Pharmacotherapeutics for Advanced Practice
Nurse Prescribers with Davis Edge
6th Edition
TEST BANK
Reference: Ch. 1, Section: Roles and Responsibilities of the
APRN Prescriber
Question Stem: A 42-year-old patient asks why their APRN can
prescribe medications independently in your state. Which
explanation best reflects the APRN’s professional responsibility
when prescribing?
A. APRNs may prescribe but are not accountable for monitoring
outcomes because physicians retain ultimate responsibility.
B. APRNs prescribe based on clinical judgment and are
accountable for safe, evidence-based medication selection and
monitoring.
C. APRNs can only initiate therapy ordered previously by a
physician and cannot change doses.
D. APRNs may prescribe but must always co-sign prescriptions
with a collaborating physician.
Correct Answer: B
Rationales:
, • B (Correct): APRNs combine nursing and medical training
to make independent, evidence-based prescribing
decisions and remain professionally and legally
accountable for medication choice and monitoring,
consistent with Chapter 1’s emphasis on prescriptive
responsibility.
• A: Incorrect — APRNs are accountable for patient
outcomes when they prescribe; shared-care models don’t
remove APRN accountability.
• C: Incorrect — APRNs have authority to initiate and adjust
therapy within their scope and state laws.
• D: Incorrect — Requirement for co-signing depends on
state law; it is not universally required and does not
remove APRN accountability.
Teaching Point: APRNs independently prescribe and are
accountable for safe, evidence-based medication
management.
Citation: Woo, T. M., & Wright, W. L. (2024). Ch. 1: The Role
of the Advanced Practice Nurse as Prescriber. In
Pharmacotherapeutics for Advanced Practice Nurse
Prescribers with Davis Edge (6th ed.). F.A. Davis.
VitalSource+1
2)
,Reference: Ch. 1, Section: Regulatory Framework & Prescriptive
Authority
Question Stem: An APRN relocating to a new state wants to
continue prescribing controlled substances. Which step is
essential before prescribing controlled drugs in the new state?
A. Begin prescribing immediately; update DEA registration
within 90 days.
B. Verify state prescriptive authority and obtain any required
state licensure or controlled-substance registration before
prescribing.
C. Notify the patient’s pharmacy of the move and continue
previous prescriptions.
D. Only notify the previous state board that you changed your
address.
Correct Answer: B
Rationales:
• B (Correct): APRNs must confirm state laws and obtain
required state licenses/registrations (and DEA
modifications if needed) before prescribing controlled
substances; Chapter 1 highlights regulatory compliance as
essential.
• A: Incorrect — DEA registration and state authority must
be valid at the time of prescribing; you cannot start
prescribing first.
• C: Incorrect — Pharmacy notification does not substitute
for legal authority to prescribe.
, • D: Incorrect — Informing the previous board is insufficient;
new state requirements must be met.
Teaching Point: Confirm and obtain required state and
federal registrations before prescribing controlled
substances.
Citation: Woo & Wright, Ch. 1. VitalSource+1
3)
Reference: Ch. 1, Section: Controlled-Substance Prescribing &
DEA Registration
Question Stem: A family nurse practitioner intends to prescribe
a Schedule II opioid for acute severe pain. Which action aligns
with best practice and legal requirements?
A. Prescribe an electronic or written Schedule II prescription,
ensuring compliance with state laws and documenting the
indication and reassessment plan.
B. Prescribe the opioid without documentation because
Schedule II drugs are exempt from recordkeeping.
C. Only provide verbal orders for Schedule II opioids; written
prescriptions are not allowed.
D. Delegate the prescribing decision to a registered nurse to
expedite care.
Correct Answer: A
Rationales:
• A (Correct): Schedule II prescribing requires appropriate
documentation, compliance with state/federal rules, and
Nurse Prescribers with Davis Edge
6th Edition
TEST BANK
Reference: Ch. 1, Section: Roles and Responsibilities of the
APRN Prescriber
Question Stem: A 42-year-old patient asks why their APRN can
prescribe medications independently in your state. Which
explanation best reflects the APRN’s professional responsibility
when prescribing?
A. APRNs may prescribe but are not accountable for monitoring
outcomes because physicians retain ultimate responsibility.
B. APRNs prescribe based on clinical judgment and are
accountable for safe, evidence-based medication selection and
monitoring.
C. APRNs can only initiate therapy ordered previously by a
physician and cannot change doses.
D. APRNs may prescribe but must always co-sign prescriptions
with a collaborating physician.
Correct Answer: B
Rationales:
, • B (Correct): APRNs combine nursing and medical training
to make independent, evidence-based prescribing
decisions and remain professionally and legally
accountable for medication choice and monitoring,
consistent with Chapter 1’s emphasis on prescriptive
responsibility.
• A: Incorrect — APRNs are accountable for patient
outcomes when they prescribe; shared-care models don’t
remove APRN accountability.
• C: Incorrect — APRNs have authority to initiate and adjust
therapy within their scope and state laws.
• D: Incorrect — Requirement for co-signing depends on
state law; it is not universally required and does not
remove APRN accountability.
Teaching Point: APRNs independently prescribe and are
accountable for safe, evidence-based medication
management.
Citation: Woo, T. M., & Wright, W. L. (2024). Ch. 1: The Role
of the Advanced Practice Nurse as Prescriber. In
Pharmacotherapeutics for Advanced Practice Nurse
Prescribers with Davis Edge (6th ed.). F.A. Davis.
VitalSource+1
2)
,Reference: Ch. 1, Section: Regulatory Framework & Prescriptive
Authority
Question Stem: An APRN relocating to a new state wants to
continue prescribing controlled substances. Which step is
essential before prescribing controlled drugs in the new state?
A. Begin prescribing immediately; update DEA registration
within 90 days.
B. Verify state prescriptive authority and obtain any required
state licensure or controlled-substance registration before
prescribing.
C. Notify the patient’s pharmacy of the move and continue
previous prescriptions.
D. Only notify the previous state board that you changed your
address.
Correct Answer: B
Rationales:
• B (Correct): APRNs must confirm state laws and obtain
required state licenses/registrations (and DEA
modifications if needed) before prescribing controlled
substances; Chapter 1 highlights regulatory compliance as
essential.
• A: Incorrect — DEA registration and state authority must
be valid at the time of prescribing; you cannot start
prescribing first.
• C: Incorrect — Pharmacy notification does not substitute
for legal authority to prescribe.
, • D: Incorrect — Informing the previous board is insufficient;
new state requirements must be met.
Teaching Point: Confirm and obtain required state and
federal registrations before prescribing controlled
substances.
Citation: Woo & Wright, Ch. 1. VitalSource+1
3)
Reference: Ch. 1, Section: Controlled-Substance Prescribing &
DEA Registration
Question Stem: A family nurse practitioner intends to prescribe
a Schedule II opioid for acute severe pain. Which action aligns
with best practice and legal requirements?
A. Prescribe an electronic or written Schedule II prescription,
ensuring compliance with state laws and documenting the
indication and reassessment plan.
B. Prescribe the opioid without documentation because
Schedule II drugs are exempt from recordkeeping.
C. Only provide verbal orders for Schedule II opioids; written
prescriptions are not allowed.
D. Delegate the prescribing decision to a registered nurse to
expedite care.
Correct Answer: A
Rationales:
• A (Correct): Schedule II prescribing requires appropriate
documentation, compliance with state/federal rules, and
