Advanced Pharmacology Set One
Study online at https://quizlet.com/_bw8zmv
1. Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers,
1st Ed. Chapter 1: Prescriptive Authority
1. An APRN works in a urology clinic under the supervision of a physician who
does not restrict the types of medications the APRN is allowed to prescribe.
State law does not require the APRN to practice under physician supervision.
How would the APRN's prescriptive authority be described?
A Full authority
B Independent
C Without limitation
D Limited authority: ANS: B
The APRN has independent prescriptive authority because the regulating body does not require that the APRN work
under physician supervision. Full prescriptive authority gives the provider the right to prescribe independently and
without limitation. Limited authority places restrictions on the types of drugs that can be prescribed.DIF: Cognitive
Level: ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity:
Pharmacologic and Parenteral Therapies
2. 2. Which factors increase the need for APRNs to have full prescriptive author-
ity?
a. More patients will have access to health care.
b. Enrollment in medical schools is predicted to decrease.
c. Physician's assistants are being utilized less often.
d. APRN education is more complex than education for physicians.: ANS: A
Implementation of the Affordable Care Act has increased the number of individuals with health care coverage, and
thus the number who have access to health care services. The increase in the number of patients creates the need for
more providers with prescriptive authority. APRNs can fill this practice gap.DIF: Cognitive Level: ComprehensionREF: p.
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
Parenteral Therapies
3. Which factors could be attributed to limited prescriptive authority for APRNs?
Select all that apply.
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A. Inaccessibility of patient care
B. Higher health care costs
, Advanced Pharmacology Set One
Study online at https://quizlet.com/_bw8zmv
C . Higher quality medical treatment
D. Improved collaborative care
E. Enhanced health literacy: ANS: A,B
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible patient care. It may
also lead to poor collaboration among providers and higher health care costs. It would not directly impact patient's
health literacy.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
4. 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 process-
es.
B. Federal regulations support the provision of full authority for APRNs.
C. National examinations provide validation of the APRN's ability to provide safe
care.
D. Licensure ensures compliance with health care and safety standards.
E. Limiting provision can decrease health care affordability.: ANS: A,C,D
APRNs are educated to practice and prescribe independently without supervision. National examinations validate the
ability to provide safe and competent care. Licensure ensures compliance with standards to promote public health and
safety. Limited prescriptive authority creates numerous barriers to quality, affordable, and accessible patient care.DIF:
Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC:
5. 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.
B. The APRN will have more prescriptive authority in the new position.
C. The APRN will have equal prescriptive authority in the new position.
D. The APRN's authority will depend on federal regulations.: ANS: A
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse practitioners. The
federal government does not regulate prescriptive authority.DIF: Cognitive Level: ComprehensionREF: p. 3TOP: Nursing
Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral
Therapies
6. Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers,
1st Ed. Chapter 2: Rational Drug Selection
, Advanced Pharmacology Set One
Study online at https://quizlet.com/_bw8zmv
7. How can collaboration with a pharmacist improve positive outcomes for
patients? Select all that apply.
A. Pharmacists can suggest foods that will help with the patient's condition.
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.
E. Pharmacy can alter prescriptions when necessary to prevent patient harm.-
: ANS: B,C,D
Providers should collaborate with pharmacists because they will likely have additional information on formulary, drug
interactions, and suggestions for adequate medication dosing. Dietitians can make foods recommendations to treat
the patient's condition. The pharmacist can contact the prescriber about questionable prescriptions, but cannot alter
the prescription without notification of and approval by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP:
Nursing Process: Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
7. A patient presents with delirium tremens requiring Ativan administration.
The provider of care is not the facility. Which action by the nurse is the most
appropriate?
A. Obtain a telephone order.
B. Contact the on-call hospitalist.
C. Obtain an order from the charge nurse.
D. Wait for a written Ativan order.: ANS: A
In an emergency situation, such as delirium tremens with seizure activity, it is acceptable to provide a telephone order.
Contacting the on-call hospitalist or waiting for a written order would take more time than available for a patient
with high seizure risk. Writing an order is outside the scope of practice for the charge nurse.DIF: Cognitive Level:
ApplicationREF: p. 7TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity:
Reduction of Risk Potential
8. 9. A patient with chronic pain calls the provider's office to request a refill on
their oxycontin. Which action is most appropriate?
A. Fax an order to the pharmacy.
B. Schedule an appointment with the patient.
C. Verify the patient's adherence to drug regimen.
D. Determine the patient's current medication dosage.: ANS: B
, Advanced Pharmacology Set One
Study online at https://quizlet.com/_bw8zmv
Schedule II medications are not eligible for refills, and prescriptions must be handwritten. It is important to verify
the patient's adherence to the drug regimen and determine the current dosage of medication; however, this can be
accomplished by scheduling an appointment and evaluating the patient in person.DIF: Cognitive Level: ApplicationREF:
p. 8TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk
Potential
9. 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?
A. Provide a different prescription.
B. Discontinue the medication.
C. Prescribe an antihistamine cream.
D. Assess for respiratory compromise.: ANS: B
The priority action is to discontinue the medication to prevent worsening of the patient's symptoms. A different
prescription would be provided, topical antihistamine may be administered, and the patient would be assessed for
respiratory involvement, but these actions would not be performed first.DIF: Cognitive Level: ApplicationREF: p. 6TOP:
Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
10. 11. A patient taking three medications for hypertension is diagnosed with
COPD. Which action should be taken prior to prescribing medications to treat
COPD?
A. Obtain baseline laboratory values.
B. Obtain a complete medication history.
C. Assess liver enzyme levels.
D. Determine if patient has insurance coverage.: ANS: B
Prior to adding medications to the treatment regimen, it is essential to assess for any potential drug- drug interactions
through a complete medical history. Baseline laboratory values are not necessary for COPD treatment. Liver enzyme
levels may give insight into the possibility of altered metabolism but would not be the first action. The presence
of insurance coverage would affect the patient's access to treatment but may not affect the type of medication
prescribed.DIF: Cognitive Level: ApplicationREF: p. 6TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
Category: Physiologic Integrity: Reduction of Risk Potential
11. 12. A patient with diabetes reports losing their job and an inability to pur-
chase required medications. Which action is most appropriate?
A. Provide a 7-day sample pack.
Study online at https://quizlet.com/_bw8zmv
1. Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers,
1st Ed. Chapter 1: Prescriptive Authority
1. An APRN works in a urology clinic under the supervision of a physician who
does not restrict the types of medications the APRN is allowed to prescribe.
State law does not require the APRN to practice under physician supervision.
How would the APRN's prescriptive authority be described?
A Full authority
B Independent
C Without limitation
D Limited authority: ANS: B
The APRN has independent prescriptive authority because the regulating body does not require that the APRN work
under physician supervision. Full prescriptive authority gives the provider the right to prescribe independently and
without limitation. Limited authority places restrictions on the types of drugs that can be prescribed.DIF: Cognitive
Level: ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity:
Pharmacologic and Parenteral Therapies
2. 2. Which factors increase the need for APRNs to have full prescriptive author-
ity?
a. More patients will have access to health care.
b. Enrollment in medical schools is predicted to decrease.
c. Physician's assistants are being utilized less often.
d. APRN education is more complex than education for physicians.: ANS: A
Implementation of the Affordable Care Act has increased the number of individuals with health care coverage, and
thus the number who have access to health care services. The increase in the number of patients creates the need for
more providers with prescriptive authority. APRNs can fill this practice gap.DIF: Cognitive Level: ComprehensionREF: p.
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
Parenteral Therapies
3. Which factors could be attributed to limited prescriptive authority for APRNs?
Select all that apply.
www.testbanktank.com
A. Inaccessibility of patient care
B. Higher health care costs
, Advanced Pharmacology Set One
Study online at https://quizlet.com/_bw8zmv
C . Higher quality medical treatment
D. Improved collaborative care
E. Enhanced health literacy: ANS: A,B
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible patient care. It may
also lead to poor collaboration among providers and higher health care costs. It would not directly impact patient's
health literacy.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
4. 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 process-
es.
B. Federal regulations support the provision of full authority for APRNs.
C. National examinations provide validation of the APRN's ability to provide safe
care.
D. Licensure ensures compliance with health care and safety standards.
E. Limiting provision can decrease health care affordability.: ANS: A,C,D
APRNs are educated to practice and prescribe independently without supervision. National examinations validate the
ability to provide safe and competent care. Licensure ensures compliance with standards to promote public health and
safety. Limited prescriptive authority creates numerous barriers to quality, affordable, and accessible patient care.DIF:
Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC:
5. 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.
B. The APRN will have more prescriptive authority in the new position.
C. The APRN will have equal prescriptive authority in the new position.
D. The APRN's authority will depend on federal regulations.: ANS: A
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse practitioners. The
federal government does not regulate prescriptive authority.DIF: Cognitive Level: ComprehensionREF: p. 3TOP: Nursing
Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral
Therapies
6. Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers,
1st Ed. Chapter 2: Rational Drug Selection
, Advanced Pharmacology Set One
Study online at https://quizlet.com/_bw8zmv
7. How can collaboration with a pharmacist improve positive outcomes for
patients? Select all that apply.
A. Pharmacists can suggest foods that will help with the patient's condition.
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.
E. Pharmacy can alter prescriptions when necessary to prevent patient harm.-
: ANS: B,C,D
Providers should collaborate with pharmacists because they will likely have additional information on formulary, drug
interactions, and suggestions for adequate medication dosing. Dietitians can make foods recommendations to treat
the patient's condition. The pharmacist can contact the prescriber about questionable prescriptions, but cannot alter
the prescription without notification of and approval by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP:
Nursing Process: Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
7. A patient presents with delirium tremens requiring Ativan administration.
The provider of care is not the facility. Which action by the nurse is the most
appropriate?
A. Obtain a telephone order.
B. Contact the on-call hospitalist.
C. Obtain an order from the charge nurse.
D. Wait for a written Ativan order.: ANS: A
In an emergency situation, such as delirium tremens with seizure activity, it is acceptable to provide a telephone order.
Contacting the on-call hospitalist or waiting for a written order would take more time than available for a patient
with high seizure risk. Writing an order is outside the scope of practice for the charge nurse.DIF: Cognitive Level:
ApplicationREF: p. 7TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity:
Reduction of Risk Potential
8. 9. A patient with chronic pain calls the provider's office to request a refill on
their oxycontin. Which action is most appropriate?
A. Fax an order to the pharmacy.
B. Schedule an appointment with the patient.
C. Verify the patient's adherence to drug regimen.
D. Determine the patient's current medication dosage.: ANS: B
, Advanced Pharmacology Set One
Study online at https://quizlet.com/_bw8zmv
Schedule II medications are not eligible for refills, and prescriptions must be handwritten. It is important to verify
the patient's adherence to the drug regimen and determine the current dosage of medication; however, this can be
accomplished by scheduling an appointment and evaluating the patient in person.DIF: Cognitive Level: ApplicationREF:
p. 8TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk
Potential
9. 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?
A. Provide a different prescription.
B. Discontinue the medication.
C. Prescribe an antihistamine cream.
D. Assess for respiratory compromise.: ANS: B
The priority action is to discontinue the medication to prevent worsening of the patient's symptoms. A different
prescription would be provided, topical antihistamine may be administered, and the patient would be assessed for
respiratory involvement, but these actions would not be performed first.DIF: Cognitive Level: ApplicationREF: p. 6TOP:
Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
10. 11. A patient taking three medications for hypertension is diagnosed with
COPD. Which action should be taken prior to prescribing medications to treat
COPD?
A. Obtain baseline laboratory values.
B. Obtain a complete medication history.
C. Assess liver enzyme levels.
D. Determine if patient has insurance coverage.: ANS: B
Prior to adding medications to the treatment regimen, it is essential to assess for any potential drug- drug interactions
through a complete medical history. Baseline laboratory values are not necessary for COPD treatment. Liver enzyme
levels may give insight into the possibility of altered metabolism but would not be the first action. The presence
of insurance coverage would affect the patient's access to treatment but may not affect the type of medication
prescribed.DIF: Cognitive Level: ApplicationREF: p. 6TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
Category: Physiologic Integrity: Reduction of Risk Potential
11. 12. A patient with diabetes reports losing their job and an inability to pur-
chase required medications. Which action is most appropriate?
A. Provide a 7-day sample pack.
