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) begins practice in a community clinic
and is reviewing prescribing responsibilities. Before issuing an initial
prescription for a newly diagnosed patient with hypertension, which
action best reflects the advanced practice nurse's primary legal and
ethical responsibility?
A. Prescribe the medication requested by the patient if it is commonly
used.
B. Verify the diagnosis, assess patient-specific factors, and prescribe
evidence-based therapy within the APRN's scope of practice.
C. Delegate prescribing decisions to the collaborating pharmacist
whenever possible.
D. Prescribe only medications that require no laboratory monitoring.
Correct Answer: B
Rationale: Safe prescribing begins with establishing an accurate
diagnosis, evaluating comorbidities, allergies, current medications,
contraindications, patient preferences, and selecting evidence-based
therapy within the APRN's legal scope of practice. Patient requests
alone do not justify prescribing (A). Pharmacists provide valuable
consultation but do not replace the APRN's prescribing responsibility
(C). Many appropriate medications require monitoring (D).
Question 2
A 68-year-old woman presents with dysuria. She reports a severe
anaphylactic reaction to trimethoprim-sulfamethoxazole several years
,ago. Which prescribing principle is most appropriate before selecting an
antibiotic?
A. Prescribe empirically without reviewing allergy history.
B. Confirm the allergy history and select an effective alternative that
avoids the implicated drug.
C. Prescribe the same medication because allergic reactions rarely
recur.
D. Delay treatment until symptoms resolve spontaneously.
Correct Answer: B
Rationale: Allergy verification is an essential component of safe
prescribing. A documented history of anaphylaxis generally warrants
avoidance of the offending medication and selection of an appropriate
alternative guided by likely pathogens, local resistance patterns, and
culture results when available. Ignoring allergy history (A, C) places the
patient at unnecessary risk. Delaying therapy (D) may allow progression
of infection.
Question 3
An APRN evaluates a patient with newly diagnosed type 2 diabetes.
Before initiating pharmacotherapy, which information is most critical
for determining medication selection?
A. Preferred pharmacy location only
B. Estimated glomerular filtration rate (eGFR)
C. Eye color
D. Number of previous primary care providers
, Correct Answer: B
Rationale: Renal function significantly influences medication selection,
dosing, and safety for many antidiabetic agents. Although pharmacy
preference may facilitate medication access, it does not determine
therapeutic appropriateness. Eye color and prior provider history are
not clinically relevant to medication selection.
Question 4
An APRN considers prescribing an opioid for acute postoperative pain.
Which intervention best demonstrates responsible prescribing?
A. Prescribe the largest quantity allowed by law.
B. Recommend indefinite therapy.
C. Prescribe the lowest effective dose for the shortest appropriate
duration while counseling on safe use and reassessment.
D. Avoid discussing adverse effects to reduce patient anxiety.
Correct Answer: C
Rationale: Current U.S. opioid prescribing principles emphasize using
the lowest effective dose for the shortest clinically appropriate
duration, educating patients regarding risks, and reassessing pain and
function. Large initial quantities and indefinite treatment increase
misuse risk. Patient counseling is an essential component of safe
prescribing.
Question 5
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) begins practice in a community clinic
and is reviewing prescribing responsibilities. Before issuing an initial
prescription for a newly diagnosed patient with hypertension, which
action best reflects the advanced practice nurse's primary legal and
ethical responsibility?
A. Prescribe the medication requested by the patient if it is commonly
used.
B. Verify the diagnosis, assess patient-specific factors, and prescribe
evidence-based therapy within the APRN's scope of practice.
C. Delegate prescribing decisions to the collaborating pharmacist
whenever possible.
D. Prescribe only medications that require no laboratory monitoring.
Correct Answer: B
Rationale: Safe prescribing begins with establishing an accurate
diagnosis, evaluating comorbidities, allergies, current medications,
contraindications, patient preferences, and selecting evidence-based
therapy within the APRN's legal scope of practice. Patient requests
alone do not justify prescribing (A). Pharmacists provide valuable
consultation but do not replace the APRN's prescribing responsibility
(C). Many appropriate medications require monitoring (D).
Question 2
A 68-year-old woman presents with dysuria. She reports a severe
anaphylactic reaction to trimethoprim-sulfamethoxazole several years
,ago. Which prescribing principle is most appropriate before selecting an
antibiotic?
A. Prescribe empirically without reviewing allergy history.
B. Confirm the allergy history and select an effective alternative that
avoids the implicated drug.
C. Prescribe the same medication because allergic reactions rarely
recur.
D. Delay treatment until symptoms resolve spontaneously.
Correct Answer: B
Rationale: Allergy verification is an essential component of safe
prescribing. A documented history of anaphylaxis generally warrants
avoidance of the offending medication and selection of an appropriate
alternative guided by likely pathogens, local resistance patterns, and
culture results when available. Ignoring allergy history (A, C) places the
patient at unnecessary risk. Delaying therapy (D) may allow progression
of infection.
Question 3
An APRN evaluates a patient with newly diagnosed type 2 diabetes.
Before initiating pharmacotherapy, which information is most critical
for determining medication selection?
A. Preferred pharmacy location only
B. Estimated glomerular filtration rate (eGFR)
C. Eye color
D. Number of previous primary care providers
, Correct Answer: B
Rationale: Renal function significantly influences medication selection,
dosing, and safety for many antidiabetic agents. Although pharmacy
preference may facilitate medication access, it does not determine
therapeutic appropriateness. Eye color and prior provider history are
not clinically relevant to medication selection.
Question 4
An APRN considers prescribing an opioid for acute postoperative pain.
Which intervention best demonstrates responsible prescribing?
A. Prescribe the largest quantity allowed by law.
B. Recommend indefinite therapy.
C. Prescribe the lowest effective dose for the shortest appropriate
duration while counseling on safe use and reassessment.
D. Avoid discussing adverse effects to reduce patient anxiety.
Correct Answer: C
Rationale: Current U.S. opioid prescribing principles emphasize using
the lowest effective dose for the shortest clinically appropriate
duration, educating patients regarding risks, and reassessing pain and
function. Large initial quantities and indefinite treatment increase
misuse risk. Patient counseling is an essential component of safe
prescribing.
Question 5
