TESTlBANKlFORlLEHNE’SlPHARMACOTHERAPEUTICSlFORlAD
VANCEDlPRACTICElNURSINGlATTENDANTSlANDlPHYSICIANl
ASSISTANTSl3NDlEDITIONlROSENTHAL
,Chapterl1:lPrescriptivelAuthoritylM
ultiplelChoice
1. AnlAPRNlworkslinlalurologylcliniclunderlthelsupervisionloflalphysicianlwholdoeslnotlrestrictltheltypesl
oflmedicationslthelAPRNlislallowedltolprescribe.lStatellawldoeslnotlrequirelthelAPRNltolpracticelu
nderlphysicianlsupervision.lHowlwouldlthelAPRN’slprescriptivelauthoritylbeldescribed?
a. Fulllauthority
b. Independent
c. Withoutllimitation
d. Limitedlauthority
CORRECTlRESPONSE:-l B
Reasoningl:-
>>>lThelAPRNlhaslindependentlprescriptivelauthoritylbecauselthelregulatinglbodyldoeslnotlrequirelt
hatlthelAPRNlworklunderlphysicianlsupervision.lFulllprescriptivelauthoritylgiveslthelproviderlthelrightlt
olprescribelindependentlylandlwithoutllimitation.lLimitedlauthoritylplaceslrestrictionslonltheltypesloflho
spitallmedicationslthatlcanlbelprescribed.DIF:lCognitivelLevel:lComprehensionREF:lp.l1TOP:lNursinglPr
ocess:lIlMSC:lNCLEXlHospitallclientl Needsl Category:l Physiologicl Integrity:lPharmacologiclandlPare
nterallTherapies
2. WhichlfactorslincreaselthelneedlforlAPRNsltolhavelfulllprescriptivelauthority?
a. Morelclientslwilllhavelaccessltolhealthlcare.
b. Enrollmentlinlmedicallschoolslislpredictedltoldecrease.
c. Physician’slassistantslarelbeinglutilizedllessloften.
d. APRNleducationlislmorelcomplexlthanleducationlforlphysicians.
CORRECTlRESPONSE:-l A
Reasoningl:-
>>>lImplementationloflthelAffordablelCarelActlhaslincreasedlthelnumberloflindividualslwithlhealthlc
arelcoverage,landlthuslthelnumberlwholhavelaccessltolhealthlcarelservices.lThelincreaselinlthelnumberl
oflclientslcreateslthelneedlforlmorelproviderslwithlprescriptivelauthority.lAPRNslcanlfilllthislpracticelga
p.DIF:lCognitivelLevel:lComprehensionREF:lp.l2TOP:lNursinglProcess:lImplementationl MSC:lNCLEXlHo
spitallclientlNeedslCategory:lPhysiologiclIntegrity:lPharmacologiclandlParenterallTherapies
3. WhichlfactorslcouldlbelattributedltollimitedlprescriptivelauthoritylforlAPRNs?lSele
ctl alllthatl apply.
a. Inaccessibilityloflclientl care
b. Higherlhealthlcarelcosts
c. Higherlqualitylmedicalltreatment
d. Improvedlcollaborativelcare
e. Enhancedlhealthlliteracy
CORRECTlRESPONSE:-l Al,lB
Reasoningl:-
>>>lLimitinglprescriptivelauthoritylforlAPRNslcanlcreatelbarriersltolquality,laffordable,landlaccessibl
elclientlcare.lItlmaylalsolleadltolpoorlcollaborationlamonglproviderslandlhigherlhealthlcarelcosts.lItlwo
uldlnotldirectlylimpactlclient’slhealthlliteracy.DIF:lCognitivelLevel:l ComprehensionREF:
,p.l2TOP:lNursinglProcess:lImplementationlMSC:lNCLEXlHospitallclientlNeedslCategory:lPhysiologiclInt
egrity:lPharmacologiclandlParenterallTherapies
4. WhichlaspectslsupportlthelAPRN’slprovisionlforlfulllprescriptivelauthority?lSelect
l alllthatl apply.
a. Clinicalleducationlincludeslprescriptionloflmedicationslandillnesslprocesses.
b. FederallregulationslsupportlthelprovisionloflfulllauthoritylforlAPRNs.
c. NationallexaminationslprovidelvalidationloflthelAPRN’slabilityltolprovidelsafelcare.
d. Licensurelensureslcompliancelwithlhealthlcarelandlsafetylstandards.
e. Limitinglprovisionlcanldecreaselhealthlcarelaffordability.
CORRECTlRESPONSE:-l Al,lCl,lD
Reasoningl:-
>>>lAPRNslareleducatedltolpracticelandlprescribelindependentlylwithoutlsupervision.lNationallexa
minationslvalidatelthelabilityltolprovidelsafelandlcompetentlcare.lLicensurelensureslcompliancelwithlst
andardsltolpromotelpubliclhealthlandlsafety.lLimitedlprescriptivelauthoritylcreateslnumerouslbarriersl
tolquality,laffordable,landlaccessiblelclientlcare.DIF:lCognitivelLevel:lComprehensionREF:lpp.l1-
2TOP:lNursinglProcess:lImplementationlMSC:l NCLEXl HospitallclientlNeedslCategory:lPhysiologiclInt
egrity:lPharmacologiclandlParenterallTherapies
5. WhichlaspectslsupportlthelAPRN’slprovisionlforlfulllprescriptivelauthority?lSelect
l alllthatl apply.
a. Clinicalleducationlincludeslprescriptionloflmedicationslandillnesslprocesses.
b. FederallregulationslsupportlthelprovisionloflfulllauthoritylforlAPRNs.
c. NationallexaminationslprovidelvalidationloflthelAPRN’slabilityltolprovidelsafelcare.
d. Licensurelensureslcompliancelwithlhealthlcarelandlsafetylstandards.
CORRECTlRESPONSE:-l Al,lCl,lD
Reasoningl:-
>>>lAPRNslareleducatedltolpracticelandlprescribelindependentlylwithoutlsupervision.lNationallexa
minationslvalidatelthelabilityltolprovidelsafelandlcompetentlcare.lLicensurelensureslcompliancelwithlst
andardsltolpromotelpubliclhealthlandlsafety.lLimitedlprescriptivelauthoritylcreateslnumerouslbarriersl
tolquality,laffordable,landlaccessiblelclientlcare.DIF:lCognitivelLevel:
3
ComprehensionREF:lpp.l1-
2TOP:lNursinglProcess:lImplementationlMSC:l NCLEXl HospitallclientlNeedslCategory:lPhysiologiclInt
egrity:lPharmacologiclandlParenterallTherapies
6. Al familyl nursinglattendantl practicingl inl Mainel isl hiredl atl al practicel acrossl statel linesl inlVirgini
a.l Whichlaspectl oflpracticel maylchangel forlthelAPRN?
a. ThelAPRNlwilllhavellesslprescriptivelauthoritylinlthelnewlposition.
b. ThelAPRNlwilllhavelmorelprescriptivelauthoritylinlthelnewlposition.
c. ThelAPRNlwilllhavelequallprescriptivelauthoritylinlthelnewlposition.
d. ThelAPRN’slauthoritylwillldependlonlfederallregulations.
CORRECTlRESPONSE:-l A
Reasoningl:-
>>>Virginialallowsllimitedlprescriptivelauthority,lwhilelMainelgiveslfulllauthorityltolcertifiedlnursingl
attendants.lThelfederallgovernmentldoeslnotlregulatelprescriptivelauthority.DIF:lCognitivelLevel:lCo
mprehensionREF:lp.l3TOP:lNursinglProcess:lImplementationlMSC:lNCLEXlHospitallclientlNeedslCatego
, ry:lPhysiologiclIntegrity:lPharmacologiclandlParenterallTherapies
Rosenthal:lLehne'slPharmacotherapeuticslforlAdvancedlPracticelProviders,l3RDlEd.
Chapterl2:lRationallHospitallmedicationlSelectionlandlPrescripti
onlWritinglTestlBank
MultiplelChoice
7. Howlcanlcollaborationlwithlalpharmacistl improvelpositiveloutcomeslforlclients?lSelectl
alllthatl apply.
a. Pharmacistslcanlsuggestlfoodslthatlwilllhelplwithlthelclient’slcondition.
b. Pharmacistslhaveladditionallinformationlonlhospitallmedicationlinteractions.
c. Thelpharmacistlcanlsuggestladequatelmedicationldosing.
d. Pharmacistslhavelfirsthandlknowledgeloflthelfacilitylformulary.
e. Pharmacylcanlalterlprescriptionslwhenlnecessaryltolpreventlclientlharm.
CORRECTlRESPONSE:-l Bl,lCl,lD
VANCEDlPRACTICElNURSINGlATTENDANTSlANDlPHYSICIANl
ASSISTANTSl3NDlEDITIONlROSENTHAL
,Chapterl1:lPrescriptivelAuthoritylM
ultiplelChoice
1. AnlAPRNlworkslinlalurologylcliniclunderlthelsupervisionloflalphysicianlwholdoeslnotlrestrictltheltypesl
oflmedicationslthelAPRNlislallowedltolprescribe.lStatellawldoeslnotlrequirelthelAPRNltolpracticelu
nderlphysicianlsupervision.lHowlwouldlthelAPRN’slprescriptivelauthoritylbeldescribed?
a. Fulllauthority
b. Independent
c. Withoutllimitation
d. Limitedlauthority
CORRECTlRESPONSE:-l B
Reasoningl:-
>>>lThelAPRNlhaslindependentlprescriptivelauthoritylbecauselthelregulatinglbodyldoeslnotlrequirelt
hatlthelAPRNlworklunderlphysicianlsupervision.lFulllprescriptivelauthoritylgiveslthelproviderlthelrightlt
olprescribelindependentlylandlwithoutllimitation.lLimitedlauthoritylplaceslrestrictionslonltheltypesloflho
spitallmedicationslthatlcanlbelprescribed.DIF:lCognitivelLevel:lComprehensionREF:lp.l1TOP:lNursinglPr
ocess:lIlMSC:lNCLEXlHospitallclientl Needsl Category:l Physiologicl Integrity:lPharmacologiclandlPare
nterallTherapies
2. WhichlfactorslincreaselthelneedlforlAPRNsltolhavelfulllprescriptivelauthority?
a. Morelclientslwilllhavelaccessltolhealthlcare.
b. Enrollmentlinlmedicallschoolslislpredictedltoldecrease.
c. Physician’slassistantslarelbeinglutilizedllessloften.
d. APRNleducationlislmorelcomplexlthanleducationlforlphysicians.
CORRECTlRESPONSE:-l A
Reasoningl:-
>>>lImplementationloflthelAffordablelCarelActlhaslincreasedlthelnumberloflindividualslwithlhealthlc
arelcoverage,landlthuslthelnumberlwholhavelaccessltolhealthlcarelservices.lThelincreaselinlthelnumberl
oflclientslcreateslthelneedlforlmorelproviderslwithlprescriptivelauthority.lAPRNslcanlfilllthislpracticelga
p.DIF:lCognitivelLevel:lComprehensionREF:lp.l2TOP:lNursinglProcess:lImplementationl MSC:lNCLEXlHo
spitallclientlNeedslCategory:lPhysiologiclIntegrity:lPharmacologiclandlParenterallTherapies
3. WhichlfactorslcouldlbelattributedltollimitedlprescriptivelauthoritylforlAPRNs?lSele
ctl alllthatl apply.
a. Inaccessibilityloflclientl care
b. Higherlhealthlcarelcosts
c. Higherlqualitylmedicalltreatment
d. Improvedlcollaborativelcare
e. Enhancedlhealthlliteracy
CORRECTlRESPONSE:-l Al,lB
Reasoningl:-
>>>lLimitinglprescriptivelauthoritylforlAPRNslcanlcreatelbarriersltolquality,laffordable,landlaccessibl
elclientlcare.lItlmaylalsolleadltolpoorlcollaborationlamonglproviderslandlhigherlhealthlcarelcosts.lItlwo
uldlnotldirectlylimpactlclient’slhealthlliteracy.DIF:lCognitivelLevel:l ComprehensionREF:
,p.l2TOP:lNursinglProcess:lImplementationlMSC:lNCLEXlHospitallclientlNeedslCategory:lPhysiologiclInt
egrity:lPharmacologiclandlParenterallTherapies
4. WhichlaspectslsupportlthelAPRN’slprovisionlforlfulllprescriptivelauthority?lSelect
l alllthatl apply.
a. Clinicalleducationlincludeslprescriptionloflmedicationslandillnesslprocesses.
b. FederallregulationslsupportlthelprovisionloflfulllauthoritylforlAPRNs.
c. NationallexaminationslprovidelvalidationloflthelAPRN’slabilityltolprovidelsafelcare.
d. Licensurelensureslcompliancelwithlhealthlcarelandlsafetylstandards.
e. Limitinglprovisionlcanldecreaselhealthlcarelaffordability.
CORRECTlRESPONSE:-l Al,lCl,lD
Reasoningl:-
>>>lAPRNslareleducatedltolpracticelandlprescribelindependentlylwithoutlsupervision.lNationallexa
minationslvalidatelthelabilityltolprovidelsafelandlcompetentlcare.lLicensurelensureslcompliancelwithlst
andardsltolpromotelpubliclhealthlandlsafety.lLimitedlprescriptivelauthoritylcreateslnumerouslbarriersl
tolquality,laffordable,landlaccessiblelclientlcare.DIF:lCognitivelLevel:lComprehensionREF:lpp.l1-
2TOP:lNursinglProcess:lImplementationlMSC:l NCLEXl HospitallclientlNeedslCategory:lPhysiologiclInt
egrity:lPharmacologiclandlParenterallTherapies
5. WhichlaspectslsupportlthelAPRN’slprovisionlforlfulllprescriptivelauthority?lSelect
l alllthatl apply.
a. Clinicalleducationlincludeslprescriptionloflmedicationslandillnesslprocesses.
b. FederallregulationslsupportlthelprovisionloflfulllauthoritylforlAPRNs.
c. NationallexaminationslprovidelvalidationloflthelAPRN’slabilityltolprovidelsafelcare.
d. Licensurelensureslcompliancelwithlhealthlcarelandlsafetylstandards.
CORRECTlRESPONSE:-l Al,lCl,lD
Reasoningl:-
>>>lAPRNslareleducatedltolpracticelandlprescribelindependentlylwithoutlsupervision.lNationallexa
minationslvalidatelthelabilityltolprovidelsafelandlcompetentlcare.lLicensurelensureslcompliancelwithlst
andardsltolpromotelpubliclhealthlandlsafety.lLimitedlprescriptivelauthoritylcreateslnumerouslbarriersl
tolquality,laffordable,landlaccessiblelclientlcare.DIF:lCognitivelLevel:
3
ComprehensionREF:lpp.l1-
2TOP:lNursinglProcess:lImplementationlMSC:l NCLEXl HospitallclientlNeedslCategory:lPhysiologiclInt
egrity:lPharmacologiclandlParenterallTherapies
6. Al familyl nursinglattendantl practicingl inl Mainel isl hiredl atl al practicel acrossl statel linesl inlVirgini
a.l Whichlaspectl oflpracticel maylchangel forlthelAPRN?
a. ThelAPRNlwilllhavellesslprescriptivelauthoritylinlthelnewlposition.
b. ThelAPRNlwilllhavelmorelprescriptivelauthoritylinlthelnewlposition.
c. ThelAPRNlwilllhavelequallprescriptivelauthoritylinlthelnewlposition.
d. ThelAPRN’slauthoritylwillldependlonlfederallregulations.
CORRECTlRESPONSE:-l A
Reasoningl:-
>>>Virginialallowsllimitedlprescriptivelauthority,lwhilelMainelgiveslfulllauthorityltolcertifiedlnursingl
attendants.lThelfederallgovernmentldoeslnotlregulatelprescriptivelauthority.DIF:lCognitivelLevel:lCo
mprehensionREF:lp.l3TOP:lNursinglProcess:lImplementationlMSC:lNCLEXlHospitallclientlNeedslCatego
, ry:lPhysiologiclIntegrity:lPharmacologiclandlParenterallTherapies
Rosenthal:lLehne'slPharmacotherapeuticslforlAdvancedlPracticelProviders,l3RDlEd.
Chapterl2:lRationallHospitallmedicationlSelectionlandlPrescripti
onlWritinglTestlBank
MultiplelChoice
7. Howlcanlcollaborationlwithlalpharmacistl improvelpositiveloutcomeslforlclients?lSelectl
alllthatl apply.
a. Pharmacistslcanlsuggestlfoodslthatlwilllhelplwithlthelclient’slcondition.
b. Pharmacistslhaveladditionallinformationlonlhospitallmedicationlinteractions.
c. Thelpharmacistlcanlsuggestladequatelmedicationldosing.
d. Pharmacistslhavelfirsthandlknowledgeloflthelfacilitylformulary.
e. Pharmacylcanlalterlprescriptionslwhenlnecessaryltolpreventlclientlharm.
CORRECTlRESPONSE:-l Bl,lCl,lD
