Test Bank for Lehne’s Pharmacotherapeutics for Advanced Practice Nurses
and Physician Assistants 2nd Edition Rosenthal
REVISED EDITION
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistant
s 2nd Edition Rosenthal Test Bank REVISED EDITION 2
Chapter 1: Prescriptive Authority Test Bank
Multiple Choice
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 AP
RN‘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 no
t 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: Cogniti
ve Level: Comprehension REF: p.
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic In
tegrity: Pharmacologic and Parenteral Therapies
2. Which factors increase the need for APRNs to have full prescriptive authority?
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 wit
h 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 presc
riptive authority. APRNs can fill this practice gap. DIF: Cognitive Level: Comprehensi
on REF: p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Categ
ory: Physiologic Integrity: Pharmacologic and Parenteral Therapies
,Lehne’s\ Pharmacotherapeutics\ for\ Advanced\ Practice\ Nurses\ and\ Physician\ Assistant\ s
\ 2nd\ Edition\ Rosenthal\ Test\ Bank\ REVISED\ EDITION 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? S
elect all that apply.
a. Inaccessibility of patient care
b. Higher health care costs
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\accessibl
e\ patient\ care.\ It\ may\ also\ lead\ to\ poor\ collaboration\ among\ providers\ and\ hig\her\ health\ c
are\ costs.\ It\ would\ not\ directly\ impact\ patient‘s\ health\ literacy.DIF:\ Cogniti\ve\ Level:\ Co
mprehensionREF:
p.\ 2TOP:\ Nursing\ Process:\ Implementation\ MSC:\ NCLEX\ Client\ Needs\ Category:\ Physiologi\ c
\ Integrity:\ Pharmacologic\ and\ Parenteral\ Therapies
4. Which\ aspects\ support\ the\ APRN‘s\ provision\ for\ full\ prescriptive\ authority?\ Se\lec
t\ all\ that\ apply.
a. Clinical\ education\ includes\ prescription\ of\ medications\ and\ disease\ processes.
b. Federal\ regulations\ support\ the\ provision\ of\ full\ authority\ for\ APRNs.
c. National\ examinations\ provide\ validation\ of\ the\ APRN‘s\ ability\ to\ provide\ safecare.
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.\ Natio\n
al\ examinations\ validate\ the\ ability\ to\ provide\ safe\ and\ competent\ care.\ Licensure\ ens\ ures\co
mpliance\with\standards\to\promote\public\health\and\safety.\Limited\prescriptive\authority\ creat
es\ numerous\ barriers\ to\ quality,\ affordable,\ and\ accessible\ patient\ care.D\IF:\ Cognitive\ Le
vel:\ ComprehensionREF:\ pp.\ 1-
2TOP:\ Nursing\ Process:\ Implementation\ MSC:\ NCLEX\ Client\ Needs\ Category:\ Physiol\ogi
c\ Integrity:\ Pharmacologic\ and\ Parenteral\ Therapies
, Lehne’s\ Pharmacotherapeutics\ for\ Advanced\ Practice\ Nurses\ and\ Physician\ Assistant\ s
\ 2nd\ Edition\ Rosenthal\ Test\ Bank\ REVISED\ EDITION 4
5. Which\ aspects\ support\ the\ APRN‘s\ provision\ for\ full\ prescriptive\ authority?\ Se\lec
t\ all\ that\ apply.
a. Clinical\ education\ includes\ prescription\ of\ medications\ and\ disease\ processes.
b. Federal\ regulations\ support\ the\ provision\ of\ full\ authority\ for\ APRNs.
c. National\ examinations\ provide\ validation\ of\ the\ APRN‘s\ ability\ to\ provide\ safecare.
d. Licensure\ ensures\ compliance\ with\ health\ care\ and\ safety\ standards.
ANS:\ A\ ,\ C\ ,\ D
APRNs\ are\ educated\ to\ practice\ and\ prescribe\ independently\ without\ supervision.\ Natio\ nal\
examinations\ validate\ the\ ability\ to\ provide\ safe\ and\ competent\ care.\ Licensure\ ens\ures\com
pliance\with\standards\to\promote\public\health\and\safety.\Limited\prescriptive\authority\ creates
\ numerous\ barriers\ to\ quality,\ affordable,\ and\ accessible\ patient\ care.D\IF:\ Cognitive\ Lev
el:
Comprehension\ REF:\ pp. 1-2TOP:\ Nursing\ Process:\ Implementation
MSC:\ NCLEX\ Clie
nt\ Needs\ Category:\ Physiologic\ Integrity:\ Pharmacologic\ and\ Parenteral\ Therapies
6. A\ family\ nurse\ practitioner\ practicing\ in\ Maine\ is\ hired\ at\ a\ practice\ across\ stat\e\
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\ regulat\i
ons.\ ANS:\ A
Virginia\ allows\ limited\ prescriptive\ authority,\ while\ Maine\ gives\ full\ authority\ to\ certifie\d
\ nurse\ practitioners.\ The\ federal\ government\ does\ not\ regulate\ prescriptive\ authority.DI\F:
\ Cognitive\ Level:\ ComprehensionREF:\ p.\ 3TOP:\ Nursing\ Process:\ Implementation\ MS\ C:\
NCLEX\ Client\ Needs\ Category:\ Physiologic\ Integrity:\ Pharmacologic\ and\ Parenteral\ Therap
ies
and Physician Assistants 2nd Edition Rosenthal
REVISED EDITION
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistant
s 2nd Edition Rosenthal Test Bank REVISED EDITION 2
Chapter 1: Prescriptive Authority Test Bank
Multiple Choice
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 AP
RN‘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 no
t 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: Cogniti
ve Level: Comprehension REF: p.
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic In
tegrity: Pharmacologic and Parenteral Therapies
2. Which factors increase the need for APRNs to have full prescriptive authority?
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 wit
h 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 presc
riptive authority. APRNs can fill this practice gap. DIF: Cognitive Level: Comprehensi
on REF: p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Categ
ory: Physiologic Integrity: Pharmacologic and Parenteral Therapies
,Lehne’s\ Pharmacotherapeutics\ for\ Advanced\ Practice\ Nurses\ and\ Physician\ Assistant\ s
\ 2nd\ Edition\ Rosenthal\ Test\ Bank\ REVISED\ EDITION 3
3. Which factors could be attributed to limited prescriptive authority for APRNs? S
elect all that apply.
a. Inaccessibility of patient care
b. Higher health care costs
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\accessibl
e\ patient\ care.\ It\ may\ also\ lead\ to\ poor\ collaboration\ among\ providers\ and\ hig\her\ health\ c
are\ costs.\ It\ would\ not\ directly\ impact\ patient‘s\ health\ literacy.DIF:\ Cogniti\ve\ Level:\ Co
mprehensionREF:
p.\ 2TOP:\ Nursing\ Process:\ Implementation\ MSC:\ NCLEX\ Client\ Needs\ Category:\ Physiologi\ c
\ Integrity:\ Pharmacologic\ and\ Parenteral\ Therapies
4. Which\ aspects\ support\ the\ APRN‘s\ provision\ for\ full\ prescriptive\ authority?\ Se\lec
t\ all\ that\ apply.
a. Clinical\ education\ includes\ prescription\ of\ medications\ and\ disease\ processes.
b. Federal\ regulations\ support\ the\ provision\ of\ full\ authority\ for\ APRNs.
c. National\ examinations\ provide\ validation\ of\ the\ APRN‘s\ ability\ to\ provide\ safecare.
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.\ Natio\n
al\ examinations\ validate\ the\ ability\ to\ provide\ safe\ and\ competent\ care.\ Licensure\ ens\ ures\co
mpliance\with\standards\to\promote\public\health\and\safety.\Limited\prescriptive\authority\ creat
es\ numerous\ barriers\ to\ quality,\ affordable,\ and\ accessible\ patient\ care.D\IF:\ Cognitive\ Le
vel:\ ComprehensionREF:\ pp.\ 1-
2TOP:\ Nursing\ Process:\ Implementation\ MSC:\ NCLEX\ Client\ Needs\ Category:\ Physiol\ogi
c\ Integrity:\ Pharmacologic\ and\ Parenteral\ Therapies
, Lehne’s\ Pharmacotherapeutics\ for\ Advanced\ Practice\ Nurses\ and\ Physician\ Assistant\ s
\ 2nd\ Edition\ Rosenthal\ Test\ Bank\ REVISED\ EDITION 4
5. Which\ aspects\ support\ the\ APRN‘s\ provision\ for\ full\ prescriptive\ authority?\ Se\lec
t\ all\ that\ apply.
a. Clinical\ education\ includes\ prescription\ of\ medications\ and\ disease\ processes.
b. Federal\ regulations\ support\ the\ provision\ of\ full\ authority\ for\ APRNs.
c. National\ examinations\ provide\ validation\ of\ the\ APRN‘s\ ability\ to\ provide\ safecare.
d. Licensure\ ensures\ compliance\ with\ health\ care\ and\ safety\ standards.
ANS:\ A\ ,\ C\ ,\ D
APRNs\ are\ educated\ to\ practice\ and\ prescribe\ independently\ without\ supervision.\ Natio\ nal\
examinations\ validate\ the\ ability\ to\ provide\ safe\ and\ competent\ care.\ Licensure\ ens\ures\com
pliance\with\standards\to\promote\public\health\and\safety.\Limited\prescriptive\authority\ creates
\ numerous\ barriers\ to\ quality,\ affordable,\ and\ accessible\ patient\ care.D\IF:\ Cognitive\ Lev
el:
Comprehension\ REF:\ pp. 1-2TOP:\ Nursing\ Process:\ Implementation
MSC:\ NCLEX\ Clie
nt\ Needs\ Category:\ Physiologic\ Integrity:\ Pharmacologic\ and\ Parenteral\ Therapies
6. A\ family\ nurse\ practitioner\ practicing\ in\ Maine\ is\ hired\ at\ a\ practice\ across\ stat\e\
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\ regulat\i
ons.\ ANS:\ A
Virginia\ allows\ limited\ prescriptive\ authority,\ while\ Maine\ gives\ full\ authority\ to\ certifie\d
\ nurse\ practitioners.\ The\ federal\ government\ does\ not\ regulate\ prescriptive\ authority.DI\F:
\ Cognitive\ Level:\ ComprehensionREF:\ p.\ 3TOP:\ Nursing\ Process:\ Implementation\ MS\ C:\
NCLEX\ Client\ Needs\ Category:\ Physiologic\ Integrity:\ Pharmacologic\ and\ Parenteral\ Therap
ies
