,LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCE
k k k
D PRACTICE NURSES AND
k k k
PHYSICIAN ASSISTANTS 2ND EDITION
k k k
Chapterk1:kPrescriptivekAuthorityk
TestkBank
MultiplekChoice
1. AnkAPRNkworkskinkakurologykclinickunderktheksupervisionkofkakphysiciankwhokdoesknotkrestrictkt
hektypeskofkmedicationskthekAPRNkiskallowedktokprescribe.kStateklawkdoesknotkrequirekthekAPR
Nktokpracticekunderkphysicianksupervision.kHowkwouldkthekAPRN’skprescriptivekauthoritykbekdes
cribed?
a. Fullkauthority
b. Independent
c. Withoutklimitation
d. Limitedkauthority
ANS:kB
ThekAPRNkhaskindependentkprescriptivekauthoritykbecausekthekregulatingkbodykdoesknotkrequirekth
atkthekAPRNkworkkunderkphysicianksupervision.kFullkprescriptivekauthoritykgiveskthekproviderkthekri
ghtktokprescribekindependentlykandkwithoutklimitation.kLimitedkauthoritykplaceskrestrictionskonkthekt
ypeskofkdrugskthatkcankbekprescribed.DIF:kCognitivekLevel:kComprehensionREF:kp.k1TOP:kNursingk
Process:kIkMSC:kNCLEXkClientkNeedskCategory:kPhysiologickIntegrity:kPharmacologickandkParent
eralkTherapies
2. WhichkfactorskincreasekthekneedkforkAPRNsktokhavekfullkprescriptivek authority?
a. Morekpatientskwillkhavekaccessktokhealthkcare.
b. Enrollmentkinkmedicalkschoolskiskpredictedktok decrease.
c. Physician’skassistantskarekbeingkutilizedklessk often.
d. APRNkeducationkiskmorekcomplexkthankeducationkforkphysicians.
ANS:kA
ImplementationkofkthekAffordablekCarekActkhaskincreasedktheknumberkofkindividualskwithkhealthkca
rekcoverage,kandkthusktheknumberkwhokhavekaccessktokhealthkcarekservices.kThekincreasekinktheknum
berkofkpatientskcreateskthekneedkforkmorekproviderskwithkprescriptivekauthority.k APRNskcankfillkthiskpr
acticekgap.DIF:kCognitivekLevel:kComprehensionREF:kp.k2TOP:kNursingkProcess:kImplementatio
nkMSC:kNCLEXkClientkNeedskCategory:kPhysiologickIntegrity:kPharmacologickandkParenteralkTher
apies
3. WhichkfactorskcouldkbekattributedktoklimitedkprescriptivekauthoritykforkAPRNs?k
Selectkallkthatk apply.
, a. Inaccessibilitykofk patientkcare
b. Higherkhealthkcarekcosts
c. Higherkqualitykmedicalktreatment
d. Improvedkcollaborativekcare
e. Enhancedkhealthk literacy
ANS:kAk,kB
LimitingkprescriptivekauthoritykforkAPRNskcankcreatekbarriersktokquality,k affordable,k andkaccessiblekp
atientkcare.kItkmaykalsokleadktokpoorkcollaborationkamongkproviderskandkhigherkhealthkcarekcosts.kItk
wouldknotkdirectlykimpactkpatient’skhealthkliteracy.DIF:kCognitivekLevel:kComprehensionREF:
p.k2TOP:kNursingkProcess:kImplementationkMSC:kNCLEXkClientkNeedskCategory:kPhysiologickIn
tegrity:kPharmacologickandkParenteralkTherapies
4. WhichkaspectsksupportkthekAPRN’skprovisionkforkfullkprescriptivekauthority?k
Selectkallkthatk apply.
a. Clinicalkeducationkincludeskprescriptionkofk medicationskandkdiseasekprocesses.
b. Federalkregulationsksupportkthekprovisionkofkfullkauthorityk forkAPRNs.
c. NationalkexaminationskprovidekvalidationkofkthekAPRN’skabilityktok provideksafecare.
d. Licensurekensureskcompliancekwithkhealthkcarek andk safetykstandards.
e. Limitingkprovisionkcankdecreasekhealthkcarekaffordability.
ANS:kAk,kCk,kD
APRNskarekeducatedktokpracticekandkprescribekindependentlykwithoutksupervision.kNationalkexami
nationskvalidatekthekabilityktokprovideksafekandkcompetentkcare.kLicensurekensureskcompliancekwith
kstandardsktokpromotekpublickhealthkandksafety.kLimitedkprescriptivekauthoritykcreatesknumerouskbar
riersktokquality,kaffordable,kandkaccessiblekpatientkcare.DIF:kCognitivekLevel:kComprehensionREF:k
pp.k1-
2TOP:kNursingkProcess:kImplementationkMSC:kNCLEXkClientkNeedskCategory:kPhysiologickInteg
rity:kPharmacologickandk ParenteralkTherapies
5. WhichkaspectsksupportkthekAPRN’skprovisionkforkfullkprescriptivekauthority?k
Selectkallkthatk apply.
a. Clinicalkeducationkincludeskprescriptionkofk medicationskandkdiseasekprocesses.
b. FederalkregulationsksupportkthekprovisionkofkfullkauthoritykforkAPRNs.
c. NationalkexaminationskprovidekvalidationkofkthekAPRN’skabilityktok provideksafecare.
d. Licensurekensureskcompliancekwithkhealthkcarekandk safetykstandards.
ANS:kAk,kCk,kD
APRNskarekeducatedktokpracticekandkprescribekindependentlykwithoutksupervision.kNationalkexami
nationskvalidatekthekabilityktokprovideksafekandkcompetentkcare.kLicensurekensureskcompliancekwith
kstandardsktokpromotekpublickhealthkandksafety.kLimitedkprescriptivekauthoritykcreatesknumerouskbar
riersktokquality,kaffordable,kandkaccessiblekpatientkcare.DIF:kCognitivekLevel:
, ComprehensionREF:k pp.k 1-2TOP:k Nursingk Process:k Implementation
MSC:kNCLEXkClientk
NeedskCategory:kPhysiologickIntegrity:kPharmacologickandkParenteralkTherapies
6. AkfamilyknursekpractitionerkpracticingkinkMainekiskhiredkatkakpracticekacrosskstateklineskink
Virginia.kWhichkaspectk ofkpracticekmaykchangek forkthek APRN?
a. ThekAPRNkwillkhaveklesskprescriptivekauthoritykinktheknewk position.
b. ThekAPRNkwillkhavekmorekprescriptivekauthoritykinktheknewkposition.
c. ThekAPRNkwillkhavekequalkprescriptivekauthoritykinktheknewposition.
d. ThekAPRN’skauthoritykwillkdependkonkfederalregulations.
ANS:kA
Virginiakallowsklimitedkprescriptivekauthority,kwhilekMainekgiveskfullkauthorityktokcertifiedknursekp
ractitioners.kThekfederalkgovernmentkdoesknotkregulatekprescriptivekauthority.DIF:kCognitivekLevel
:kComprehensionREF:kp.k3TOP:kNursingkProcess:kImplementationkMSC:kNCLEXkClientkNeedskC
ategory:kPhysiologickIntegrity:kPharmacologickandkParenteralkTherapies
Rosenthal:kLehne'skPharmacotherapeuticskforkAdvancedkPracticekProviders,k 2ndkEd.kChapte
rk2:kRationalkDrugkSelectionkandkPrescriptionkWriting
TestkBankkMult
iplekChoice
7. Howkcankcollaborationkwithkakpharmacistk improvekpositivekoutcomeskforkpatients?k
Selectkallkthatk apply.
a. Pharmacistskcanksuggestkfoodskthatkwillkhelpkwithkthekpatient’skcondition.
b. Pharmacistskhavekadditionalkinformationkonkdrugkinteractions.
c. Thekpharmacistkcanksuggestkadequatekmedicationk dosing.
d. Pharmacistskhavekfirsthandkknowledgekofkthekfacilitykformulary.
e. Pharmacykcankalterkprescriptionskwhenknecessaryktokpreventkpatientkharm.
ANS:kBk,kCk,kD
Providerskshouldkcollaboratekwithkpharmacistskbecausektheykwillklikelykhavekadditionalkinformationko
nkformulary,kdrugkinteractions,kandksuggestionskforkadequatekmedicationkdosing.kDietitianskcankma
kekfoodskrecommendationsktoktreatkthekpatient’skcondition.kThekpharmacistkcankcontactkthekprescrib
erkaboutkquestionablekprescriptions,kbutkcannotkalterkthekprescriptionkwithoutknotificationkofkandkap
provalkbykthekprovider.DIF:kCognitivekLevel:kComprehensionREF:kp.k9TOP:kNursingkProcess:kDia
gnosiskMSC:kNCLEXkClientkNeedskCategory:kPhysiologickIntegrity:kReductionkofkRiskkPotential
k k k
D PRACTICE NURSES AND
k k k
PHYSICIAN ASSISTANTS 2ND EDITION
k k k
Chapterk1:kPrescriptivekAuthorityk
TestkBank
MultiplekChoice
1. AnkAPRNkworkskinkakurologykclinickunderktheksupervisionkofkakphysiciankwhokdoesknotkrestrictkt
hektypeskofkmedicationskthekAPRNkiskallowedktokprescribe.kStateklawkdoesknotkrequirekthekAPR
Nktokpracticekunderkphysicianksupervision.kHowkwouldkthekAPRN’skprescriptivekauthoritykbekdes
cribed?
a. Fullkauthority
b. Independent
c. Withoutklimitation
d. Limitedkauthority
ANS:kB
ThekAPRNkhaskindependentkprescriptivekauthoritykbecausekthekregulatingkbodykdoesknotkrequirekth
atkthekAPRNkworkkunderkphysicianksupervision.kFullkprescriptivekauthoritykgiveskthekproviderkthekri
ghtktokprescribekindependentlykandkwithoutklimitation.kLimitedkauthoritykplaceskrestrictionskonkthekt
ypeskofkdrugskthatkcankbekprescribed.DIF:kCognitivekLevel:kComprehensionREF:kp.k1TOP:kNursingk
Process:kIkMSC:kNCLEXkClientkNeedskCategory:kPhysiologickIntegrity:kPharmacologickandkParent
eralkTherapies
2. WhichkfactorskincreasekthekneedkforkAPRNsktokhavekfullkprescriptivek authority?
a. Morekpatientskwillkhavekaccessktokhealthkcare.
b. Enrollmentkinkmedicalkschoolskiskpredictedktok decrease.
c. Physician’skassistantskarekbeingkutilizedklessk often.
d. APRNkeducationkiskmorekcomplexkthankeducationkforkphysicians.
ANS:kA
ImplementationkofkthekAffordablekCarekActkhaskincreasedktheknumberkofkindividualskwithkhealthkca
rekcoverage,kandkthusktheknumberkwhokhavekaccessktokhealthkcarekservices.kThekincreasekinktheknum
berkofkpatientskcreateskthekneedkforkmorekproviderskwithkprescriptivekauthority.k APRNskcankfillkthiskpr
acticekgap.DIF:kCognitivekLevel:kComprehensionREF:kp.k2TOP:kNursingkProcess:kImplementatio
nkMSC:kNCLEXkClientkNeedskCategory:kPhysiologickIntegrity:kPharmacologickandkParenteralkTher
apies
3. WhichkfactorskcouldkbekattributedktoklimitedkprescriptivekauthoritykforkAPRNs?k
Selectkallkthatk apply.
, a. Inaccessibilitykofk patientkcare
b. Higherkhealthkcarekcosts
c. Higherkqualitykmedicalktreatment
d. Improvedkcollaborativekcare
e. Enhancedkhealthk literacy
ANS:kAk,kB
LimitingkprescriptivekauthoritykforkAPRNskcankcreatekbarriersktokquality,k affordable,k andkaccessiblekp
atientkcare.kItkmaykalsokleadktokpoorkcollaborationkamongkproviderskandkhigherkhealthkcarekcosts.kItk
wouldknotkdirectlykimpactkpatient’skhealthkliteracy.DIF:kCognitivekLevel:kComprehensionREF:
p.k2TOP:kNursingkProcess:kImplementationkMSC:kNCLEXkClientkNeedskCategory:kPhysiologickIn
tegrity:kPharmacologickandkParenteralkTherapies
4. WhichkaspectsksupportkthekAPRN’skprovisionkforkfullkprescriptivekauthority?k
Selectkallkthatk apply.
a. Clinicalkeducationkincludeskprescriptionkofk medicationskandkdiseasekprocesses.
b. Federalkregulationsksupportkthekprovisionkofkfullkauthorityk forkAPRNs.
c. NationalkexaminationskprovidekvalidationkofkthekAPRN’skabilityktok provideksafecare.
d. Licensurekensureskcompliancekwithkhealthkcarek andk safetykstandards.
e. Limitingkprovisionkcankdecreasekhealthkcarekaffordability.
ANS:kAk,kCk,kD
APRNskarekeducatedktokpracticekandkprescribekindependentlykwithoutksupervision.kNationalkexami
nationskvalidatekthekabilityktokprovideksafekandkcompetentkcare.kLicensurekensureskcompliancekwith
kstandardsktokpromotekpublickhealthkandksafety.kLimitedkprescriptivekauthoritykcreatesknumerouskbar
riersktokquality,kaffordable,kandkaccessiblekpatientkcare.DIF:kCognitivekLevel:kComprehensionREF:k
pp.k1-
2TOP:kNursingkProcess:kImplementationkMSC:kNCLEXkClientkNeedskCategory:kPhysiologickInteg
rity:kPharmacologickandk ParenteralkTherapies
5. WhichkaspectsksupportkthekAPRN’skprovisionkforkfullkprescriptivekauthority?k
Selectkallkthatk apply.
a. Clinicalkeducationkincludeskprescriptionkofk medicationskandkdiseasekprocesses.
b. FederalkregulationsksupportkthekprovisionkofkfullkauthoritykforkAPRNs.
c. NationalkexaminationskprovidekvalidationkofkthekAPRN’skabilityktok provideksafecare.
d. Licensurekensureskcompliancekwithkhealthkcarekandk safetykstandards.
ANS:kAk,kCk,kD
APRNskarekeducatedktokpracticekandkprescribekindependentlykwithoutksupervision.kNationalkexami
nationskvalidatekthekabilityktokprovideksafekandkcompetentkcare.kLicensurekensureskcompliancekwith
kstandardsktokpromotekpublickhealthkandksafety.kLimitedkprescriptivekauthoritykcreatesknumerouskbar
riersktokquality,kaffordable,kandkaccessiblekpatientkcare.DIF:kCognitivekLevel:
, ComprehensionREF:k pp.k 1-2TOP:k Nursingk Process:k Implementation
MSC:kNCLEXkClientk
NeedskCategory:kPhysiologickIntegrity:kPharmacologickandkParenteralkTherapies
6. AkfamilyknursekpractitionerkpracticingkinkMainekiskhiredkatkakpracticekacrosskstateklineskink
Virginia.kWhichkaspectk ofkpracticekmaykchangek forkthek APRN?
a. ThekAPRNkwillkhaveklesskprescriptivekauthoritykinktheknewk position.
b. ThekAPRNkwillkhavekmorekprescriptivekauthoritykinktheknewkposition.
c. ThekAPRNkwillkhavekequalkprescriptivekauthoritykinktheknewposition.
d. ThekAPRN’skauthoritykwillkdependkonkfederalregulations.
ANS:kA
Virginiakallowsklimitedkprescriptivekauthority,kwhilekMainekgiveskfullkauthorityktokcertifiedknursekp
ractitioners.kThekfederalkgovernmentkdoesknotkregulatekprescriptivekauthority.DIF:kCognitivekLevel
:kComprehensionREF:kp.k3TOP:kNursingkProcess:kImplementationkMSC:kNCLEXkClientkNeedskC
ategory:kPhysiologickIntegrity:kPharmacologickandkParenteralkTherapies
Rosenthal:kLehne'skPharmacotherapeuticskforkAdvancedkPracticekProviders,k 2ndkEd.kChapte
rk2:kRationalkDrugkSelectionkandkPrescriptionkWriting
TestkBankkMult
iplekChoice
7. Howkcankcollaborationkwithkakpharmacistk improvekpositivekoutcomeskforkpatients?k
Selectkallkthatk apply.
a. Pharmacistskcanksuggestkfoodskthatkwillkhelpkwithkthekpatient’skcondition.
b. Pharmacistskhavekadditionalkinformationkonkdrugkinteractions.
c. Thekpharmacistkcanksuggestkadequatekmedicationk dosing.
d. Pharmacistskhavekfirsthandkknowledgekofkthekfacilitykformulary.
e. Pharmacykcankalterkprescriptionskwhenknecessaryktokpreventkpatientkharm.
ANS:kBk,kCk,kD
Providerskshouldkcollaboratekwithkpharmacistskbecausektheykwillklikelykhavekadditionalkinformationko
nkformulary,kdrugkinteractions,kandksuggestionskforkadequatekmedicationkdosing.kDietitianskcankma
kekfoodskrecommendationsktoktreatkthekpatient’skcondition.kThekpharmacistkcankcontactkthekprescrib
erkaboutkquestionablekprescriptions,kbutkcannotkalterkthekprescriptionkwithoutknotificationkofkandkap
provalkbykthekprovider.DIF:kCognitivekLevel:kComprehensionREF:kp.k9TOP:kNursingkProcess:kDia
gnosiskMSC:kNCLEXkClientkNeedskCategory:kPhysiologickIntegrity:kReductionkofkRiskkPotential
