g
Chapterg1:gPrescriptivegAuthoritygTestgBankg
MultiplegChoiceg
1.gAngAPRNgworksgingagurologygclinicgundergthegsupervisiongofgagphysiciangwhogdoesgnotgrestri
ctgthegtypesgofgmedicationsgthegAPRNgisgallowedgtogprescribe.gStateglawgdoesgnotgrequiregthegA
PRNgtogpracticegundergphysiciangsupervision.gHowgwouldgthegAPRN‘sgprescriptivegauthoritygbe
gdescribed?g
a. Fullgauthorityg
b. Independentg
c. Withoutglimitationg
d. Limitedgauthorityg
g
g
ANS:gBg
ThegAPRNghasgindependentgprescriptivegauthoritygbecausegthegregulatinggbodygdoesgnotgrequire
gthatgthegAPRNgworkgundergphysiciangsupervision.gFullgprescriptivegauthorityggivesgthegprovider
gthegrightgtogprescribegindependentlygandgwithoutglimitation.gLimitedgauthoritygplacesgrestriction
sgongthegtypesgofgdrugsgthatgcangbegprescribedg.DIF:gCognitivegLevel:gComprehensiongREF:gp.g
1TOP:gNursinggProcess:gIgMSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gPharma
cologicgandgParenteralgTherapiesg
2.g WhichgfactorsgincreasegthegneedgforgAPRNsgtoghavegfullgprescriptivegauthority?g
g
g
a. Moregpatientsgwillghavegaccessgtoghealthgcare.g
b. Enrollmentgingmedicalgschoolsgisgpredictedgtogdecrease.g
g
MedCg©g2022g
g
g
g
, c. Physician‘sgassistantsgaregbeinggutilizedglessgoften.g
d. APRNgeducationgisgmoregcomplexgthangeducationgforgphysicians.g
g
g
ANS:gAg
ImplementationgofgthegAffordablegCaregActghasgincreasedgthegnumbergofgindividualsgwithghealth
gcaregcoverage,gandgthusgthegnumbergwhoghavegaccessgtoghealthgcaregservices.gThegincreasegingth
egnumbergofgpatientsgcreatesgthegneedgforgmoregprovidersgwithgprescriptivegauthority.gAPRNsgca
ngfillgthisgpracticeggap.gDIF:gCognitivegLevel:gComprehensiongREF:gp.g2TOP:gNursinggProcess:g
ImplementationgMSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gPharmacologicga
ndgParenteralgTherapiesg
3.g
WhichgfactorsgcouldgbegattributedgtoglimitedgprescriptivegauthoritygforgAPRNs?gSelectgallg
thatgapply.g
a. Inaccessibilitygofgpatientgcareg
b. Higherghealthgcaregcostsg
c. Highergqualitygmedicalgtreatmentg
d. Improvedgcollaborativegcareg
e. Enhancedghealthgliteracyg
g
g
ANS:gAg,gBg
LimitinggprescriptivegauthoritygforgAPRNsgcangcreategbarriersgtogquality,gaffordable,gandgaccessi
blegpatientgcare.gItgmaygalsogleadgtogpoorgcollaborationgamonggprovidersgandghigherghealthgcareg
costs.gItgwouldgnotgdirectlygimpactgpatient‘sghealthgliteracy.DIF:gCognitivegLevel:gComprehensi
onREF:g
p.g2TOP:gNursinggProcess:gImplementationgMSC:gNCLEXgClientgNeedsgCategory:gPhysiologicg
Integrity:gPharmacologicgandgParenteralgTherapiesg
g
g
4.g
WhichgaspectsgsupportgthegAPRN‘sgprovisiongforgfullgprescriptivegauthority?gSelectgallgth
atgapply.g
g
g
a. Clinicalgeducationgincludesgprescriptiongofgmedicationsgandgdiseasegprocesses.g
b. FederalgregulationsgsupportgthegprovisiongofgfullgauthoritygforgAPRNs.g
c. NationalgexaminationsgprovidegvalidationgofgthegAPRN‘sgabilitygtogprovidegsafecare.g
d. Licensuregensuresgcompliancegwithghealthgcaregandgsafetygstandards.g
g
MedCg©g2022g
g
g
g
, e. Limitinggprovisiongcangdecreaseghealthgcaregaffordability.g
g
g
ANS:gAg,gCg,gDg
APRNsgaregeducatedgtogpracticegandgprescribegindependentlygwithoutgsupervision.gNationalgexa
minationsgvalidategthegabilitygtogprovidegsafegandgcompetentgcare.gLicensuregensuresgcomplianc
egwithgstandardsgtogpromotegpublicghealthgandgsafety.gLimitedgprescriptivegauthoritygcreatesgnu
merousgbarriersgtogquality,gaffordable,gandgaccessiblegpatientgcare.DIF:gCognitivegLevel:gCompr
ehensionREF:gpp.g1-
2TOP:gNursinggProcess:gImplementationgMSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIn
tegrity:gPharmacologicgandgParenteralgTherapiesg
5.g gWhichgaspectsgsupportgthegAPRN‘sgprovisiongforgfullgprescriptivegauthority?gSelectg
allgthatgapply.g
g
g
a. Clinicalgeducationgincludesgprescriptiongofgmedicationsgandgdiseasegprocesses.g
b. FederalgregulationsgsupportgthegprovisiongofgfullgauthoritygforgAPRNs.g
c. NationalgexaminationsgprovidegvalidationgofgthegAPRN‘sgabilitygtogprovidegsafecare.g
d. Licensuregensuresgcompliancegwithghealthgcaregandgsafetygstandards.g
g
g
ANS:gAg,gCg,gDg
APRNsgaregeducatedgtogpracticegandgprescribegindependentlygwithoutgsupervision.gNationalg
examinationsgvalidategthegabilitygtogprovidegsafegandgcompetentgcare.gLicensuregensuresgcom
pliancegwithgstandardsgtogpromotegpublicghealthgandgsafety.gLimitedgprescriptivegauthoritygcr
eatesgnumerousgbarriersgtogquality,gaffordable,gandgaccessiblegpatientgcare.DIF:gCognitivegLe
vel:g
g
g
ComprehensiongREF:gpp.g1-2TOP:gNursinggProcess:gImplementationg MSC:gNCLEXgClientg
NeedsgCategory:gPhysiologicgIntegrity:gPharmacologicgandgParenteralgTherapiesg
g
g
g
6.g
AgfamilygnursegpractitionergpracticinggingMainegisghiredgatgagpracticegacrossgstateglinesging
Virginia.gWhichgaspectgofgpracticegmaygchangegforgthegAPRN?g
a. ThegAPRNgwillghaveglessgprescriptivegauthoritygingthegnewgposition.g
b. ThegAPRNgwillghavegmoregprescriptivegauthoritygingthegnewgposition.g
c. ThegAPRNgwillghavegequalgprescriptivegauthoritygingthegnewgposition.g
d. ThegAPRN‘sgauthoritygwillgdependgongfederalgregulations.g
g
MedCg©g2022g
g
g
g
, ANS:gAg
Virginiagallowsglimitedgprescriptivegauthority,gwhilegMaineggivesgfullgauthoritygtogcertifiedgnurs
egpractitioners.gThegfederalggovernmentgdoesgnotgregulategprescriptivegauthority.DIF:gCognitiveg
Level:gComprehensionREF:gp.g3TOP:gNursinggProcess:gImplementationgMSC:gNCLEXgClientg
NeedsgCategory:gPhysiologicgIntegrity:gPharmacologicgandgParenteralgTherapiesg
Rosenthal:gLehne'sgPharmacotherapeuticsgforgAdvancedgPracticegProviders,g2ndgEd.g
g
Chapterg2:gRationalgDruggSelectiongandgPrescriptiongWritingg
TestgBankgMultiplegChoiceg
g
g
7.gHowgcangcollaborationgwithgagpharmacistgimprovegpositivegoutcomesgforgpatients?gSelectgallgt
hatgapply.g
g
g
a. Pharmacistsgcangsuggestgfoodsgthatgwillghelpgwithgthegpatient‘sgcondition.g
b. Pharmacistsghavegadditionalginformationgongdrugginteractions.g
c. Thegpharmacistgcangsuggestgadequategmedicationgdosing.g
d. Pharmacistsghavegfirsthandgknowledgegofgthegfacilitygformulary.g
e. Pharmacygcangaltergprescriptionsgwhengnecessarygtogpreventgpatientgharm.g
g
g
ANS:gBg,gCg,gDg
Providersgshouldgcollaborategwithgpharmacistsgbecausegtheygwillglikelyghavegadditionalginformat
iongongformulary,gdrugginteractions,gandgsuggestionsgforgadequategmedicationgdosing.gDietitiansg
cangmakegfoodsgrecommendationsgtogtreatgthegpatient‘sgcondition.gThegpharmacistgcangcontactgt
hegprescribergaboutgquestionablegprescriptions,gbutgcannotgaltergthegprescriptiongwithoutgnotifica
tiongofgandgapprovalgbygthegprovider.DIF:gCognitivegLevel:gComprehensionREF:gp.g9TOP:gNurs
inggProcess:gDiagnosisgMSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gReduction
gofgRiskgPotentialg
g
g
8.gAgpatientgpresentsgwithgdeliriumtremensgrequiringgAtivangadministration.gThegprovidergofcare
gisgnotgingthegfacility.gWhichgactiongbygthegnursegisgmostgappropriate?g
g
g
a. Obtaingagtelephonegorder.g
b. Contactgthegon-callghospitalist.g
c. Obtaingangordergfromgthegchargegnurse.g
d. WaitgforgagwrittengAtivangorder.g
g
g
ANS:gAg
g
MedCg©g2022g
g
g
g
Chapterg1:gPrescriptivegAuthoritygTestgBankg
MultiplegChoiceg
1.gAngAPRNgworksgingagurologygclinicgundergthegsupervisiongofgagphysiciangwhogdoesgnotgrestri
ctgthegtypesgofgmedicationsgthegAPRNgisgallowedgtogprescribe.gStateglawgdoesgnotgrequiregthegA
PRNgtogpracticegundergphysiciangsupervision.gHowgwouldgthegAPRN‘sgprescriptivegauthoritygbe
gdescribed?g
a. Fullgauthorityg
b. Independentg
c. Withoutglimitationg
d. Limitedgauthorityg
g
g
ANS:gBg
ThegAPRNghasgindependentgprescriptivegauthoritygbecausegthegregulatinggbodygdoesgnotgrequire
gthatgthegAPRNgworkgundergphysiciangsupervision.gFullgprescriptivegauthorityggivesgthegprovider
gthegrightgtogprescribegindependentlygandgwithoutglimitation.gLimitedgauthoritygplacesgrestriction
sgongthegtypesgofgdrugsgthatgcangbegprescribedg.DIF:gCognitivegLevel:gComprehensiongREF:gp.g
1TOP:gNursinggProcess:gIgMSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gPharma
cologicgandgParenteralgTherapiesg
2.g WhichgfactorsgincreasegthegneedgforgAPRNsgtoghavegfullgprescriptivegauthority?g
g
g
a. Moregpatientsgwillghavegaccessgtoghealthgcare.g
b. Enrollmentgingmedicalgschoolsgisgpredictedgtogdecrease.g
g
MedCg©g2022g
g
g
g
, c. Physician‘sgassistantsgaregbeinggutilizedglessgoften.g
d. APRNgeducationgisgmoregcomplexgthangeducationgforgphysicians.g
g
g
ANS:gAg
ImplementationgofgthegAffordablegCaregActghasgincreasedgthegnumbergofgindividualsgwithghealth
gcaregcoverage,gandgthusgthegnumbergwhoghavegaccessgtoghealthgcaregservices.gThegincreasegingth
egnumbergofgpatientsgcreatesgthegneedgforgmoregprovidersgwithgprescriptivegauthority.gAPRNsgca
ngfillgthisgpracticeggap.gDIF:gCognitivegLevel:gComprehensiongREF:gp.g2TOP:gNursinggProcess:g
ImplementationgMSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gPharmacologicga
ndgParenteralgTherapiesg
3.g
WhichgfactorsgcouldgbegattributedgtoglimitedgprescriptivegauthoritygforgAPRNs?gSelectgallg
thatgapply.g
a. Inaccessibilitygofgpatientgcareg
b. Higherghealthgcaregcostsg
c. Highergqualitygmedicalgtreatmentg
d. Improvedgcollaborativegcareg
e. Enhancedghealthgliteracyg
g
g
ANS:gAg,gBg
LimitinggprescriptivegauthoritygforgAPRNsgcangcreategbarriersgtogquality,gaffordable,gandgaccessi
blegpatientgcare.gItgmaygalsogleadgtogpoorgcollaborationgamonggprovidersgandghigherghealthgcareg
costs.gItgwouldgnotgdirectlygimpactgpatient‘sghealthgliteracy.DIF:gCognitivegLevel:gComprehensi
onREF:g
p.g2TOP:gNursinggProcess:gImplementationgMSC:gNCLEXgClientgNeedsgCategory:gPhysiologicg
Integrity:gPharmacologicgandgParenteralgTherapiesg
g
g
4.g
WhichgaspectsgsupportgthegAPRN‘sgprovisiongforgfullgprescriptivegauthority?gSelectgallgth
atgapply.g
g
g
a. Clinicalgeducationgincludesgprescriptiongofgmedicationsgandgdiseasegprocesses.g
b. FederalgregulationsgsupportgthegprovisiongofgfullgauthoritygforgAPRNs.g
c. NationalgexaminationsgprovidegvalidationgofgthegAPRN‘sgabilitygtogprovidegsafecare.g
d. Licensuregensuresgcompliancegwithghealthgcaregandgsafetygstandards.g
g
MedCg©g2022g
g
g
g
, e. Limitinggprovisiongcangdecreaseghealthgcaregaffordability.g
g
g
ANS:gAg,gCg,gDg
APRNsgaregeducatedgtogpracticegandgprescribegindependentlygwithoutgsupervision.gNationalgexa
minationsgvalidategthegabilitygtogprovidegsafegandgcompetentgcare.gLicensuregensuresgcomplianc
egwithgstandardsgtogpromotegpublicghealthgandgsafety.gLimitedgprescriptivegauthoritygcreatesgnu
merousgbarriersgtogquality,gaffordable,gandgaccessiblegpatientgcare.DIF:gCognitivegLevel:gCompr
ehensionREF:gpp.g1-
2TOP:gNursinggProcess:gImplementationgMSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIn
tegrity:gPharmacologicgandgParenteralgTherapiesg
5.g gWhichgaspectsgsupportgthegAPRN‘sgprovisiongforgfullgprescriptivegauthority?gSelectg
allgthatgapply.g
g
g
a. Clinicalgeducationgincludesgprescriptiongofgmedicationsgandgdiseasegprocesses.g
b. FederalgregulationsgsupportgthegprovisiongofgfullgauthoritygforgAPRNs.g
c. NationalgexaminationsgprovidegvalidationgofgthegAPRN‘sgabilitygtogprovidegsafecare.g
d. Licensuregensuresgcompliancegwithghealthgcaregandgsafetygstandards.g
g
g
ANS:gAg,gCg,gDg
APRNsgaregeducatedgtogpracticegandgprescribegindependentlygwithoutgsupervision.gNationalg
examinationsgvalidategthegabilitygtogprovidegsafegandgcompetentgcare.gLicensuregensuresgcom
pliancegwithgstandardsgtogpromotegpublicghealthgandgsafety.gLimitedgprescriptivegauthoritygcr
eatesgnumerousgbarriersgtogquality,gaffordable,gandgaccessiblegpatientgcare.DIF:gCognitivegLe
vel:g
g
g
ComprehensiongREF:gpp.g1-2TOP:gNursinggProcess:gImplementationg MSC:gNCLEXgClientg
NeedsgCategory:gPhysiologicgIntegrity:gPharmacologicgandgParenteralgTherapiesg
g
g
g
6.g
AgfamilygnursegpractitionergpracticinggingMainegisghiredgatgagpracticegacrossgstateglinesging
Virginia.gWhichgaspectgofgpracticegmaygchangegforgthegAPRN?g
a. ThegAPRNgwillghaveglessgprescriptivegauthoritygingthegnewgposition.g
b. ThegAPRNgwillghavegmoregprescriptivegauthoritygingthegnewgposition.g
c. ThegAPRNgwillghavegequalgprescriptivegauthoritygingthegnewgposition.g
d. ThegAPRN‘sgauthoritygwillgdependgongfederalgregulations.g
g
MedCg©g2022g
g
g
g
, ANS:gAg
Virginiagallowsglimitedgprescriptivegauthority,gwhilegMaineggivesgfullgauthoritygtogcertifiedgnurs
egpractitioners.gThegfederalggovernmentgdoesgnotgregulategprescriptivegauthority.DIF:gCognitiveg
Level:gComprehensionREF:gp.g3TOP:gNursinggProcess:gImplementationgMSC:gNCLEXgClientg
NeedsgCategory:gPhysiologicgIntegrity:gPharmacologicgandgParenteralgTherapiesg
Rosenthal:gLehne'sgPharmacotherapeuticsgforgAdvancedgPracticegProviders,g2ndgEd.g
g
Chapterg2:gRationalgDruggSelectiongandgPrescriptiongWritingg
TestgBankgMultiplegChoiceg
g
g
7.gHowgcangcollaborationgwithgagpharmacistgimprovegpositivegoutcomesgforgpatients?gSelectgallgt
hatgapply.g
g
g
a. Pharmacistsgcangsuggestgfoodsgthatgwillghelpgwithgthegpatient‘sgcondition.g
b. Pharmacistsghavegadditionalginformationgongdrugginteractions.g
c. Thegpharmacistgcangsuggestgadequategmedicationgdosing.g
d. Pharmacistsghavegfirsthandgknowledgegofgthegfacilitygformulary.g
e. Pharmacygcangaltergprescriptionsgwhengnecessarygtogpreventgpatientgharm.g
g
g
ANS:gBg,gCg,gDg
Providersgshouldgcollaborategwithgpharmacistsgbecausegtheygwillglikelyghavegadditionalginformat
iongongformulary,gdrugginteractions,gandgsuggestionsgforgadequategmedicationgdosing.gDietitiansg
cangmakegfoodsgrecommendationsgtogtreatgthegpatient‘sgcondition.gThegpharmacistgcangcontactgt
hegprescribergaboutgquestionablegprescriptions,gbutgcannotgaltergthegprescriptiongwithoutgnotifica
tiongofgandgapprovalgbygthegprovider.DIF:gCognitivegLevel:gComprehensionREF:gp.g9TOP:gNurs
inggProcess:gDiagnosisgMSC:gNCLEXgClientgNeedsgCategory:gPhysiologicgIntegrity:gReduction
gofgRiskgPotentialg
g
g
8.gAgpatientgpresentsgwithgdeliriumtremensgrequiringgAtivangadministration.gThegprovidergofcare
gisgnotgingthegfacility.gWhichgactiongbygthegnursegisgmostgappropriate?g
g
g
a. Obtaingagtelephonegorder.g
b. Contactgthegon-callghospitalist.g
c. Obtaingangordergfromgthegchargegnurse.g
d. WaitgforgagwrittengAtivangorder.g
g
g
ANS:gAg
g
MedCg©g2022g
g
g
g
