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