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 (FNP) is joining a primary care practice and
is reviewing responsibilities associated with prescriptive authority.
Which action best demonstrates safe, evidence-based prescribing
practice for an APRN?
A. Prescribe medications based primarily on previous clinical experience
without consulting current evidence.
B. Integrate patient-specific factors, current clinical guidelines, and
shared decision-making before selecting therapy.
C. Avoid changing medications prescribed by collaborating physicians
regardless of therapeutic effectiveness.
D. Select medications primarily based on patient preference without
considering contraindications.
Correct Answer: B
Rationale: Evidence-based prescribing requires integrating the best
available clinical evidence, patient preferences, clinical judgment,
comorbidities, medication safety, and current practice guidelines.
Shared decision-making improves adherence and patient-centered
care. Option A ignores evolving evidence. Option C may perpetuate
ineffective or unsafe therapy. Option D neglects appropriate risk-
benefit assessment.
Question 2
,An APRN evaluates a 72-year-old patient taking medications prescribed
by multiple specialists. Which prescribing responsibility is most
important during today's visit?
A. Continue all medications to avoid disrupting existing therapy.
B. Reconcile all medications, identify potentially inappropriate therapy,
and evaluate for drug interactions.
C. Limit the visit to management of the chief complaint.
D. Defer medication review to the community pharmacist.
Correct Answer: B
Rationale: Medication reconciliation is a core responsibility of APRN
prescribers and reduces medication errors, therapeutic duplication,
adverse drug events, and drug-drug interactions, particularly in older
adults with polypharmacy. Although pharmacists play an important
role, the APRN remains responsible for evaluating medication
appropriateness.
Question 3
An APRN is preparing to prescribe an antihypertensive medication for a
patient with newly diagnosed hypertension. Which additional
information is MOST essential before selecting therapy?
A. Favorite foods
B. Family size
C. Renal function, comorbidities, allergies, and current medications
D. Employment history
Correct Answer: C
, Rationale: Appropriate prescribing requires assessment of renal and
hepatic function, allergies, concurrent medications, comorbid
conditions, pregnancy status when appropriate, and patient-specific
risk factors. These factors influence medication selection, dosing,
monitoring, and safety.
Question 4
An APRN is discussing treatment options with a patient who expresses
concern about medication costs. Which response best reflects high-
quality prescribing practice?
A. Recommend only the newest brand-name medication.
B. Ignore medication costs because efficacy is the primary concern.
C. Discuss therapeutic alternatives, insurance coverage, and patient
affordability while maintaining clinical effectiveness.
D. Delay treatment until the patient obtains additional insurance.
Correct Answer: C
Rationale: Cost significantly influences medication adherence. APRNs
should incorporate affordability into prescribing decisions while
maintaining evidence-based care. Generic medications or therapeutic
alternatives may improve adherence without compromising efficacy.
Question 5
A patient asks why the APRN reviewed kidney function before
prescribing an antibiotic. Which explanation is most accurate?
A. Kidney function only predicts medication allergies.
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 (FNP) is joining a primary care practice and
is reviewing responsibilities associated with prescriptive authority.
Which action best demonstrates safe, evidence-based prescribing
practice for an APRN?
A. Prescribe medications based primarily on previous clinical experience
without consulting current evidence.
B. Integrate patient-specific factors, current clinical guidelines, and
shared decision-making before selecting therapy.
C. Avoid changing medications prescribed by collaborating physicians
regardless of therapeutic effectiveness.
D. Select medications primarily based on patient preference without
considering contraindications.
Correct Answer: B
Rationale: Evidence-based prescribing requires integrating the best
available clinical evidence, patient preferences, clinical judgment,
comorbidities, medication safety, and current practice guidelines.
Shared decision-making improves adherence and patient-centered
care. Option A ignores evolving evidence. Option C may perpetuate
ineffective or unsafe therapy. Option D neglects appropriate risk-
benefit assessment.
Question 2
,An APRN evaluates a 72-year-old patient taking medications prescribed
by multiple specialists. Which prescribing responsibility is most
important during today's visit?
A. Continue all medications to avoid disrupting existing therapy.
B. Reconcile all medications, identify potentially inappropriate therapy,
and evaluate for drug interactions.
C. Limit the visit to management of the chief complaint.
D. Defer medication review to the community pharmacist.
Correct Answer: B
Rationale: Medication reconciliation is a core responsibility of APRN
prescribers and reduces medication errors, therapeutic duplication,
adverse drug events, and drug-drug interactions, particularly in older
adults with polypharmacy. Although pharmacists play an important
role, the APRN remains responsible for evaluating medication
appropriateness.
Question 3
An APRN is preparing to prescribe an antihypertensive medication for a
patient with newly diagnosed hypertension. Which additional
information is MOST essential before selecting therapy?
A. Favorite foods
B. Family size
C. Renal function, comorbidities, allergies, and current medications
D. Employment history
Correct Answer: C
, Rationale: Appropriate prescribing requires assessment of renal and
hepatic function, allergies, concurrent medications, comorbid
conditions, pregnancy status when appropriate, and patient-specific
risk factors. These factors influence medication selection, dosing,
monitoring, and safety.
Question 4
An APRN is discussing treatment options with a patient who expresses
concern about medication costs. Which response best reflects high-
quality prescribing practice?
A. Recommend only the newest brand-name medication.
B. Ignore medication costs because efficacy is the primary concern.
C. Discuss therapeutic alternatives, insurance coverage, and patient
affordability while maintaining clinical effectiveness.
D. Delay treatment until the patient obtains additional insurance.
Correct Answer: C
Rationale: Cost significantly influences medication adherence. APRNs
should incorporate affordability into prescribing decisions while
maintaining evidence-based care. Generic medications or therapeutic
alternatives may improve adherence without compromising efficacy.
Question 5
A patient asks why the APRN reviewed kidney function before
prescribing an antibiotic. Which explanation is most accurate?
A. Kidney function only predicts medication allergies.
