,Chapter 1: PrescriptiveAuthority tx tx tx
1. An APRN works in a urology clinic under the supervision of a physician wh
tx tx tx tx tx tx tx tx tx tx tx tx tx
o does not restrict the types of medications the APRN is allowed to prescribe.
tx tx tx tx tx tx tx tx tx tx tx tx tx
State law does not require the APRN to practice under physician supervision.
tx tx tx tx tx tx tx tx tx tx tx tx tx
How would the APRN’s prescriptive authority be described?
tx tx tx tx tx tx tx
a. Full authority tx
b. Independent
c. Without limitation tx
d. Limited authority tx
ANS: B tx
Rationale: The APRN has independent prescriptive authority because the reg tx tx tx tx tx tx tx tx tx
ulating body does not require that the APRN work under physician supervisio
tx tx tx tx tx tx tx tx tx tx tx
n. Full prescriptive authority gives the provider the right to prescribe independ
tx tx tx tx tx tx tx tx tx tx tx
ently and without limitation. Limited authority places restrictions on the types
tx tx tx tx tx tx tx tx tx tx t
of drugs that can be prescribed.
x tx tx tx tx tx
DIF: Cognitive Level: Comprehension tx tx tx
TOP: Nursing Process: Implementation tx tx tx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
tx tx tx tx tx tx tx tx
and Parenteral Therapies tx tx
2. Which factors increase the need for APRNs to have full prescriptive au
tx tx tx tx tx tx tx tx tx tx tx
thority?
a. More patients will have access to health care. tx tx tx tx tx tx tx
b. Enrollment in medical schools is predicted to decrease. tx tx tx tx tx tx tx
c. Physician’s assistants are being utilized less often. tx tx tx tx tx tx
d. APRN education is more complex than education for physicians. tx tx tx tx tx tx tx tx
ANS: A tx
Rationale: Implementation of the Affordable Care Act has increased the num tx tx tx tx tx tx tx tx tx tx
ber of individuals with health care coverage, thus increasing the number of pati
tx tx tx tx tx tx tx tx tx tx tx tx
ents who require access to health care services. The increase in patient numbers
tx tx tx tx tx tx tx tx tx tx tx tx tx
creates the need for more providers with prescriptive authority.
tx tx tx tx tx tx tx tx
APRNs can fill this practice gap. tx tx tx tx tx
DIF: Cognitive Level: Comprehension tx tx tx
TOP: Nursing Process: Implementation tx tx tx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
tx tx tx tx tx tx tx tx
and Parenteral Therapies tx tx
3. Which factors could be attributed to limited prescriptive authority for A
tx tx tx tx tx tx tx tx tx tx
PRNs? (Select all that apply) tx tx tx tx
a. Inaccessibility of patient care tx tx tx
b. Higher health care costs tx tx tx
, c. Higher quality medical treatment tx tx tx
d. Improved collaborative care tx tx
e. Enhanced health literacy tx tx
ANS: A, B tx tx
Rationale: Limiting prescriptive authority for APRNs can create barriers to qu
tx tx tx tx tx tx tx tx tx tx
ality, affordable, and accessible patient care. It may also lead to poor collaborat
tx tx tx tx tx tx tx tx tx tx tx tx
ion among providers and higher health care costs. Enhanced health literacy and
tx tx tx tx tx tx tx tx tx tx tx tx
improved collaborative care are not directly impacted by limited prescriptive a
tx tx tx tx tx tx tx tx tx tx
uthority.
DIF: Cognitive Level: Comprehension
tx tx tx
REF: p. 2 tx tx
TOP: Nursing Process: Implementation
tx tx tx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
tx tx tx tx tx tx tx tx
and Parenteral Therapies
tx tx
4. Which aspects support the APRN’s provision for full prescriptive authority? (S
tx tx tx tx tx tx tx tx tx tx
elect all that apply) tx tx tx
a. Clinical education includes prescription of medications and disease p
tx tx tx tx tx tx tx tx
rocesses.
b. Federal regulations support the provision of full authority for APRNs.
tx tx tx tx tx tx tx tx tx
c. National examinations provide validation of the APRN’s ability to provide sa
tx tx tx tx tx tx tx tx tx tx
fe care.
tx
d. Licensure ensures compliance with health care and safety standards. tx tx tx tx tx tx tx tx
e. Limiting provision can decrease health care affordability. tx tx tx tx tx tx
ANS: A, C, D tx tx tx
Rationale: APRNs are educated to practice and prescribe independently withtx tx tx tx tx tx tx tx tx
out supervision. National examinations validate their ability to provide safe an
tx tx tx tx tx tx tx tx tx tx
d competent care. Licensure ensures compliance with standards that promote
tx tx tx tx tx tx tx tx tx tx
public health and safety. Limited prescriptive authority creates barriers to qua
tx tx tx tx tx tx tx tx tx tx
lity, affordable, and accessible patient care.
tx tx tx tx tx
DIF: Cognitive Level: Comprehension
tx tx tx
REF: pp. 1-2 tx tx
TOP: Nursing Process: Implementation
tx tx tx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
tx tx tx tx tx tx tx tx
and Parenteral Therapies
tx tx
5. Which aspects support the APRN’s provision for full prescriptive authority? (S
tx tx tx tx tx tx tx tx tx tx
elect all that apply) tx tx tx
a. Clinical education includes prescription of medications and disease p
tx tx tx tx tx tx tx tx
rocesses.
b. Federal regulations support the provision of full authority for APRNs.
tx tx tx tx tx tx tx tx tx
c. National examinations provide validation of the APRN’s ability to provide
tx tx tx tx tx tx tx tx tx
, safe care. tx
d. Licensure ensures compliance with health care and safety standards. tx tx tx tx tx tx tx tx
ANS: A, C, D tx tx tx
Rationale: APRNs are educated to practice and prescribe independently with tx tx tx tx tx tx tx tx tx
out supervision. National examinations validate their ability to provide safe an
tx tx tx tx tx tx tx tx tx tx
d competent care. Licensure ensures compliance with standards to promote pu
tx tx tx tx tx tx tx tx tx tx
blic health and safety. Limited prescriptive authority creates barriers to qualit
tx tx tx tx tx tx tx tx tx tx
y, affordable, and accessible patient care.
tx tx tx tx tx
DIF: Cognitive Level: Comprehension
tx tx tx
TOP: Nursing Process: Implementation tx tx tx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
tx tx tx tx tx tx tx tx
and Parenteral Therapies
tx tx
6. What is the primary benefit of APRNs having full prescriptive authority?
tx tx tx tx tx tx tx tx tx tx
a. Increased job satisfaction tx tx
b. Improved patient outcomes tx tx
c. Decreased need for collaboration tx tx tx
d. Reduced medication costs tx tx
ANS: B tx
Rationale: Full prescriptive authority allows APRNs to make timely decision tx tx tx tx tx tx tx tx tx
s regarding patient care, leading to improved patient outcomes. While job sati
tx tx tx tx tx tx tx tx tx tx tx
sfaction and reduced medication costs may also be benefits, the primary focus
tx tx tx tx tx tx tx tx tx tx tx tx
is on patient outcomes.
tx tx tx
DIF: Cognitive Level: Comprehension
tx tx tx
TOP: Nursing Process: Implementation tx tx tx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
tx tx tx tx tx tx tx tx
and Parenteral Therapies
tx tx
7. Which of the following describes a challenge faced by APRNs seeking full pr
tx tx tx tx tx tx tx tx tx tx tx tx
escriptive authority? tx
a. Increased demand for primary care services tx tx tx tx tx
b. Variability in state regulations tx tx tx
c. Enhanced education programs tx tx
d. Collaboration with physicians tx tx
ANS: B tx
Rationale: Variability in state regulations can create challenges for APRNs s tx tx tx tx tx tx tx tx tx tx
eeking full prescriptive authority, as laws differ regarding what APRNs are all
tx tx tx tx tx tx tx tx tx tx tx
owed to prescribe and under what circumstances.
tx tx tx tx tx tx
DIF: Cognitive Level: Comprehension
tx tx tx
TOP: Nursing Process: Implementation tx tx tx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
tx tx tx tx tx tx tx tx
and Parenteral Therapies
tx tx
1. An APRN works in a urology clinic under the supervision of a physician wh
tx tx tx tx tx tx tx tx tx tx tx tx tx
o does not restrict the types of medications the APRN is allowed to prescribe.
tx tx tx tx tx tx tx tx tx tx tx tx tx
State law does not require the APRN to practice under physician supervision.
tx tx tx tx tx tx tx tx tx tx tx tx tx
How would the APRN’s prescriptive authority be described?
tx tx tx tx tx tx tx
a. Full authority tx
b. Independent
c. Without limitation tx
d. Limited authority tx
ANS: B tx
Rationale: The APRN has independent prescriptive authority because the reg tx tx tx tx tx tx tx tx tx
ulating body does not require that the APRN work under physician supervisio
tx tx tx tx tx tx tx tx tx tx tx
n. Full prescriptive authority gives the provider the right to prescribe independ
tx tx tx tx tx tx tx tx tx tx tx
ently and without limitation. Limited authority places restrictions on the types
tx tx tx tx tx tx tx tx tx tx t
of drugs that can be prescribed.
x tx tx tx tx tx
DIF: Cognitive Level: Comprehension tx tx tx
TOP: Nursing Process: Implementation tx tx tx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
tx tx tx tx tx tx tx tx
and Parenteral Therapies tx tx
2. Which factors increase the need for APRNs to have full prescriptive au
tx tx tx tx tx tx tx tx tx tx tx
thority?
a. More patients will have access to health care. tx tx tx tx tx tx tx
b. Enrollment in medical schools is predicted to decrease. tx tx tx tx tx tx tx
c. Physician’s assistants are being utilized less often. tx tx tx tx tx tx
d. APRN education is more complex than education for physicians. tx tx tx tx tx tx tx tx
ANS: A tx
Rationale: Implementation of the Affordable Care Act has increased the num tx tx tx tx tx tx tx tx tx tx
ber of individuals with health care coverage, thus increasing the number of pati
tx tx tx tx tx tx tx tx tx tx tx tx
ents who require access to health care services. The increase in patient numbers
tx tx tx tx tx tx tx tx tx tx tx tx tx
creates the need for more providers with prescriptive authority.
tx tx tx tx tx tx tx tx
APRNs can fill this practice gap. tx tx tx tx tx
DIF: Cognitive Level: Comprehension tx tx tx
TOP: Nursing Process: Implementation tx tx tx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
tx tx tx tx tx tx tx tx
and Parenteral Therapies tx tx
3. Which factors could be attributed to limited prescriptive authority for A
tx tx tx tx tx tx tx tx tx tx
PRNs? (Select all that apply) tx tx tx tx
a. Inaccessibility of patient care tx tx tx
b. Higher health care costs tx tx tx
, c. Higher quality medical treatment tx tx tx
d. Improved collaborative care tx tx
e. Enhanced health literacy tx tx
ANS: A, B tx tx
Rationale: Limiting prescriptive authority for APRNs can create barriers to qu
tx tx tx tx tx tx tx tx tx tx
ality, affordable, and accessible patient care. It may also lead to poor collaborat
tx tx tx tx tx tx tx tx tx tx tx tx
ion among providers and higher health care costs. Enhanced health literacy and
tx tx tx tx tx tx tx tx tx tx tx tx
improved collaborative care are not directly impacted by limited prescriptive a
tx tx tx tx tx tx tx tx tx tx
uthority.
DIF: Cognitive Level: Comprehension
tx tx tx
REF: p. 2 tx tx
TOP: Nursing Process: Implementation
tx tx tx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
tx tx tx tx tx tx tx tx
and Parenteral Therapies
tx tx
4. Which aspects support the APRN’s provision for full prescriptive authority? (S
tx tx tx tx tx tx tx tx tx tx
elect all that apply) tx tx tx
a. Clinical education includes prescription of medications and disease p
tx tx tx tx tx tx tx tx
rocesses.
b. Federal regulations support the provision of full authority for APRNs.
tx tx tx tx tx tx tx tx tx
c. National examinations provide validation of the APRN’s ability to provide sa
tx tx tx tx tx tx tx tx tx tx
fe care.
tx
d. Licensure ensures compliance with health care and safety standards. tx tx tx tx tx tx tx tx
e. Limiting provision can decrease health care affordability. tx tx tx tx tx tx
ANS: A, C, D tx tx tx
Rationale: APRNs are educated to practice and prescribe independently withtx tx tx tx tx tx tx tx tx
out supervision. National examinations validate their ability to provide safe an
tx tx tx tx tx tx tx tx tx tx
d competent care. Licensure ensures compliance with standards that promote
tx tx tx tx tx tx tx tx tx tx
public health and safety. Limited prescriptive authority creates barriers to qua
tx tx tx tx tx tx tx tx tx tx
lity, affordable, and accessible patient care.
tx tx tx tx tx
DIF: Cognitive Level: Comprehension
tx tx tx
REF: pp. 1-2 tx tx
TOP: Nursing Process: Implementation
tx tx tx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
tx tx tx tx tx tx tx tx
and Parenteral Therapies
tx tx
5. Which aspects support the APRN’s provision for full prescriptive authority? (S
tx tx tx tx tx tx tx tx tx tx
elect all that apply) tx tx tx
a. Clinical education includes prescription of medications and disease p
tx tx tx tx tx tx tx tx
rocesses.
b. Federal regulations support the provision of full authority for APRNs.
tx tx tx tx tx tx tx tx tx
c. National examinations provide validation of the APRN’s ability to provide
tx tx tx tx tx tx tx tx tx
, safe care. tx
d. Licensure ensures compliance with health care and safety standards. tx tx tx tx tx tx tx tx
ANS: A, C, D tx tx tx
Rationale: APRNs are educated to practice and prescribe independently with tx tx tx tx tx tx tx tx tx
out supervision. National examinations validate their ability to provide safe an
tx tx tx tx tx tx tx tx tx tx
d competent care. Licensure ensures compliance with standards to promote pu
tx tx tx tx tx tx tx tx tx tx
blic health and safety. Limited prescriptive authority creates barriers to qualit
tx tx tx tx tx tx tx tx tx tx
y, affordable, and accessible patient care.
tx tx tx tx tx
DIF: Cognitive Level: Comprehension
tx tx tx
TOP: Nursing Process: Implementation tx tx tx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
tx tx tx tx tx tx tx tx
and Parenteral Therapies
tx tx
6. What is the primary benefit of APRNs having full prescriptive authority?
tx tx tx tx tx tx tx tx tx tx
a. Increased job satisfaction tx tx
b. Improved patient outcomes tx tx
c. Decreased need for collaboration tx tx tx
d. Reduced medication costs tx tx
ANS: B tx
Rationale: Full prescriptive authority allows APRNs to make timely decision tx tx tx tx tx tx tx tx tx
s regarding patient care, leading to improved patient outcomes. While job sati
tx tx tx tx tx tx tx tx tx tx tx
sfaction and reduced medication costs may also be benefits, the primary focus
tx tx tx tx tx tx tx tx tx tx tx tx
is on patient outcomes.
tx tx tx
DIF: Cognitive Level: Comprehension
tx tx tx
TOP: Nursing Process: Implementation tx tx tx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
tx tx tx tx tx tx tx tx
and Parenteral Therapies
tx tx
7. Which of the following describes a challenge faced by APRNs seeking full pr
tx tx tx tx tx tx tx tx tx tx tx tx
escriptive authority? tx
a. Increased demand for primary care services tx tx tx tx tx
b. Variability in state regulations tx tx tx
c. Enhanced education programs tx tx
d. Collaboration with physicians tx tx
ANS: B tx
Rationale: Variability in state regulations can create challenges for APRNs s tx tx tx tx tx tx tx tx tx tx
eeking full prescriptive authority, as laws differ regarding what APRNs are all
tx tx tx tx tx tx tx tx tx tx tx
owed to prescribe and under what circumstances.
tx tx tx tx tx tx
DIF: Cognitive Level: Comprehension
tx tx tx
TOP: Nursing Process: Implementation tx tx tx
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
tx tx tx tx tx tx tx tx
and Parenteral Therapies
tx tx
