NURS 5304 ADVANCED PHARMACOLOGY
FINAL PAPER 2026 QUESTIONS WITH
COMPLETE SOLUTIONS GRADED A+
◉ What is full practice authority? Answer: 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.
◉ What is reduced practice authority? Answer: Nurse practitioners
are limited in at least one element of practice. The state requires a
formal collaborative agreement with an outside health discipline for
the nurse practitioner to provide patient care. ex/ physician
involvement for 5 yrs than independent
◉ What is restricted practice authority? Answer: Nurse practitioners
are limited in at least one element of practice by requiring
supervision, delegation, or team management by an outside health
discipline for the nurse practitioner to provide patient care.-
typically doctor on site
◉ What are components of Rx? Answer: Prescriber Contact info
Prescribers name
NPI
,DEA
Patient name
DOB
Date
Allergies
Medication name
Strength
Quantity
Indication for use
Direction for use
Refills
Signature
◉ What are some potential problems that arise with written
prescriptions? Answer: Must contain all elements
May have pre-populated information
Write legibly
Avoid error prone abbreviations
Tamper resistant scripts are often required
◉ Reasons for monitoring drug therapy Answer: determining
therapeutic dosage
,evaluating medication adequacy
identifying adverse effects
serious or life-threatening risks.
◉ Which schedules of drugs can APRNs prescribe? Answer: depends
on state - most II-V
◉ How does limited prescriptive authority impact patients within
the healthcare system? Answer: longer wait times to sign a
prescription
limits practitioners that are needed in rural areas
unequal relationships between providers. Ex. one has more power
high need for providers due to lack of providers and high amounts of
patients.
Independent practitioners= more patients being seen= lessens the
patient/provider load
◉ Provider key responsibilities when prescribing? Answer: safe and
competent practice
understanding of the drugs, reactions, and pharmacology
Be aware of the age group you are prescribing to
Ex. Children vs older adults
, ◉ What should be used to make prescribing decisions? Answer:
documented provider-patient relationship, not prescribing for
family or friends, documenting a thorough H&P, including
discussions with the patient, drug monitoring/titrating.
cost, guidelines, availability, interactions, side effects, allergies,
hepatic and renal function, need for monitoring, and special
populations
◉ What happens when someone has a poor metabolism phenotype?
Answer: medications metabolized slower, medication might not
work or put them at risk for side-effects
◉ What does the US food and drug administration regulate when it
comes to medications? Answer: Whether the drug is safe, effective,
and benefits of a drug outweigh the risks
◉ reasons for medication non-adherence Answer: patients never
filling/refilling prescriptions (resulting in therapeutic failure)
multiple chronic disorders
multiple prescription medications
multiple doses per day for each medication
drug packaging that is difficult to open
multiple prescribers
changes in the regimen (adding meds, changes in dose or timing)
FINAL PAPER 2026 QUESTIONS WITH
COMPLETE SOLUTIONS GRADED A+
◉ What is full practice authority? Answer: 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.
◉ What is reduced practice authority? Answer: Nurse practitioners
are limited in at least one element of practice. The state requires a
formal collaborative agreement with an outside health discipline for
the nurse practitioner to provide patient care. ex/ physician
involvement for 5 yrs than independent
◉ What is restricted practice authority? Answer: Nurse practitioners
are limited in at least one element of practice by requiring
supervision, delegation, or team management by an outside health
discipline for the nurse practitioner to provide patient care.-
typically doctor on site
◉ What are components of Rx? Answer: Prescriber Contact info
Prescribers name
NPI
,DEA
Patient name
DOB
Date
Allergies
Medication name
Strength
Quantity
Indication for use
Direction for use
Refills
Signature
◉ What are some potential problems that arise with written
prescriptions? Answer: Must contain all elements
May have pre-populated information
Write legibly
Avoid error prone abbreviations
Tamper resistant scripts are often required
◉ Reasons for monitoring drug therapy Answer: determining
therapeutic dosage
,evaluating medication adequacy
identifying adverse effects
serious or life-threatening risks.
◉ Which schedules of drugs can APRNs prescribe? Answer: depends
on state - most II-V
◉ How does limited prescriptive authority impact patients within
the healthcare system? Answer: longer wait times to sign a
prescription
limits practitioners that are needed in rural areas
unequal relationships between providers. Ex. one has more power
high need for providers due to lack of providers and high amounts of
patients.
Independent practitioners= more patients being seen= lessens the
patient/provider load
◉ Provider key responsibilities when prescribing? Answer: safe and
competent practice
understanding of the drugs, reactions, and pharmacology
Be aware of the age group you are prescribing to
Ex. Children vs older adults
, ◉ What should be used to make prescribing decisions? Answer:
documented provider-patient relationship, not prescribing for
family or friends, documenting a thorough H&P, including
discussions with the patient, drug monitoring/titrating.
cost, guidelines, availability, interactions, side effects, allergies,
hepatic and renal function, need for monitoring, and special
populations
◉ What happens when someone has a poor metabolism phenotype?
Answer: medications metabolized slower, medication might not
work or put them at risk for side-effects
◉ What does the US food and drug administration regulate when it
comes to medications? Answer: Whether the drug is safe, effective,
and benefits of a drug outweigh the risks
◉ reasons for medication non-adherence Answer: patients never
filling/refilling prescriptions (resulting in therapeutic failure)
multiple chronic disorders
multiple prescription medications
multiple doses per day for each medication
drug packaging that is difficult to open
multiple prescribers
changes in the regimen (adding meds, changes in dose or timing)
