D. Rosenthal Test Bank 2025
TABLE OF CONTENTS
1. Prescriptive Authority
2. Rational Drug Selection and Prescription Writing
3. Promoting Positive Outcomes of Drug Therapy
4. Pharmacokinetics, Pharmacodynamics, and Drug Interactions
5. Adverse Drug Reactions and Medication Errors
6. Individual Variation in Drug Responses
7. Genetic and Genomic Considerations in Pharmacotherapeutics
8. Drug Therapy During Pregnancy and Breast-Feeding
9. Drug Therapy in Pediatric Patients
10. Drug Therapy in Geriatric Patients
11. Basic Principles of Neuropharmacology
12. Physiology of the Peripheral Nervous System
13. Muscarinic Agonists
14. Muscarinic Antagonists
15. Adrenergic Agonists
16. Adrenergic Antagonists
17. Indirect-Acting Antiadrenergic Agents
18. Introduction to Central Nervous System Pharmacology
19. Drugs for Parkinson Disease
20. Drugs for Alzheimer Disease
21. Drugs for Seizure Disorders
22. Drugs for Muscle Spasm and Spasticity
23. Local Anesthetics
24. Opioid Analgesics, Opioid Antagonists, and Nonopioid Centrally Acting Analgesics
25. Drugs for Headache
26. Antipsychotic Agents and Their Use in Schizophrenia
27. Antidepressants
28. Drugs for Bipolar Disorder
29. Sedative-Hypnotic Drugs
30. Management of Anxiety Disorders
31. Central Nervous System Stimulants and Attention-Deficit/Hyperactivity Disorder
32. Substance Use Disorders I: Basic Considerations
33. Substance Use Disorders II: Alcohol
34. Substance Use Disorders III: Nicotine and Smoking
35. Substance Use Disorders IV: Major Drugs of Abuse Other Than Alcohol and Nicotine
36. Review of Hemodynamics
37. Diuretics
38. Drugs Acting on the Renin-Angiotensin-Aldosterone System
39. Calcium Channel Blockers
40. Vasodilators
41. Drugs for Hypertension
42. Drugs for Heart Failure
43. Antidysrhythmic Drugs
44. Prophylaxis Atherosclerotic Cardiovascular Disease: Drugs Cholesterol Triglyceride Levels
45. Drugs for Angina Pectoris 46. Anticoagulant, Antiplatelet, and Thrombolytic Drugs
47. Drugs for Deficiency Anemias
48. Drugs for Diabetes Mellitus
49. Drugs for Thyroid Disorders
50. Estrogens and Progestins: Basic Pharmacology and Noncontraceptive Applications
51. Birth Control
52. Androgens
53. Drugs for Erectile Dysfunction and Benign Prostatic Hyperplasia
54. Review of the Immune System
55. Childhood Immunization
56. Antihistamines
57. Cyclooxygenase Inhibitors: Nonsteroidal Anti-inflammatory Drugs and Acetaminophen
58. Glucocorticoids in Nonendocrine Disorders
59. Drug Therapy of Rheumatoid Arthritis
60. Drug Therapy of Gout
61. Drugs Affecting Calcium Levels and Bone Mineralization
62. Drugs for Asthma and Chronic Obstructive Pulmonary Disease
63. Drugs for Allergic Rhinitis, Cough, and Colds
64. Drugs for Peptic Ulcer Disease
65. Laxatives
66. Other Gastrointestinal Drugs
67. Vitamins
68. Drugs for Weight Loss
69. Complementary and Alternative Therapies
70. Basic Principles of Antimicrobial Therapy
71. Drugs That Weaken the Bacterial Cell Wall I: Penicillins
72. Drugs That Weaken the Bacterial Cell Wall II: Other Drugs
73. Bacteriostatic Inhibitors of Protein Synthesis
74. Aminoglycosides: Bactericidal Inhibitors of Protein Synthesis
75. Sulfonamides and Trimethoprim
76. Drug Therapy of Urinary Tract Infections
77. Drugs Therapy for Tuberculosis
78. Miscellaneous Antibacterial Drugs
79. Antifungal Agents
80. Antiviral Agents I: Drugs for Non-HIV Viral Infections
81. Antiviral Agents II: Drugs for HIV Infection and Related Opportunistic Infections
82. Drug Therapy of Sexually Transmitted Diseases
83. Anthelmintics, Antiprotozoal Drugs, and Ectoparasiticides
84. Introduction to Immunomodulators
85. Supportive Care of Patients Receiving Anticancer Drugs
86. Drugs for Cancer Pain
87. Drugs for the Eye
88. Drugs for the Skin
89. Drugs for the Ear
90. Agents Affecting the Volume and Ion Content of Body Fluids
91. Management of ST-Elevation Myocardial Infarction
92. Additional Acute Care Drugs
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,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 types of medications the APRN is allowed to prescribe. State law does not require the
APRN to practice under physician supervision. How would the APRN‘s prescriptive authority be
described?
a. Full authority
b. Independent
c. Without limitation
d. Limited authority
ACTUAL ANSWERS: B
The APRN has independent prescriptive authority because the regulating body does not require
that the APRN work under physician supervision. Full prescriptive authority gives the provider
the right to prescribe independently and without limitation. Limited authority places restrictions
on the types of drugs that can be prescribed .DIF: Cognitive Level: Comprehension REF: p.
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity:
Pharmacologic and Parenteral Therapies
2. Which factors increase the need for APRNs to have full prescriptive authority?
a. More patients will have access to health care.
b. Enrollment in medical schools is predicted to decrease.
c. Physician‘s assistants are being utilized less often.
d. APRN education is more complex than education for physicians.
ACTUAL ANSWERS: A
Implementation of the Affordable Care Act has increased the number of individuals with health
care coverage, and thus the number who have access to health care services. The increase in the
number of patients creates the need for more providers with prescriptive authority. APRNs can
fill this practice gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursing Process:
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
and Parenteral Therapies
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,3. Which factors could be attributed to limited prescriptive authority for APRNs? Select all
that apply.
a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy
ACTUAL ANSWERS: A , B
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and
accessible patient care. It may also lead to poor collaboration among providers and higher health
care costs. It would not directly impact patient‘s health literacy .DIF: Cognitive Level:
Comprehension REF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
Integrity: Pharmacologic and Parenteral Therapies
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select all
that apply.
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN‘s ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability.
ACTUAL ANSWERS: A , C , D
APRNs are educated to practice and prescribe independently without supervision. National
examinations validate the ability to provide safe and competent care. Licensure ensures
compliance with standards to promote public health and safety. Limited prescriptive authority
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX
Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
!!TB ):
DOWNLOAD THE UPDATED LEHNE’S PHARMACO THERAPEUTICS FOR ADVA NCED PRA CTICE NURSE S AND PHYSICIAN A SSISTANT S 2ND EDITION BY LAURA D. RO SENTHAL T EST BANK WITH SOLUTION, FUL LY REVI SED FOR 2 025/2 026. THI S CO MPREHEN SIVE RESOURCE INCL UDES VE RIFIED QU ESTION S AND ACCU RATE AN SWERS COV ERING PHARMACOLOGI C PRINCIPLE S, DRUG TH ERAPY MANAGE MENT, CLINICAL DE CISION-MAKING, AND PATIENT-CENTERED CA RE. PERFE CT FO R NU RSE P RACTITIONE RS, PHY SICI AN ASSI STANT S, AND ADVAN CED PRA CTICE STUDENT S PREPARING FOR EXAM S, CLINICAL RO TATIONS, O R CERTI FICATION A SSE SSMENT S. STRENG THEN YOUR UN DERSTANDING OF PHARMA COTHE RAPEUTICS, MEDICA TION SA FETY, AND THE RAPEUTIC INT ERVENTIONS. A TRU STED STUDY GUIDE TO IMP ROVE RE TENTION, BOO ST EXA M PERFORMANCE, AND ACHIEVE A CADEMI C SUCCESS.!!!!!!!!!!!!!!!!!!!!!!!!
, 5. Which aspects support the APRN‘s provision for full prescriptive authority? Select all
that apply.
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN‘s ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards.
ACTUAL ANSWERS: A , C , D
APRNs are educated to practice and prescribe independently without supervision. National
examinations validate the ability to provide safe and competent care. Licensure ensures
compliance with standards to promote public health and safety. Limited prescriptive authority
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
Level:
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in
Virginia. Which aspect of practice may change for the APRN?
a. The APRN will have less prescriptive authority in the new position.
b. The APRN will have more prescriptive authority in the new position.
c. The APRN will have equal prescriptive authority in the new position.
d. The APRN‘s authority will depend on federal regulations.
ACTUAL ANSWERS: A
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
!!TB ):
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