Pharmacotherapeutics for
Advanced Practice Nurse
Prescribers with Davis Edge
6th Edition
• Author(s)Teri Moser Woo; Wendy
L. Wright
TEST BANK
▪ The Foundation
▪ Pharmacotherapeutics with Single Drugs
▪ Pharmacotherapeutics with Multiple Drugs
▪ Special Drug Treatment Considerations
,Question 1
A family nurse practitioner is discussing the responsibilities associated
with prescriptive authority with a newly graduated APRN. Which action
best reflects professional accountability in prescribing?
A. Prescribing medications solely according to physician preference
B. Delegating all medication counseling to nursing staff
C. Integrating evidence, patient preferences, and regulatory
requirements into prescribing decisions
D. Prescribing only medications with which the APRN is personally
familiar
Correct Answer: C
Rationale: APRN prescribing requires integration of evidence-based
practice, patient-centered care, legal regulations, and clinical judgment.
Prescribing based solely on physician preference (A) undermines
independent professional responsibility. Delegating all counseling (B)
fails to meet informed consent and patient education responsibilities.
Limiting prescribing only to familiar medications (D) may unnecessarily
restrict optimal care.
Question 2
A newly licensed APRN plans to prescribe controlled substances. Which
action should occur before prescribing Schedule II medications in most
U.S. jurisdictions?
A. Obtain a physician's written approval for each prescription
B. Register with the Drug Enforcement Administration and comply with
,state requirements
C. Complete a fellowship in pain management
D. Notify the state board of pharmacy before each prescription
Correct Answer: B
Rationale: APRNs prescribing controlled substances generally must
obtain DEA registration and comply with state-specific prescriptive
authority regulations. Physician approval (A) is not universally required.
Fellowship training (C) is unnecessary, and individual notification to the
board of pharmacy (D) is not standard practice.
Question 3
A 58-year-old man with hypertension requests an antibiotic because he
believes it will help his viral upper respiratory infection. What is the
best initial prescribing response?
A. Prescribe a broad-spectrum antibiotic to maintain patient
satisfaction
B. Provide symptomatic treatment and explain why antibiotics are not
indicated
C. Prescribe antibiotics for three days only
D. Delay treatment until symptoms worsen
Correct Answer: B
Rationale: Appropriate prescribing includes avoiding unnecessary
medications and providing patient education. Antibiotics are ineffective
against viral infections and contribute to antimicrobial resistance and
adverse effects.
Question 4
, An APRN is considering initiating medication therapy for an older adult.
Which prescribing principle is most appropriate?
A. Start with maximal therapeutic doses
B. Avoid all medications whenever possible
C. Start with lower doses and titrate carefully
D. Prescribe according to chronological age alone
Correct Answer: C
Rationale: Older adults often experience altered pharmacokinetics and
pharmacodynamics, increasing susceptibility to adverse drug events.
The principle of "start low and go slow" helps minimize toxicity.
Question 5
A patient asks why the APRN spent time reviewing current guidelines
before making a prescribing decision. Which response is most
appropriate?
A. "Guidelines are optional and mainly used for legal protection."
B. "Guidelines help integrate current evidence into individualized
patient care."
C. "Guidelines replace clinical judgment."
D. "Guidelines are only useful for specialists."
Correct Answer: B
Rationale: Clinical practice guidelines provide evidence-based
recommendations that should be integrated with patient preferences,
comorbidities, and clinician expertise.
Question 6
Advanced Practice Nurse
Prescribers with Davis Edge
6th Edition
• Author(s)Teri Moser Woo; Wendy
L. Wright
TEST BANK
▪ The Foundation
▪ Pharmacotherapeutics with Single Drugs
▪ Pharmacotherapeutics with Multiple Drugs
▪ Special Drug Treatment Considerations
,Question 1
A family nurse practitioner is discussing the responsibilities associated
with prescriptive authority with a newly graduated APRN. Which action
best reflects professional accountability in prescribing?
A. Prescribing medications solely according to physician preference
B. Delegating all medication counseling to nursing staff
C. Integrating evidence, patient preferences, and regulatory
requirements into prescribing decisions
D. Prescribing only medications with which the APRN is personally
familiar
Correct Answer: C
Rationale: APRN prescribing requires integration of evidence-based
practice, patient-centered care, legal regulations, and clinical judgment.
Prescribing based solely on physician preference (A) undermines
independent professional responsibility. Delegating all counseling (B)
fails to meet informed consent and patient education responsibilities.
Limiting prescribing only to familiar medications (D) may unnecessarily
restrict optimal care.
Question 2
A newly licensed APRN plans to prescribe controlled substances. Which
action should occur before prescribing Schedule II medications in most
U.S. jurisdictions?
A. Obtain a physician's written approval for each prescription
B. Register with the Drug Enforcement Administration and comply with
,state requirements
C. Complete a fellowship in pain management
D. Notify the state board of pharmacy before each prescription
Correct Answer: B
Rationale: APRNs prescribing controlled substances generally must
obtain DEA registration and comply with state-specific prescriptive
authority regulations. Physician approval (A) is not universally required.
Fellowship training (C) is unnecessary, and individual notification to the
board of pharmacy (D) is not standard practice.
Question 3
A 58-year-old man with hypertension requests an antibiotic because he
believes it will help his viral upper respiratory infection. What is the
best initial prescribing response?
A. Prescribe a broad-spectrum antibiotic to maintain patient
satisfaction
B. Provide symptomatic treatment and explain why antibiotics are not
indicated
C. Prescribe antibiotics for three days only
D. Delay treatment until symptoms worsen
Correct Answer: B
Rationale: Appropriate prescribing includes avoiding unnecessary
medications and providing patient education. Antibiotics are ineffective
against viral infections and contribute to antimicrobial resistance and
adverse effects.
Question 4
, An APRN is considering initiating medication therapy for an older adult.
Which prescribing principle is most appropriate?
A. Start with maximal therapeutic doses
B. Avoid all medications whenever possible
C. Start with lower doses and titrate carefully
D. Prescribe according to chronological age alone
Correct Answer: C
Rationale: Older adults often experience altered pharmacokinetics and
pharmacodynamics, increasing susceptibility to adverse drug events.
The principle of "start low and go slow" helps minimize toxicity.
Question 5
A patient asks why the APRN spent time reviewing current guidelines
before making a prescribing decision. Which response is most
appropriate?
A. "Guidelines are optional and mainly used for legal protection."
B. "Guidelines help integrate current evidence into individualized
patient care."
C. "Guidelines replace clinical judgment."
D. "Guidelines are only useful for specialists."
Correct Answer: B
Rationale: Clinical practice guidelines provide evidence-based
recommendations that should be integrated with patient preferences,
comorbidities, and clinician expertise.
Question 6
