NR 565 - advanced pharmacology midterm –
Chamberlain University-Illinois Fundamentals Final Exam
- Chamberlain (Latest 2026-2027 ): Actual Questions
with Verified Answers
What are some things that put the elderly patient at higher risk for
adverse drug reactions?
reduced renal function
polypharmacy (the use of five or more medications
daily) greater severity of illness
presence of comorbidities
use of drugs that have a low therapeutic index (e.g., digoxin)
increased individual variation secondary to altered
pharmacokinetics inadequate supervision of long-term
therapy
poor patient adherence
,How can healthcare providers decrease likelihood of an elderly patient
experiencing an adverse drug reaction?
obtaining a thorough drug history that includes over-the-counter
medications considering pharmacokinetic and pharmacodynamics
changes due to age
monitoring the patient's clinical response and plasma drug
levels using the simplest regimen possible
monitoring for drug-drug interactions and iatrogenic
illness periodically reviewing the need for continued
drug therapy encouraging the patient to dispose of
old medications
taking steps to promote adherence and to avoid drugs on the Beers list
How can we promote medication adherence with elderly patients?
simplifying drug regimens
providing clear and concise verbal and written instructions using an
appropriate dosage form
clearly labeling and dispensing easy-to-open containers developing
daily reminders
monitoring frequently affordability of drugs support systems
,Why do nitrates need to be taken no later than 4 PM?
Need nitrate free interval so tolerance doesn't develop
Nine factors that impact outcome of medication?
Gender and race
Genetics and pharmacogenomics
Variability in absorption
placebo effect
Tolerance
patho
age
bodyweight
Do you need informed consent for genetic testing?
yes
What is the purpose of the Genetic Information Non-Discriminatory Act?
Protects patients from discrimination by employers and insurance
providers based on genetic information
, Difference between practice authority and prescriptive authority?
Practice authority refers to the nurse practitioner's ability to practice
without physician oversight, whereas prescriptive authority refers to the
nurse
practitioner's authority to prescribe medications independently and
without limitations.
Who regulates prescriptive authority?
the jurisdiction of a health professional board. This may be the State
Board of Nursing, the State Board of Medicine, or the State Board of
Pharmacy, as
determined by each state.
What is scope of practice determined by?
is determined by state practice and licensure laws.
What is full practice authority?
Nurse practitioners have the autonomy to evaluate patients, diagnose,
order and interpret tests, initiate and manage treatments and prescribe
medications,
including controlled substances without physician oversight.
Chamberlain University-Illinois Fundamentals Final Exam
- Chamberlain (Latest 2026-2027 ): Actual Questions
with Verified Answers
What are some things that put the elderly patient at higher risk for
adverse drug reactions?
reduced renal function
polypharmacy (the use of five or more medications
daily) greater severity of illness
presence of comorbidities
use of drugs that have a low therapeutic index (e.g., digoxin)
increased individual variation secondary to altered
pharmacokinetics inadequate supervision of long-term
therapy
poor patient adherence
,How can healthcare providers decrease likelihood of an elderly patient
experiencing an adverse drug reaction?
obtaining a thorough drug history that includes over-the-counter
medications considering pharmacokinetic and pharmacodynamics
changes due to age
monitoring the patient's clinical response and plasma drug
levels using the simplest regimen possible
monitoring for drug-drug interactions and iatrogenic
illness periodically reviewing the need for continued
drug therapy encouraging the patient to dispose of
old medications
taking steps to promote adherence and to avoid drugs on the Beers list
How can we promote medication adherence with elderly patients?
simplifying drug regimens
providing clear and concise verbal and written instructions using an
appropriate dosage form
clearly labeling and dispensing easy-to-open containers developing
daily reminders
monitoring frequently affordability of drugs support systems
,Why do nitrates need to be taken no later than 4 PM?
Need nitrate free interval so tolerance doesn't develop
Nine factors that impact outcome of medication?
Gender and race
Genetics and pharmacogenomics
Variability in absorption
placebo effect
Tolerance
patho
age
bodyweight
Do you need informed consent for genetic testing?
yes
What is the purpose of the Genetic Information Non-Discriminatory Act?
Protects patients from discrimination by employers and insurance
providers based on genetic information
, Difference between practice authority and prescriptive authority?
Practice authority refers to the nurse practitioner's ability to practice
without physician oversight, whereas prescriptive authority refers to the
nurse
practitioner's authority to prescribe medications independently and
without limitations.
Who regulates prescriptive authority?
the jurisdiction of a health professional board. This may be the State
Board of Nursing, the State Board of Medicine, or the State Board of
Pharmacy, as
determined by each state.
What is scope of practice determined by?
is determined by state practice and licensure laws.
What is full practice authority?
Nurse practitioners have the autonomy to evaluate patients, diagnose,
order and interpret tests, initiate and manage treatments and prescribe
medications,
including controlled substances without physician oversight.
