RosenthalcLehne’scPharmacotherapeuticscforcAdvancedc Practicec Providers:c1s
tc Editionc(TestBank)
Rosenthal:c Lehne'sc Pharmacotherapeuticsc forc Advancedc Practicec Providers,c 1stc Ed.
Chapterc1:cPrescriptivecAuthorityc
TestcBank
MultiplecChoice
1. AncAPRNcworkscincacurologyccliniccundercthecsupervisioncofcacphysiciancwhocdoescnotcrestrictcthe
ctypescofcmedicationscthecAPRNciscallowedctocprescribe.cStateclawcdoescnotcrequirecthecAPRNctoc
practicecundercphysiciancsupervision.cHowcwouldcthecAPRN‘scprescriptivecauthoritycbecdescribe
d?
a. Fullcauthority
b. Independent
c. Withoutclimitation
d. Limitedcauthority
ANS:c B
ThecAPRNchascindependentcprescriptivecauthoritycbecausecthecregulatingcbodycdoescnotcrequirecthat
cthecAPRNcworkcundercphysician csupervision.cFullcprescriptivecauthoritycgivescthecprovidercthecrigh
tctocprescribecindependentlycandcwithoutclimitation.cLimitedcauthoritycplacescrestrictionsconcthectype
scofcdrugscthatccancbecprescribed.DIF:cCognitivecLevel:cComprehensionREF:cp.c1TOP:cNursingcPro
cess:cIcMSC:cNCLEXcClientc Needsc Category:c Physiologicc Integrity:cPharmacologiccandcParente
ralcTherapies
2. WhichcfactorscincreasecthecneedcforcAPRNsctochavecfullcprescriptivecauthority?
a. Morecpatientsc willc havecaccessctoc healthccare.
b. Enrollmentc incmedicalcschoolsc iscpredictedctocdecrease.
c. Physician‘scassistantscarecbeingcutilizedclesscoften.
d. APRNc educationcisc moreccomplexcthanceducationcforcphysicians.
ANS:c A
ImplementationcofcthecAffordablecCarecActchascincreasedcthecnumbercofcindividualscwithchealthccar
eccoverage,candcthuscthecnumbercwhochavecaccessctochealthccarecservices.cThecincreasecincthecnumbe
rcofpatientsccreatescthecneedcforcmorecproviderscwithcprescriptivecauthority.cAPRNsccancfillcthiscpract
icecgap.DIF:cCognitivecLevel:cComprehensionREF:cp.c2TOP:cNursingcProcess:cImplementationcM
SC:cNCLEXcClientcNeedsc Category:cPhysiologicc Integrity:cPharmacologiccandcParenteralcTherapi
es
3. WhichcfactorsccouldcbecattributedctoclimitedcprescriptivecauthoritycforcAPRNs?cS
electcallcthatc apply.
,Rosenthalc Lehne’scPharmacotherapeuticsc forc Advancedc Practicec Providers:
2 c1st
c Editionc(TestBank)
a. Inaccessibilitycofcpatientc care
b. Higherc healthccareccosts
c. Highercqualityc medicalctreatment
d. Improvedccollaborativeccare
e. Enhancedchealthcliteracy
ANS:c Ac,cB
LimitingcprescriptivecauthoritycforcAPRNsccanccreatecbarriersctocquality,caffordable,candcaccessiblecpa
tientccare.cItcmaycalsocleadctocpoorccollaborationcamongcproviderscandchigherchealthccareccosts.cItcwo
uldc notcdirectlycimpactcpatient‘sc healthcliteracy.DIF:cCognitivec Level:cComprehensionREF:
p.c2TOP:cNursingcProcess:cImplementationcMSC:cNCLEXcClientcNeedscCategory:cPhysiologiccInt
egrity:cPharmacologiccandcParenteralcTherapies
4. Whichcaspectsc supportcthecAPRN‘scprovisioncforc fullcprescriptivecauthority?cS
electcallcthatc apply.
a. Clinicalceducationcincludescprescriptioncofcmedicationscandcdiseasecprocesses.
b. Federalcregulationsc supportc thecprovisioncofcfullcauthoritycforc APRNs.
c. Nationalcexaminationscprovidec validationcofcthecAPRN‘scabilityctocprovidecsafeccare.
d. Licensurecensuresccompliancec withchealthccarecandcsafetycstandards.
e. Limitingcprovisionccancdecreasec healthccarecaffordability.
ANS:c Ac,cCc,cD
APRNscareceducatedctocpracticecandcprescribecindependentlycwithoutcsupervision.cNationalcexamin
ationscvalidatecthecabilityctocprovidecsafecandccompetentccare.cLicensurecensuresccompliancecwithcst
andardsctocpromotecpublicchealthcandcsafety.cLimitedcprescriptivecauthorityccreatescnumerouscbarrie
rsctocquality,caffordable,candcaccessiblecpatientccare.DIF:cCognitivecLevel:cComprehensionREF:cpp.c
1-
2TOP:cNursingcProcess:cImplementationcMSC:c NCLEXc ClientcNeedscCategory:cPhysiologiccInte
grity:cPharmacologiccandc ParenteralcTherapies
5. Whichcaspectsc supportcthecAPRN‘scprovisioncforc fullcprescriptivecauthority?cS
electcallcthatc apply.
a. Clinicalceducationcincludescprescriptioncofcmedicationscandcdiseasecprocesses.
b. Federalcregulationsc supportc thecprovisioncofcfullcauthoritycforc APRNs.
c. Nationalcexaminationscprovidec validationcofcthecAPRN‘scabilityctocprovidecsafeccare.
d. Licensurecensuresccompliancec withchealthccarecandcsafetycstandards.
ANS:c Ac,cCc,cD
APRNscareceducatedctocpracticecandcprescribecindependentlycwithoutcsupervision.cNationalcexamin
ationscvalidatecthecabilityctocprovidecsafecandccompetentccare.cLicensurecensuresccompliancecwithcst
andardsctocpromotecpublicchealthcandcsafety.cLimitedcpcrescriptivecauthorityccreatesc numerouscbarrie
rsctocquality,caffordable,candcaccessiblecpatientccare.DIF:cCognitivecLevel:
,Rosenthalc Lehne’scPharmacotherapeuticsc forc Advancedc Practicec Providers:
2 c1st
c Editionc(TestBank)
ComprehensionREF:cpp.c1-
2TOP:cNursingcProcess:cImplementationcMSC:c NCLEXc ClientcNeedscCategory:cPhysiologiccInte
grity:cPharmacologiccandc ParenteralcTherapies
6. Ac familyc nursec practitionerc practicingc inc Mainec isc hiredc atc ac practicec acrossc statec linesc incVi
rginia.c Whichcaspectc ofcpracticec maycchangec forcthec APRN?
a. ThecAPRNcwillchaveclesscprescriptivecauthoritycincthecnewcposition.
b. ThecAPRNc willc havec morecprescriptivecauthoritycincthec newcposition.
c. ThecAPRNc willc havecequalcprescriptivecauthoritycincthec newcposition.
d. ThecAPRN‘scauthoritycwillcdependconcfederalcregulations.
ANS:c A
Virginiacallowsclimitedcprescriptivecauthority,cwhilecMainecgivescfullcauthorityctoccertifiedcnursecpr
actitioners.cThecfederalcgovernmentcdoescnotcregulatecprescriptivecauthority.DIF:cCognitivecLevel:c
ComprehensionREF:cp.c3TOP:cNursingcProcess:cImplementationcMSC:cNCLEXcClientcNeedscCat
egory:cPhysiologiccIntegrity:cPharmacologiccandc ParenteralcTherapies
Rosenthal:c Lehne'sc Pharmacotherapeuticsc forc Advancedc Practicec Providers,c 1stc Ed.
Chapterc2:cRationalcDrugcSelectioncandcPrescriptioncWritingcT
estcBank
MultiplecChoice
7. Howccanccollaborationcwithcacpharmacistcimprovecpositivecoutcomescforcpatients?cS
electcallcthatc apply.
a. Pharmacistsccancsuggestc foodscthatc willc helpc withcthecpatient‘sccondition.
b. Pharmacistsc havecadditionalcinformationconcdrugcinteractions.
c. Thecpharmacistccancsuggestcadequatec medicationcdosing.
d. Pharmacistsc havec firsthandcknowledgecofcthec facilitycformulary.
e. Pharmacyccancaltercprescriptionsc whencnecessaryctocpreventc patientc harm.
ANS:c Bc,cCc,cD
Providerscshouldccollaboratecwithcpharmacistscbecausectheycwillclikelychavecadditionalcinformationco
ncformulary,cdrugcinteractions,candcsuggestionscforcadequatecmedicationcdosing.cDietitiansccancmak
ecfoodscrecommendationsctoctreatcthecpatient‘sccondition.cThecpharmacistccanccontactcthecprescriberc
aboutcquestionablecprescriptions,cbutccannotcaltercthecprescriptioncwithoutcnotificationcofcandcappro
valcbycthecprovider.DIF:cCognitivecLevel:cComprehenscionREF:cp.c9TOP:cNursingcProcess:cDiagno
siscMSC:cNCLEXcClientcNeedscCategory:cPhysiologiccIntegrity:cReductioncofcRiskcPotential
, Rosenthalc Lehne’scPharmacotherapeuticsc forc Advancedc Practicec Providers:
2 c1st
c Editionc(TestBank)
8. AcpatientcpresentscwithcdeliriumctremenscrequiringcAtivancadministration.cThecprovidercofcarecis
c notc incthec facility.cWhichcactioncbycthec nursec isc mostc appropriate?
a. Obtaincactelephonecorder.
b. Contactcthecon-callchospitalist.
c. Obtaincancorderc fromcthecchargec nurse.
d. Waitc forcac writtencAtivancorder.
ANS:c A
Incancemergencycsituation,csuchcascdeliriumctremenscwithcseizurecactivity,citciscacceptablectocprovide
cactelephonecorder.cContactingcthecon-
callchospitalistcorcwaitingcforcacwrittencordercwouldctakecmorectimecthancavailablecforcacpatientcwithc
highcseizurecrisk.cWritingcancorderciscoutsidecthecscopecofcpracticecforcthecchargecnurse.DIF:cCogniti
vecLevel:cApplicationREF:cp.c7TOP:cNursingcProcess:cImplementationcMSC:cNCLEXcClientcNeed
scCategory:cPhysiologicc Integrity:cReductioncofcRiskcPotential
9. Acpatientcwithcchroniccpainccallscthecprovider‘scofficectocrequestcacrefillconctheircoxycontin.cWhi
chcactioncisc mostcappropriate?
a. Faxcancorderctoc thecpharmacy.
b. Schedulecancappointmentc withcthecpatient.
c. Verifycthecpatient‘scadherencectocdrugcregimen.
d. Determinecthecpatient‘sccurrentcmedicationcdosage.
ANS:c B
SchedulecIIcmedicationscarecnotceligiblecforcrefills,candcprescriptionscmustcbechandwritten.cItciscimpo
rtantctocverifycthecpatient‘scadherencectocthecdrugcregimencandcdeterminectheccurrentcdosagecofcmedi
cation;chowever,cthisccancbecaccomplishedcbycschedulingcancappointmentcandcevaluatingcthecpatient
cincperson.DIF: cCognitivecLevel:cApplicationREF: cp.c8TOP: cNursingcProcess:cImplementationcMS
C:cNCLEXcClientcNeedscCategory:cPhysiologiccIntegrity:cReductioncofcRiskcPotential
10. Acpatientcprescribedcamoxicillincforcstreptococcalcpharyngitiscreportscnewconsetcofacflat,citchycre
dcrashconcthecchestcandc neck.c Whichcactioncisc mostcimportant?
a. Providecacdifferentcprescription.
b. Discontinuecthecmedication.
c. Prescribecancantihistamineccream.
d. Assessc forcrespiratoryccompromise.
ANS:c B
Thecprioritycactioncisctocdiscontinuecthecmedicationctocpreventcworseningcofcthecpatient‘scsymptoms
.c Acdifferentcprescriptioncwouldcbecprovided,ctopicalcantihistaminec maycbecadministered,candc thec pati
entc wouldc bec assessedc forc respiratoryc involvement,c butc thesec actionsc wouldc notc be
tc Editionc(TestBank)
Rosenthal:c Lehne'sc Pharmacotherapeuticsc forc Advancedc Practicec Providers,c 1stc Ed.
Chapterc1:cPrescriptivecAuthorityc
TestcBank
MultiplecChoice
1. AncAPRNcworkscincacurologyccliniccundercthecsupervisioncofcacphysiciancwhocdoescnotcrestrictcthe
ctypescofcmedicationscthecAPRNciscallowedctocprescribe.cStateclawcdoescnotcrequirecthecAPRNctoc
practicecundercphysiciancsupervision.cHowcwouldcthecAPRN‘scprescriptivecauthoritycbecdescribe
d?
a. Fullcauthority
b. Independent
c. Withoutclimitation
d. Limitedcauthority
ANS:c B
ThecAPRNchascindependentcprescriptivecauthoritycbecausecthecregulatingcbodycdoescnotcrequirecthat
cthecAPRNcworkcundercphysician csupervision.cFullcprescriptivecauthoritycgivescthecprovidercthecrigh
tctocprescribecindependentlycandcwithoutclimitation.cLimitedcauthoritycplacescrestrictionsconcthectype
scofcdrugscthatccancbecprescribed.DIF:cCognitivecLevel:cComprehensionREF:cp.c1TOP:cNursingcPro
cess:cIcMSC:cNCLEXcClientc Needsc Category:c Physiologicc Integrity:cPharmacologiccandcParente
ralcTherapies
2. WhichcfactorscincreasecthecneedcforcAPRNsctochavecfullcprescriptivecauthority?
a. Morecpatientsc willc havecaccessctoc healthccare.
b. Enrollmentc incmedicalcschoolsc iscpredictedctocdecrease.
c. Physician‘scassistantscarecbeingcutilizedclesscoften.
d. APRNc educationcisc moreccomplexcthanceducationcforcphysicians.
ANS:c A
ImplementationcofcthecAffordablecCarecActchascincreasedcthecnumbercofcindividualscwithchealthccar
eccoverage,candcthuscthecnumbercwhochavecaccessctochealthccarecservices.cThecincreasecincthecnumbe
rcofpatientsccreatescthecneedcforcmorecproviderscwithcprescriptivecauthority.cAPRNsccancfillcthiscpract
icecgap.DIF:cCognitivecLevel:cComprehensionREF:cp.c2TOP:cNursingcProcess:cImplementationcM
SC:cNCLEXcClientcNeedsc Category:cPhysiologicc Integrity:cPharmacologiccandcParenteralcTherapi
es
3. WhichcfactorsccouldcbecattributedctoclimitedcprescriptivecauthoritycforcAPRNs?cS
electcallcthatc apply.
,Rosenthalc Lehne’scPharmacotherapeuticsc forc Advancedc Practicec Providers:
2 c1st
c Editionc(TestBank)
a. Inaccessibilitycofcpatientc care
b. Higherc healthccareccosts
c. Highercqualityc medicalctreatment
d. Improvedccollaborativeccare
e. Enhancedchealthcliteracy
ANS:c Ac,cB
LimitingcprescriptivecauthoritycforcAPRNsccanccreatecbarriersctocquality,caffordable,candcaccessiblecpa
tientccare.cItcmaycalsocleadctocpoorccollaborationcamongcproviderscandchigherchealthccareccosts.cItcwo
uldc notcdirectlycimpactcpatient‘sc healthcliteracy.DIF:cCognitivec Level:cComprehensionREF:
p.c2TOP:cNursingcProcess:cImplementationcMSC:cNCLEXcClientcNeedscCategory:cPhysiologiccInt
egrity:cPharmacologiccandcParenteralcTherapies
4. Whichcaspectsc supportcthecAPRN‘scprovisioncforc fullcprescriptivecauthority?cS
electcallcthatc apply.
a. Clinicalceducationcincludescprescriptioncofcmedicationscandcdiseasecprocesses.
b. Federalcregulationsc supportc thecprovisioncofcfullcauthoritycforc APRNs.
c. Nationalcexaminationscprovidec validationcofcthecAPRN‘scabilityctocprovidecsafeccare.
d. Licensurecensuresccompliancec withchealthccarecandcsafetycstandards.
e. Limitingcprovisionccancdecreasec healthccarecaffordability.
ANS:c Ac,cCc,cD
APRNscareceducatedctocpracticecandcprescribecindependentlycwithoutcsupervision.cNationalcexamin
ationscvalidatecthecabilityctocprovidecsafecandccompetentccare.cLicensurecensuresccompliancecwithcst
andardsctocpromotecpublicchealthcandcsafety.cLimitedcprescriptivecauthorityccreatescnumerouscbarrie
rsctocquality,caffordable,candcaccessiblecpatientccare.DIF:cCognitivecLevel:cComprehensionREF:cpp.c
1-
2TOP:cNursingcProcess:cImplementationcMSC:c NCLEXc ClientcNeedscCategory:cPhysiologiccInte
grity:cPharmacologiccandc ParenteralcTherapies
5. Whichcaspectsc supportcthecAPRN‘scprovisioncforc fullcprescriptivecauthority?cS
electcallcthatc apply.
a. Clinicalceducationcincludescprescriptioncofcmedicationscandcdiseasecprocesses.
b. Federalcregulationsc supportc thecprovisioncofcfullcauthoritycforc APRNs.
c. Nationalcexaminationscprovidec validationcofcthecAPRN‘scabilityctocprovidecsafeccare.
d. Licensurecensuresccompliancec withchealthccarecandcsafetycstandards.
ANS:c Ac,cCc,cD
APRNscareceducatedctocpracticecandcprescribecindependentlycwithoutcsupervision.cNationalcexamin
ationscvalidatecthecabilityctocprovidecsafecandccompetentccare.cLicensurecensuresccompliancecwithcst
andardsctocpromotecpublicchealthcandcsafety.cLimitedcpcrescriptivecauthorityccreatesc numerouscbarrie
rsctocquality,caffordable,candcaccessiblecpatientccare.DIF:cCognitivecLevel:
,Rosenthalc Lehne’scPharmacotherapeuticsc forc Advancedc Practicec Providers:
2 c1st
c Editionc(TestBank)
ComprehensionREF:cpp.c1-
2TOP:cNursingcProcess:cImplementationcMSC:c NCLEXc ClientcNeedscCategory:cPhysiologiccInte
grity:cPharmacologiccandc ParenteralcTherapies
6. Ac familyc nursec practitionerc practicingc inc Mainec isc hiredc atc ac practicec acrossc statec linesc incVi
rginia.c Whichcaspectc ofcpracticec maycchangec forcthec APRN?
a. ThecAPRNcwillchaveclesscprescriptivecauthoritycincthecnewcposition.
b. ThecAPRNc willc havec morecprescriptivecauthoritycincthec newcposition.
c. ThecAPRNc willc havecequalcprescriptivecauthoritycincthec newcposition.
d. ThecAPRN‘scauthoritycwillcdependconcfederalcregulations.
ANS:c A
Virginiacallowsclimitedcprescriptivecauthority,cwhilecMainecgivescfullcauthorityctoccertifiedcnursecpr
actitioners.cThecfederalcgovernmentcdoescnotcregulatecprescriptivecauthority.DIF:cCognitivecLevel:c
ComprehensionREF:cp.c3TOP:cNursingcProcess:cImplementationcMSC:cNCLEXcClientcNeedscCat
egory:cPhysiologiccIntegrity:cPharmacologiccandc ParenteralcTherapies
Rosenthal:c Lehne'sc Pharmacotherapeuticsc forc Advancedc Practicec Providers,c 1stc Ed.
Chapterc2:cRationalcDrugcSelectioncandcPrescriptioncWritingcT
estcBank
MultiplecChoice
7. Howccanccollaborationcwithcacpharmacistcimprovecpositivecoutcomescforcpatients?cS
electcallcthatc apply.
a. Pharmacistsccancsuggestc foodscthatc willc helpc withcthecpatient‘sccondition.
b. Pharmacistsc havecadditionalcinformationconcdrugcinteractions.
c. Thecpharmacistccancsuggestcadequatec medicationcdosing.
d. Pharmacistsc havec firsthandcknowledgecofcthec facilitycformulary.
e. Pharmacyccancaltercprescriptionsc whencnecessaryctocpreventc patientc harm.
ANS:c Bc,cCc,cD
Providerscshouldccollaboratecwithcpharmacistscbecausectheycwillclikelychavecadditionalcinformationco
ncformulary,cdrugcinteractions,candcsuggestionscforcadequatecmedicationcdosing.cDietitiansccancmak
ecfoodscrecommendationsctoctreatcthecpatient‘sccondition.cThecpharmacistccanccontactcthecprescriberc
aboutcquestionablecprescriptions,cbutccannotcaltercthecprescriptioncwithoutcnotificationcofcandcappro
valcbycthecprovider.DIF:cCognitivecLevel:cComprehenscionREF:cp.c9TOP:cNursingcProcess:cDiagno
siscMSC:cNCLEXcClientcNeedscCategory:cPhysiologiccIntegrity:cReductioncofcRiskcPotential
, Rosenthalc Lehne’scPharmacotherapeuticsc forc Advancedc Practicec Providers:
2 c1st
c Editionc(TestBank)
8. AcpatientcpresentscwithcdeliriumctremenscrequiringcAtivancadministration.cThecprovidercofcarecis
c notc incthec facility.cWhichcactioncbycthec nursec isc mostc appropriate?
a. Obtaincactelephonecorder.
b. Contactcthecon-callchospitalist.
c. Obtaincancorderc fromcthecchargec nurse.
d. Waitc forcac writtencAtivancorder.
ANS:c A
Incancemergencycsituation,csuchcascdeliriumctremenscwithcseizurecactivity,citciscacceptablectocprovide
cactelephonecorder.cContactingcthecon-
callchospitalistcorcwaitingcforcacwrittencordercwouldctakecmorectimecthancavailablecforcacpatientcwithc
highcseizurecrisk.cWritingcancorderciscoutsidecthecscopecofcpracticecforcthecchargecnurse.DIF:cCogniti
vecLevel:cApplicationREF:cp.c7TOP:cNursingcProcess:cImplementationcMSC:cNCLEXcClientcNeed
scCategory:cPhysiologicc Integrity:cReductioncofcRiskcPotential
9. Acpatientcwithcchroniccpainccallscthecprovider‘scofficectocrequestcacrefillconctheircoxycontin.cWhi
chcactioncisc mostcappropriate?
a. Faxcancorderctoc thecpharmacy.
b. Schedulecancappointmentc withcthecpatient.
c. Verifycthecpatient‘scadherencectocdrugcregimen.
d. Determinecthecpatient‘sccurrentcmedicationcdosage.
ANS:c B
SchedulecIIcmedicationscarecnotceligiblecforcrefills,candcprescriptionscmustcbechandwritten.cItciscimpo
rtantctocverifycthecpatient‘scadherencectocthecdrugcregimencandcdeterminectheccurrentcdosagecofcmedi
cation;chowever,cthisccancbecaccomplishedcbycschedulingcancappointmentcandcevaluatingcthecpatient
cincperson.DIF: cCognitivecLevel:cApplicationREF: cp.c8TOP: cNursingcProcess:cImplementationcMS
C:cNCLEXcClientcNeedscCategory:cPhysiologiccIntegrity:cReductioncofcRiskcPotential
10. Acpatientcprescribedcamoxicillincforcstreptococcalcpharyngitiscreportscnewconsetcofacflat,citchycre
dcrashconcthecchestcandc neck.c Whichcactioncisc mostcimportant?
a. Providecacdifferentcprescription.
b. Discontinuecthecmedication.
c. Prescribecancantihistamineccream.
d. Assessc forcrespiratoryccompromise.
ANS:c B
Thecprioritycactioncisctocdiscontinuecthecmedicationctocpreventcworseningcofcthecpatient‘scsymptoms
.c Acdifferentcprescriptioncwouldcbecprovided,ctopicalcantihistaminec maycbecadministered,candc thec pati
entc wouldc bec assessedc forc respiratoryc involvement,c butc thesec actionsc wouldc notc be
