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
• Print ISBN: 9781719648035
eText ISBN:9781719651585
,Question 1
A 52-year-old nurse practitioner is reviewing her prescribing
practices after joining a multispecialty clinic. She wants to
minimize preventable medication-related harm while meeting
legal and ethical obligations. Which action best reflects the
responsibilities of an advanced practice nurse (APRN) prescriber?
A. Prescribe medications based primarily on patient preference to
improve adherence.
B. Evaluate the patient comprehensively, individualize therapy,
monitor treatment outcomes, and adjust the regimen based on
efficacy and safety.
C. Delegate medication selection entirely to the collaborating
pharmacist.
D. Prescribe only medications with which the APRN has extensive
personal experience.
Correct Answer: B
Rationale: Safe prescribing requires comprehensive assessment,
evidence-based medication selection, individualized treatment,
patient education, ongoing monitoring, and follow-up. Pharmacists
contribute valuable expertise but do not replace the APRN's
prescribing responsibility. Patient preferences should be
considered but should not supersede evidence-based clinical
decision-making. Restricting prescribing to familiar medications
alone may not provide optimal patient care.
,Question 2
A 67-year-old man with hypertension, type 2 diabetes, chronic
kidney disease, and osteoarthritis presents for medication review.
He receives prescriptions from multiple specialists. Which
intervention is most likely to reduce medication-related
complications?
A. Continue all medications unless the patient reports adverse
effects.
B. Perform regular medication reconciliation, assess for duplicate
therapies and interactions, and discontinue unnecessary
medications.
C. Recommend that each specialist independently manage
medications.
D. Encourage the patient to purchase over-the-counter
supplements for symptom management.
Correct Answer: B
Rationale: Medication reconciliation is essential in preventing
therapeutic duplication, drug interactions, prescribing cascades,
and adverse drug events. Regular review supports deprescribing
when appropriate and improves medication safety. Waiting for
adverse effects or relying solely on multiple specialists increases
the risk of medication-related harm.
Question 3
A 30-year-old woman asks whether the medication prescribed
during a telehealth visit is appropriate because she recently
, discovered she is pregnant. Before prescribing, the APRN should
prioritize which action?
A. Delay treatment until after delivery.
B. Verify pregnancy status, assess gestational age, evaluate
maternal and fetal risks, and select the safest effective therapy.
C. Prescribe the standard adult dose regardless of pregnancy.
D. Recommend all herbal products instead of prescription
medications.
Correct Answer: B
Rationale: Pregnancy requires individualized risk-benefit
assessment. Prescribers should consider gestational age,
maternal disease severity, fetal safety, and available evidence
before selecting therapy. Untreated maternal illness may also
pose significant fetal risks. Herbal products are not inherently
safer and often lack adequate safety data.
Question 4
A patient receiving warfarin is prescribed trimethoprim-
sulfamethoxazole by an urgent care clinic. The patient contacts
the APRN before starting therapy. What is the best response?
A. Begin the antibiotic without additional monitoring.
B. Advise stopping warfarin until the antibiotic course is complete.
C. Evaluate the clinically significant interaction, consider an
alternative antibiotic when appropriate, and arrange closer INR
monitoring if combination therapy is necessary.
D. Reduce the antibiotic dose by half.
Correct Answer: C
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
• Print ISBN: 9781719648035
eText ISBN:9781719651585
,Question 1
A 52-year-old nurse practitioner is reviewing her prescribing
practices after joining a multispecialty clinic. She wants to
minimize preventable medication-related harm while meeting
legal and ethical obligations. Which action best reflects the
responsibilities of an advanced practice nurse (APRN) prescriber?
A. Prescribe medications based primarily on patient preference to
improve adherence.
B. Evaluate the patient comprehensively, individualize therapy,
monitor treatment outcomes, and adjust the regimen based on
efficacy and safety.
C. Delegate medication selection entirely to the collaborating
pharmacist.
D. Prescribe only medications with which the APRN has extensive
personal experience.
Correct Answer: B
Rationale: Safe prescribing requires comprehensive assessment,
evidence-based medication selection, individualized treatment,
patient education, ongoing monitoring, and follow-up. Pharmacists
contribute valuable expertise but do not replace the APRN's
prescribing responsibility. Patient preferences should be
considered but should not supersede evidence-based clinical
decision-making. Restricting prescribing to familiar medications
alone may not provide optimal patient care.
,Question 2
A 67-year-old man with hypertension, type 2 diabetes, chronic
kidney disease, and osteoarthritis presents for medication review.
He receives prescriptions from multiple specialists. Which
intervention is most likely to reduce medication-related
complications?
A. Continue all medications unless the patient reports adverse
effects.
B. Perform regular medication reconciliation, assess for duplicate
therapies and interactions, and discontinue unnecessary
medications.
C. Recommend that each specialist independently manage
medications.
D. Encourage the patient to purchase over-the-counter
supplements for symptom management.
Correct Answer: B
Rationale: Medication reconciliation is essential in preventing
therapeutic duplication, drug interactions, prescribing cascades,
and adverse drug events. Regular review supports deprescribing
when appropriate and improves medication safety. Waiting for
adverse effects or relying solely on multiple specialists increases
the risk of medication-related harm.
Question 3
A 30-year-old woman asks whether the medication prescribed
during a telehealth visit is appropriate because she recently
, discovered she is pregnant. Before prescribing, the APRN should
prioritize which action?
A. Delay treatment until after delivery.
B. Verify pregnancy status, assess gestational age, evaluate
maternal and fetal risks, and select the safest effective therapy.
C. Prescribe the standard adult dose regardless of pregnancy.
D. Recommend all herbal products instead of prescription
medications.
Correct Answer: B
Rationale: Pregnancy requires individualized risk-benefit
assessment. Prescribers should consider gestational age,
maternal disease severity, fetal safety, and available evidence
before selecting therapy. Untreated maternal illness may also
pose significant fetal risks. Herbal products are not inherently
safer and often lack adequate safety data.
Question 4
A patient receiving warfarin is prescribed trimethoprim-
sulfamethoxazole by an urgent care clinic. The patient contacts
the APRN before starting therapy. What is the best response?
A. Begin the antibiotic without additional monitoring.
B. Advise stopping warfarin until the antibiotic course is complete.
C. Evaluate the clinically significant interaction, consider an
alternative antibiotic when appropriate, and arrange closer INR
monitoring if combination therapy is necessary.
D. Reduce the antibiotic dose by half.
Correct Answer: C
