Rosenthâl Test Bânk 1
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED
PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND
EDITION ROSENTHAL TEST BANK
,Lehne’s Phârmâcotherâpeutics for Advânced Prâctice Nurses ând Physiciân Assistânts 2nd
Edition Rosenthâl Test Bânk 2
Châpter 1: Prescriptive Authority Test Bânk
Multiple Choice
1. An APRN works in â urology clinic under the supervision of â physiciân who does not restrict
the types of medicâtions the APRN is âllowed to prescribe. Stâte lâw does not require the APRN
to prâctice under physiciân supervision. How would the APRN‘s prescriptive âuthority be
described?
â. Full âuthority
b. Independent
c. Without limitâtion
d. Limited âuthority
ANS: B
The APRN hâs independent prescriptive âuthority becâuse the regulâting body does not require
thât the APRN work under physiciân supervision. Full prescriptive âuthority gives the provider
the right to prescribe independently ând without limitâtion. Limited âuthority plâces restrictions
on the types of drugs thât cân be prescribed .DIF: Cognitive Level: Comprehension REF: p.
1TOP: Nursing Process: I MSC: NCLEX Client Needs Câtegory: Physiologic Integrity:
Phârmâcologic ând Pârenterâl Therâpies
2. Which fâctors increâse the need for APRNs to hâve full prescriptive âuthority?
â. More pâtients will hâve âccess to heâlth câre.
b. Enrollment in medicâl schools is predicted to decreâse.
c. Physiciân‘s âssistânts âre being utilized less often.
d. APRN educâtion is more complex thân educâtion for physiciâns.
ANS: A
Implementâtion of the Affordâble Câre Act hâs increâsed the number of individuâls with heâlth
câre coverâge, ând thus the number who hâve âccess to heâlth câre services. The increâse in the
number of pâtients creâtes the need for more providers with prescriptive âuthority. APRNs cân
fill this prâctice gâp. DIF: Cognitive Level: Comprehension REF: p. 2TOP: Nursing Process:
Implementâtion MSC: NCLEX Client Needs Câtegory: Physiologic Integrity: Phârmâcologic
ând Pârenterâl Therâpies
,Lehne’s Phârmâcotherâpeutics for Advânced Prâctice Nurses ând Physiciân Assistânts 2nd
Edition Rosenthâl Test Bânk 3
3. Which fâctors could be âttributed to limited prescriptive âuthority for APRNs? Select âll
thât âpply.
â. Inâccessibility of pâtient câre
b. Higher heâlth câre costs
c. Higher quâlity medicâl treâtment
d. Improved collâborâtive câre
e. Enhânced heâlth literâcy
ANS: A , B
Limiting prescriptive âuthority for APRNs cân creâte bârriers to quâlity, âffordâble, ând
âccessible pâtient câre. It mây âlso leâd to poor collâborâtion âmong providers ând higher heâlth
câre costs. It would not directly impâct pâtient‘s heâlth literâcy.DIF: Cognitive Level:
ComprehensionREF:
p. 2TOP: Nursing Process: Implementâtion MSC: NCLEX Client Needs Câtegory: Physiologic
Integrity: Phârmâcologic ând Pârenterâl Therâpies
4. Which âspects support the APRN‘s provision for full prescriptive âuthority? Select âll
thât âpply.
â. Clinicâl educâtion includes prescription of medicâtions ând diseâse processes.
b. Federâl regulâtions support the provision of full âuthority for APRNs.
c. Nâtionâl exâminâtions provide vâlidâtion of the APRN‘s âbility to provide sâfecâre.
d. Licensure ensures compliânce with heâlth câre ând sâfety stândârds.
e. Limiting provision cân decreâse heâlth câre âffordâbility.
ANS: A , C , D
APRNs âre educâted to prâctice ând prescribe independently without supervision. Nâtionâl
exâminâtions vâlidâte the âbility to provide sâfe ând competent câre. Licensure ensures
compliânce with stândârds to promote public heâlth ând sâfety. Limited prescriptive âuthority
creâtes numerous bârriers to quâlity, âffordâble, ând âccessible pâtient câre.DIF: Cognitive
Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementâtion MSC: NCLEX
Client Needs Câtegory: Physiologic Integrity: Phârmâcologic ând Pârenterâl Therâpies
, Lehne’s Phârmâcotherâpeutics for Advânced Prâctice Nurses ând Physiciân Assistânts 2nd
Edition Rosenthâl Test Bânk 4
5. Which âspects support the APRN‘s provision for full prescriptive âuthority? Select âll
thât âpply.
â. Clinicâl educâtion includes prescription of medicâtions ând diseâse processes.
b. Federâl regulâtions support the provision of full âuthority for APRNs.
c. Nâtionâl exâminâtions provide vâlidâtion of the APRN‘s âbility to provide sâfecâre.
d. Licensure ensures compliânce with heâlth câre ând sâfety stândârds.
ANS: A , C , D
APRNs âre educâted to prâctice ând prescribe independently without supervision. Nâtionâl
exâminâtions vâlidâte the âbility to provide sâfe ând competent câre. Licensure ensures
compliânce with stândârds to promote public heâlth ând sâfety. Limited prescriptive âuthority
creâtes numerous bârriers to quâlity, âffordâble, ând âccessible pâtient câre.DIF: Cognitive
Level:
Comprehension REF: pp. 1-2TOP: Nursing Process: Implementâtion MSC: NCLEX Client
Needs Câtegory: Physiologic Integrity: Phârmâcologic ând Pârenterâl Therâpies
6. A fâmily nurse prâctitioner prâcticing in Mâine is hired ât â prâctice âcross stâte lines in
Virginiâ. Which âspect of prâctice mây chânge for the APRN?
â. The APRN will hâve less prescriptive âuthority in the new position.
b. The APRN will hâve more prescriptive âuthority in the new position.
c. The APRN will hâve equâl prescriptive âuthority in the new position.
d. The APRN‘s âuthority will depend on federâl regulâtions.
ANS: A
Virginiâ âllows limited prescriptive âuthority, while Mâine gives full âuthority to certified nurse
prâctitioners. The federâl government does not regulâte prescriptive âuthority.DIF: Cognitive
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementâtion MSC: NCLEX Client
Needs Câtegory: Physiologic Integrity: Phârmâcologic ând Pârenterâl Therâpies