ROSENTHAL: LEHNE'S
PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES
AND PHYSICIAN ASSISTANTS
EXAM AND ITS COMPLETE ANSWERS
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
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
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
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
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:
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 new position.
D. The APRN's authority will depend on federal
regulations.
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
How can collaboration with a pharmacist improve
positive outcomes for patients? Select all that apply.
PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES
AND PHYSICIAN ASSISTANTS
EXAM AND ITS COMPLETE ANSWERS
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
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
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
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
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:
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 new position.
D. The APRN's authority will depend on federal
regulations.
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
How can collaboration with a pharmacist improve
positive outcomes for patients? Select all that apply.
