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TEST BANK LEHNE’S PHARMACOTHERAPEUTICS
FOR ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL
WITH RATIONALES 2024/2025
Chapter 1: Prescriptive Authority Test Bank
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?
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,a. Full authority
b. Independent
c. Without limitation
d. Limited authority
ANS: B
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 drugs
that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX
Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. Which factors increase the need for APRNs to have full prescriptive authority?
a. More patients 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.
ANS: A
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
patients 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 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.
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a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy
ANS: A , B
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible patient
care. It may also lead to poor collaboration among providers and higher health care costs. It would not
directly impact patient’s health literacy.DIF: Cognitive Level: ComprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX 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 and disease processes.
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of this document is illegal extra per year?
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b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN’s ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability.
ANS: A , C , D
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 patient care.DIF: Cognitive Level: ComprehensionREF: pp.
1-2TOP: Nursing Process: Implementation MSC: NCLEX 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 and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN’s ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards.
ANS: A , C , D
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 patient care.DIF: Cognitive Level:
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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studyvault1
TEST BANK LEHNE’S PHARMACOTHERAPEUTICS
FOR ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL
WITH RATIONALES 2024/2025
Chapter 1: Prescriptive Authority Test Bank
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?
Downloaded by: studyvault1 | Want to earn $1.236 Distribution
of this document is illegal extra per year?
,a. Full authority
b. Independent
c. Without limitation
d. Limited authority
ANS: B
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 drugs
that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX
Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. Which factors increase the need for APRNs to have full prescriptive authority?
a. More patients 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.
ANS: A
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
patients 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 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.
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of this document is illegal extra per year?
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a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy
ANS: A , B
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible patient
care. It may also lead to poor collaboration among providers and higher health care costs. It would not
directly impact patient’s health literacy.DIF: Cognitive Level: ComprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX 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 and disease processes.
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of this document is illegal extra per year?
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b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN’s ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability.
ANS: A , C , D
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 patient care.DIF: Cognitive Level: ComprehensionREF: pp.
1-2TOP: Nursing Process: Implementation MSC: NCLEX 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 and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN’s ability to provide safecare.
d. Licensure ensures compliance with health care and safety standards.
ANS: A , C , D
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 patient care.DIF: Cognitive Level:
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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