Pharmacotherapeutics for Advanced Practice
Nurse Prescribers with Davis Edge
6th Edition
TEST BANK
Reference: Ch. 1, Section: Clinical Judgment in Prescribing
Question Stem: A 48-year-old patient with new hypertension
asks for medication today. Before writing a prescription, which
action best reflects the advanced practice nurse’s clinical
judgment?
Options:
A. Prescribe a thiazide diuretic immediately because
hypertension guidelines favor thiazides.
B. Review the patient’s medical history, current medications,
allergies, and perform necessary baseline labs.
C. Advise lifestyle modification only and defer pharmacotherapy
to the next visit.
D. Start an ACE inhibitor empirically and schedule labs later.
Correct Answer: B
Rationales:
• Correct (B): Advanced practice prescribers must base
prescribing on a thorough assessment (history, meds,
allergies) and necessary baseline labs to ensure safe drug
, selection and dosing; this aligns with foundational
prescribing principles. F. A. Davis+1
• A: Guideline-based choices matter, but immediate
prescribing without assessment and baseline data risks
harm (e.g., drug interactions, contraindications).
• C: Lifestyle change is important but may be insufficient for
some patients; deferring pharmacotherapy without
assessing urgency misses clinical judgment.
• D: Empiric initiation without baseline assessment/labs can
miss contraindications (e.g., hyperkalemia, renal
impairment).
Teaching Point: Always perform a focused assessment and
baseline tests before prescribing.
Citation: Ch. 1, Clinical judgment and assessment. F. A.
Davis+1
2.
Reference: Ch. 1, Section: Scope of Practice & Prescriptive
Authority
Question Stem: An NP practicing in State X wants to begin
prescribing controlled substances. Which is the NP’s first
appropriate step?
Options:
A. Obtain a DEA registration number and verify state controlled-
substance regulations.
,B. Begin prescribing immediately under a supervising
physician’s verbal permission.
C. Apply for hospital formulary privileges only—state law is not
relevant.
D. Contact the pharmacy to ask whether they will fill controlled
substances prescribed by NPs.
Correct Answer: A
Rationales:
• Correct (A): Controlled-substance prescribing requires a
DEA number and compliance with state prescribing
regulations; prescriptive authority varies by state and must
be confirmed. F. A. Davis+1
• B: Verbal permission is insufficient; prescriptive authority
and DEA registration are legal prerequisites.
• C: Hospital privileges do not substitute for state/DEA
authorization to prescribe controlled substances.
• D: Pharmacy willingness is secondary to legal prescriptive
authority and DEA registration.
Teaching Point: Verify state law and obtain DEA
registration before prescribing controlled substances.
Citation: Ch. 1, Legal/regulatory aspects of prescribing. F.
A. Davis+1
3.
, Reference: Ch. 1, Section: Prescription Writing &
Documentation
Question Stem: Which element is most critical to include on a
written prescription to reduce medication errors?
Options:
A. Patient’s phone number only.
B. Drug name, dose, route, frequency, and duration.
C. Provider’s initials but not signature.
D. The phrase “as needed” without indication.
Correct Answer: B
Rationales:
• Correct (B): A complete prescription includes drug name,
dose, route, frequency, and duration; these elements
reduce ambiguity and error. F. A. Davis+1
• A: Patient contact info is useful but not sufficient to
prevent medication errors.
• C: Provider signature (or secure e-signature) is required;
initials alone are insufficient legal documentation.
• D: “As needed” without an indication or parameters
increases risk for misuse and error.
Teaching Point: Prescriptions must be complete and
unambiguous to enhance safety.
Citation: Ch. 1, Prescription writing and documentation. F.
A. Davis+1
Nurse Prescribers with Davis Edge
6th Edition
TEST BANK
Reference: Ch. 1, Section: Clinical Judgment in Prescribing
Question Stem: A 48-year-old patient with new hypertension
asks for medication today. Before writing a prescription, which
action best reflects the advanced practice nurse’s clinical
judgment?
Options:
A. Prescribe a thiazide diuretic immediately because
hypertension guidelines favor thiazides.
B. Review the patient’s medical history, current medications,
allergies, and perform necessary baseline labs.
C. Advise lifestyle modification only and defer pharmacotherapy
to the next visit.
D. Start an ACE inhibitor empirically and schedule labs later.
Correct Answer: B
Rationales:
• Correct (B): Advanced practice prescribers must base
prescribing on a thorough assessment (history, meds,
allergies) and necessary baseline labs to ensure safe drug
, selection and dosing; this aligns with foundational
prescribing principles. F. A. Davis+1
• A: Guideline-based choices matter, but immediate
prescribing without assessment and baseline data risks
harm (e.g., drug interactions, contraindications).
• C: Lifestyle change is important but may be insufficient for
some patients; deferring pharmacotherapy without
assessing urgency misses clinical judgment.
• D: Empiric initiation without baseline assessment/labs can
miss contraindications (e.g., hyperkalemia, renal
impairment).
Teaching Point: Always perform a focused assessment and
baseline tests before prescribing.
Citation: Ch. 1, Clinical judgment and assessment. F. A.
Davis+1
2.
Reference: Ch. 1, Section: Scope of Practice & Prescriptive
Authority
Question Stem: An NP practicing in State X wants to begin
prescribing controlled substances. Which is the NP’s first
appropriate step?
Options:
A. Obtain a DEA registration number and verify state controlled-
substance regulations.
,B. Begin prescribing immediately under a supervising
physician’s verbal permission.
C. Apply for hospital formulary privileges only—state law is not
relevant.
D. Contact the pharmacy to ask whether they will fill controlled
substances prescribed by NPs.
Correct Answer: A
Rationales:
• Correct (A): Controlled-substance prescribing requires a
DEA number and compliance with state prescribing
regulations; prescriptive authority varies by state and must
be confirmed. F. A. Davis+1
• B: Verbal permission is insufficient; prescriptive authority
and DEA registration are legal prerequisites.
• C: Hospital privileges do not substitute for state/DEA
authorization to prescribe controlled substances.
• D: Pharmacy willingness is secondary to legal prescriptive
authority and DEA registration.
Teaching Point: Verify state law and obtain DEA
registration before prescribing controlled substances.
Citation: Ch. 1, Legal/regulatory aspects of prescribing. F.
A. Davis+1
3.
, Reference: Ch. 1, Section: Prescription Writing &
Documentation
Question Stem: Which element is most critical to include on a
written prescription to reduce medication errors?
Options:
A. Patient’s phone number only.
B. Drug name, dose, route, frequency, and duration.
C. Provider’s initials but not signature.
D. The phrase “as needed” without indication.
Correct Answer: B
Rationales:
• Correct (B): A complete prescription includes drug name,
dose, route, frequency, and duration; these elements
reduce ambiguity and error. F. A. Davis+1
• A: Patient contact info is useful but not sufficient to
prevent medication errors.
• C: Provider signature (or secure e-signature) is required;
initials alone are insufficient legal documentation.
• D: “As needed” without an indication or parameters
increases risk for misuse and error.
Teaching Point: Prescriptions must be complete and
unambiguous to enhance safety.
Citation: Ch. 1, Prescription writing and documentation. F.
A. Davis+1
