2026 LEHNES PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES AND PHYSICIAN
ASSISTANTS 2nd EDITION ROSENTHAL LATEST
UPDATE!!!
Ch 1 Prescriptive Authority 2. Which factors increase the need for
APRNs to have full prescriptive authority?
a. More patients will have access to health care.
Ch 1 Prescriptive Authority 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
Ch 1 Prescriptive Authority 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.
c. National examinations provide validation of the APRN's ability to
provide safe care.
d. Licensure ensures compliance with health care and safety
standards.
Ch 1 Prescriptive Authority 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.
c. National examinations provide validation of the APRN's ability to
provide safe care.
pg. 1
,d. Licensure ensures compliance with health care and safety
standards.
Ch 1 Prescriptive Authority 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.
Ch 2 Rational Drug Selection and Prescription Writing 7. How can
collaboration with a pharmacist improve positive outcomes for
patients? Select all that apply.
b. Pharmacists have additional information on drug interactions.
c. The pharmacist can suggest adequate medication dosing.
d. Pharmacists have firsthand knowledge of the facility formulary.
Ch 2 Rational Drug Selection and Prescription Writing 8. A patient
presents with delirium tremens requiring Ativan administration. The
provider of care is not in the facility. Which action by the nurse is
most appropriate?
a. Obtain a telephone order.
Ch 2 Rational Drug Selection and Prescription Writing 9. A patient
with chronic pain calls the provider's office to request a refill on their
oxycontin. Which action is most appropriate?
b. Schedule an appointment with the patient.
Ch 2 Rational Drug Selection and Prescription Writing 10. A patient
prescribed amoxicillin for streptococcal pharyngitis reports new onset
pg. 2
,of a flat, itchy red rash on the chest and neck. Which action is most
important?
b. Discontinue the medication.
Ch 2 Rational Drug Selection and Prescription Writing 11. A patient
taking three medications for hypertension is diagnosed with COPD.
Which action should be taken prior to prescribing medications to treat
COPD?
b. Obtain a complete medication history.
Ch 2 Rational Drug Selection and Prescription Writing 12. A patient
with diabetes reports losing their job and an inability to purchase
required medications. Which action is most appropriate?
c. Contact a different pharmacy.
Ch 2 Rational Drug Selection and Prescription Writing 13. A patient
recently prescribed hydrocodone calls to report they are unable to fill
the prescription. Which factors could contribute to the inability to fill
the prescription? Select all that apply.
a. DEA number missing from prescription
b. Prescription sent via electronic messenger
d. Prescriber license number not included
Ch 3 Promoting Positive Outcomes of Drug Therapy 14. A patient
reports that a medication prescribed for recurrent migraine headaches
is not working. Which action should be taken first?
a. Ask the patient about the number and frequency of tablets taken.
pg. 3
, Ch 3 Promoting Positive Outcomes of Drug Therapy 15. A patient is
prescribed metronidazole for bacterial vaginosis. Which patient
history finding would be most concerning?
c. Drinks two glasses of wine every night
Ch 3 Promoting Positive Outcomes of Drug Therapy 16. A patient is
using a metered-dose inhaler containing albuterol for asthma. The
medication label instructs the patient to administer "two puffs every 4
hours as needed for coughing or wheezing." The patient reports
feeling jittery sometimes when taking the medication, and she doesn't
feel that the medication is always effective. Which action is most
appropriate?
c. Auscultating lung sounds and obtaining vital signs
Ch 3 Promoting Positive Outcomes of Drug Therapy 17. A patient
newly diagnosed with diabetes is to be discharged from the hospital.
Which action should be taken first during medication education?
a. Asking the patient to demonstrate how to measure and administer
insulin
Ch 3 Promoting Positive Outcomes of Drug Therapy 18. The drug
manual states that older adult patients are at increased risk for hepatic
side effects. Which action is most important when prescribing this
medication to an 80-year-old patient?
a. Obtain pretreatment laboratory work.
Ch 3 Promoting Positive Outcomes of Drug Therapy 19. A patient
recently diagnosed with HIV is prescribed several medications to treat
the condition. Which factors could impact the patient's adherence to
the treatment regimen? Select all that apply.
pg. 4
ADVANCED PRACTICE NURSES AND PHYSICIAN
ASSISTANTS 2nd EDITION ROSENTHAL LATEST
UPDATE!!!
Ch 1 Prescriptive Authority 2. Which factors increase the need for
APRNs to have full prescriptive authority?
a. More patients will have access to health care.
Ch 1 Prescriptive Authority 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
Ch 1 Prescriptive Authority 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.
c. National examinations provide validation of the APRN's ability to
provide safe care.
d. Licensure ensures compliance with health care and safety
standards.
Ch 1 Prescriptive Authority 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.
c. National examinations provide validation of the APRN's ability to
provide safe care.
pg. 1
,d. Licensure ensures compliance with health care and safety
standards.
Ch 1 Prescriptive Authority 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.
Ch 2 Rational Drug Selection and Prescription Writing 7. How can
collaboration with a pharmacist improve positive outcomes for
patients? Select all that apply.
b. Pharmacists have additional information on drug interactions.
c. The pharmacist can suggest adequate medication dosing.
d. Pharmacists have firsthand knowledge of the facility formulary.
Ch 2 Rational Drug Selection and Prescription Writing 8. A patient
presents with delirium tremens requiring Ativan administration. The
provider of care is not in the facility. Which action by the nurse is
most appropriate?
a. Obtain a telephone order.
Ch 2 Rational Drug Selection and Prescription Writing 9. A patient
with chronic pain calls the provider's office to request a refill on their
oxycontin. Which action is most appropriate?
b. Schedule an appointment with the patient.
Ch 2 Rational Drug Selection and Prescription Writing 10. A patient
prescribed amoxicillin for streptococcal pharyngitis reports new onset
pg. 2
,of a flat, itchy red rash on the chest and neck. Which action is most
important?
b. Discontinue the medication.
Ch 2 Rational Drug Selection and Prescription Writing 11. A patient
taking three medications for hypertension is diagnosed with COPD.
Which action should be taken prior to prescribing medications to treat
COPD?
b. Obtain a complete medication history.
Ch 2 Rational Drug Selection and Prescription Writing 12. A patient
with diabetes reports losing their job and an inability to purchase
required medications. Which action is most appropriate?
c. Contact a different pharmacy.
Ch 2 Rational Drug Selection and Prescription Writing 13. A patient
recently prescribed hydrocodone calls to report they are unable to fill
the prescription. Which factors could contribute to the inability to fill
the prescription? Select all that apply.
a. DEA number missing from prescription
b. Prescription sent via electronic messenger
d. Prescriber license number not included
Ch 3 Promoting Positive Outcomes of Drug Therapy 14. A patient
reports that a medication prescribed for recurrent migraine headaches
is not working. Which action should be taken first?
a. Ask the patient about the number and frequency of tablets taken.
pg. 3
, Ch 3 Promoting Positive Outcomes of Drug Therapy 15. A patient is
prescribed metronidazole for bacterial vaginosis. Which patient
history finding would be most concerning?
c. Drinks two glasses of wine every night
Ch 3 Promoting Positive Outcomes of Drug Therapy 16. A patient is
using a metered-dose inhaler containing albuterol for asthma. The
medication label instructs the patient to administer "two puffs every 4
hours as needed for coughing or wheezing." The patient reports
feeling jittery sometimes when taking the medication, and she doesn't
feel that the medication is always effective. Which action is most
appropriate?
c. Auscultating lung sounds and obtaining vital signs
Ch 3 Promoting Positive Outcomes of Drug Therapy 17. A patient
newly diagnosed with diabetes is to be discharged from the hospital.
Which action should be taken first during medication education?
a. Asking the patient to demonstrate how to measure and administer
insulin
Ch 3 Promoting Positive Outcomes of Drug Therapy 18. The drug
manual states that older adult patients are at increased risk for hepatic
side effects. Which action is most important when prescribing this
medication to an 80-year-old patient?
a. Obtain pretreatment laboratory work.
Ch 3 Promoting Positive Outcomes of Drug Therapy 19. A patient
recently diagnosed with HIV is prescribed several medications to treat
the condition. Which factors could impact the patient's adherence to
the treatment regimen? Select all that apply.
pg. 4
