Pharmacology Nursing|Test Bank
Lehnes Pharmacotherapeutics for
Advanced Practice Nurses and
Physician Assistants 2nd Edition.
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Distribution of this document is illegal
, Rosenthal Lehne’s Pharmacotherapeutics for Advanced Practice Providers: 2nd
Edition (TestBank)
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK
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
j j j j j j j j j j j j j j j j j j
types of medications the APRN is allowed to prescribe. State law does not require the APRN to
j j j j j j j j j j j j j j j j j
practice under physiciansupervision. Howwould the APRN‘s prescriptive authority bedescribed?
j j j j j j j j j j j
a. Fullauthority j
b. Independent
c. Without limitation j
d. Limitedauthority j
ANS: B j
The APRN has independent prescriptive authority because the regulating body does not require that
j j j j j j j j j j j j j j
the APRN work under physician supervision. Full prescriptive authority gives the provider the right
j j j j j j j j j j j j j j
to prescribe independently and without limitation. Limited authority places restrictions on the types
j j j j j j j j j j j j j
of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing
j j j j j j j j j j j j
Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
j j j j j j j j j j j
Parenteral Therapies j
2. Whichfactors increase the need forAPRNsto have fullprescriptive authority?
j j j j j j j j j j j
a. Morepatients will haveaccessto healthcare. j j j j j j j
b. Enrollment inmedicalschools ispredicted to decrease. j j j j j j j
c. Physician‘sassistantsarebeingutilized less often. j j j j j j
d. APRNeducation is more complexthaneducation forphysicians. j j j j j j j j
ANS: A j
Implementation of the Affordable Care Act has increased the number of individuals with health care j j j j j j j j j j j j j j j
coverage, and thus the number who have access to health care services. The increase in the number
j j j j j j j j j j j j j j j j j
ofpatients creates the need for more providers with prescriptive authority. APRNs can fill this practice
j j j j j j j j j j j j j j j
gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC:
j j j j j j j j j j
NCLEX Client Needs Category:Physiologic Integrity:Pharmacologic and Parenteral Therapies
j j j j j j j j j
3. Whichfactorscouldbeattributedto limitedprescriptiveauthorityfor APRNs?
j j j j j j j j j j j
Select all that apply. j j j
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Distribution of this document is illegal
, Rosenthal Lehne’s Pharmacotherapeutics for Advanced Practice Providers: 2nd
Edition (TestBank)
a. Inaccessibilityof patient care j j j
b. Higher healthcarecosts j j j
c. Higherquality medicaltreatment j j j
d. Improvedcollaborativecare j j
e. Enhanced health literacy j j
ANS:A , B j j j
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
j j j j j j j j j j j j j
patient care. It may also lead to poor collaboration among providers and higher health care costs. It
j j j j j j j j j j j j j j j j j
would not directly impact patient‘s health literacy.DIF:Cognitive Level:ComprehensionREF:
j j j j j j j j j
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
j j j j j j j j j j j
Integrity: Pharmacologic and Parenteral Therapies
j j j j
4. WhichaspectssupporttheAPRN‘sprovisionfor fullprescriptiveauthority?
j j j j j j j j j j
Select all that apply. j j j
a. Clinicaleducationincludes prescriptionof medications and diseaseprocesses. j j j j j j j j
b. Federalregulations support the provisionof fullauthority for APRNs. j j j j j j j j j
c. Nationalexaminations provide validationofthe APRN‘s ability to provide safecare.j j j j j j j j j j
d. Licensureensures compliance withhealthcare and safetystandards. j j j j j j j j
e. Limiting provisioncandecrease healthcare affordability. j j j j j j
ANS: A , C , D j j j j j
APRNs are educated to practice and prescribe independently without supervision. National
j j j j j j j j j j j
examinations validate the ability to provide safe and competent care. Licensure ensures compliance
j j j j j j j j j j j j j
with standards to promote public health and safety. Limited prescriptive authority creates numerous
j j j j j j j j j j j j j
barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level: ComprehensionREF:
j j j j j j j j j j j
pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
j j j j j j j j j j j
Integrity: Pharmacologic and Parenteral Therapies
j j j j
5. WhichaspectssupporttheAPRN‘sprovisionfor fullprescriptiveauthority?
j j j j j j j j j j
Select all that apply. j j j
a. Clinicaleducationincludes prescriptionof medications and diseaseprocesses. j j j j j j j j
b. Federalregulations support the provisionof fullauthority for APRNs. j j j j j j j j j
c. Nationalexaminations provide validationofthe APRN‘s ability to provide safecare.j j j j j j j j j j
d. Licensureensures compliance with healthcare and safetystandards. j j j j j j j j
ANS: A , C , D j j j j j
APRNs are educated to practice and prescribe independently without supervision. National
j j j j j j j j j j j
examinations validate the ability to provide safe and competent care. Licensure ensures compliance
j j j j j j j j j j j j j
with standards to promote public health and safety. Limited prescriptive authority creates numerous
j j j j j j j j j j j j j
barriersto quality, affordable, and accessiblepatient care.DIF:Cognitive Level:
j j j j j j j j j
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Distribution of this document is illegal
, Rosenthal Lehne’s Pharmacotherapeutics for Advanced Practice Providers: 2nd
Edition (TestBank)
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC:NCLEXClient j j j j j j j j
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
j j j j j j j
6. Afamily nursepractitionerpracticinginMaine is hiredatapracticeacross state lines in
j j j j j j j j j j j j j j j j
Virginia. Which aspect ofpractice may change for the APRN? j j j j j j j j j
a. TheAPRNwill have lessprescriptive authorityinthe new position.
j j j j j j j j j j
b. TheAPRNwillhave moreprescriptiveauthorityinthe newposition.
j j j j j j j j j j
c. TheAPRN will have equalprescriptive authority inthe newposition.
j j j j j j j j j
d. The APRN‘s authoritywill depend on federalregulations.
j j j j j j
ANS: A j
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
j j j j j j j j j j j j j
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
j j j j j j j j j j
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
j j j j j j j j j j
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
j j j j j j j
Rosenthal:Lehne's Pharmacotherapeutics forAdvanced Practice Providers, 2ndEd. Chapter
j j j j j j j j j j
2: Rational Drug Selection and Prescription Writing
j j j j j j
Test Bank
j j
MultipleChoice j
7. Howcancollaborationwithapharmacist improvepositive outcomes forpatients?
j j j j j j j j j j j
Select all that apply. j j j
a. Pharmacistscansuggest foods that will help withthe patient‘s condition. j j j j j j j j j j
b. Pharmacists have additional informationondrug interactions. j j j j j j
c. The pharmacistcansuggestadequate medication dosing.
j j j j j j
d. Pharmacists have firsthand knowledgeofthe facility formulary. j j j j j j j
e. Pharmacycanalter prescriptions when necessaryto prevent patient harm. j j j j j j j j j
ANS: B, C , D j j j j j
Providers should collaborate with pharmacists because they will likely have additional information on
j j j j j j j j j j j j j
formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can make
j j j j j j j j j j j j
foods recommendations to treat the patient‘s condition. The pharmacist can contact the prescriber
j j j j j j j j j j j j j
about questionable prescriptions, but cannot alter the prescription without notification of and
j j j j j j j j j j j j
approval by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing Process:
j j j j j j j j j j j
Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
j j j j j j j j j j j
Dow nloaded by: chelle113003 |
Distribution of this document is illegal
Lehnes Pharmacotherapeutics for
Advanced Practice Nurses and
Physician Assistants 2nd Edition.
Dow nloaded by: chelle113003 |
Distribution of this document is illegal
, Rosenthal Lehne’s Pharmacotherapeutics for Advanced Practice Providers: 2nd
Edition (TestBank)
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK
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
j j j j j j j j j j j j j j j j j j
types of medications the APRN is allowed to prescribe. State law does not require the APRN to
j j j j j j j j j j j j j j j j j
practice under physiciansupervision. Howwould the APRN‘s prescriptive authority bedescribed?
j j j j j j j j j j j
a. Fullauthority j
b. Independent
c. Without limitation j
d. Limitedauthority j
ANS: B j
The APRN has independent prescriptive authority because the regulating body does not require that
j j j j j j j j j j j j j j
the APRN work under physician supervision. Full prescriptive authority gives the provider the right
j j j j j j j j j j j j j j
to prescribe independently and without limitation. Limited authority places restrictions on the types
j j j j j j j j j j j j j
of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing
j j j j j j j j j j j j
Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
j j j j j j j j j j j
Parenteral Therapies j
2. Whichfactors increase the need forAPRNsto have fullprescriptive authority?
j j j j j j j j j j j
a. Morepatients will haveaccessto healthcare. j j j j j j j
b. Enrollment inmedicalschools ispredicted to decrease. j j j j j j j
c. Physician‘sassistantsarebeingutilized less often. j j j j j j
d. APRNeducation is more complexthaneducation forphysicians. j j j j j j j j
ANS: A j
Implementation of the Affordable Care Act has increased the number of individuals with health care j j j j j j j j j j j j j j j
coverage, and thus the number who have access to health care services. The increase in the number
j j j j j j j j j j j j j j j j j
ofpatients creates the need for more providers with prescriptive authority. APRNs can fill this practice
j j j j j j j j j j j j j j j
gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC:
j j j j j j j j j j
NCLEX Client Needs Category:Physiologic Integrity:Pharmacologic and Parenteral Therapies
j j j j j j j j j
3. Whichfactorscouldbeattributedto limitedprescriptiveauthorityfor APRNs?
j j j j j j j j j j j
Select all that apply. j j j
Dow nloaded by: chelle113003 |
Distribution of this document is illegal
, Rosenthal Lehne’s Pharmacotherapeutics for Advanced Practice Providers: 2nd
Edition (TestBank)
a. Inaccessibilityof patient care j j j
b. Higher healthcarecosts j j j
c. Higherquality medicaltreatment j j j
d. Improvedcollaborativecare j j
e. Enhanced health literacy j j
ANS:A , B j j j
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
j j j j j j j j j j j j j
patient care. It may also lead to poor collaboration among providers and higher health care costs. It
j j j j j j j j j j j j j j j j j
would not directly impact patient‘s health literacy.DIF:Cognitive Level:ComprehensionREF:
j j j j j j j j j
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
j j j j j j j j j j j
Integrity: Pharmacologic and Parenteral Therapies
j j j j
4. WhichaspectssupporttheAPRN‘sprovisionfor fullprescriptiveauthority?
j j j j j j j j j j
Select all that apply. j j j
a. Clinicaleducationincludes prescriptionof medications and diseaseprocesses. j j j j j j j j
b. Federalregulations support the provisionof fullauthority for APRNs. j j j j j j j j j
c. Nationalexaminations provide validationofthe APRN‘s ability to provide safecare.j j j j j j j j j j
d. Licensureensures compliance withhealthcare and safetystandards. j j j j j j j j
e. Limiting provisioncandecrease healthcare affordability. j j j j j j
ANS: A , C , D j j j j j
APRNs are educated to practice and prescribe independently without supervision. National
j j j j j j j j j j j
examinations validate the ability to provide safe and competent care. Licensure ensures compliance
j j j j j j j j j j j j j
with standards to promote public health and safety. Limited prescriptive authority creates numerous
j j j j j j j j j j j j j
barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level: ComprehensionREF:
j j j j j j j j j j j
pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
j j j j j j j j j j j
Integrity: Pharmacologic and Parenteral Therapies
j j j j
5. WhichaspectssupporttheAPRN‘sprovisionfor fullprescriptiveauthority?
j j j j j j j j j j
Select all that apply. j j j
a. Clinicaleducationincludes prescriptionof medications and diseaseprocesses. j j j j j j j j
b. Federalregulations support the provisionof fullauthority for APRNs. j j j j j j j j j
c. Nationalexaminations provide validationofthe APRN‘s ability to provide safecare.j j j j j j j j j j
d. Licensureensures compliance with healthcare and safetystandards. j j j j j j j j
ANS: A , C , D j j j j j
APRNs are educated to practice and prescribe independently without supervision. National
j j j j j j j j j j j
examinations validate the ability to provide safe and competent care. Licensure ensures compliance
j j j j j j j j j j j j j
with standards to promote public health and safety. Limited prescriptive authority creates numerous
j j j j j j j j j j j j j
barriersto quality, affordable, and accessiblepatient care.DIF:Cognitive Level:
j j j j j j j j j
Dow nloaded by: chelle113003 |
Distribution of this document is illegal
, Rosenthal Lehne’s Pharmacotherapeutics for Advanced Practice Providers: 2nd
Edition (TestBank)
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC:NCLEXClient j j j j j j j j
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
j j j j j j j
6. Afamily nursepractitionerpracticinginMaine is hiredatapracticeacross state lines in
j j j j j j j j j j j j j j j j
Virginia. Which aspect ofpractice may change for the APRN? j j j j j j j j j
a. TheAPRNwill have lessprescriptive authorityinthe new position.
j j j j j j j j j j
b. TheAPRNwillhave moreprescriptiveauthorityinthe newposition.
j j j j j j j j j j
c. TheAPRN will have equalprescriptive authority inthe newposition.
j j j j j j j j j
d. The APRN‘s authoritywill depend on federalregulations.
j j j j j j
ANS: A j
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
j j j j j j j j j j j j j
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
j j j j j j j j j j
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
j j j j j j j j j j
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
j j j j j j j
Rosenthal:Lehne's Pharmacotherapeutics forAdvanced Practice Providers, 2ndEd. Chapter
j j j j j j j j j j
2: Rational Drug Selection and Prescription Writing
j j j j j j
Test Bank
j j
MultipleChoice j
7. Howcancollaborationwithapharmacist improvepositive outcomes forpatients?
j j j j j j j j j j j
Select all that apply. j j j
a. Pharmacistscansuggest foods that will help withthe patient‘s condition. j j j j j j j j j j
b. Pharmacists have additional informationondrug interactions. j j j j j j
c. The pharmacistcansuggestadequate medication dosing.
j j j j j j
d. Pharmacists have firsthand knowledgeofthe facility formulary. j j j j j j j
e. Pharmacycanalter prescriptions when necessaryto prevent patient harm. j j j j j j j j j
ANS: B, C , D j j j j j
Providers should collaborate with pharmacists because they will likely have additional information on
j j j j j j j j j j j j j
formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can make
j j j j j j j j j j j j
foods recommendations to treat the patient‘s condition. The pharmacist can contact the prescriber
j j j j j j j j j j j j j
about questionable prescriptions, but cannot alter the prescription without notification of and
j j j j j j j j j j j j
approval by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing Process:
j j j j j j j j j j j
Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
j j j j j j j j j j j
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