Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
b b b b b b b b b
Edition Rosenthal Test Bank
b b b b 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
b b b
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND
b b b b b b
EDITION ROSENTHAL TEST BANK
b b b b
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
b b b b b b b b b
Edition Rosenthal Test Bank
b b b b 2
Chapter 1: Prescriptive Authority Test Bank b b b b b
b Multiple Choice b
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict
b b b b b b b b b b b b b b b b
the types of medications the APRN is allowed to prescribe. State law does not require the APRN to
b b b b b b b b b b b b b b b b b b
practice under physician supervision. How would the APRN‘s prescriptive authority be described?
b b b b b b b b b b b b
a. Full authority b
b. Independent
c. Without limitation b
d. Limited authority b
ANS: B b
The APRN has independent prescriptive authority because the regulating body does not require that
b b b b b b b b b b b b b
the APRN work under physician supervision. Full prescriptive authority gives the provider the right
b b b b b b b b b b b b b b
to prescribe independently and without limitation. Limited authority places restrictions on the types
b b b b b b b b b b b b b
of drugs that can be prescribed .DIF: Cognitive Level: Comprehension REF: p.
b b b b b b b b b b b b
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity:
b b b b b b b b b b
Pharmacologic and Parenteral Therapies
b b b b
2. Which factors increase the need for APRNs to have full prescriptive authority?
b b b b b b b b b b b
a. More patients will have access to health care. b b b b b b b
b. Enrollment in medical schools is predicted to decrease. b b b b b b b
c. Physician‘s assistants are being utilized less often. b b b b b b
d. APRN education is more complex than education for physicians.
b b b b b b b b
ANS: A b
Implementation of the Affordable Care Act has increased the number of individuals with health care b b b b b b b b b b b b b b
coverage, and thus the number who have access to health care services. The increase in the number of
b b b b b b b b b b b b b b b b b b
patients creates the need for more providers with prescriptive authority. APRNs can fill this practice
b b b b b b b b b b b b b b b
gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursing Process: Implementation MSC:
b b b b b b b b b b b b
NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
b b b b b b b b b b
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
b b b b b b b b b
Edition Rosenthal Test Bank
b b b b 3
3. Which factors could be attributed to limited prescriptive authority for APRNs?Select all that
b b b b b b b b b b b b b
apply.
b
a. Inaccessibility of patient care b b b
b. Higher health care costs b b b
c. Higher quality medical treatment b b b
d. Improved collaborative care b b
e. Enhanced health literacy b b
ANS: A , B b b b
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
b b b b b b b b b b b b
patient care. It may also lead to poor collaboration among providers and higher health care costs. It
b b b b b b b b b b b b b b b b b
would not directly impact patient‘s health literacy.DIF: Cognitive Level: ComprehensionREF:
b b b b b b b b b b
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
b b b b b b b b b b
Integrity: Pharmacologic and Parenteral Therapies
b b b b b
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select all that
b b b b b b b b b b b b
apply.
b
a. Clinical education includes prescription of medications and disease processes.
b b b b b b b b
b. Federal regulations support the provision of full authority for APRNs.
b b b b b b b b b
c. National examinations provide validation of the APRN‘s ability to provide safecare.
b b b b b b b b b b
d. Licensure ensures compliance with health care and safety standards. b b b b b b b b
e. Limiting provision can decrease health care affordability. b b b b b b
ANS: A , C , D
b b b b b
APRNs are educated to practice and prescribe independently without supervision. National
b b b b b b b b b b
examinations validate the ability to provide safe and competent care. Licensure ensures compliance
b b b b b b b b b b b b b
with standards to promote public health and safety. Limited prescriptive authority creates numerous
b b b b b b b b b b b b b
barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
b b b b b b b b b b
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
b b b b b b b b b b
Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
b b b b b b b
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
b b b b b b b b b
Edition Rosenthal Test Bank
b b b b 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select all that
b b b b b b b b b b b b
apply.
b
a. Clinical education includes prescription of medications and disease processes.
b b b b b b b b
b. Federal regulations support the provision of full authority for APRNs.
b b b b b b b b b
c. National examinations provide validation of the APRN‘s ability to provide safecare.
b b b b b b b b b b
d. Licensure ensures compliance with health care and safety standards. b b b b b b b b
ANS: A , C , D
b b b b b
APRNs are educated to practice and prescribe independently without supervision. National
b b b b b b b b b b
examinations validate the ability to provide safe and competent care. Licensure ensures compliance
b b b b b b b b b b b b b
with standards to promote public health and safety. Limited prescriptive authority creates numerous
b b b b b b b b b b b b b
barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
b b b b b b b b b b
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation MSC:NCLEXClient
b b b b b b b b
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
b b b b b b b b
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in
b b b b b b b b b b b b b b b
Virginia. Which aspect of practice may change for the APRN?
b b b b b b b b b b
a. The APRN will have less prescriptive authority in the new position.
b b b b b b b b b b
b. The APRN will have more prescriptive authority in the new position.
b b b b b b b b b b
c. The APRN will have equal prescriptive authority in the new position.
b b b b b b b b b b
d. The APRN‘s authority will depend on federal regulations.
b b b b b b b
b ANS: A b
Virginia allows limited prescriptive authority, while Maine gives full authorityto certified nurse
b b b b b b b b b b b b
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
b b b b b b b b b b
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
b b b b b b b b b b
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
b b b b b b b b
b b b b b b b b b
Edition Rosenthal Test Bank
b b b b 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
b b b
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND
b b b b b b
EDITION ROSENTHAL TEST BANK
b b b b
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
b b b b b b b b b
Edition Rosenthal Test Bank
b b b b 2
Chapter 1: Prescriptive Authority Test Bank b b b b b
b Multiple Choice b
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict
b b b b b b b b b b b b b b b b
the types of medications the APRN is allowed to prescribe. State law does not require the APRN to
b b b b b b b b b b b b b b b b b b
practice under physician supervision. How would the APRN‘s prescriptive authority be described?
b b b b b b b b b b b b
a. Full authority b
b. Independent
c. Without limitation b
d. Limited authority b
ANS: B b
The APRN has independent prescriptive authority because the regulating body does not require that
b b b b b b b b b b b b b
the APRN work under physician supervision. Full prescriptive authority gives the provider the right
b b b b b b b b b b b b b b
to prescribe independently and without limitation. Limited authority places restrictions on the types
b b b b b b b b b b b b b
of drugs that can be prescribed .DIF: Cognitive Level: Comprehension REF: p.
b b b b b b b b b b b b
1TOP: Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity:
b b b b b b b b b b
Pharmacologic and Parenteral Therapies
b b b b
2. Which factors increase the need for APRNs to have full prescriptive authority?
b b b b b b b b b b b
a. More patients will have access to health care. b b b b b b b
b. Enrollment in medical schools is predicted to decrease. b b b b b b b
c. Physician‘s assistants are being utilized less often. b b b b b b
d. APRN education is more complex than education for physicians.
b b b b b b b b
ANS: A b
Implementation of the Affordable Care Act has increased the number of individuals with health care b b b b b b b b b b b b b b
coverage, and thus the number who have access to health care services. The increase in the number of
b b b b b b b b b b b b b b b b b b
patients creates the need for more providers with prescriptive authority. APRNs can fill this practice
b b b b b b b b b b b b b b b
gap. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursing Process: Implementation MSC:
b b b b b b b b b b b b
NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
b b b b b b b b b b
,Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
b b b b b b b b b
Edition Rosenthal Test Bank
b b b b 3
3. Which factors could be attributed to limited prescriptive authority for APRNs?Select all that
b b b b b b b b b b b b b
apply.
b
a. Inaccessibility of patient care b b b
b. Higher health care costs b b b
c. Higher quality medical treatment b b b
d. Improved collaborative care b b
e. Enhanced health literacy b b
ANS: A , B b b b
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
b b b b b b b b b b b b
patient care. It may also lead to poor collaboration among providers and higher health care costs. It
b b b b b b b b b b b b b b b b b
would not directly impact patient‘s health literacy.DIF: Cognitive Level: ComprehensionREF:
b b b b b b b b b b
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
b b b b b b b b b b
Integrity: Pharmacologic and Parenteral Therapies
b b b b b
4. Which aspects support the APRN‘s provision for full prescriptive authority? Select all that
b b b b b b b b b b b b
apply.
b
a. Clinical education includes prescription of medications and disease processes.
b b b b b b b b
b. Federal regulations support the provision of full authority for APRNs.
b b b b b b b b b
c. National examinations provide validation of the APRN‘s ability to provide safecare.
b b b b b b b b b b
d. Licensure ensures compliance with health care and safety standards. b b b b b b b b
e. Limiting provision can decrease health care affordability. b b b b b b
ANS: A , C , D
b b b b b
APRNs are educated to practice and prescribe independently without supervision. National
b b b b b b b b b b
examinations validate the ability to provide safe and competent care. Licensure ensures compliance
b b b b b b b b b b b b b
with standards to promote public health and safety. Limited prescriptive authority creates numerous
b b b b b b b b b b b b b
barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
b b b b b b b b b b
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
b b b b b b b b b b
Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
b b b b b b b
, Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd
b b b b b b b b b
Edition Rosenthal Test Bank
b b b b 4
5. Which aspects support the APRN‘s provision for full prescriptive authority? Select all that
b b b b b b b b b b b b
apply.
b
a. Clinical education includes prescription of medications and disease processes.
b b b b b b b b
b. Federal regulations support the provision of full authority for APRNs.
b b b b b b b b b
c. National examinations provide validation of the APRN‘s ability to provide safecare.
b b b b b b b b b b
d. Licensure ensures compliance with health care and safety standards. b b b b b b b b
ANS: A , C , D
b b b b b
APRNs are educated to practice and prescribe independently without supervision. National
b b b b b b b b b b
examinations validate the ability to provide safe and competent care. Licensure ensures compliance
b b b b b b b b b b b b b
with standards to promote public health and safety. Limited prescriptive authority creates numerous
b b b b b b b b b b b b b
barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
b b b b b b b b b b
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementation MSC:NCLEXClient
b b b b b b b b
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
b b b b b b b b
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in
b b b b b b b b b b b b b b b
Virginia. Which aspect of practice may change for the APRN?
b b b b b b b b b b
a. The APRN will have less prescriptive authority in the new position.
b b b b b b b b b b
b. The APRN will have more prescriptive authority in the new position.
b b b b b b b b b b
c. The APRN will have equal prescriptive authority in the new position.
b b b b b b b b b b
d. The APRN‘s authority will depend on federal regulations.
b b b b b b b
b ANS: A b
Virginia allows limited prescriptive authority, while Maine gives full authorityto certified nurse
b b b b b b b b b b b b
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
b b b b b b b b b b
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
b b b b b b b b b b
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
b b b b b b b b
