Test Bank Lehnes Pharmacotherapeutics for
Advanced Practice Nurses and Physician
Assistants 2nd Edition.Chapter (1-92) complete
guide A+ questions and answers rationales.
LEHNE’S PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION
Chapter 1: Prescriptive
AuthorityTest Bank
Multiple Choice
• 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 authoritybe described?
• Full authority
• Independent
• Without limitation
• 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
• Which factors increase the need for APRNs to have full prescriptive authority?
, • More patients will have access to health care.
• Enrollment in medical schools is predicted to decrease.
• Physician’s assistants are being utilized less often.
• 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
• Which factors could be attributed to limited prescriptive authority
for APRNs?Select all that apply.
• Inaccessibility of patient care
• Higher health care costs
• Higher quality medical treatment
• Improved collaborative care
• 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
• Which aspects support the APRN’s provision for full prescriptive
authority?Select all that apply.
• Clinical education includes prescription of medications and disease processes.
• Federal regulations support the provision of full authority for APRNs.
• National examinations provide validation of the APRN’s ability to provide
safecare.
• Licensure ensures compliance with health care and safety standards.
• 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
• Which aspects support the APRN’s provision for full prescriptive
authority?Select all that apply.
• Clinical education includes prescription of medications and disease processes.
• Federal regulations support the provision of full authority for APRNs.
• National examinations provide validation of the APRN’s ability to provide
safecare.
• 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
• A family nurse practitioner practicing in Maine is hired at a practice across
state lines inVirginia. Which aspect of practice may change for the APRN?
• The APRN will have less prescriptive authority in the new position.
• The APRN will have more prescriptive authority in the new position.
• The APRN will have equal prescriptive authority in the newposition.
• The APRN’s authority will depend on federalregulations.
ANS: A
Virginia allows limited prescriptive authority, while Maine gives full authority to
certified nurse practitioners. The federal government does not regulate prescriptive
authority.DIF: Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process:
, Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity:
Pharmacologic and Parenteral Therapies
• How can collaboration with a pharmacist improve positive outcomes
for patients?Select all that apply.
• Pharmacists can suggest foods that will help with the patient’s condition.
• Pharmacists have additional information on drug interactions.
• The pharmacist can suggest adequate medication dosing.
• Pharmacists have firsthand knowledge of the facility formulary.
• Pharmacy can alter prescriptions when necessary to prevent patient harm.
ANS: B , C , D
Providers should collaborate with pharmacists because they will likely have additional
information on formulary, drug interactions, and suggestions for adequate medication
dosing. Dietitians can make foods recommendations to treat the patient’s condition.
The pharmacist can contact the prescriber about questionable prescriptions, but cannot
alter the prescription without notification of and approval by the provider.DIF:
Cognitive Level: ComprehensionREF: p. 9TOP: Nursing Process: Diagnosis MSC:
NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
• A patient presents with delirium tremens requiring Ativan administration. The
provider of care is not in the facility. Which action by the nurse is most
appropriate?
• Obtain a telephone order.
• Contact the on-call hospitalist.
• Obtain an order from the charge nurse.
• Wait for a written Ativan order.
ANS: A
In an emergency situation, such as delirium tremens with seizure activity, it is acceptable
to provide a telephone order. Contacting the on-call hospitalist or waiting for a written
order would take more time than available for a patient with high seizure risk. Writing
an order is outside the scope of practice for the charge nurse.DIF: Cognitive Level:
ApplicationREF: p. 7TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Reduction of Risk Potential
• A patient with chronic pain calls the provider’s office to request a refill on their
oxycontin. Which action is most appropriate?
Advanced Practice Nurses and Physician
Assistants 2nd Edition.Chapter (1-92) complete
guide A+ questions and answers rationales.
LEHNE’S PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION
Chapter 1: Prescriptive
AuthorityTest Bank
Multiple Choice
• 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 authoritybe described?
• Full authority
• Independent
• Without limitation
• 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
• Which factors increase the need for APRNs to have full prescriptive authority?
, • More patients will have access to health care.
• Enrollment in medical schools is predicted to decrease.
• Physician’s assistants are being utilized less often.
• 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
• Which factors could be attributed to limited prescriptive authority
for APRNs?Select all that apply.
• Inaccessibility of patient care
• Higher health care costs
• Higher quality medical treatment
• Improved collaborative care
• 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
• Which aspects support the APRN’s provision for full prescriptive
authority?Select all that apply.
• Clinical education includes prescription of medications and disease processes.
• Federal regulations support the provision of full authority for APRNs.
• National examinations provide validation of the APRN’s ability to provide
safecare.
• Licensure ensures compliance with health care and safety standards.
• 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
• Which aspects support the APRN’s provision for full prescriptive
authority?Select all that apply.
• Clinical education includes prescription of medications and disease processes.
• Federal regulations support the provision of full authority for APRNs.
• National examinations provide validation of the APRN’s ability to provide
safecare.
• 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
• A family nurse practitioner practicing in Maine is hired at a practice across
state lines inVirginia. Which aspect of practice may change for the APRN?
• The APRN will have less prescriptive authority in the new position.
• The APRN will have more prescriptive authority in the new position.
• The APRN will have equal prescriptive authority in the newposition.
• The APRN’s authority will depend on federalregulations.
ANS: A
Virginia allows limited prescriptive authority, while Maine gives full authority to
certified nurse practitioners. The federal government does not regulate prescriptive
authority.DIF: Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process:
, Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity:
Pharmacologic and Parenteral Therapies
• How can collaboration with a pharmacist improve positive outcomes
for patients?Select all that apply.
• Pharmacists can suggest foods that will help with the patient’s condition.
• Pharmacists have additional information on drug interactions.
• The pharmacist can suggest adequate medication dosing.
• Pharmacists have firsthand knowledge of the facility formulary.
• Pharmacy can alter prescriptions when necessary to prevent patient harm.
ANS: B , C , D
Providers should collaborate with pharmacists because they will likely have additional
information on formulary, drug interactions, and suggestions for adequate medication
dosing. Dietitians can make foods recommendations to treat the patient’s condition.
The pharmacist can contact the prescriber about questionable prescriptions, but cannot
alter the prescription without notification of and approval by the provider.DIF:
Cognitive Level: ComprehensionREF: p. 9TOP: Nursing Process: Diagnosis MSC:
NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential
• A patient presents with delirium tremens requiring Ativan administration. The
provider of care is not in the facility. Which action by the nurse is most
appropriate?
• Obtain a telephone order.
• Contact the on-call hospitalist.
• Obtain an order from the charge nurse.
• Wait for a written Ativan order.
ANS: A
In an emergency situation, such as delirium tremens with seizure activity, it is acceptable
to provide a telephone order. Contacting the on-call hospitalist or waiting for a written
order would take more time than available for a patient with high seizure risk. Writing
an order is outside the scope of practice for the charge nurse.DIF: Cognitive Level:
ApplicationREF: p. 7TOP: Nursing Process: Implementation MSC: NCLEX Client
Needs Category: Physiologic Integrity: Reduction of Risk Potential
• A patient with chronic pain calls the provider’s office to request a refill on their
oxycontin. Which action is most appropriate?
