TEST BANK for LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL latest 2025/2026

LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
PRACTICE NURSES AND
PHYSICIAN ASSISTANT 2ND EDITION ROSENTHAL TEST
BANK
LATEST UPDATED 2025/2026

,LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND
nb nb nb nb nb nb



PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK nb nb nb nb nb nb




Chapter 1: Prescriptive Authority nb nb nb




Test Bank nb




Multiple Choice nb




1. An APRN works in a urology clinic under the supervision of a physician who does not restrict t
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb



he types of medications the APRN is allowed to prescribe. State law does not require the AP
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb



RN to practice under physician supervision. How would the APRN’s prescriptive authority be
nb nb nb nb nb nb nb nb nb nb nb nb nb



described?

a. Full authority nb



b. Independent
c. Without limitation nb



d. Limited authority nb




ANS: B nb



The APRN has independent prescriptive authority because the regulating body does not require t
nb nb nb nb nb nb nb nb nb nb nb nb nb



hat the APRN work under physician supervision. Full prescriptive authority gives the provider th
nb nb nb nb nb nb nb nb nb nb nb nb nb



e right to prescribe independently and without limitation. Limited authority places restrictions on
nb nb nb nb nb nb nb nb nb nb nb nb nb



the types of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nu
nb nb nb nb nb nb nb nb nb nb nb nb nb



rsing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
nb nb nb nb nb nb nb nb nb nb nb n



Parenteral Therapies
b nb




2. Which factors increase the need for APRNs to have full prescriptive authority?
nb nb nb nb nb nb nb nb nb nb nb




a. More patients will have access to health care.
nb nb nb nb nb nb nb



b. Enrollment in medical schools is predicted to decrease. nb nb nb nb nb nb nb



c. Physician’s assistants are being utilized less often. nb nb nb nb nb nb



d. APRN education is more complex than education for physicians.
nb nb nb nb nb nb nb nb




ANS: A nb



Implementation of the Affordable Care Act has increased the number of individuals with health c
nb nb nb nb nb nb nb nb nb nb nb nb nb nb



are coverage, and thus the number who have access to health care services. The increase in the nu
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb



mber of patients creates the need for more providers with prescriptive authority. APRNs can fill this
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb



practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Implementa
nb nb nb nb nb nb nb nb nb nb



tion MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral T
nb nb nb nb nb nb nb nb nb nb nb



herapies

,3. Which factors could be attributed to limited prescriptive authority for APRNs?
nb nb nb nb nb nb nb nb nb nb nb



Select all that apply. nb nb nb




a. Inaccessibility of patient care nb nb nb



b. Higher health care costs nb nb nb



c. Higher quality medical treatment nb nb nb



d. Improved collaborative care nb nb



e. Enhanced health literacy nb nb




ANS: A , B nb nb nb



Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible p
nb nb nb nb nb nb nb nb nb nb nb nb nb



atient care. It may also lead to poor collaboration among providers and higher health care costs. It
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb n



would not directly impact patient’s health literacy.DIF: Cognitive Level: ComprehensionREF:
b nb nb nb nb nb nb nb nb nb



p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic I
nb nb nb nb nb nb nb nb nb nb nb



ntegrity: Pharmacologic and Parenteral Therapies
nb nb nb nb




4. Which aspects support the APRN’s provision for full prescriptive authority?
nb nb nb nb nb nb nb nb nb nb



Select all that apply. nb nb nb




a. Clinical education includes prescription of medications and disease processes.
nb nb nb nb nb nb nb nb



b. Federal regulations support the provision of full authority for APRNs.
nb nb nb nb nb nb nb nb nb



c. National examinations provide validation of the APRN’s ability to provide safecare.
nb nb nb nb nb nb nb nb nb nb



d. Licensure ensures compliance with health care and safetystandards.
nb nb nb nb nb nb nb nb



e. Limiting provision can decrease health care affordability.
nb nb nb nb nb nb




ANS: A , C , Dnb nb nb nb nb



APRNs are educated to practice and prescribe independently without supervision. National exam
nb nb nb nb nb nb nb nb nb nb nb



inations validate the ability to provide safe and competent care. Licensure ensures compliance wi
nb nb nb nb nb nb nb nb nb nb nb nb nb



th standards to promote public health and safety. Limited prescriptive authority creates numerous
nb nb nb nb nb nb nb nb nb nb nb nb nb



barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level: ComprehensionR
nb nb nb nb nb nb nb nb nb nb



EF: pp. 1-
nb nb



2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Inte
nb nb nb nb nb nb nb nb nb nb



grity: Pharmacologic and Parenteral Therapies
nb nb nb nb




5. Which aspects support the APRN’s provision for full prescriptive authority?
nb nb nb nb nb nb nb nb nb nb



Select all that apply. nb nb nb




a. Clinical education includes prescription of medications and disease processes.
nb nb nb nb nb nb nb nb



b. Federal regulations support the provision of full authority for APRNs.
nb nb nb nb nb nb nb nb nb



c. National examinations provide validation of the APRN’s ability to provide safecare.
nb nb nb nb nb nb nb nb nb nb



d. Licensure ensures compliance with health care and safety standards.
nb nb nb nb nb nb nb nb




ANS: A , C , Dnb nb nb nb nb



APRNs are educated to practice and prescribe independently without supervision. National exam
nb nb nb nb nb nb nb nb nb nb nb



inations validate the ability to provide safe and competent care. Licensure ensures compliance wi
nb nb nb nb nb nb nb nb nb nb nb nb nb



th standards to promote public health and safety. Limited prescriptive authority creates numerous
nb nb nb nb nb nb nb nb nb nb nb nb nb



barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
nb nb nb nb nb nb nb nb nb

, ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation n b n b n b n b n b



MSC: NCLEX Client nb nb nb



Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
nb nb nb nb nb nb nb




6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in
nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb nb



Virginia. Which aspect of practice may change for the APRN?
nb nb nb nb nb nb nb nb nb




a. The APRN will have less prescriptive authority in the new position.
nb nb nb nb nb nb nb nb nb nb



b. The APRN will have more prescriptive authority in the new position.
nb nb nb nb nb nb nb nb nb nb



c. The APRN will have equal prescriptive authority in the newposition.
nb nb nb nb nb nb nb nb nb



d. The APRN’s authority will depend on federalregulations.
nb nb nb nb nb nb




ANS: A nb



Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
nb nb nb nb nb nb nb nb nb nb nb nb nb



practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive Le
nb nb nb nb nb nb nb nb nb nb



vel: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client Nee
nb nb nb nb nb nb nb nb nb nb



ds Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
nb nb nb nb nb nb nb




Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed. Chapte
nb nb nb nb nb nb nb nb nb




r 2: Rational Drug Selection and Prescription Writing
nb nb nb nb nb nb nb




Test Bank Mult nb nb




iple Choice nb




7. How can collaboration with a pharmacist improve positive outcomes for patients?
nb nb nb nb nb nb nb nb nb nb nb



Select all that apply. nb nb nb




a. Pharmacists can suggest foods that will help with the patient’s condition.
nb nb nb nb nb nb nb nb nb nb



b. Pharmacists have additional information on drug interactions.
nb nb nb nb nb nb



c. The pharmacist can suggest adequate medication dosing.
nb nb nb nb nb nb



d. Pharmacists have firsthand knowledge of the facility formulary.
nb nb nb nb nb nb nb



e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
nb nb nb nb nb nb nb nb nb




ANS: B , C , D nb nb nb nb nb



Providers should collaborate with pharmacists because they will likely have additional information o
nb nb nb nb nb nb nb nb nb nb nb nb



n formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can m
nb nb nb nb nb nb nb nb nb nb nb nb



ake foods recommendations to treat the patient’s condition. The pharmacist can contact the presc
nb nb nb nb nb nb nb nb nb nb nb nb nb



riber about questionable prescriptions, but cannot alter the prescription without notification of an
nb nb nb nb nb nb nb nb nb nb nb nb



d approval by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing Proces
nb nb nb nb nb nb nb nb nb nb nb



s: Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Pot
nb nb nb nb nb nb nb nb nb nb nb nb



ential