ANDCPHYSICIAN-ASSISTANTS-2ND-EDITION-ROSENTHAL-TEST-BANK
ChapterC1:CPrescriptive-
AuthorityCTestCBank
MultipleCChoice
1. AnCAPRNCworksCinCaCurology-clinicCunderCtheCsupervisionCof-
aCphysicianCwhoC doesCnotCrestrictCtheCtypesCofCmedicationsCtheCAPRNCisCallowedCtoCpre
scribe.CStateClawCdoesCnotCrequireCtheCAPRNCtoCpracticeCunderCphysicianCsupervision.CH
owCwouldCtheCAPRN‘sCprescriptiveCauthority-C beCdescribed?
a. FullCauthority
b. Independent
c. WithoutClimitation
d. LimitedCauthority
ANS:CB
TheCAPRNChasCindependentCprescriptiveCauthorityCbecauseCtheCregulatingCbodyCdoesCnotCre
quireCthatCtheCAPRNCworkCunderCphysicianCsupervision.CFullCprescriptiveCauthority-
givesCtheCproviderCtheCrightCtoCprescribeCindependently-
andCwithoutClimitation.CLimitedCauthorityCplacesCrestrictionsConCtheCtypesCofCdrugsCthatCcanC
beCprescribed.DIF:CCognitiveCLevel:CComprehensionREF:Cp.C1TOP:CNursingCProcess:CICMS
C:CNCLEXCClientCNeedsCCategory:CPhysiologicCIntegrity:CPharmacologicCandCParenteralCT
herapies
2. WhichCfactorsCincreaseCtheCneedCforCAPRNsCtoChaveCfullCprescriptiveC authority?
a. MoreCpatientsCwillChaveCaccessCtoChealthCcare.
b. EnrollmentCinCmedicalCschoolsCisCpredictedCtoC decrease.
c. Physician‘sCassistantsCareCbeing-utilizedClessC often.
d. APRNCeducationCisCmoreCcomplexCthan-educationCforCphysicians.
ANS:CA
ImplementationCofCtheCAffordableCCareCActChasCincreasedCtheCnumberCofCindividualsCwithCh
ealthCcareCcoverage,CandCthusCtheCnumberCwhoChaveCaccessCtoChealthCcareCservices.CTheCinc
reaseCinCtheCnumberCofCpatientsCcreatesCtheCneedCfor-
moreCprovidersCwithCprescriptiveCauthority.CAPRNsCcanCfillCthisCpracticeCgap.DIF:CCognitiveC
Level:CComprehensionREF:Cp.C2TOP:CNursingCProcess:CImplementationCMSC:CNCLEXCClie
ntCNeedsCCategory:CPhysiologicCIntegrity:CPharmacologicCandCParenteralCTherapies
3. WhichCfactorsCcouldCbeCattributedCtoClimitedCprescriptiveCauthorityCforCAP
RNs?CSelectCallCthatCapply.
, a. Inaccessibility-ofCpatientCcare
b. Higher-healthCcareCcosts
c. Higher-qualityC medicalCtreatment
d. ImprovedCcollaborativeCcare
e. EnhancedChealthC literacy
ANS:CAC,CB
LimitingCprescriptiveCauthorityCforCAPRNsCcanCcreateCbarriersCtoCquality,Caffordable,CandCacce
ssibleCpatientCcare.CItCmay-alsoCleadCtoCpoor-
collaborationCamongCprovidersCandChigherChealthCcareCcosts.CItCwouldCnotCdirectly-
impactCpatient‘sChealthCliteracy.DIF:CCognitiveCLevel:CComprehensionREF:
p.C2TOP:CNursingCProcess:CImplementationCMSC:CNCLEXCClientCNeedsCCategory:CPhysiolo
gicCIntegrity:CPharmacologicCandCParenteralCTherapies
4. WhichCaspectsCsupportCtheCAPRN‘sCprovisionCfor-
fullCprescriptiveCauthority?CSelectCallCthatCapply.
a. ClinicalCeducationCincludesCprescriptionCofCmedicationsCandCdiseaseCprocesses.
b. FederalCregulationsCsupportCtheCprovisionCofCfullCauthorityCfor-APRNs.
c. NationalCexaminationsCprovideCvalidationCofCtheCAPRN‘sCabilityCtoCprovideCsafecare.
d. LicensureCensuresCcomplianceCwithChealthCcareCandCsafety-standards.
e. LimitingCprovisionCcanCdecreaseChealthCcareCaffordability.
ANS:CAC,CCC,CD
APRNsCareCeducatedCtoCpracticeCandCprescribeCindependently-
withoutCsupervision.CNationalCexaminationsCvalidateCtheCability-
toCprovideCsafeCandCcompetentCcare.CLicensureCensuresCcomplianceCwithCstandardsCtoCpromo
teCpublicChealthCandCsafety.CLimitedCprescriptiveCauthorityCcreatesCnumerousCbarriersCtoCquali
ty,Caffordable,CandCaccessibleCpatientCcare.DIF:CCognitiveCLevel:CComprehensionREF:Cpp.C1-
2TOP:CNursingCProcess:CImplementationCMSC:CNCLEXCClientCNeedsCCategory:CPhysiologicC
Integrity:CPharmacologicCandCParenteralCTherapies
5. WhichCaspectsCsupportCtheCAPRN‘sCprovisionCfor-
fullCprescriptiveCauthority?CSelectCallCthatCapply.
a. ClinicalCeducationCincludesCprescriptionCofCmedicationsCandCdiseaseCprocesses.
b. FederalCregulationsCsupportCtheCprovisionCofCfullCauthority-forCAPRNs.
c. NationalCexaminationsCprovideCvalidationCofCtheCAPRN‘sCabilityCtoCprovideCsafecare.
d. LicensureCensuresCcomplianceCwithChealthCcareCandCsafetyCstandards.
ANS:CAC,CCC,CD
APRNsCareCeducatedCtoCpracticeCandCprescribeCindependently-
withoutCsupervision.CNationalCexaminationsCvalidateCtheCability-
toCprovideCsafeCandCcompetentCcare.CLicensureCensuresCcomplianceCwithCstandardsCtoCpromo
teCpublicChealthCandCsafety.CLimitedCprescriptiveCauthorityCcreatesCnumerousCbarriersCtoCquali
ty,Caffordable,CandCaccessibleCpatientCcare.DIF:CCognitiveCLevel:
,ComprehensionREF:C pp.C 1-2TOP:C NursingCProcess:C Implementation
MSC:CNCLE
XCClientCNeedsCCategory:CPhysiologicCIntegrity:CPharmacologicCandCParenteralCTher
apies
6. ACfamilyCnurseCpractitionerCpracticingCinCMaineCisChiredCatCaCpracticeCacrossCstateCl
inesCinCVirginia.CWhichCaspectCofCpracticeCmayCchangeCfor-theCAPRN?
a. TheCAPRNCwillChaveClessCprescriptiveCauthorityCinCtheCnewCposition.
b. TheCAPRNCwillChaveCmoreCprescriptiveCauthorityCinCtheCnewCposition.
c. TheCAPRNCwillChaveCequalCprescriptiveCauthorityCinCtheCnewposition.
d. TheCAPRN‘sCauthorityCwillCdependConCfederalregulations.
ANS:CA
VirginiaCallowsClimitedCprescriptiveCauthority,CwhileCMaineCgivesCfullCauthorityCtoCcertifiedC
nurseCpractitioners.CTheCfederalCgovernmentCdoesCnotCregulateCprescriptiveCauthority.DIF:CC
ognitiveCLevel:CComprehensionREF:Cp.C3TOP:CNursingCProcess:CImplementationCMSC:CNC
LEXCClientCNeedsCCategory:CPhysiologicCIntegrity:CPharmacologicCandCParenteralCTherapie
s
Rosenthal:CLehne'sCPharmacotherapeuticsCforCAdvancedCPracticeCProviders,C2ndCEd.CC
hapterC2:CRationalCDrug-SelectionCandCPrescriptionCWriting
TestCBankCMulti
pleCChoice
7. How-canCcollaborationCwithCaCpharmacistCimproveCpositiveCoutcomesCfor-
patients?CSelectCallCthatCapply.
a. PharmacistsCcanCsuggestCfoodsCthatCwillChelpCwithCtheCpatient‘sCcondition.
b. PharmacistsChaveCadditionalCinformationConCdrug-interactions.
c. TheCpharmacistCcanCsuggestCadequateCmedicationC dosing.
d. PharmacistsChaveCfirsthand-knowledgeCofCtheCfacilityCformulary.
e. PharmacyCcanCalterCprescriptionsCwhenCnecessaryCtoCpreventCpatientCharm.
ANS:CBC,CCC,CD
ProvidersCshouldCcollaborateCwithCpharmacistsCbecauseCthey-
willClikelyChaveCadditionalCinformationConCformulary,Cdrug-interactions,CandCsuggestionsCfor-
adequateCmedicationCdosing.CDietitiansCcanCmakeCfoodsCrecommendationsCtoCtreatCtheCpatien
t‘sCcondition.CTheCpharmacistCcanCcontactCtheCprescriberCaboutCquestionableCprescriptions,Cbu
tCcannotCalterCtheCprescriptionCwithoutCnotificationCofCandCapprovalCby-
theCprovider.DIF:CCognitiveCLevel:CComprehensionREF:Cp.C9TOP:CNursingCProcess:CDiagnos
isCMSC:CNCLEXCClientCNeedsCCategory:CPhysiologicCIntegrity:CReductionCofCRiskCPotential
, 8. ApatientCpresentsCwithCdeliriumtremensCrequiringCAtivanCadministration.CTheCprovider-
ofcareCisCnotCinCtheCfacility.CWhichCactionCbyCtheCnurseCisCmostC appropriate?
a. ObtainCaCtelephoneCorder.
b. ContactCtheCon-callChospitalist.
c. ObtainCanCorder-fromCtheCchargeCnurse.
d. WaitCforCaCwrittenCAtivanC order.
ANS:C A
InCanCemergencyCsituation,CsuchCasCdeliriumCtremensCwithCseizureCactivity,CitCisCacceptableCtoC
provideCaCtelephoneCorder.CContactingCthe-on-callChospitalistCor-
waitingCforCaCwrittenCorderCwouldCtakeCmoreCtimeCthanCavailableCforCaCpatientCwithChighCsei
zureCrisk.CWritingCanCorderCisCoutsideCtheCscopeCofCpracticeCforCtheCchargeCnurse.DIF:CCog
nitiveCLevel:CApplicationREF:Cp.C7TOP:CNursingCProcess:CImplementationCMSC:CNCLEXC
ClientCNeedsCCategory:CPhysiologicCIntegrity:CReductionCofCRiskCPotential
9. ACpatient-with-
chronicCpainCcallsCtheCprovider‘sCofficeCtoCrequestCaCrefillConCtheiroxycontin.CWhichC
actionCisCmostC appropriate?
a. FaxCanCorderCtoCtheCpharmacy.
b. ScheduleCanCappointmentCwithCtheCpatient.
c. Verify-theCpatient‘sCadherenceCtoCdrugCregimen.
d. DetermineCtheCpatient‘sCcurrentCmedicationC dosage.
ANS:C B
ScheduleCIICmedicationsCareCnotCeligibleCforCrefills,CandCprescriptionsCmustCbeChandwritten.
CItCisCimportantCtoCverifyCtheCpatient‘sCadherenceCtoCtheCdrugCregimenCandCdetermineCtheCcu
rrentCdosageCofCmedication;Chowever,CthisCcanCbeCaccomplishedCbyCschedulingCanCappointm
entCandCevaluatingCtheCpatientCinCperson.DIF:CCognitiveCLevel:CApplicationREF:Cp.C8TOP:C
NursingCProcess:CImplementationCMSC:CNCLEXCClientCNeedsCCategory:CPhysiologicCIntegr
ity:CReductionCofCRiskCPotential
10. ApatientCprescribedCamoxicillinCforCstreptococcalCpharyngitisCreportsCnewConsetCof-
aCflat,CitchyCredCrashConCtheCchestCandCneck.CWhichCactionCisCmostC important?
a. ProvideCaCdifferentC prescription.
b. DiscontinueCtheC medication.
c. PrescribeCanCantihistamineCcream.
d. AssessCfor-respiratoryCcompromise.
ANS:CB
TheCpriorityCactionCisCtoCdiscontinueCtheCmedicationCtoCpreventCworseningCofCtheCpatient‘sC
symptoms.CACdifferentCprescriptionCwouldCbeCprovided,CtopicalCantihistamineCmay-
beCadministered,CandCtheCpatientCwouldCbeCassessed-for-
respiratoryCinvolvement,CbutCtheseCactionsCwouldCnotC be