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