. DEA number missing from prescription
b. Prescription sent via electronic messenger
d. Prescriber license number not included
Ch 3 Promoting Positive Outcomes of Drug Therapy 14. A patient reports that a
medication prescribed for recurrent migraine headaches is not working. Which
action should be taken first?
a. Ask the patient about the number and frequency of tablets taken.
Ch 3 Promoting Positive Outcomes of Drug Therapy 15. A patient is prescribed
metronidazole for bacterial vaginosis. Which patient history finding would be
most concerning?
c. Drinks two glasses of wine every night
Ch 3 Promoting Positive Outcomes of Drug Therapy 16. A patient is using a
metered-dose inhaler containing albuterol for asthma. The medication label
, instructs the patient to administer "two puffs every 4 hours as needed for
coughing or wheezing." The patient reports feeling jittery sometimes when
taking the medication, and she doesn't feel that the medication is always
effective. Which action is most appropriate?
c. Auscultating lung sounds and obtaining vital signs
Ch 3 Promoting Positive Outcomes of Drug Therapy 17. A patient newly
diagnosed with diabetes is to be discharged from the hospital. Which action
should be taken first during medication education?
a. Asking the patient to demonstrate how to measure and administer insulin
Ch 3 Promoting Positive Outcomes of Drug Therapy 18. The drug manual states
that older adult patients are at increased risk for hepatic side effects. Which
action is most important when prescribing this medication to an 80-year-old
patient?
a. Obtain pretreatment laboratory work.
Ch 3 Promoting Positive Outcomes of Drug Therapy 19. A patient recently
diagnosed with HIV is prescribed several medications to treat the condition.
Which factors could impact the patient's adherence to the treatment regimen?
Select all that apply.
a. The patient is uninsured
b. The patient works three part-time jobs
c. The medication regimen includes six different pills
e. Medication regimen requires medication be taken at regular 4-hour
intervals.
Ch 3 Promoting Positive Outcomes of Drug Therapy 20. A patient diagnosed
with bipolar disorder is prescribed daily lithium. Which action is most
important to determine if the therapeutic level is maintained?
c. Ensure periodic laboratory testing is completed.
Ch 4 Pharmacokinetics, Pharmacodynamics, and Drug Interactions 21. The
nurse administers naloxone [Narcan] to a patient who has received a toxic dose
of morphine sulfate. The nurse understands that the naloxone is effective
because of which action?
for Advanced Practice Nurses
and Physician Assistants (2nd
Edition Rosenthal Test Bank)
Actual Exam Study Guide.
Graded A+. With Questions And
100% Verified Answers. Latest
2026 Update
Independent
Ch 1 Prescriptive Authority 2. Which factors increase the need for APRNs to
have full prescriptive authority?
a. More patients will have access to health care.
Ch 1 Prescriptive Authority 3. Which factors could be attributed to limited
prescriptive authority for APRNs? Select all that apply.
a. Inaccessibility of patient care
b. Higher health care costs
,Ch 1 Prescriptive Authority 4. Which aspects support the APRN's provision for
full prescriptive authority? Select all that apply
a. Clinical education includes prescription of medications and disease
processes.
c. National examinations provide validation of the APRN's ability to provide safe
care.
d. Licensure ensures compliance with health care and safety standards.
Ch 1 Prescriptive Authority 5. Which aspects support the APRN's provision for
full prescriptive authority? Select all that apply.
a. Clinical education includes prescription of medications and disease
processes.
c. National examinations provide validation of the APRN's ability to provide safe
care.
d. Licensure ensures compliance with health care and safety standards.
Ch 1 Prescriptive Authority 6. A family nurse practitioner practicing in Maine is
hired at a practice across state lines in Virginia. Which aspect of practice may
change for the APRN?
a. The APRN will have less prescriptive authority in the new position.
Ch 2 Rational Drug Selection and Prescription Writing 7. How can collaboration
with a pharmacist improve positive outcomes for patients? Select all that apply.
b. Pharmacists have additional information on drug interactions.
c. The pharmacist can suggest adequate medication dosing.
d. Pharmacists have firsthand knowledge of the facility formulary.
Ch 2 Rational Drug Selection and Prescription Writing 8. A patient presents with
delirium tremens requiring Ativan administration. The provider of care is not in
the facility. Which action by the nurse is most appropriate?
a. Obtain a telephone order.
Ch 2 Rational Drug Selection and Prescription Writing 9. A patient with chronic
pain calls the provider's office to request a refill on their oxycontin. Which
action is most appropriate?
,b. Schedule an appointment with the patient.
Ch 2 Rational Drug Selection and Prescription Writing 10. A patient prescribed
amoxicillin for streptococcal pharyngitis reports new onset of a flat, itchy red
rash on the chest and neck. Which action is most important?
b. Discontinue the medication.
Ch 2 Rational Drug Selection and Prescription Writing 11. A patient taking three
medications for hypertension is diagnosed with COPD. Which action should be
taken prior to prescribing medications to treat COPD?
b. Obtain a complete medication history.
Ch 2 Rational Drug Selection and Prescription Writing 12. A patient with
diabetes reports losing their job and an inability to purchase required
medications. Which action is most appropriate?
c. Contact a different pharmacy.
Ch 2 Rational Drug Selection and Prescription Writing 13. A patient recently
prescribed hydrocodone calls to report they are unable to fill the prescription.
Which factors could contribute to the inability to fill the prescription? Select all
that apply.
a. DEA number missing from prescription
b. Prescription sent via electronic messenger
d. Prescriber license number not included
Ch 3 Promoting Positive Outcomes of Drug Therapy 14. A patient reports that a
medication prescribed for recurrent migraine headaches is not working. Which
action should be taken first?
a. Ask the patient about the number and frequency of tablets taken.
Ch 3 Promoting Positive Outcomes of Drug Therapy 15. A patient is prescribed
metronidazole for bacterial vaginosis. Which patient history finding would be
most concerning?
c. Drinks two glasses of wine every night
Ch 3 Promoting Positive Outcomes of Drug Therapy 16. A patient is using a
metered-dose inhaler containing albuterol for asthma. The medication label
, instructs the patient to administer "two puffs every 4 hours as needed for
coughing or wheezing." The patient reports feeling jittery sometimes when
taking the medication, and she doesn't feel that the medication is always
effective. Which action is most appropriate?
c. Auscultating lung sounds and obtaining vital signs
Ch 3 Promoting Positive Outcomes of Drug Therapy 17. A patient newly
diagnosed with diabetes is to be discharged from the hospital. Which action
should be taken first during medication education?
a. Asking the patient to demonstrate how to measure and administer insulin
Ch 3 Promoting Positive Outcomes of Drug Therapy 18. The drug manual states
that older adult patients are at increased risk for hepatic side effects. Which
action is most important when prescribing this medication to an 80-year-old
patient?
a. Obtain pretreatment laboratory work.
Ch 3 Promoting Positive Outcomes of Drug Therapy 19. A patient recently
diagnosed with HIV is prescribed several medications to treat the condition.
Which factors could impact the patient's adherence to the treatment regimen?
Select all that apply.
a. The patient is uninsured
b. The patient works three part-time jobs
c. The medication regimen includes six different pills
e. Medication regimen requires medication be taken at regular 4-hour
intervals.
Ch 3 Promoting Positive Outcomes of Drug Therapy 20. A patient diagnosed
with bipolar disorder is prescribed daily lithium. Which action is most
important to determine if the therapeutic level is maintained?
c. Ensure periodic laboratory testing is completed.
Ch 4 Pharmacokinetics, Pharmacodynamics, and Drug Interactions 21. The
nurse administers naloxone [Narcan] to a patient who has received a toxic dose
of morphine sulfate. The nurse understands that the naloxone is effective
because of which action?
