dYEditionYRosenthalYTestY Bank 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
Y Y Y Y
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND
Y Y Y Y Y Y
EDITION ROSENTHAL TEST BANK
Y Y Y
,Lehne’sYPharmacotherapeuticsYforYAdvancedYPracticeYNursesYandYPhysicianYAssistantsY2n
dYEditionYRosenthalYTestY Bank 2
ChapterY1:YPrescriptiveYAuthorityYTestYBan
kYMultipleYChoice
1. AnYAPRNYworksYinYaYurologyYclinicYunderYtheYsupervisionYofYaYphysicianYwhoYdoesYnotY
restrictYtheYtypesYofYmedicationsYtheYAPRNYisYallowedYtoYprescribe.YStateYlawYdoesYnotYrequireYt
heYAPRNYtoYpracticeYunderYphysicianYsupervision.YHowYwouldYtheYAPRN‘sYprescriptiveYauthorit
yYbeYdescribed?
a. FullYauthority
b. Independent
c. WithoutYlimitation
d. LimitedYauthority
ANS:YB
TheYAPRNYhasYindependentYprescriptiveYauthorityYbecauseYtheYregulatingYbodyYdoesYnotYrequi
reYthatYtheYAPRNYworkYunderYphysicianYsupervision.YFullYprescriptiveYauthorityYgivesYtheYprovi
derYtheYrightYtoYprescribeYindependentlyYandYwithoutYlimitation.YLimitedYauthorityYplacesYrestric
tionsYonYtheYtypesYofYdrugsYthatYcanYbeYprescribedY.DIF:YCognitiveYLevel:YComprehensionYREF:
Yp.
1TOP:YNursingYProcess:YIYMSC:YNCLEXYClientYNeedsYCategory:YPhysiologicYIntegrit
y:YPharmacologicYandYParenteralYTherapies
2. WhichYfactorsYincreaseYtheYneedYforYAPRNsYtoYhaveYfullYprescriptiveYauthority?
a. MoreYpatientsYwillYhaveYaccessYtoYhealthYcare.
b. EnrollmentYinYmedicalYschoolsYisYpredictedYtoYdecrease.
c. Physician‘sYassistantsYareYbeingYutilizedYlessYoften.
d. APRNYeducationYisYmoreYcomplexYthanYeducationYforYphysicians.
ANS:YA
ImplementationYofYtheYAffordableYCareYActYhasYincreasedYtheYnumberYofYindividualsYwithYheal
thYcareYcoverage,YandYthusYtheYnumberYwhoYhaveYaccessYtoYhealthYcareYservices.YTheYincreaseYin
YtheYnumberYofYpatientsYcreatesYtheYneedYforYmoreYprovidersYwithYprescriptiveYauthority.YAPRN
sYcanYfillYthisYpracticeYgap.YDIF:YCognitiveYLevel:YComprehensionYREF:Yp.Y2TOP:YNursingYPro
cess:YImplementationYMSC:YNCLEXYClientYNeedsYCategory:YPhysiologicYIntegrity:YPharmacol
ogicYandYParenteralYTherapies
,Lehne’sYPharmacotherapeuticsYforYAdvancedYPracticeYNursesYandYPhysicianYAssistantsY2n
dYEditionYRosenthalYTestY Bank 3
3. WhichYfactorsYcouldYbeYattributedYtoYlimitedYprescriptiveYauthorityYforYAPRNs?YSelectYa
llYthatYapply.
a. InaccessibilityYofYpatientY care
b. HigherYhealthYcareYcosts
c. HigherYqualityYmedicalYtreatment
d. ImprovedYcollaborativeYcare
e. EnhancedYhealthYliteracy
ANS:YAY,YB
LimitingYprescriptiveYauthorityYforYAPRNsYcanYcreateYbarriersYtoYquality,Yaffordable,YandYaccess
ibleYpatientYcare.YItYmayYalsoYleadYtoYpoorYcollaborationYamongYprovidersYandYhigherYhealthYcareY
costs.YItYwouldYnotYdirectlyYimpactYpatient‘sYhealthYliteracy.DIF:YCognitiveYLevel:YComprehensi
onREF:
p.Y2TOP:YNursingYProcess:YImplementationYMSC:YNCLEXYClientYNeedsYCategory:YPhysiologicY
Integrity:YPharmacologicYandYParenteralYTherapies
4. WhichYaspectsYsupportYtheYAPRN‘sYprovisionYforYfullYprescriptiveYauthority?YSelectYa
llYthatYapply.
a. ClinicalYeducationYincludesYprescriptionYofYmedicationsYandYdiseaseYprocesses.
b. FederalYregulationsYsupportYtheYprovisionYofYfullYauthorityYforYAPRNs.
c. NationalYexaminationsYprovideYvalidationYofYtheYAPRN‘sYabilityYtoYprovideYsafecare.
d. LicensureYensuresYcomplianceYwithYhealthYcareYandYsafetyYstandards.
e. LimitingYprovisionYcanYdecreaseYhealthYcareYaffordability.
ANS:YAY,YCY,YD
APRNsYareYeducatedYtoYpracticeYandYprescribeYindependentlyYwithoutYsupervision.YNationalY
examinationsYvalidateYtheYabilityYtoYprovideYsafeYandYcompetentYcare.YLicensureYensuresYcom
plianceYwithYstandardsYtoYpromoteYpublicYhealthYandYsafety.YLimitedYprescriptiveYauthorityYcr
eatesYnumerousYbarriersYtoYquality,Yaffordable,YandYaccessibleYpatientYcare.DIF:YCognitiveYLe
vel:YComprehensionREF:Ypp.Y1-
2TOP:YNursingYProcess:YImplementationYMSC:YNCLEXYClientYNeedsYCategory:YPhysiologic
YIntegrity:YPharmacologicYandYParenteralYTherapies
, Lehne’sYPharmacotherapeuticsYforYAdvancedYPracticeYNursesYandYPhysicianYAssistantsY2n
dYEditionYRosenthalYTestY Bank 4
5. WhichYaspectsYsupportYtheYAPRN‘sYprovisionYforYfullYprescriptiveYauthority?YSelectYa
llYthatYapply.
a. ClinicalYeducationYincludesYprescriptionYofYmedicationsYandYdiseaseYprocesses.
b. FederalYregulationsYsupportYtheYprovisionYofYfullYauthorityYforYAPRNs.
c. NationalYexaminationsYprovideYvalidationYofYtheYAPRN‘sYabilityYtoYprovideYsafecare.
d. LicensureYensuresYcomplianceYwithYhealthYcareYandYsafetyYstandards.
ANS:YAY,YCY,YD
APRNsYareYeducatedYtoYpracticeYandYprescribeYindependentlyYwithoutYsupervision.YNationalYexa
minationsYvalidateYtheYabilityYtoYprovideYsafeYandYcompetentYcare.YLicensureYensuresYcomplianc
eYwithYstandardsYtoYpromoteYpublicYhealthYandYsafety.YLimitedYprescriptiveYauthorityYcreatesYnu
merousYbarriersYtoYquality,Yaffordable,YandYaccessibleYpatientYcare.DIF:YCognitiveYLevel:
ComprehensionYREF:Ypp.Y 1-2TOP:YNursingYProcess:YImplementation
MSC:YNCLEXYClien
tYNeedsYCategory:YPhysiologicYIntegrity:YPharmacologicYandYParenteralYTherapies
6. AYfamilyYnurseYpractitionerYpracticingYinYMaineYisYhiredYatYaYpracticeYacrossYstateYlinesY
inYVirginia.YWhichYaspectYofYpracticeYmayYchangeY forYtheYAPRN?
a. TheYAPRNYwillYhaveYlessYprescriptiveYauthorityYinYtheYnewYposition.
b. TheYAPRNYwillYhaveYmoreYprescriptiveYauthorityYinYtheYnewYposition.
c. TheYAPRNYwillYhaveYequalYprescriptiveYauthorityYinYtheYnewYposition.
d. TheYAPRN‘sYauthorityYwillYdependYonYfederalYregulation
s.YANS:YA
VirginiaYallowsYlimitedYprescriptiveYauthority,YwhileYMaineYgivesYfullYauthorityYtoYcertifiedYnurs
eYpractitioners.YTheYfederalYgovernmentYdoesYnotYregulateYprescriptiveYauthority.DIF:YCognitiveY
Level:YComprehensionREF:Yp.Y3TOP:YNursingYProcess:YImplementationYMSC:YNCLEXYClientY
NeedsYCategory:YPhysiologicYIntegrity:YPharmacologicYandYParenteralYTherapies