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) joins a primary care practice where a
physician routinely asks the NP to prescribe medications under the
physician's name without reviewing the patient. The NP is concerned
about legal and ethical implications.
Which action is most appropriate?
A. Continue prescribing because the physician assumes all legal
responsibility.
B. Prescribe only medications previously approved by the physician
regardless of the patient assessment.
C. Decline to prescribe in this manner and follow applicable state law,
scope of practice, and organizational policy while prescribing under the
NP's own authority as permitted.
D. Ask the collaborating physician to sign all prescriptions after the visit
without reviewing the medical record.
Correct Answer: C
Rationale:
Advanced practice registered nurses (APRNs) remain professionally and
legally accountable for every prescribing decision they make.
Prescribing must comply with state practice acts, federal regulations,
institutional policies, and accepted standards of care. Prescribing under
another clinician's name without appropriate authorization or oversight
,may constitute fraud, improper documentation, and unsafe practice.
Option A incorrectly assumes legal responsibility transfers to the
physician. Option B does not replace independent clinical judgment.
Option D still represents inappropriate prescribing if the physician has
not independently evaluated or appropriately supervised the
encounter.
Question 2
A newly certified nurse practitioner begins practice in an outpatient
clinic. Before initiating pharmacologic therapy for patients
independently, which step best demonstrates safe prescribing practice?
A. Memorize commonly prescribed drug doses.
B. Establish a systematic process to verify allergies, current
medications, renal and hepatic function, pregnancy status when
applicable, and potential drug interactions before prescribing.
C. Limit prescribing to generic medications.
D. Avoid prescribing medications with boxed warnings.
Correct Answer: B
Rationale:
Safe prescribing begins with a comprehensive medication assessment
that identifies allergies, medication reconciliation, organ function,
pregnancy considerations, contraindications, and potential interactions.
This systematic evaluation reduces preventable adverse drug events.
Memorizing doses alone (A) is insufficient. Generic medications (C) are
not inherently safer than brand-name products. Medications with
boxed warnings (D) may still be appropriate when benefits outweigh
risks and proper monitoring is implemented.
, Question 3
An adult patient requests an antibiotic for symptoms consistent with an
uncomplicated viral upper respiratory infection. Physical examination
and history reveal no evidence of bacterial infection.
What is the best prescribing decision?
A. Prescribe amoxicillin because the patient expects treatment.
B. Prescribe azithromycin because it has a short course.
C. Recommend symptomatic management, educate the patient
regarding the likely viral etiology, and avoid unnecessary antibiotic
prescribing.
D. Prescribe a broad-spectrum antibiotic to prevent secondary bacterial
infection.
Correct Answer: C
Rationale:
Evidence-based prescribing requires avoiding antibiotics for viral
illnesses to reduce adverse effects and antimicrobial resistance. Patient
education regarding expected illness duration and supportive care
promotes antimicrobial stewardship. Options A, B, and D expose
patients to unnecessary medication risks without clinical benefit.
Question 4
A nurse practitioner evaluates a 79-year-old patient with chronic kidney
disease who requires initiation of a new medication primarily
eliminated by the kidneys.
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) joins a primary care practice where a
physician routinely asks the NP to prescribe medications under the
physician's name without reviewing the patient. The NP is concerned
about legal and ethical implications.
Which action is most appropriate?
A. Continue prescribing because the physician assumes all legal
responsibility.
B. Prescribe only medications previously approved by the physician
regardless of the patient assessment.
C. Decline to prescribe in this manner and follow applicable state law,
scope of practice, and organizational policy while prescribing under the
NP's own authority as permitted.
D. Ask the collaborating physician to sign all prescriptions after the visit
without reviewing the medical record.
Correct Answer: C
Rationale:
Advanced practice registered nurses (APRNs) remain professionally and
legally accountable for every prescribing decision they make.
Prescribing must comply with state practice acts, federal regulations,
institutional policies, and accepted standards of care. Prescribing under
another clinician's name without appropriate authorization or oversight
,may constitute fraud, improper documentation, and unsafe practice.
Option A incorrectly assumes legal responsibility transfers to the
physician. Option B does not replace independent clinical judgment.
Option D still represents inappropriate prescribing if the physician has
not independently evaluated or appropriately supervised the
encounter.
Question 2
A newly certified nurse practitioner begins practice in an outpatient
clinic. Before initiating pharmacologic therapy for patients
independently, which step best demonstrates safe prescribing practice?
A. Memorize commonly prescribed drug doses.
B. Establish a systematic process to verify allergies, current
medications, renal and hepatic function, pregnancy status when
applicable, and potential drug interactions before prescribing.
C. Limit prescribing to generic medications.
D. Avoid prescribing medications with boxed warnings.
Correct Answer: B
Rationale:
Safe prescribing begins with a comprehensive medication assessment
that identifies allergies, medication reconciliation, organ function,
pregnancy considerations, contraindications, and potential interactions.
This systematic evaluation reduces preventable adverse drug events.
Memorizing doses alone (A) is insufficient. Generic medications (C) are
not inherently safer than brand-name products. Medications with
boxed warnings (D) may still be appropriate when benefits outweigh
risks and proper monitoring is implemented.
, Question 3
An adult patient requests an antibiotic for symptoms consistent with an
uncomplicated viral upper respiratory infection. Physical examination
and history reveal no evidence of bacterial infection.
What is the best prescribing decision?
A. Prescribe amoxicillin because the patient expects treatment.
B. Prescribe azithromycin because it has a short course.
C. Recommend symptomatic management, educate the patient
regarding the likely viral etiology, and avoid unnecessary antibiotic
prescribing.
D. Prescribe a broad-spectrum antibiotic to prevent secondary bacterial
infection.
Correct Answer: C
Rationale:
Evidence-based prescribing requires avoiding antibiotics for viral
illnesses to reduce adverse effects and antimicrobial resistance. Patient
education regarding expected illness duration and supportive care
promotes antimicrobial stewardship. Options A, B, and D expose
patients to unnecessary medication risks without clinical benefit.
Question 4
A nurse practitioner evaluates a 79-year-old patient with chronic kidney
disease who requires initiation of a new medication primarily
eliminated by the kidneys.
