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 newly certified APRN joins a primary care practice in a state that
grants full practice authority. A 58-year-old patient with newly
diagnosed hypertension requests medication at the initial visit. Before
issuing the first prescription, which action best reflects safe, evidence-
based prescribing?
A. Prescribe the medication requested by the patient because full
practice authority eliminates the need for additional assessment.
B. Complete a comprehensive history, perform a focused examination,
reconcile all medications, assess allergies and contraindications, and
engage the patient in shared decision-making before selecting therapy.
C. Delay pharmacologic treatment until the patient has been evaluated
by a collaborating physician.
D. Prescribe the medication with the lowest acquisition cost regardless
of comorbidities.
Correct Answer: B
Rationale:
Safe prescribing begins with a thorough patient assessment that
includes the patient's medical history, current medications (including
over-the-counter and herbal products), allergies, comorbid conditions,
appropriate physical examination, diagnostic evaluation, and shared
decision-making. This approach helps ensure that the selected
medication is appropriate, safe, and individualized. Full practice
authority does not eliminate the need for comprehensive clinical
assessment (A). Collaboration with a physician may be appropriate in
selected complex situations but is not routinely required in full practice
,authority states (C). Medication cost is important but should not
supersede efficacy, safety, contraindications, and patient-specific
factors (D).
Question 2
A 74-year-old woman with chronic kidney disease, hypertension,
osteoarthritis, and type 2 diabetes presents to establish care. She
currently takes prescriptions from three specialists, several over-the-
counter medications, and two dietary supplements. Which prescribing
action should the APRN prioritize before initiating an additional
medication?
A. Review the patient's complete medication list to identify therapeutic
duplication, interactions, and potentially inappropriate medications.
B. Discontinue all nonprescription medications immediately.
C. Prescribe the lowest available dose of the new medication without
reviewing existing therapy.
D. Assume the specialists have already evaluated potential medication
interactions.
Correct Answer: A
Rationale:
Medication reconciliation is a fundamental responsibility of the APRN
and is especially important in older adults with polypharmacy.
Reviewing all prescription medications, OTC products, and supplements
helps identify duplicate therapies, drug-drug interactions, drug-disease
interactions, adverse effects, and medications requiring dose
adjustment. Automatically discontinuing all OTC products may remove
beneficial therapies (B). Starting a medication without reviewing
, current therapy increases patient risk (C). Assuming another clinician
has completed medication reconciliation is unsafe and inconsistent
with best prescribing practices (D).
Question 3
A 29-year-old woman who is 10 weeks pregnant presents with
symptoms consistent with an uncomplicated urinary tract infection.
The APRN plans to prescribe antibiotic therapy. Which prescribing
principle is most appropriate?
A. Avoid discussing pregnancy because treatment decisions are based
only on culture results.
B. Select an antibiotic with an established safety profile during
pregnancy while considering gestational age, maternal allergies, local
resistance patterns, and culture data when available.
C. Prescribe the newest available antibiotic because newer medications
are generally safer during pregnancy.
D. Delay treatment until after delivery whenever possible.
Correct Answer: B
Rationale:
Pregnancy requires individualized prescribing that balances maternal
benefit with fetal safety. Medication selection should consider
gestational age, known safety data, maternal allergies, microbial
susceptibility, and current clinical guidelines. Pregnancy counseling is
an essential component of prescribing. Newer medications are not
inherently safer because pregnancy safety data may be limited (C).
Untreated urinary tract infections may progress to pyelonephritis and
increase maternal and fetal complications; therefore, delaying
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 newly certified APRN joins a primary care practice in a state that
grants full practice authority. A 58-year-old patient with newly
diagnosed hypertension requests medication at the initial visit. Before
issuing the first prescription, which action best reflects safe, evidence-
based prescribing?
A. Prescribe the medication requested by the patient because full
practice authority eliminates the need for additional assessment.
B. Complete a comprehensive history, perform a focused examination,
reconcile all medications, assess allergies and contraindications, and
engage the patient in shared decision-making before selecting therapy.
C. Delay pharmacologic treatment until the patient has been evaluated
by a collaborating physician.
D. Prescribe the medication with the lowest acquisition cost regardless
of comorbidities.
Correct Answer: B
Rationale:
Safe prescribing begins with a thorough patient assessment that
includes the patient's medical history, current medications (including
over-the-counter and herbal products), allergies, comorbid conditions,
appropriate physical examination, diagnostic evaluation, and shared
decision-making. This approach helps ensure that the selected
medication is appropriate, safe, and individualized. Full practice
authority does not eliminate the need for comprehensive clinical
assessment (A). Collaboration with a physician may be appropriate in
selected complex situations but is not routinely required in full practice
,authority states (C). Medication cost is important but should not
supersede efficacy, safety, contraindications, and patient-specific
factors (D).
Question 2
A 74-year-old woman with chronic kidney disease, hypertension,
osteoarthritis, and type 2 diabetes presents to establish care. She
currently takes prescriptions from three specialists, several over-the-
counter medications, and two dietary supplements. Which prescribing
action should the APRN prioritize before initiating an additional
medication?
A. Review the patient's complete medication list to identify therapeutic
duplication, interactions, and potentially inappropriate medications.
B. Discontinue all nonprescription medications immediately.
C. Prescribe the lowest available dose of the new medication without
reviewing existing therapy.
D. Assume the specialists have already evaluated potential medication
interactions.
Correct Answer: A
Rationale:
Medication reconciliation is a fundamental responsibility of the APRN
and is especially important in older adults with polypharmacy.
Reviewing all prescription medications, OTC products, and supplements
helps identify duplicate therapies, drug-drug interactions, drug-disease
interactions, adverse effects, and medications requiring dose
adjustment. Automatically discontinuing all OTC products may remove
beneficial therapies (B). Starting a medication without reviewing
, current therapy increases patient risk (C). Assuming another clinician
has completed medication reconciliation is unsafe and inconsistent
with best prescribing practices (D).
Question 3
A 29-year-old woman who is 10 weeks pregnant presents with
symptoms consistent with an uncomplicated urinary tract infection.
The APRN plans to prescribe antibiotic therapy. Which prescribing
principle is most appropriate?
A. Avoid discussing pregnancy because treatment decisions are based
only on culture results.
B. Select an antibiotic with an established safety profile during
pregnancy while considering gestational age, maternal allergies, local
resistance patterns, and culture data when available.
C. Prescribe the newest available antibiotic because newer medications
are generally safer during pregnancy.
D. Delay treatment until after delivery whenever possible.
Correct Answer: B
Rationale:
Pregnancy requires individualized prescribing that balances maternal
benefit with fetal safety. Medication selection should consider
gestational age, known safety data, maternal allergies, microbial
susceptibility, and current clinical guidelines. Pregnancy counseling is
an essential component of prescribing. Newer medications are not
inherently safer because pregnancy safety data may be limited (C).
Untreated urinary tract infections may progress to pyelonephritis and
increase maternal and fetal complications; therefore, delaying
