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 family nurse practitioner (FNP) is establishing a
primary care practice. Before independently prescribing medications,
the APRN reviews state regulations, collaborative practice
requirements, and federal prescribing laws. Which action best
demonstrates safe and legally sound prescribing practice?
A. Prescribe medications according to personal clinical experience even
when state regulations differ.
B. Verify state scope-of-practice laws, DEA requirements for controlled
substances, and institutional prescribing policies before initiating
independent prescribing.
C. Delegate prescribing authority for controlled substances to the
supervising registered nurse.
D. Assume federal law supersedes all state prescribing regulations.
Correct Answer: B
Rationale: Safe prescribing begins with understanding state-specific
APRN scope-of-practice laws, DEA registration requirements, and
institutional or employer policies. Federal regulations establish
minimum standards, but states may impose additional restrictions.
Option A ignores legal requirements. Option C is inappropriate because
prescribing authority cannot be delegated. Option D is incorrect
because prescribers must comply with both federal and applicable state
regulations.
,Question 2
An APRN evaluates a 67-year-old patient requesting antibiotics for a
three-day history of nasal congestion, rhinorrhea, and sore throat
without fever. Physical examination is consistent with a viral upper
respiratory infection. What is the most appropriate prescribing
decision?
A. Prescribe amoxicillin for seven days.
B. Prescribe azithromycin because it has fewer adverse effects.
C. Recommend supportive care and educate the patient regarding the
lack of benefit from antibiotics.
D. Prescribe ciprofloxacin to prevent secondary bacterial infection.
Correct Answer: C
Rationale: Evidence-based prescribing requires avoiding unnecessary
antibiotics for viral illnesses to reduce antimicrobial resistance, adverse
drug events, and unnecessary costs. Education regarding symptom
management and expected illness duration is appropriate. The
remaining options expose the patient to unnecessary antibiotic therapy
without clinical indication.
Question 3
A 74-year-old woman with hypertension, chronic kidney disease,
osteoarthritis, and type 2 diabetes presents for medication review. She
currently takes 12 prescription medications from four different
specialists. Which prescribing strategy best minimizes medication-
related harm?
, A. Continue all medications because each specialist prescribed
appropriately.
B. Add another medication to treat anticipated adverse effects.
C. Perform a comprehensive medication reconciliation and evaluate
each medication for indication, benefit, duplication, interactions, and
deprescribing opportunities.
D. Stop all medications except antihypertensive therapy.
Correct Answer: C
Rationale: Medication reconciliation is an essential responsibility of
APRN prescribers. Reviewing all medications for ongoing need,
effectiveness, interactions, duplication, and adverse effects reduces
polypharmacy and medication-related harm. Automatically continuing
or discontinuing medications without assessment is inappropriate.
Question 4
A patient with newly diagnosed hypertension asks why the APRN is
recommending lifestyle modifications before prescribing medication.
Which response best reflects patient-centered prescribing?
A. "Medication should always be the first treatment."
B. "Lifestyle interventions may reduce cardiovascular risk and
sometimes delay or reduce the need for medication while supporting
long-term health."
C. "Insurance companies require lifestyle changes first."
D. "Blood pressure medications should be avoided whenever possible."
Correct Answer: B
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 family nurse practitioner (FNP) is establishing a
primary care practice. Before independently prescribing medications,
the APRN reviews state regulations, collaborative practice
requirements, and federal prescribing laws. Which action best
demonstrates safe and legally sound prescribing practice?
A. Prescribe medications according to personal clinical experience even
when state regulations differ.
B. Verify state scope-of-practice laws, DEA requirements for controlled
substances, and institutional prescribing policies before initiating
independent prescribing.
C. Delegate prescribing authority for controlled substances to the
supervising registered nurse.
D. Assume federal law supersedes all state prescribing regulations.
Correct Answer: B
Rationale: Safe prescribing begins with understanding state-specific
APRN scope-of-practice laws, DEA registration requirements, and
institutional or employer policies. Federal regulations establish
minimum standards, but states may impose additional restrictions.
Option A ignores legal requirements. Option C is inappropriate because
prescribing authority cannot be delegated. Option D is incorrect
because prescribers must comply with both federal and applicable state
regulations.
,Question 2
An APRN evaluates a 67-year-old patient requesting antibiotics for a
three-day history of nasal congestion, rhinorrhea, and sore throat
without fever. Physical examination is consistent with a viral upper
respiratory infection. What is the most appropriate prescribing
decision?
A. Prescribe amoxicillin for seven days.
B. Prescribe azithromycin because it has fewer adverse effects.
C. Recommend supportive care and educate the patient regarding the
lack of benefit from antibiotics.
D. Prescribe ciprofloxacin to prevent secondary bacterial infection.
Correct Answer: C
Rationale: Evidence-based prescribing requires avoiding unnecessary
antibiotics for viral illnesses to reduce antimicrobial resistance, adverse
drug events, and unnecessary costs. Education regarding symptom
management and expected illness duration is appropriate. The
remaining options expose the patient to unnecessary antibiotic therapy
without clinical indication.
Question 3
A 74-year-old woman with hypertension, chronic kidney disease,
osteoarthritis, and type 2 diabetes presents for medication review. She
currently takes 12 prescription medications from four different
specialists. Which prescribing strategy best minimizes medication-
related harm?
, A. Continue all medications because each specialist prescribed
appropriately.
B. Add another medication to treat anticipated adverse effects.
C. Perform a comprehensive medication reconciliation and evaluate
each medication for indication, benefit, duplication, interactions, and
deprescribing opportunities.
D. Stop all medications except antihypertensive therapy.
Correct Answer: C
Rationale: Medication reconciliation is an essential responsibility of
APRN prescribers. Reviewing all medications for ongoing need,
effectiveness, interactions, duplication, and adverse effects reduces
polypharmacy and medication-related harm. Automatically continuing
or discontinuing medications without assessment is inappropriate.
Question 4
A patient with newly diagnosed hypertension asks why the APRN is
recommending lifestyle modifications before prescribing medication.
Which response best reflects patient-centered prescribing?
A. "Medication should always be the first treatment."
B. "Lifestyle interventions may reduce cardiovascular risk and
sometimes delay or reduce the need for medication while supporting
long-term health."
C. "Insurance companies require lifestyle changes first."
D. "Blood pressure medications should be avoided whenever possible."
Correct Answer: B
