Lehne's Pharmacotherapeutics for Adv
17 17 17
anced Practice Nurses and
17 17 17
Physician 2nd Edition
17 17
by Laura Rosenthal DNP
17 17 17
,LEHNE’S17PHARMACOTHERAPEUTICS17FOR17ADVANCED17PRACTICE17NURSES17AND
PHYSICIAN17ASSISTANTS172ND17EDITION17ROSENTHAL17TEST17BANK
Chapter171:17Prescriptive17Authority17
Test17Bank
Multiple17Choice
1. An17APRN17works17in17a17urology17clinic17under17the17supervision17of17a17physician17who1 7 does1
7not17restrict17the17types17of17medications17the17APRN17is17allowed17to17prescribe.17State17law17
does17not17require17the17APRN17to17practice17under17physician17supervision.17How17would17the17
APRN‘s17prescriptive17authority17be17described?
a. Full17authority
b. Independent
c. Without17 limitation
d. Limited17authority
ANS:17B
The17APRN17has17independent17prescriptive17authority17because17the17regulating17body17does17not1
7require17that17the17APRN17work17under17physician17supervision.17Full17prescriptive17authority17gi
ves17the17provider17the17right17to17prescribe17independently17and17without17limitation.17Limited17au
thority17places17restrictions17on17the17types17of17drugs17that17can17be17prescribed.DIF:17Cognitive17L
evel:17ComprehensionREF:17p.171TOP:17Nursing17Process:17I17MSC:17NCLEX17Client17Needs17Cat
egory:17Physiologic17Integrity:17Pharmacologic17and17Parenteral17Therapies
2. Which17factors17increase17the17need17for17APRNs17to17have17full17prescriptive1 7 authority?
a. More17patients17will17have17access17to17health17care.
b. Enrollment17in17medical17schools17is17predicted17to1 7 decrease.
c. Physician‘s17assistants17are17being17utilized17less17 often.
d. APRN17education17is17more17complex17than17education17for17physicians.
ANS:17A
Implementation17of17the17Affordable17Care17Act17has17increased17the17number17of17individuals17wit
h17health17care17coverage,17and17thus17the17number17who17have17access17to17health17care17services.1
7The17increase17in17the17number17of17patients17creates17the17need17for17more17providers17with17prescri
ptive17authority.17APRNs17can17fill17this17practice17gap.DIF:17Cognitive17Level:17ComprehensionR
EF:17p.172TOP:17Nursing17Process:17Implementation17MSC:17NCLEX17Client17Needs17Category:17P
hysiologic17Integrity:17Pharmacologic17and17Parenteral17Therapies
3. Which17factors17could17be17attributed17to17limited17prescriptive17authority17for17
APRNs?17Select17all17that17apply.
, a. Inaccessibility17of17 patient17care
b. Higher17health17care17costs
c. Higher17quality17medical17treatment
d. Improved17collaborative17care
e. Enhanced17health1 7 literacy
ANS:17A17,17B
Limiting17prescriptive17authority17for17APRNs17can17create17barriers17to17quality,17affordable,17and17ac
cessible17patient17care.17It17may17also17lead17to17poor17collaboration17among17providers17and17highe
r17health17care17costs.17It17would17not17directly17impact17patient‘s17health17literacy.DIF:17Cognitive
17Level:17ComprehensionREF:
p.172TOP:17Nursing17Process:17Implementation17MSC:17NCLEX17Client17Needs17Category:17Phys
iologic17Integrity:17Pharmacologic17and17Parenteral17Therapies
4. Which17aspects17support17the17APRN‘s17provision17for17full17prescriptive17aut
hority?17Select17all17that17apply.
a. Clinical17education17includes17prescription17of17medications17and17disease17processes.
b. Federal17regulations17support17the17provision17of17full17authority17for17APRNs.
c. National17examinations17provide17validation17of17the17APRN‘s17ability17to17provide17safecare.
d. Licensure17ensures17compliance17with17health17care17and17safety17standards.
e. Limiting17provision17can17decrease17health17care17affordability.
ANS:17A17,17C17,17D
APRNs17are17educated17to17practice17and17prescribe17independently17without17supervision.17Nation
al17examinations17validate17the17ability17to17provide17safe17and17competent17care.17Licensure17ensur
es17compliance17with17standards17to17promote17public17health17and17safety.17Limited17prescriptive17
authority17creates17numerous17barriers17to17quality,17affordable,17and17accessible17patient17care.DIF:
17Cognitive17Level:17ComprehensionREF:17pp.171-
2TOP:17Nursing17Process:17Implementation17MSC:17NCLEX17Client17Needs17Category:17Physiolo
gic17Integrity:17Pharmacologic17and17Parenteral17Therapies
5. Which17aspects17support17the17APRN‘s17provision17for17full17prescriptive17aut
hority?17Select17all17that17apply.
a. Clinical17education17includes17prescription17of17medications17and17disease17processes.
b. Federal17regulations17support17the17provision17of17full17authority17for17APRNs.
c. National17examinations17provide17validation17of17the17APRN‘s17ability17to17provide17safecare.
d. Licensure17ensures17compliance17with17health17care17and17safety17standards.
ANS:17A17,17C17,17D
APRNs17are17educated17to17practice17and17prescribe17independently17without17supervision.17Nation
al17examinations17validate17the17ability17to17provide17safe17and17competent17care.17Licensure17ensu
res17compliance17with17standards17to17promote17public17health17and17safety.17Limited17prescriptive
17authority17creates17numerous17barriers17to17quality,17affordable,17and17accessible17patient17care.DI
F:17Cognitive17Level:
, ComprehensionREF:1 7 pp.1 7 1-2TOP:1 7 Nursing1 7 Process:1 7 Implementation
MSC:17NCLEX17Clie
nt17Needs17Category:17Physiologic17Integrity:17Pharmacologic17and17Parenteral17Therapies
6. A17family17nurse17practitioner17practicing17in17Maine17is17hired17at17a17practice17across17sta
te17lines17in17Virginia.17Which17aspect17of17practice17may17change17for17the17APRN?
a. The17APRN17will17have17less17prescriptive17authority17in17the17new17 position.
b. The17APRN17will17have17more17prescriptive17authority17in17the17new17position.
c. The17APRN17will17have17equal17prescriptive17authority17in17the17newposition.
d. The17APRN‘s17authority17will17depend17on17federalregulations.
ANS:17A
Virginia17allows17limited17prescriptive17authority,17while17Maine17gives17full17authority17to17certifi
ed17nurse17practitioners.17The17federal17government17does17not17regulate17prescriptive17authority.D
IF:17Cognitive17Level:17ComprehensionREF:17p.173TOP:17Nursing17Process:17Implementation17M
SC:17NCLEX17Client17Needs17Category:17Physiologic17Integrity:17Pharmacologic17and17Parenteral
17Therapies
Rosenthal:17Lehne's17Pharmacotherapeutics17for17Advanced17Practice17Providers,172nd17Ed.17
Chapter172:17Rational17Drug17Selection17and17Prescription17Writing
Test17Bank17Mu
ltiple17Choice
7. How17can17collaboration17with17a17pharmacist17improve17positive17outcomes17for17p
atients?17Select17all17that17apply.
a. Pharmacists17can17suggest17foods17that17will17help17with17the17patient‘s17condition.
b. Pharmacists17have17additional17information17on17drug17interactions.
c. The17pharmacist17can17suggest17adequate17medication1 7 dosing.
d. Pharmacists17have17firsthand17knowledge17of17the17facility17formulary.
e. Pharmacy17can17alter17prescriptions17when17necessary17to17prevent17patient17harm.
ANS:17B17,17C17,17D
Providers17should17collaborate17with17pharmacists17because17they17will17likely17have17additional17info
rmation17on17formulary,17drug17interactions,17and17suggestions17for17adequate17medication17dosing
.17Dietitians17can17make17foods17recommendations17to17treat17the17patient‘s17condition.17The17phar
macist17can17contact17the17prescriber17about17questionable17prescriptions,17but17cannot17alter17the17
prescription17without17notification17of17and17approval17by17the17provider.DIF:17Cognitive17Level:17
ComprehensionREF:17p.179TOP:17Nursing17Process:17Diagnosis17MSC:17NCLEX17Client17Needs17
Category:17Physiologic17Integrity:17Reduction17of17Risk17Potential
17 17 17
anced Practice Nurses and
17 17 17
Physician 2nd Edition
17 17
by Laura Rosenthal DNP
17 17 17
,LEHNE’S17PHARMACOTHERAPEUTICS17FOR17ADVANCED17PRACTICE17NURSES17AND
PHYSICIAN17ASSISTANTS172ND17EDITION17ROSENTHAL17TEST17BANK
Chapter171:17Prescriptive17Authority17
Test17Bank
Multiple17Choice
1. An17APRN17works17in17a17urology17clinic17under17the17supervision17of17a17physician17who1 7 does1
7not17restrict17the17types17of17medications17the17APRN17is17allowed17to17prescribe.17State17law17
does17not17require17the17APRN17to17practice17under17physician17supervision.17How17would17the17
APRN‘s17prescriptive17authority17be17described?
a. Full17authority
b. Independent
c. Without17 limitation
d. Limited17authority
ANS:17B
The17APRN17has17independent17prescriptive17authority17because17the17regulating17body17does17not1
7require17that17the17APRN17work17under17physician17supervision.17Full17prescriptive17authority17gi
ves17the17provider17the17right17to17prescribe17independently17and17without17limitation.17Limited17au
thority17places17restrictions17on17the17types17of17drugs17that17can17be17prescribed.DIF:17Cognitive17L
evel:17ComprehensionREF:17p.171TOP:17Nursing17Process:17I17MSC:17NCLEX17Client17Needs17Cat
egory:17Physiologic17Integrity:17Pharmacologic17and17Parenteral17Therapies
2. Which17factors17increase17the17need17for17APRNs17to17have17full17prescriptive1 7 authority?
a. More17patients17will17have17access17to17health17care.
b. Enrollment17in17medical17schools17is17predicted17to1 7 decrease.
c. Physician‘s17assistants17are17being17utilized17less17 often.
d. APRN17education17is17more17complex17than17education17for17physicians.
ANS:17A
Implementation17of17the17Affordable17Care17Act17has17increased17the17number17of17individuals17wit
h17health17care17coverage,17and17thus17the17number17who17have17access17to17health17care17services.1
7The17increase17in17the17number17of17patients17creates17the17need17for17more17providers17with17prescri
ptive17authority.17APRNs17can17fill17this17practice17gap.DIF:17Cognitive17Level:17ComprehensionR
EF:17p.172TOP:17Nursing17Process:17Implementation17MSC:17NCLEX17Client17Needs17Category:17P
hysiologic17Integrity:17Pharmacologic17and17Parenteral17Therapies
3. Which17factors17could17be17attributed17to17limited17prescriptive17authority17for17
APRNs?17Select17all17that17apply.
, a. Inaccessibility17of17 patient17care
b. Higher17health17care17costs
c. Higher17quality17medical17treatment
d. Improved17collaborative17care
e. Enhanced17health1 7 literacy
ANS:17A17,17B
Limiting17prescriptive17authority17for17APRNs17can17create17barriers17to17quality,17affordable,17and17ac
cessible17patient17care.17It17may17also17lead17to17poor17collaboration17among17providers17and17highe
r17health17care17costs.17It17would17not17directly17impact17patient‘s17health17literacy.DIF:17Cognitive
17Level:17ComprehensionREF:
p.172TOP:17Nursing17Process:17Implementation17MSC:17NCLEX17Client17Needs17Category:17Phys
iologic17Integrity:17Pharmacologic17and17Parenteral17Therapies
4. Which17aspects17support17the17APRN‘s17provision17for17full17prescriptive17aut
hority?17Select17all17that17apply.
a. Clinical17education17includes17prescription17of17medications17and17disease17processes.
b. Federal17regulations17support17the17provision17of17full17authority17for17APRNs.
c. National17examinations17provide17validation17of17the17APRN‘s17ability17to17provide17safecare.
d. Licensure17ensures17compliance17with17health17care17and17safety17standards.
e. Limiting17provision17can17decrease17health17care17affordability.
ANS:17A17,17C17,17D
APRNs17are17educated17to17practice17and17prescribe17independently17without17supervision.17Nation
al17examinations17validate17the17ability17to17provide17safe17and17competent17care.17Licensure17ensur
es17compliance17with17standards17to17promote17public17health17and17safety.17Limited17prescriptive17
authority17creates17numerous17barriers17to17quality,17affordable,17and17accessible17patient17care.DIF:
17Cognitive17Level:17ComprehensionREF:17pp.171-
2TOP:17Nursing17Process:17Implementation17MSC:17NCLEX17Client17Needs17Category:17Physiolo
gic17Integrity:17Pharmacologic17and17Parenteral17Therapies
5. Which17aspects17support17the17APRN‘s17provision17for17full17prescriptive17aut
hority?17Select17all17that17apply.
a. Clinical17education17includes17prescription17of17medications17and17disease17processes.
b. Federal17regulations17support17the17provision17of17full17authority17for17APRNs.
c. National17examinations17provide17validation17of17the17APRN‘s17ability17to17provide17safecare.
d. Licensure17ensures17compliance17with17health17care17and17safety17standards.
ANS:17A17,17C17,17D
APRNs17are17educated17to17practice17and17prescribe17independently17without17supervision.17Nation
al17examinations17validate17the17ability17to17provide17safe17and17competent17care.17Licensure17ensu
res17compliance17with17standards17to17promote17public17health17and17safety.17Limited17prescriptive
17authority17creates17numerous17barriers17to17quality,17affordable,17and17accessible17patient17care.DI
F:17Cognitive17Level:
, ComprehensionREF:1 7 pp.1 7 1-2TOP:1 7 Nursing1 7 Process:1 7 Implementation
MSC:17NCLEX17Clie
nt17Needs17Category:17Physiologic17Integrity:17Pharmacologic17and17Parenteral17Therapies
6. A17family17nurse17practitioner17practicing17in17Maine17is17hired17at17a17practice17across17sta
te17lines17in17Virginia.17Which17aspect17of17practice17may17change17for17the17APRN?
a. The17APRN17will17have17less17prescriptive17authority17in17the17new17 position.
b. The17APRN17will17have17more17prescriptive17authority17in17the17new17position.
c. The17APRN17will17have17equal17prescriptive17authority17in17the17newposition.
d. The17APRN‘s17authority17will17depend17on17federalregulations.
ANS:17A
Virginia17allows17limited17prescriptive17authority,17while17Maine17gives17full17authority17to17certifi
ed17nurse17practitioners.17The17federal17government17does17not17regulate17prescriptive17authority.D
IF:17Cognitive17Level:17ComprehensionREF:17p.173TOP:17Nursing17Process:17Implementation17M
SC:17NCLEX17Client17Needs17Category:17Physiologic17Integrity:17Pharmacologic17and17Parenteral
17Therapies
Rosenthal:17Lehne's17Pharmacotherapeutics17for17Advanced17Practice17Providers,172nd17Ed.17
Chapter172:17Rational17Drug17Selection17and17Prescription17Writing
Test17Bank17Mu
ltiple17Choice
7. How17can17collaboration17with17a17pharmacist17improve17positive17outcomes17for17p
atients?17Select17all17that17apply.
a. Pharmacists17can17suggest17foods17that17will17help17with17the17patient‘s17condition.
b. Pharmacists17have17additional17information17on17drug17interactions.
c. The17pharmacist17can17suggest17adequate17medication1 7 dosing.
d. Pharmacists17have17firsthand17knowledge17of17the17facility17formulary.
e. Pharmacy17can17alter17prescriptions17when17necessary17to17prevent17patient17harm.
ANS:17B17,17C17,17D
Providers17should17collaborate17with17pharmacists17because17they17will17likely17have17additional17info
rmation17on17formulary,17drug17interactions,17and17suggestions17for17adequate17medication17dosing
.17Dietitians17can17make17foods17recommendations17to17treat17the17patient‘s17condition.17The17phar
macist17can17contact17the17prescriber17about17questionable17prescriptions,17but17cannot17alter17the17
prescription17without17notification17of17and17approval17by17the17provider.DIF:17Cognitive17Level:17
ComprehensionREF:17p.179TOP:17Nursing17Process:17Diagnosis17MSC:17NCLEX17Client17Needs17
Category:17Physiologic17Integrity:17Reduction17of17Risk17Potential
