Pharmacology Nursing Test Bank Lehnes
Pharmacotherapeutics for Advanced Practice Nurses
and Physician Assistants 2nd Edition.
LEHNE’S |PHARMACOTHERAPEUTICS |FOR |ADVANCED |PRACTICE |NURSES |AND
PHYSICIAN |ASSISTANTS |2ND |EDITION |ROSENTHAL |TEST |BANK
Chapter |1: |Prescriptive |Authority
Test |Bank
|
Multiple |Choice
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
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
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
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
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
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
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 |safecare.
d. Licensure |ensures |compliance |with |health |care |and | safety|standards.
e. 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
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 |safecare.
d. 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
6. A |family |nurse |practitioner |practicing |in |Maine |is |hired |at |a |practice |across |state |lines |in
|Virginia. | Which |aspect | of |practice | may |change | for |the | APRN?
a. The |APRN |will |have |less |prescriptive |authority |in |the |new | position.
b. The |APRN |will |have |more |prescriptive |authority |in |the |new|position.
c. The |APRN |will |have |equal |prescriptive |authority |in |the |newposition.
d. 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
Rosenthal: |Lehne's |Pharmacotherapeutics |for |Advanced |Practice |Providers, |2nd |Ed.
Chapter |2: |Rational |Drug |Selection |and |Prescription |Writing
|
Test |Bank
Multiple |Choice
|
7. How |can |collaboration |with |a |pharmacist |improve |positive |outcomes |for |patients?
|Select | all |that | apply.
a. Pharmacists |can |suggest |foods |that |will |help |with |the |patient’s |condition.
b. Pharmacists |have |additional |information |on |drug |interactions.
c. The |pharmacist |can |suggest |adequate |medication | dosing.
d. Pharmacists |have |firsthand |knowledge |of |the |facility |formulary.
e. 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
Pharmacotherapeutics for Advanced Practice Nurses
and Physician Assistants 2nd Edition.
LEHNE’S |PHARMACOTHERAPEUTICS |FOR |ADVANCED |PRACTICE |NURSES |AND
PHYSICIAN |ASSISTANTS |2ND |EDITION |ROSENTHAL |TEST |BANK
Chapter |1: |Prescriptive |Authority
Test |Bank
|
Multiple |Choice
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
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
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
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
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
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
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 |safecare.
d. Licensure |ensures |compliance |with |health |care |and | safety|standards.
e. 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
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 |safecare.
d. 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
6. A |family |nurse |practitioner |practicing |in |Maine |is |hired |at |a |practice |across |state |lines |in
|Virginia. | Which |aspect | of |practice | may |change | for |the | APRN?
a. The |APRN |will |have |less |prescriptive |authority |in |the |new | position.
b. The |APRN |will |have |more |prescriptive |authority |in |the |new|position.
c. The |APRN |will |have |equal |prescriptive |authority |in |the |newposition.
d. 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
Rosenthal: |Lehne's |Pharmacotherapeutics |for |Advanced |Practice |Providers, |2nd |Ed.
Chapter |2: |Rational |Drug |Selection |and |Prescription |Writing
|
Test |Bank
Multiple |Choice
|
7. How |can |collaboration |with |a |pharmacist |improve |positive |outcomes |for |patients?
|Select | all |that | apply.
a. Pharmacists |can |suggest |foods |that |will |help |with |the |patient’s |condition.
b. Pharmacists |have |additional |information |on |drug |interactions.
c. The |pharmacist |can |suggest |adequate |medication | dosing.
d. Pharmacists |have |firsthand |knowledge |of |the |facility |formulary.
e. 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
