TEST BANK
Test Bank for Lehne’s Pharmacotherapeutics For Advanced Practice Nurses And Physician
Assistants 2nd Edition
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TEST BANK
,Rosenthal: Lehne’s Pharmacotherapeutics For Advanced Practice Nurses AndPhysician Assistants
Chapter 1: Prescriptive Authority
Test Bank
Multiple Choice
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict
the types of medications the APRN is allowed to prescribe. State law does not require the APRN
to practice under physician supervision. How would the APRN‘s prescriptive authority be
described?
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a. Full authority
b. Independent
c. Without limitation
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d. Limited authority
ANS: B
The APRN has independent prescriptive authority because the regulating body does not require
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that the APRN work under physician supervision. Full prescriptive authority gives the provider the
right to prescribe independently and without limitation. Limited authority places restrictions on the
types of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing
Ud
Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
Parenteral Therapies
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2. Which factors increase the need for APRNs to have full prescriptive authority?
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a. More patients will have access to health care.
b. Enrollment in medical schools is predicted to decrease.
Physician‘s assistants are being utilized less often.
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c.
d. APRN education is more complex than education for physicians.
ANS: A
Implementation of the Affordable Care Act has increased the number of individuals with health
ia
care coverage, and thus the number who have access to health care services. The increase in the
number ofpatients creates the need for more providers with prescriptive authority. APRNs can fill
this practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process:
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
Parenteral Therapies
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
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy
ANS: A , B
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
patient care. It may also lead to poor collaboration among providers and higher health care costs.
It would not directly impact patient‘s health literacy.DIF: Cognitive Level: ComprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
Integrity: Pharmacologic and Parenteral Therapies
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4. Which aspects support the APRN‘s provision for full prescriptive authority?
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Select all that apply.
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
National examinations provide validation of the APRN‘s ability to provide safecare.
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c.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability.
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ANS: A , C , D
APRNs are educated to practice and prescribe independently without supervision. National
Res
examinations validate the ability to provide safe and competent care. Licensure ensures compliance
with standards to promote public health and safety. Limited prescriptive authority creates numerous
barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
StE
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
uv
5. Which aspects support the APRN‘s provision for full prescriptive authority?
Select all that apply.
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a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN‘s ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards.
ANS: A , C , D
APRNs are educated to practice and prescribe independently without supervision. National
examinations validate the ability to provide safe and competent care. Licensure ensures compliance
with standards to promote public health and safety. Limited prescriptive authority creates numerous
barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
, ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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.
b. The APRN will have more prescriptive authority in the new position.
c. The APRN will have equal prescriptive authority in the newposition.
d. The APRN‘s authority will depend on federalregulations.
ANS: A
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
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practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
pJg
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed.
Nra
Chapter 2: Rational Drug Selection and Prescription Writing
Test Bank
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Multiple Choice
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7. How can collaboration with a pharmacist improve positive outcomes for patients?
Select all that apply.
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a. Pharmacists can suggest foods that will help with the patient‘s condition.
b. Pharmacists have additional information on drug interactions.
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c. The pharmacist can suggest adequate medication dosing.
d. Pharmacists have firsthand knowledge of the facility formulary.
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
ANS: B , C , D
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Providers should collaborate with pharmacists because they will likely have additional information
on formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can
make foods recommendations to treat the patient‘s condition. The pharmacist can contact the
prescriber about questionable prescriptions, but cannot alter the prescription without notification
of and approval by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing
Process: Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of
Risk Potential
Test Bank for Lehne’s Pharmacotherapeutics For Advanced Practice Nurses And Physician
Assistants 2nd Edition
U
pJg
Nra
Ud
Res
StE
uv
ia
TEST BANK
,Rosenthal: Lehne’s Pharmacotherapeutics For Advanced Practice Nurses AndPhysician Assistants
Chapter 1: Prescriptive Authority
Test Bank
Multiple Choice
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict
the types of medications the APRN is allowed to prescribe. State law does not require the APRN
to practice under physician supervision. How would the APRN‘s prescriptive authority be
described?
U
a. Full authority
b. Independent
c. Without limitation
pJg
d. Limited authority
ANS: B
The APRN has independent prescriptive authority because the regulating body does not require
Nra
that the APRN work under physician supervision. Full prescriptive authority gives the provider the
right to prescribe independently and without limitation. Limited authority places restrictions on the
types of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing
Ud
Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
Parenteral Therapies
Res
2. Which factors increase the need for APRNs to have full prescriptive authority?
StE
a. More patients will have access to health care.
b. Enrollment in medical schools is predicted to decrease.
Physician‘s assistants are being utilized less often.
uv
c.
d. APRN education is more complex than education for physicians.
ANS: A
Implementation of the Affordable Care Act has increased the number of individuals with health
ia
care coverage, and thus the number who have access to health care services. The increase in the
number ofpatients creates the need for more providers with prescriptive authority. APRNs can fill
this practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process:
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
Parenteral Therapies
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
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy
ANS: A , B
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
patient care. It may also lead to poor collaboration among providers and higher health care costs.
It would not directly impact patient‘s health literacy.DIF: Cognitive Level: ComprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
Integrity: Pharmacologic and Parenteral Therapies
U
4. Which aspects support the APRN‘s provision for full prescriptive authority?
pJg
Select all that apply.
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
National examinations provide validation of the APRN‘s ability to provide safecare.
Nra
c.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability.
Ud
ANS: A , C , D
APRNs are educated to practice and prescribe independently without supervision. National
Res
examinations validate the ability to provide safe and competent care. Licensure ensures compliance
with standards to promote public health and safety. Limited prescriptive authority creates numerous
barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
StE
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
uv
5. Which aspects support the APRN‘s provision for full prescriptive authority?
Select all that apply.
ia
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN‘s ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards.
ANS: A , C , D
APRNs are educated to practice and prescribe independently without supervision. National
examinations validate the ability to provide safe and competent care. Licensure ensures compliance
with standards to promote public health and safety. Limited prescriptive authority creates numerous
barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
, ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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.
b. The APRN will have more prescriptive authority in the new position.
c. The APRN will have equal prescriptive authority in the newposition.
d. The APRN‘s authority will depend on federalregulations.
ANS: A
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
U
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
pJg
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed.
Nra
Chapter 2: Rational Drug Selection and Prescription Writing
Test Bank
Ud
Multiple Choice
Res
7. How can collaboration with a pharmacist improve positive outcomes for patients?
Select all that apply.
StE
a. Pharmacists can suggest foods that will help with the patient‘s condition.
b. Pharmacists have additional information on drug interactions.
uv
c. The pharmacist can suggest adequate medication dosing.
d. Pharmacists have firsthand knowledge of the facility formulary.
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
ANS: B , C , D
ia
Providers should collaborate with pharmacists because they will likely have additional information
on formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can
make foods recommendations to treat the patient‘s condition. The pharmacist can contact the
prescriber about questionable prescriptions, but cannot alter the prescription without notification
of and approval by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing
Process: Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of
Risk Potential
