Test Bank: Lehne's
Pharmacotherapeutics for Advanced
Practice Nurses and Physician
Assistants, 3rd Edition
Authors :
Laura D. Rosenthal & Jacqueline Rosenjack Burchum
@2024
,Chapter 1: Prescriptive Authority
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
Rationale: 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: Comprehension
TOP: Nursing Process: Implementation
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
Rationale: Implementation of the Affordable Care Act has increased the
number of individuals with health care coverage, thus increasing the number
of patients who require access to health care services. The increase in patient
numbers creates the need for more providers with prescriptive authority.
APRNs can fill this practice gap.
DIF: Cognitive Level: Comprehension
TOP: 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)
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
Rationale: 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. Enhanced health
literacy and improved collaborative care are not directly impacted by limited
prescriptive authority.
DIF: Cognitive Level: Comprehension
REF: p. 2
TOP: 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
safe care.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability.
ANS: A, C, D
Rationale: APRNs are educated to practice and prescribe independently
without supervision. National examinations validate their ability to provide
safe and competent care. Licensure ensures compliance with standards that
promote public health and safety. Limited prescriptive authority creates
barriers to quality, affordable, and accessible patient care.
DIF: Cognitive Level: Comprehension
REF: pp. 1-2
TOP: 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
, safe care.
d. Licensure ensures compliance with health care and safety standards.
ANS: A, C, D
Rationale: APRNs are educated to practice and prescribe independently
without supervision. National examinations validate their ability to provide
safe and competent care. Licensure ensures compliance with standards to
promote public health and safety. Limited prescriptive authority creates
barriers to quality, affordable, and accessible patient care.
DIF: Cognitive Level: Comprehension
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity:
Pharmacologic and Parenteral Therapies
6. What is the primary benefit of APRNs having full prescriptive authority?
a. Increased job satisfaction
b. Improved patient outcomes
c. Decreased need for collaboration
d. Reduced medication costs
ANS: B
Rationale: Full prescriptive authority allows APRNs to make timely
decisions regarding patient care, leading to improved patient outcomes.
While job satisfaction and reduced medication costs may also be benefits,
the primary focus is on patient outcomes.
DIF: Cognitive Level: Comprehension
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity:
Pharmacologic and Parenteral Therapies
7. Which of the following describes a challenge faced by APRNs seeking full
prescriptive authority?
a. Increased demand for primary care services
b. Variability in state regulations
c. Enhanced education programs
d. Collaboration with physicians
ANS: B
Rationale: Variability in state regulations can create challenges for APRNs
seeking full prescriptive authority, as laws differ regarding what APRNs are
allowed to prescribe and under what circumstances.
DIF: Cognitive Level: Comprehension
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity:
Pharmacologic and Parenteral Therapies
Pharmacotherapeutics for Advanced
Practice Nurses and Physician
Assistants, 3rd Edition
Authors :
Laura D. Rosenthal & Jacqueline Rosenjack Burchum
@2024
,Chapter 1: Prescriptive Authority
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
Rationale: 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: Comprehension
TOP: Nursing Process: Implementation
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
Rationale: Implementation of the Affordable Care Act has increased the
number of individuals with health care coverage, thus increasing the number
of patients who require access to health care services. The increase in patient
numbers creates the need for more providers with prescriptive authority.
APRNs can fill this practice gap.
DIF: Cognitive Level: Comprehension
TOP: 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)
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
Rationale: 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. Enhanced health
literacy and improved collaborative care are not directly impacted by limited
prescriptive authority.
DIF: Cognitive Level: Comprehension
REF: p. 2
TOP: 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
safe care.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability.
ANS: A, C, D
Rationale: APRNs are educated to practice and prescribe independently
without supervision. National examinations validate their ability to provide
safe and competent care. Licensure ensures compliance with standards that
promote public health and safety. Limited prescriptive authority creates
barriers to quality, affordable, and accessible patient care.
DIF: Cognitive Level: Comprehension
REF: pp. 1-2
TOP: 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
, safe care.
d. Licensure ensures compliance with health care and safety standards.
ANS: A, C, D
Rationale: APRNs are educated to practice and prescribe independently
without supervision. National examinations validate their ability to provide
safe and competent care. Licensure ensures compliance with standards to
promote public health and safety. Limited prescriptive authority creates
barriers to quality, affordable, and accessible patient care.
DIF: Cognitive Level: Comprehension
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity:
Pharmacologic and Parenteral Therapies
6. What is the primary benefit of APRNs having full prescriptive authority?
a. Increased job satisfaction
b. Improved patient outcomes
c. Decreased need for collaboration
d. Reduced medication costs
ANS: B
Rationale: Full prescriptive authority allows APRNs to make timely
decisions regarding patient care, leading to improved patient outcomes.
While job satisfaction and reduced medication costs may also be benefits,
the primary focus is on patient outcomes.
DIF: Cognitive Level: Comprehension
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity:
Pharmacologic and Parenteral Therapies
7. Which of the following describes a challenge faced by APRNs seeking full
prescriptive authority?
a. Increased demand for primary care services
b. Variability in state regulations
c. Enhanced education programs
d. Collaboration with physicians
ANS: B
Rationale: Variability in state regulations can create challenges for APRNs
seeking full prescriptive authority, as laws differ regarding what APRNs are
allowed to prescribe and under what circumstances.
DIF: Cognitive Level: Comprehension
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity:
Pharmacologic and Parenteral Therapies
