TEST BANK
,Chapter 1: Prescriptive Authority Test
Bank
Multiple Choices
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
ANS: 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: ComprehensionREF: 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.
ANS: 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: ComprehensionREF: p. 2TOP: Nursing Process:
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
Parenteral Therapies
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
ANS: 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: ComprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
Integrity: Pharmacologic and Parenteral Therapies
4. Which laspects lsupport lthe lAPRN’s lprovision lfor lfull lprescriptive
lauthority? lSelect lall lthat lapply.
a. Clinical leducation lincludes lprescription lof lmedications land ldisease lprocesses.
b. Federal lregulations lsupport lthe lprovision lof lfull lauthority lfor lAPRNs.
c. National lexaminations lprovide lvalidation lof lthe lAPRN’s lability lto lprovide lsafecare.
d. Licensure lensures lcompliance lwith lhealth lcare land lsafety lstandards.
e. Limiting lprovision lcan ldecrease lhealth lcare laffordability.
ANS: lA l, lC l, lD
APRNs lare leducated lto lpractice land lprescribe lindependently lwithout lsupervision. lNational
lexaminations lvalidate lthe lability lto lprovide lsafe land lcompetent lcare. lLicensure lensures
lcompliance lwith lstandards lto lpromote lpublic lhealth land lsafety. lLimited lprescriptive lauthority
lcreates lnumerous lbarriers lto lquality, laffordable, land laccessible lpatient lcare.DIF: lCognitive
lLevel: lComprehensionREF: lpp. l1-2TOP: lNursing lProcess: lImplementation lMSC: lNCLEX
lClient lNeeds lCategory: lPhysiologic lIntegrity: lPharmacologic land lParenteral lTherapies
5. Which laspects lsupport lthe lAPRN’s lprovision lfor lfull lprescriptive
lauthority? lSelect lall lthat lapply.
a. Clinical leducation lincludes lprescription lof lmedications land ldisease lprocesses.
b. Federal lregulations lsupport lthe lprovision lof lfull lauthority lfor lAPRNs.
c. National lexaminations lprovide lvalidation lof lthe lAPRN’s lability lto lprovide lsafecare.
d. Licensure lensures lcompliance lwith lhealth lcare land lsafety lstandards.
ANS: lA l, lC l, lD
APRNs lare leducated lto lpractice land lprescribe lindependently lwithout lsupervision. lNational
lexaminations lvalidate lthe lability lto lprovide lsafe land lcompetent lcare. lLicensure lensures
lcompliance lwith lstandards lto lpromote lpublic lhealth land lsafety. lLimited lprescriptive lauthority
lcreates lnumerous lbarriers lto lquality, laffordable, land laccessible lpatient lcare.DIF: lCognitive
lLevel:
, ComprehensionREF: l pp. l 1-2TOP: l Nursing l Process: l Implementation MSC: lNCLEX lClient
lNeeds lCategory: lPhysiologic lIntegrity: lPharmacologic land lParenteral lTherapies
6. A lfamily lnurse lpractitioner lpracticing lin lMaine lis lhired lat la lpractice lacross lstate llines
lin lVirginia. lWhich laspect lof lpractice lmay lchange lfor lthe lAPRN?
a. The lAPRN lwill lhave lless lprescriptive lauthority lin lthe lnew l position.
b. The lAPRN lwill lhave lmore lprescriptive lauthority lin lthe lnew lposition.
c. The lAPRN lwill lhave lequal lprescriptive lauthority lin lthe lnewposition.
d. The lAPRN’s lauthority lwill ldepend lon lfederalregulations.
ANS: lA
Virginia lallows llimited lprescriptive lauthority, lwhile lMaine lgives lfull lauthority lto lcertified
lnurse lpractitioners. lThe lfederal lgovernment ldoes lnot lregulate lprescriptive lauthority.DIF:
lCognitive lLevel: lComprehensionREF: lp. l3TOP: lNursing lProcess: lImplementation lMSC:
lNCLEX lClient lNeeds lCategory: lPhysiologic lIntegrity: lPharmacologic land lParenteral
lTherapies
Rosenthal: lLehne's lPharmacotherapeutics lfor lAdvanced lPractice lProviders, l2nd lEd.
lChapter l2: lRational lDrug lSelection land lPrescription lWriting
Test lBank
lMultiple
lChoice
7. How lcan lcollaboration lwith la lpharmacist limprove lpositive loutcomes lfor
lpatients? lSelect lall lthat lapply.
a. Pharmacists lcan lsuggest lfoods lthat lwill lhelp lwith lthe lpatient’s lcondition.
b. Pharmacists lhave ladditional linformation lon ldrug linteractions.
c. The lpharmacist lcan lsuggest ladequate lmedication l dosing.
d. Pharmacists lhave lfirsthand lknowledge lof lthe lfacility lformulary.
e. Pharmacy lcan lalter lprescriptions lwhen lnecessary lto lprevent lpatient lharm.
ANS: lB l, lC l, lD
Providers lshould lcollaborate lwith lpharmacists lbecause lthey lwill llikely lhave ladditional
linformation lon lformulary, ldrug linteractions, land lsuggestions lfor ladequate lmedication ldosing.
lDietitians lcan lmake lfoods lrecommendations lto ltreat lthe lpatient’s lcondition. lThe lpharmacist
lcan lcontact lthe lprescriber labout lquestionable lprescriptions, lbut lcannot lalter lthe lprescription
lwithout lnotification lof land lapproval lby lthe lprovider.DIF: lCognitive lLevel:
lComprehensionREF: lp. l9TOP: lNursing lProcess: lDiagnosis lMSC: lNCLEX lClient lNeeds
lCategory: lPhysiologic lIntegrity: lReduction lof lRisk lPotential
,Chapter 1: Prescriptive Authority Test
Bank
Multiple Choices
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
ANS: 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: ComprehensionREF: 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.
ANS: 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: ComprehensionREF: p. 2TOP: Nursing Process:
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
Parenteral Therapies
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
ANS: 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: ComprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
Integrity: Pharmacologic and Parenteral Therapies
4. Which laspects lsupport lthe lAPRN’s lprovision lfor lfull lprescriptive
lauthority? lSelect lall lthat lapply.
a. Clinical leducation lincludes lprescription lof lmedications land ldisease lprocesses.
b. Federal lregulations lsupport lthe lprovision lof lfull lauthority lfor lAPRNs.
c. National lexaminations lprovide lvalidation lof lthe lAPRN’s lability lto lprovide lsafecare.
d. Licensure lensures lcompliance lwith lhealth lcare land lsafety lstandards.
e. Limiting lprovision lcan ldecrease lhealth lcare laffordability.
ANS: lA l, lC l, lD
APRNs lare leducated lto lpractice land lprescribe lindependently lwithout lsupervision. lNational
lexaminations lvalidate lthe lability lto lprovide lsafe land lcompetent lcare. lLicensure lensures
lcompliance lwith lstandards lto lpromote lpublic lhealth land lsafety. lLimited lprescriptive lauthority
lcreates lnumerous lbarriers lto lquality, laffordable, land laccessible lpatient lcare.DIF: lCognitive
lLevel: lComprehensionREF: lpp. l1-2TOP: lNursing lProcess: lImplementation lMSC: lNCLEX
lClient lNeeds lCategory: lPhysiologic lIntegrity: lPharmacologic land lParenteral lTherapies
5. Which laspects lsupport lthe lAPRN’s lprovision lfor lfull lprescriptive
lauthority? lSelect lall lthat lapply.
a. Clinical leducation lincludes lprescription lof lmedications land ldisease lprocesses.
b. Federal lregulations lsupport lthe lprovision lof lfull lauthority lfor lAPRNs.
c. National lexaminations lprovide lvalidation lof lthe lAPRN’s lability lto lprovide lsafecare.
d. Licensure lensures lcompliance lwith lhealth lcare land lsafety lstandards.
ANS: lA l, lC l, lD
APRNs lare leducated lto lpractice land lprescribe lindependently lwithout lsupervision. lNational
lexaminations lvalidate lthe lability lto lprovide lsafe land lcompetent lcare. lLicensure lensures
lcompliance lwith lstandards lto lpromote lpublic lhealth land lsafety. lLimited lprescriptive lauthority
lcreates lnumerous lbarriers lto lquality, laffordable, land laccessible lpatient lcare.DIF: lCognitive
lLevel:
, ComprehensionREF: l pp. l 1-2TOP: l Nursing l Process: l Implementation MSC: lNCLEX lClient
lNeeds lCategory: lPhysiologic lIntegrity: lPharmacologic land lParenteral lTherapies
6. A lfamily lnurse lpractitioner lpracticing lin lMaine lis lhired lat la lpractice lacross lstate llines
lin lVirginia. lWhich laspect lof lpractice lmay lchange lfor lthe lAPRN?
a. The lAPRN lwill lhave lless lprescriptive lauthority lin lthe lnew l position.
b. The lAPRN lwill lhave lmore lprescriptive lauthority lin lthe lnew lposition.
c. The lAPRN lwill lhave lequal lprescriptive lauthority lin lthe lnewposition.
d. The lAPRN’s lauthority lwill ldepend lon lfederalregulations.
ANS: lA
Virginia lallows llimited lprescriptive lauthority, lwhile lMaine lgives lfull lauthority lto lcertified
lnurse lpractitioners. lThe lfederal lgovernment ldoes lnot lregulate lprescriptive lauthority.DIF:
lCognitive lLevel: lComprehensionREF: lp. l3TOP: lNursing lProcess: lImplementation lMSC:
lNCLEX lClient lNeeds lCategory: lPhysiologic lIntegrity: lPharmacologic land lParenteral
lTherapies
Rosenthal: lLehne's lPharmacotherapeutics lfor lAdvanced lPractice lProviders, l2nd lEd.
lChapter l2: lRational lDrug lSelection land lPrescription lWriting
Test lBank
lMultiple
lChoice
7. How lcan lcollaboration lwith la lpharmacist limprove lpositive loutcomes lfor
lpatients? lSelect lall lthat lapply.
a. Pharmacists lcan lsuggest lfoods lthat lwill lhelp lwith lthe lpatient’s lcondition.
b. Pharmacists lhave ladditional linformation lon ldrug linteractions.
c. The lpharmacist lcan lsuggest ladequate lmedication l dosing.
d. Pharmacists lhave lfirsthand lknowledge lof lthe lfacility lformulary.
e. Pharmacy lcan lalter lprescriptions lwhen lnecessary lto lprevent lpatient lharm.
ANS: lB l, lC l, lD
Providers lshould lcollaborate lwith lpharmacists lbecause lthey lwill llikely lhave ladditional
linformation lon lformulary, ldrug linteractions, land lsuggestions lfor ladequate lmedication ldosing.
lDietitians lcan lmake lfoods lrecommendations lto ltreat lthe lpatient’s lcondition. lThe lpharmacist
lcan lcontact lthe lprescriber labout lquestionable lprescriptions, lbut lcannot lalter lthe lprescription
lwithout lnotification lof land lapproval lby lthe lprovider.DIF: lCognitive lLevel:
lComprehensionREF: lp. l9TOP: lNursing lProcess: lDiagnosis lMSC: lNCLEX lClient lNeeds
lCategory: lPhysiologic lIntegrity: lReduction lof lRisk lPotential
