Test Bank for Lehne's Pharmacotherapeutics for
Advanced Practice Nurses and Physician Assistants,
3rd Edition (2025 EDITS)
BYL AURA D. ROSENTHAL, DNP, RN, ACNP-BC, FAANP AND J ACQUELINE ROSENJACK
BURCHUM, DNSC, FNP-BC, CNE
,Unit I: Introduction
Chapter 1: Prescriptive Authority
1. A 35-year-old nurse practitioner is preparing to write a prescription for a patient
with hypertension. Which factor must she verify first before prescribing?
A. Patient’s insurance coverage
B. Prescriptive authority in her state or province
C. Availability of a generic equivalent
D. Patient’s diet and lifestyle
ANS: B
Rationale: Prescriptive authority refers to the legal ability of a healthcare
provider to prescribe medications. Clinicians must verify their scope of practice
according to state or provincial regulations before prescribing.
2. A physician assistant is reviewing their prescriptive privileges. Which resource
provides the most accurate information?
A. Drug reference guide
B. State medical or nursing board regulations
C. Hospital formulary
D. Peer-reviewed journals
ANS: B
Rationale: State or provincial regulatory boards define the scope of prescriptive
authority, including which drugs can be prescribed and any supervision
requirements.
3. A nurse practitioner prescribes an antibiotic outside their approved formulary.
Which principle is being violated?
A. Pharmacokinetics
B. Drug efficacy
C. Scope of practice
D. Patient adherence
ANS: C
Rationale: Prescribing outside one’s scope of practice violates legal and
professional regulations and may result in disciplinary action.
4. A PA is collaborating with a supervising physician when prescribing a Schedule II
controlled substance. Which requirement applies?
A. No documentation needed
B. Must follow DEA and state-specific controlled substance regulations
C. Can prescribe independently if experienced
D. Only need patient consent
, ANS: B
Rationale: Controlled substances require strict adherence to DEA and state
regulations. Collaborative oversight may be required depending on the
jurisdiction.
5. A nurse practitioner wants to expand prescriptive authority. Which action is most
appropriate?
A. Ignoring state regulations
B. Completing additional training and certification if required
C. Prescribing only OTC medications
D. Relying on hospital policy alone
ANS: B
Rationale: Expanding prescriptive authority may require additional education,
certification, or privileges granted by the state or provincial board.
6. A new PA is uncertain whether they can prescribe medications for a pediatric
patient. What should they do first?
A. Check the pediatric drug handbook
B. Consult the state prescriptive authority regulations
C. Ask a senior colleague
D. Prescribe and monitor outcomes closely
ANS: B
Rationale: Legal prescriptive authority defines which patient populations a
clinician can treat. The provider must verify this before prescribing.
7. A NP prescribes a medication using telehealth. Which factor ensures compliance
with prescriptive authority?
A. Patient location and state licensure
B. Video quality
C. Drug cost
D. Frequency of follow-up
ANS: A
Rationale: Prescribing via telehealth requires that the clinician is licensed in the
state or province where the patient is physically located.
8. A PA reviews a collaborative practice agreement. Which element is essential?
A. List of permitted drugs and conditions for prescribing
B. The PA’s salary
C. Patient insurance coverage
D. Hospital cafeteria policies
ANS: A
Rationale: Collaborative practice agreements outline the scope of practice,
including which medications the PA may prescribe and under what
circumstances.
, 9. A provider writes a prescription without proper authority. Which consequence is
most likely?
A. Improved patient outcomes
B. Legal and professional sanctions
C. Faster access to medications
D. Peer recognition
ANS: B
Rationale: Prescribing without authority is illegal and can result in license
suspension, fines, or other disciplinary action.
10. A NP prescribes an antibiotic for a patient in a remote clinic without physician
supervision. Which scenario could make this legal?
A. The NP has independent prescriptive authority in that jurisdiction
B. The NP assumes liability
C. The patient signs consent
D. The medication is over-the-counter
ANS: A
Rationale: Independent prescriptive authority allows NPs to prescribe without
physician supervision, depending on state or provincial regulations.
11. A PA is unsure whether their prescriptive authority includes controlled
substances. What is the best course of action?
A. Check DEA registration requirements and state-specific rules
B. Prescribe cautiously and monitor
C. Only prescribe non-controlled medications
D. Rely on patient request
ANS: A
Rationale: Controlled substances have strict federal and state regulations;
providers must ensure compliance before prescribing.
12. A NP is reviewing a patient’s medication list before prescribing. Which principle
aligns with prescriptive authority?
A. Prescribe only within scope and competence
B. Prescribe based on cost alone
C. Prescribe all patient requests
D. Prescribe using intuition without documentation
ANS: A
Rationale: Providers must prescribe within their scope of practice and clinical
competence, following evidence-based guidelines.
13. A PA encounters a patient requesting a medication not covered in their
collaborative agreement. Which action is correct?
A. Prescribe anyway and document later
B. Consult the supervising physician or modify the agreement
Advanced Practice Nurses and Physician Assistants,
3rd Edition (2025 EDITS)
BYL AURA D. ROSENTHAL, DNP, RN, ACNP-BC, FAANP AND J ACQUELINE ROSENJACK
BURCHUM, DNSC, FNP-BC, CNE
,Unit I: Introduction
Chapter 1: Prescriptive Authority
1. A 35-year-old nurse practitioner is preparing to write a prescription for a patient
with hypertension. Which factor must she verify first before prescribing?
A. Patient’s insurance coverage
B. Prescriptive authority in her state or province
C. Availability of a generic equivalent
D. Patient’s diet and lifestyle
ANS: B
Rationale: Prescriptive authority refers to the legal ability of a healthcare
provider to prescribe medications. Clinicians must verify their scope of practice
according to state or provincial regulations before prescribing.
2. A physician assistant is reviewing their prescriptive privileges. Which resource
provides the most accurate information?
A. Drug reference guide
B. State medical or nursing board regulations
C. Hospital formulary
D. Peer-reviewed journals
ANS: B
Rationale: State or provincial regulatory boards define the scope of prescriptive
authority, including which drugs can be prescribed and any supervision
requirements.
3. A nurse practitioner prescribes an antibiotic outside their approved formulary.
Which principle is being violated?
A. Pharmacokinetics
B. Drug efficacy
C. Scope of practice
D. Patient adherence
ANS: C
Rationale: Prescribing outside one’s scope of practice violates legal and
professional regulations and may result in disciplinary action.
4. A PA is collaborating with a supervising physician when prescribing a Schedule II
controlled substance. Which requirement applies?
A. No documentation needed
B. Must follow DEA and state-specific controlled substance regulations
C. Can prescribe independently if experienced
D. Only need patient consent
, ANS: B
Rationale: Controlled substances require strict adherence to DEA and state
regulations. Collaborative oversight may be required depending on the
jurisdiction.
5. A nurse practitioner wants to expand prescriptive authority. Which action is most
appropriate?
A. Ignoring state regulations
B. Completing additional training and certification if required
C. Prescribing only OTC medications
D. Relying on hospital policy alone
ANS: B
Rationale: Expanding prescriptive authority may require additional education,
certification, or privileges granted by the state or provincial board.
6. A new PA is uncertain whether they can prescribe medications for a pediatric
patient. What should they do first?
A. Check the pediatric drug handbook
B. Consult the state prescriptive authority regulations
C. Ask a senior colleague
D. Prescribe and monitor outcomes closely
ANS: B
Rationale: Legal prescriptive authority defines which patient populations a
clinician can treat. The provider must verify this before prescribing.
7. A NP prescribes a medication using telehealth. Which factor ensures compliance
with prescriptive authority?
A. Patient location and state licensure
B. Video quality
C. Drug cost
D. Frequency of follow-up
ANS: A
Rationale: Prescribing via telehealth requires that the clinician is licensed in the
state or province where the patient is physically located.
8. A PA reviews a collaborative practice agreement. Which element is essential?
A. List of permitted drugs and conditions for prescribing
B. The PA’s salary
C. Patient insurance coverage
D. Hospital cafeteria policies
ANS: A
Rationale: Collaborative practice agreements outline the scope of practice,
including which medications the PA may prescribe and under what
circumstances.
, 9. A provider writes a prescription without proper authority. Which consequence is
most likely?
A. Improved patient outcomes
B. Legal and professional sanctions
C. Faster access to medications
D. Peer recognition
ANS: B
Rationale: Prescribing without authority is illegal and can result in license
suspension, fines, or other disciplinary action.
10. A NP prescribes an antibiotic for a patient in a remote clinic without physician
supervision. Which scenario could make this legal?
A. The NP has independent prescriptive authority in that jurisdiction
B. The NP assumes liability
C. The patient signs consent
D. The medication is over-the-counter
ANS: A
Rationale: Independent prescriptive authority allows NPs to prescribe without
physician supervision, depending on state or provincial regulations.
11. A PA is unsure whether their prescriptive authority includes controlled
substances. What is the best course of action?
A. Check DEA registration requirements and state-specific rules
B. Prescribe cautiously and monitor
C. Only prescribe non-controlled medications
D. Rely on patient request
ANS: A
Rationale: Controlled substances have strict federal and state regulations;
providers must ensure compliance before prescribing.
12. A NP is reviewing a patient’s medication list before prescribing. Which principle
aligns with prescriptive authority?
A. Prescribe only within scope and competence
B. Prescribe based on cost alone
C. Prescribe all patient requests
D. Prescribe using intuition without documentation
ANS: A
Rationale: Providers must prescribe within their scope of practice and clinical
competence, following evidence-based guidelines.
13. A PA encounters a patient requesting a medication not covered in their
collaborative agreement. Which action is correct?
A. Prescribe anyway and document later
B. Consult the supervising physician or modify the agreement
