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Lehne’s Pharmacotherapeutics for Advanced Practice Nurses
and Physician Assistants (2nd Edition Rosenthal Test Bank)
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Rosenthal: Lehne's Pharmacotherap... NR 565 Week 1 Quiz
Teacher 130 terms 10 terms
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b. Independent
Ch 1 Prescriptive Authority 2. Which factors increase the need for APRNs to have full
prescriptive authority?
a. More patients will have access to health care.
Ch 1 Prescriptive Authority 3. Which factors could be attributed to limited prescriptive
authority for APRNs? Select all that apply.
a. Inaccessibility of patient care
b. Higher health care costs
Ch 1 Prescriptive Authority 4. Which aspects support the APRN's provision for full
prescriptive authority? Select all that apply
a. Clinical education includes prescription of medications and disease processes.
c. National examinations provide validation of the APRN's ability to provide safe care.
d. Licensure ensures compliance with health care and safety standards.
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Ch 1 Prescriptive Authority 5. Which aspects support the APRN's provision for full
prescriptive authority? Select all that apply.
a. Clinical education includes prescription of medications and disease processes.
c. National examinations provide validation of the APRN's ability to provide safe care.
d. Licensure ensures compliance with health care and safety standards.
Ch 1 Prescriptive Authority 6. A family nurse practitioner practicing in Maine is hired at a
practice across state lines in Virginia. Which aspect of practice may change for the
APRN?
a. The APRN will have less prescriptive authority in the new position.
Ch 2 Rational Drug Selection and Prescription Writing 7. How can collaboration with a
pharmacist improve positive outcomes for patients? Select all that apply.
b. Pharmacists have additional information on drug interactions.
c. The pharmacist can suggest adequate medication dosing.
d. Pharmacists have firsthand knowledge of the facility formulary.
Ch 2 Rational Drug Selection and Prescription Writing 8. A patient presents with
delirium tremens requiring Ativan administration. The provider of care is not in the
facility. Which action by the nurse is most appropriate?
a. Obtain a telephone order.
Ch 2 Rational Drug Selection and Prescription Writing 9. A patient with chronic pain
calls the provider's office to request a refill on their oxycontin. Which action is most
appropriate?
b. Schedule an appointment with the patient.
Ch 2 Rational Drug Selection and Prescription Writing 10. A patient prescribed
amoxicillin for streptococcal pharyngitis reports new onset of a flat, itchy red rash on
the chest and neck. Which action is most important?
b. Discontinue the medication.
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Ch 2 Rational Drug Selection and Prescription Writing 11. A patient taking three
medications for hypertension is diagnosed with COPD. Which action should be taken
prior to prescribing medications to treat COPD?
b. Obtain a complete medication history.
Ch 2 Rational Drug Selection and Prescription Writing 12. A patient with diabetes
reports losing their job and an inability to purchase required medications. Which action
is most appropriate?
c. Contact a different pharmacy.
Ch 2 Rational Drug Selection and Prescription Writing 13. A patient recently prescribed
hydrocodone calls to report they are unable to fill the prescription. Which factors
could contribute to the inability to fill the prescription? Select all that apply.
a. DEA number missing from prescription
b. Prescription sent via electronic messenger
d. Prescriber license number not included
Ch 3 Promoting Positive Outcomes of Drug Therapy 14. A patient reports that a
medication prescribed for recurrent migraine headaches is not working. Which action
should be taken first?
a. Ask the patient about the number and frequency of tablets taken.
Ch 3 Promoting Positive Outcomes of Drug Therapy 15. A patient is prescribed
metronidazole for bacterial vaginosis. Which patient history finding would be most
concerning?
c. Drinks two glasses of wine every night
Ch 3 Promoting Positive Outcomes of Drug Therapy 16. A patient is using a metered-
dose inhaler containing albuterol for asthma. The medication label instructs the patient
to administer "two puffs every 4 hours as needed for coughing or wheezing." The
patient reports feeling jittery sometimes when taking the medication, and she doesn't
feel that the medication is always effective. Which action is most appropriate?
c. Auscultating lung sounds and obtaining vital signs
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Ch 3 Promoting Positive Outcomes of Drug Therapy 17. A patient newly diagnosed with
diabetes is to be discharged from the hospital. Which action should be taken first
during medication education?
a. Asking the patient to demonstrate how to measure and administer insulin
Ch 3 Promoting Positive Outcomes of Drug Therapy 18. The drug manual states that
older adult patients are at increased risk for hepatic side effects. Which action is most
important when prescribing this medication to an 80-year-old patient?
a. Obtain pretreatment laboratory work.
Ch 3 Promoting Positive Outcomes of Drug Therapy 19. A patient recently diagnosed
with HIV is prescribed several medications to treat the condition. Which factors could
impact the patient's adherence to the treatment regimen? Select all that apply.
a. The patient is uninsured
b. The patient works three part-time jobs
c. The medication regimen includes six different pills
e. Medication regimen requires medication be taken at regular 4-hour intervals.
Ch 3 Promoting Positive Outcomes of Drug Therapy 20. A patient diagnosed with
bipolar disorder is prescribed daily lithium. Which action is most important to
determine if the therapeutic level is maintained?
c. Ensure periodic laboratory testing is completed.
Ch 4 Pharmacokinetics, Pharmacodynamics, and Drug Interactions 21. The nurse
administers naloxone [Narcan] to a patient who has received a toxic dose of morphine
sulfate. The nurse understands that the naloxone is effective because of which action?
c. Preventing activation of opioid receptors through antagonist actions
Ch 4 Pharmacokinetics, Pharmacodynamics, and Drug Interactions 22. A patient is
taking drug X and receives a new prescription for drug Y, which is listed as an inducing
agent. The nurse caring for this patient understands that this patient may require doses
of drug
c. higher; X
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Lehne’s Pharmacotherapeutics for Advanced Practice Nurses
and Physician Assistants (2nd Edition Rosenthal Test Bank)
supuncx
Save
Rosenthal: Lehne's Pharmacotherap... NR 565 Week 1 Quiz
Teacher 130 terms 10 terms
smalvarez97 Preview XtalXtal Preview
Terms (916)
Hide definitions
b. Independent
Ch 1 Prescriptive Authority 2. Which factors increase the need for APRNs to have full
prescriptive authority?
a. More patients will have access to health care.
Ch 1 Prescriptive Authority 3. Which factors could be attributed to limited prescriptive
authority for APRNs? Select all that apply.
a. Inaccessibility of patient care
b. Higher health care costs
Ch 1 Prescriptive Authority 4. Which aspects support the APRN's provision for full
prescriptive authority? Select all that apply
a. Clinical education includes prescription of medications and disease processes.
c. National examinations provide validation of the APRN's ability to provide safe care.
d. Licensure ensures compliance with health care and safety standards.
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Ch 1 Prescriptive Authority 5. Which aspects support the APRN's provision for full
prescriptive authority? Select all that apply.
a. Clinical education includes prescription of medications and disease processes.
c. National examinations provide validation of the APRN's ability to provide safe care.
d. Licensure ensures compliance with health care and safety standards.
Ch 1 Prescriptive Authority 6. A family nurse practitioner practicing in Maine is hired at a
practice across state lines in Virginia. Which aspect of practice may change for the
APRN?
a. The APRN will have less prescriptive authority in the new position.
Ch 2 Rational Drug Selection and Prescription Writing 7. How can collaboration with a
pharmacist improve positive outcomes for patients? Select all that apply.
b. Pharmacists have additional information on drug interactions.
c. The pharmacist can suggest adequate medication dosing.
d. Pharmacists have firsthand knowledge of the facility formulary.
Ch 2 Rational Drug Selection and Prescription Writing 8. A patient presents with
delirium tremens requiring Ativan administration. The provider of care is not in the
facility. Which action by the nurse is most appropriate?
a. Obtain a telephone order.
Ch 2 Rational Drug Selection and Prescription Writing 9. A patient with chronic pain
calls the provider's office to request a refill on their oxycontin. Which action is most
appropriate?
b. Schedule an appointment with the patient.
Ch 2 Rational Drug Selection and Prescription Writing 10. A patient prescribed
amoxicillin for streptococcal pharyngitis reports new onset of a flat, itchy red rash on
the chest and neck. Which action is most important?
b. Discontinue the medication.
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Ch 2 Rational Drug Selection and Prescription Writing 11. A patient taking three
medications for hypertension is diagnosed with COPD. Which action should be taken
prior to prescribing medications to treat COPD?
b. Obtain a complete medication history.
Ch 2 Rational Drug Selection and Prescription Writing 12. A patient with diabetes
reports losing their job and an inability to purchase required medications. Which action
is most appropriate?
c. Contact a different pharmacy.
Ch 2 Rational Drug Selection and Prescription Writing 13. A patient recently prescribed
hydrocodone calls to report they are unable to fill the prescription. Which factors
could contribute to the inability to fill the prescription? Select all that apply.
a. DEA number missing from prescription
b. Prescription sent via electronic messenger
d. Prescriber license number not included
Ch 3 Promoting Positive Outcomes of Drug Therapy 14. A patient reports that a
medication prescribed for recurrent migraine headaches is not working. Which action
should be taken first?
a. Ask the patient about the number and frequency of tablets taken.
Ch 3 Promoting Positive Outcomes of Drug Therapy 15. A patient is prescribed
metronidazole for bacterial vaginosis. Which patient history finding would be most
concerning?
c. Drinks two glasses of wine every night
Ch 3 Promoting Positive Outcomes of Drug Therapy 16. A patient is using a metered-
dose inhaler containing albuterol for asthma. The medication label instructs the patient
to administer "two puffs every 4 hours as needed for coughing or wheezing." The
patient reports feeling jittery sometimes when taking the medication, and she doesn't
feel that the medication is always effective. Which action is most appropriate?
c. Auscultating lung sounds and obtaining vital signs
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Ch 3 Promoting Positive Outcomes of Drug Therapy 17. A patient newly diagnosed with
diabetes is to be discharged from the hospital. Which action should be taken first
during medication education?
a. Asking the patient to demonstrate how to measure and administer insulin
Ch 3 Promoting Positive Outcomes of Drug Therapy 18. The drug manual states that
older adult patients are at increased risk for hepatic side effects. Which action is most
important when prescribing this medication to an 80-year-old patient?
a. Obtain pretreatment laboratory work.
Ch 3 Promoting Positive Outcomes of Drug Therapy 19. A patient recently diagnosed
with HIV is prescribed several medications to treat the condition. Which factors could
impact the patient's adherence to the treatment regimen? Select all that apply.
a. The patient is uninsured
b. The patient works three part-time jobs
c. The medication regimen includes six different pills
e. Medication regimen requires medication be taken at regular 4-hour intervals.
Ch 3 Promoting Positive Outcomes of Drug Therapy 20. A patient diagnosed with
bipolar disorder is prescribed daily lithium. Which action is most important to
determine if the therapeutic level is maintained?
c. Ensure periodic laboratory testing is completed.
Ch 4 Pharmacokinetics, Pharmacodynamics, and Drug Interactions 21. The nurse
administers naloxone [Narcan] to a patient who has received a toxic dose of morphine
sulfate. The nurse understands that the naloxone is effective because of which action?
c. Preventing activation of opioid receptors through antagonist actions
Ch 4 Pharmacokinetics, Pharmacodynamics, and Drug Interactions 22. A patient is
taking drug X and receives a new prescription for drug Y, which is listed as an inducing
agent. The nurse caring for this patient understands that this patient may require doses
of drug
c. higher; X
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