stb Editionb(TestBank)
Rosenthal:b Lehne'sb Pharmacotherapeuticsb forb Advancedb Practiceb Providers,b 1stb Ed.
Chapterb1:bPrescriptivebAuthorityb
TestbBank
MultiplebChoice
1. AnbAPRNbworksbinbaburologybclinicbunderbthebsupervisionbofbabphysicianbwhobdoesbnotbrestrictbth
ebtypesbofbmedicationsbthebAPRNbisballowedbtobprescribe.bStateblawbdoesbnotbrequirebthebAPRNb
tobpracticebunderbphysicianbsupervision.bHowbwouldbthebAPRN‘sbprescriptivebauthoritybbebdescr
ibed?
a. Fullbauthority
b. Independent
c. Withoutblimitation
d. Limitedbauthority
ANS:b B
ThebAPRNbhasbindependentbprescriptivebauthoritybbecausebthebregulatingbbodybdoesbnotbrequirebtha
tbthebAPRNbworkbunderbphysicianbsupervision.bFullbprescriptivebauthoritybgivesbthebproviderbthebrig
htbtobprescribebindependentlybandbwithoutblimitation.bLimitedbauthoritybplacesbrestrictionsbonbthebty
pesbofbdrugsbthatbcanbbebprescribed.DIF:bCognitivebLevel:bComprehensionREF:bp.b1TOP:bNursingb
Process:bIbMSC:bNCLEXbClientb Needsb Category:b Physiologicb Integrity:bPharmacologicbandbPar
enteralbTherapies
2. WhichbfactorsbincreasebthebneedbforbAPRNsbtobhavebfullbprescriptivebauthority?
a. Morebpatientsb willbhavebaccessbtob healthbcare.
b. Enrollmentbinbmedicalbschoolsb isbpredictedbtobdecrease.
c. Physician‘sbassistantsbarebbeingbutilizedblessboften.
d. APRNbeducationbisb morebcomplexbthanbeducationbforbphysicians.
ANS:b A
ImplementationbofbthebAffordablebCarebActbhasbincreasedbthebnumberbofbindividualsbwithbhealthbca
rebcoverage,bandbthusbthebnumberbwhobhavebaccessbtobhealthbcarebservices.bThebincreasebinbthebnum
berbofpatientsbcreatesbthebneedbforbmorebprovidersbwithbprescriptivebauthority.bAPRNsbcanbfillbthisbpr
acticebgap.DIF:bCognitivebLevel:bComprehensionREF:bp.b2TOP:bNursingbProcess:bImplementation
bMSC:bNCLEXbClient bNeedsb Category:bPhysiologicb Integrity: bPharmacologicbandbParenteral bThe
rapies
3. WhichbfactorsbcouldbbebattributedbtoblimitedbprescriptivebauthoritybforbAPRNs?b
Selectballbthatb apply.
,Rosenthalb Lehne’sbPharmacotherapeuticsb forb Advancedb Practiceb Providers:
2 b1s
tb Editionb(TestBank)
a. Inaccessibilitybofbpatientb care
b. Higherb healthbcarebcosts
c. Higherbqualityb medicalbtreatment
d. Improvedbcollaborativebcare
e. Enhancedbhealthbliteracy
ANS:b Ab,bB
LimitingbprescriptivebauthoritybforbAPRNsbcanbcreatebbarriersbtobquality,baffordable,bandbaccessiblebp
atientbcare.bItbmaybalsobleadbtobpoorbcollaborationbamongbprovidersbandbhigherbhealthbcarebcosts.bItb
wouldb notbdirectlybimpactbpatient‘sb healthbliteracy.DIF:bCognitiveb Level:bComprehensionREF:
p.b2TOP:bNursingbProcess:bImplementationbMSC:bNCLEXbClientbNeedsbCategory:bPhysiologicbIn
tegrity:bPharmacologicbandbParenteralbTherapies
4. Whichbaspectsb supportbthebAPRN‘sbprovisionbforb fullbprescriptivebauthority?b
Selectballbthatb apply.
a. Clinicalbeducationbincludesbprescriptionbofbmedicationsbandbdiseasebprocesses.
b. Federalbregulationsb supportbthebprovisionbofbfullbauthoritybforb APRNs.
c. Nationalbexaminationsbprovideb validationbofbthebAPRN‘sbabilitybtobprovidebsafebcare.
d. Licensurebensuresbcomplianceb withbhealthbcarebandbsafetybstandards.
e. Limitingbprovisionbcanbdecreaseb healthbcarebaffordability.
ANS:b Ab,bCb,bD
APRNsbarebeducatedbtobpracticebandbprescribebindependentlybwithoutbsupervision.bNationalbexami
nationsbvalidatebthebabilitybtobprovidebsafebandbcompetentbcare.bLicensurebensuresbcompliancebwith
bstandardsbtobpromotebpublicbhealthbandbsafety.bLimitedbprescriptivebauthoritybcreatesbnumerousbbar
riersbtobquality,baffordable,bandbaccessiblebpatientbcare.DIF:bCognitivebLevel:bComprehensionREF:b
pp.b1-
2TOP:bNursingbProcess:bImplementationbMSC:b NCLEXb ClientbNeedsbCategory:bPhysiologicbInte
grity:bPharmacologicbandb ParenteralbTherapies
5. Whichbaspectsb supportbthebAPRN‘sbprovisionbforb fullbprescriptivebauthority?b
Selectballbthatb apply.
a. Clinicalbeducationbincludesbprescriptionbofbmedicationsbandbdiseasebprocesses.
b. Federalbregulationsb supportbthebprovisionbofbfullbauthoritybforb APRNs.
c. Nationalbexaminationsbprovideb validationbofbthebAPRN‘sbabilitybtobprovidebsafebcare.
d. Licensurebensuresbcomplianceb withbhealthbcarebandbsafetybstandards.
ANS:b Ab,bCb,bD
APRNsbarebeducatedbtobpracticebandbprescribebindependentlybwithoutbsupervision.bNationalbexami
nationsbvalidatebthebabilitybtobprovidebsafebandbcompetentbcare.bLicensurebensuresbcompliancebwithb
standardsbtobpromotebpublicbhealthbandbsafety.bLimitedbpbrescriptivebauthoritybcreatesb numerousbbarr
iersbtobquality,baffordable,bandbaccessiblebpatientbcare.DIF:bCognitivebLevel:
,Rosenthalb Lehne’sbPharmacotherapeuticsb forb Advancedb Practiceb Providers:
2 b1s
tb Editionb(TestBank)
ComprehensionREF:bpp.b1-
2TOP:bNursingbProcess:bImplementationbMSC:b NCLEXb ClientbNeedsbCategory:bPhysiologicbInte
grity:bPharmacologicbandb ParenteralbTherapies
6. Ab familyb nurseb practitionerb practicingb inb Maineb isb hiredb atb ab practiceb acrossb stateb linesb inbV
irginia.b Whichbaspectbofbpracticeb maybchangeb forbtheb APRN?
a. ThebAPRNbwillbhaveblessbprescriptivebauthoritybinbthebnewbposition.
b. ThebAPRNbwillb haveb morebprescriptivebauthoritybinbtheb newbposition.
c. ThebAPRNbwillb havebequalbprescriptivebauthoritybinbtheb newbposition.
d. ThebAPRN‘sbauthoritybwillbdependbonbfederalbregulations.
ANS:b A
Virginiaballowsblimitedbprescriptivebauthority,bwhilebMainebgivesbfullbauthoritybtobcertifiedbnursebp
ractitioners.bThebfederalbgovernmentbdoesbnotbregulatebprescriptivebauthority.DIF:bCognitivebLevel
:bComprehensionREF:bp.b3TOP:bNursingbProcess:bImplementationbMSC:bNCLEXbClientbNeedsbC
ategory:bPhysiologicbIntegrity:bPharmacologicbandb ParenteralbTherapies
Rosenthal:b Lehne'sb Pharmacotherapeuticsb forb Advancedb Practiceb Providers,b 1stb Ed.
Chapterb2:bRationalbDrugbSelectionbandbPrescriptionbWritingb
TestbBank
MultiplebChoice
7. Howbcanbcollaborationbwithbabpharmacistbimprovebpositiveboutcomesbforbpatients?b
Selectballbthatb apply.
a. Pharmacistsbcanbsuggestbfoodsbthatb willbhelpb withbthebpatient‘sbcondition.
b. Pharmacistsb havebadditionalbinformationbonbdrugbinteractions.
c. Thebpharmacistbcanbsuggestbadequateb medicationbdosing.
d. Pharmacistsb haveb firsthandbknowledgebofbtheb facilitybformulary.
e. Pharmacybcanbalterbprescriptionsb whenbnecessarybtobpreventb patientb harm.
ANS:b Bb,bCb,bD
Providersbshouldbcollaboratebwithbpharmacistsbbecausebtheybwillblikelybhavebadditionalbinformationbo
nbformulary,bdrugbinteractions,bandbsuggestionsbforbadequatebmedicationbdosing.bDietitiansbcanbma
kebfoodsbrecommendationsbtobtreatbthebpatient‘sbcondition.bThebpharmacistbcanbcontactbthebprescrib
erbaboutbquestionablebprescriptions,bbutbcannotbalterbthebprescriptionbwithoutbnotificationbofbandbap
provalbbybthebprovider.DIF:bCognitivebLevel:bComprehensbionREF:bp.b9TOP:bNursingbProcess:bDi
agnosisbMSC:bNCLEXbClientbNeedsbCategory:bPhysiologicbIntegrity:bReductionbofbRiskbPotential
, Rosenthalb Lehne’sbPharmacotherapeuticsb forb Advancedb Practiceb Providers:
2 b1s
tb Editionb(TestBank)
8. AbpatientbpresentsbwithbdeliriumbtremensbrequiringbAtivanbadministration.bThebproviderbofcarebi
sb notbinbtheb facility.bWhichbactionbbybtheb nurseb isb mostbappropriate?
a. Obtainbabtelephoneborder.
b. Contactbthebon-callbhospitalist.
c. Obtainbanborderb frombthebchargeb nurse.
d. Waitb forbab writtenbAtivanborder.
ANS:b A
Inbanbemergencybsituation,bsuchbasbdeliriumbtremensbwithbseizurebactivity,bitbisbacceptablebtobprovid
ebabtelephoneborder.bContactingbthebon-
callbhospitalistborbwaitingbforbabwrittenborderbwouldbtakebmorebtimebthanbavailablebforbabpatientbwith
bhighbseizurebrisk.bWritingbanborderbisboutsidebthebscopebofbpracticebforbthebchargebnurse.DIF:bCogni
tivebLevel:bApplicationREF:bp.b7TOP:bNursingbProcess:bImplementationbMSC:bNCLEXbClientbNe
edsbCategory:bPhysiologicb Integrity:bReductionbofbRiskbPotential
9. Abpatientbwithbchronicbpainbcallsbthebprovider‘sbofficebtobrequestbabrefillbonbtheirboxycontin.bWh
ichbactionbisb mostbappropriate?
a. Faxbanborderbtob thebpharmacy.
b. Schedulebanbappointmentb withbthebpatient.
c. Verifybthebpatient‘sbadherencebtobdrugbregimen.
d. Determinebthebpatient‘sbcurrentbmedicationbdosage.
ANS:b B
SchedulebIIbmedicationsbarebnotbeligiblebforbrefills,bandbprescriptionsbmustbbebhandwritten.bItbisbimp
ortantbtobverifybthebpatient‘sbadherencebtobthebdrugbregimenbandbdeterminebthebcurrentbdosagebofbme
dication;bhowever,bthisbcanbbebaccomplishedbbybschedulingbanbappointmentbandbevaluatingbthebpati
entbinbperson.DIF:bCognitivebLevel:bApplicationREF:bp.b8TOP:bNursingbProcess:bImplementationb
MSC:bNCLEXbClientbNeedsbCategory:bPhysiologicbIntegrity:bReductionbofbRiskbPotential
10. Abpatientbprescribedbamoxicillinbforbstreptococcalbpharyngitisbreportsbnewbonsetbofabflat,bitchybr
edbrashbonbthebchestbandb neck.b Whichbactionbisb mostbimportant?
a. Providebabdifferentbprescription.
b. Discontinuebthebmedication.
c. Prescribebanbantihistaminebcream.
d. Assessb forbrespiratorybcompromise.
ANS:b B
Thebprioritybactionbisbtobdiscontinuebthebmedicationbtobpreventbworseningbofbthebpatient‘sbsymptom
s.b Abdifferentbprescriptionbwouldbbebprovided,btopicalbantihistamineb maybbebadministered,bandb theb pa
tientb wouldb beb assessedb forb respiratoryb involvement,b butb theseb actionsb wouldb notb be