TEST BANK FOR LEHNE’S
PHARMACOTHERAPEUTICS FOR ADVANCED
PRACTICE NURSING ATTENDANTS AND PHYSICIAN
ASSISTANTS 3RD EDITION ROSENTHAL
,Chapter 1: Prescriptive Authority
Multiple Choice
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
CORRECT RESPONSE:- B
Reasoning :->>> 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 hospital medications that can be prescribed.DIF: Cognitive
Level: ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX Hospital client Needs
Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. Which factors increase the need for APRNs to have full prescriptive authority?
a. More clients 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.
CORRECT RESPONSE:- A
Reasoning :->>> 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 clients 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 Hospital 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 client care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy
CORRECT RESPONSE:- A , B
Reasoning :->>> Limiting prescriptive authority for APRNs can create barriers to quality,
affordable, and accessible client care. It may also lead to poor collaboration among providers and
higher health care costs. It would not directly impact client’s health literacy.DIF: Cognitive
Level: ComprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Hospital client Needs Category:
Physiologic Integrity: Pharmacologic and Parenteral Therapies
4. Which aspects support the APRN’s provision for full prescriptive authority?
Select all that apply.
a. Clinical education includes prescription of medications andillness processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN’s ability to provide safe care.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability.
CORRECT RESPONSE:- A , C , D
Reasoning :->>> APRNs are educated to practice and prescribe independently without
supervision. National examinations validate the ability to provide safe and competent care.
Licensure ensures compliance with standards to promote public health and safety. Limited
prescriptive authority creates numerous barriers to quality, affordable, and accessible client
care.DIF: Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation
MSC: NCLEX Hospital client Needs Category: Physiologic Integrity: Pharmacologic and
Parenteral Therapies
5. Which aspects support the APRN’s provision for full prescriptive authority?
Select all that apply.
a. Clinical education includes prescription of medications andillness processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN’s ability to provide safe care.
d. Licensure ensures compliance with health care and safety standards.
CORRECT RESPONSE:- A , C , D
Reasoning :->>> APRNs are educated to practice and prescribe independently without
supervision. National examinations validate the ability to provide safe and competent care.
Licensure ensures compliance with standards to promote public health and safety. Limited
prescriptive authority creates numerous barriers to quality, affordable, and accessible client
, care.DIF: Cognitive Level:
3
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Hospital
client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
6. A family nursing attendant 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.
b. The APRN will have more prescriptive authority in the new position.
c. The APRN will have equal prescriptive authority in the new position.
d. The APRN’s authority will depend on federal regulations.
CORRECT RESPONSE:- A
Reasoning :->>>Virginia allows limited prescriptive authority, while Maine gives full authority
to certified nursing attendants. The federal government does not regulate prescriptive
authority.DIF: Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation
MSC: NCLEX Hospital client Needs Category: Physiologic Integrity: Pharmacologic and
Parenteral Therapies
PHARMACOTHERAPEUTICS FOR ADVANCED
PRACTICE NURSING ATTENDANTS AND PHYSICIAN
ASSISTANTS 3RD EDITION ROSENTHAL
,Chapter 1: Prescriptive Authority
Multiple Choice
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
CORRECT RESPONSE:- B
Reasoning :->>> 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 hospital medications that can be prescribed.DIF: Cognitive
Level: ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX Hospital client Needs
Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. Which factors increase the need for APRNs to have full prescriptive authority?
a. More clients 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.
CORRECT RESPONSE:- A
Reasoning :->>> 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 clients 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 Hospital 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 client care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy
CORRECT RESPONSE:- A , B
Reasoning :->>> Limiting prescriptive authority for APRNs can create barriers to quality,
affordable, and accessible client care. It may also lead to poor collaboration among providers and
higher health care costs. It would not directly impact client’s health literacy.DIF: Cognitive
Level: ComprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Hospital client Needs Category:
Physiologic Integrity: Pharmacologic and Parenteral Therapies
4. Which aspects support the APRN’s provision for full prescriptive authority?
Select all that apply.
a. Clinical education includes prescription of medications andillness processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN’s ability to provide safe care.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability.
CORRECT RESPONSE:- A , C , D
Reasoning :->>> APRNs are educated to practice and prescribe independently without
supervision. National examinations validate the ability to provide safe and competent care.
Licensure ensures compliance with standards to promote public health and safety. Limited
prescriptive authority creates numerous barriers to quality, affordable, and accessible client
care.DIF: Cognitive Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation
MSC: NCLEX Hospital client Needs Category: Physiologic Integrity: Pharmacologic and
Parenteral Therapies
5. Which aspects support the APRN’s provision for full prescriptive authority?
Select all that apply.
a. Clinical education includes prescription of medications andillness processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN’s ability to provide safe care.
d. Licensure ensures compliance with health care and safety standards.
CORRECT RESPONSE:- A , C , D
Reasoning :->>> APRNs are educated to practice and prescribe independently without
supervision. National examinations validate the ability to provide safe and competent care.
Licensure ensures compliance with standards to promote public health and safety. Limited
prescriptive authority creates numerous barriers to quality, affordable, and accessible client
, care.DIF: Cognitive Level:
3
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Hospital
client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
6. A family nursing attendant 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.
b. The APRN will have more prescriptive authority in the new position.
c. The APRN will have equal prescriptive authority in the new position.
d. The APRN’s authority will depend on federal regulations.
CORRECT RESPONSE:- A
Reasoning :->>>Virginia allows limited prescriptive authority, while Maine gives full authority
to certified nursing attendants. The federal government does not regulate prescriptive
authority.DIF: Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation
MSC: NCLEX Hospital client Needs Category: Physiologic Integrity: Pharmacologic and
Parenteral Therapies
