LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AN
D
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK
Chapter 1: PrescriptiveAuthority
Test Bank
Multiple Choice
1. An APRN works in a urology clinic under the supervision of a physician who does not restri
ct 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 authori
tybe described?
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. 1TO
P:Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacolo
gic 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 th
e number of patients creates the need for more providers with prescriptive authority. APRNs can
fillthis practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Im
plementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic andP
arenteral Therapies
,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
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 accessib
lepatient care. It may also lead to poor collaboration among providers and higher health care co
sts. It would not directly impact patient’s health literacy.DIF: Cognitive Level: Comprehension
REF:
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.
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 exa
minations validate the ability to provide safe and competent care. Licensure ensures compliance
with standards to promote public health and safety. Limited prescriptive authority creates nume
rous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:Comprehen
sionREF: pp. 1-
2TOP: Nursing Process: Implementation MSC: NCLEX Client NeedsCategory: Physiologic Int
egrity: 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 exa
minations validate the ability to provide safe and competent care. Licensure ensures complianc
, e with standards to promote public health and safety. Limited prescriptive authority creates num
erous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
D
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK
Chapter 1: PrescriptiveAuthority
Test Bank
Multiple Choice
1. An APRN works in a urology clinic under the supervision of a physician who does not restri
ct 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 authori
tybe described?
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. 1TO
P:Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacolo
gic 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 th
e number of patients creates the need for more providers with prescriptive authority. APRNs can
fillthis practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Im
plementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic andP
arenteral Therapies
,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
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 accessib
lepatient care. It may also lead to poor collaboration among providers and higher health care co
sts. It would not directly impact patient’s health literacy.DIF: Cognitive Level: Comprehension
REF:
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.
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 exa
minations validate the ability to provide safe and competent care. Licensure ensures compliance
with standards to promote public health and safety. Limited prescriptive authority creates nume
rous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:Comprehen
sionREF: pp. 1-
2TOP: Nursing Process: Implementation MSC: NCLEX Client NeedsCategory: Physiologic Int
egrity: 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 exa
minations validate the ability to provide safe and competent care. Licensure ensures complianc
, e with standards to promote public health and safety. Limited prescriptive authority creates num
erous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
