2ND EDITION
LEHNE’S PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL
TEST BANK
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?
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:
, 2ND EDITION
Pharmacologic and Parenteral Therapies
3. Which factors could be attributed to limited prescriptive
authority for APRNs? Select all that apply.
, 2ND EDITION
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.
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.
, 2ND EDITION
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:
LEHNE’S PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL
TEST BANK
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?
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:
, 2ND EDITION
Pharmacologic and Parenteral Therapies
3. Which factors could be attributed to limited prescriptive
authority for APRNs? Select all that apply.
, 2ND EDITION
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.
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.
, 2ND EDITION
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:
