NR565 Midterm Study Guide
NR565 MIDTERM EXAM STUDY NOTES:
PRESCRIBING AND PATIENT CARE INSIGHTS | 2026
ACCURATE QUESTIONS AND VERIFIED ANSWERS ~
CHAMBERLAIN UNIVERSITY.
Be familiar with the interactive activities throughout course modules. You could see
variations of those same questions on your exams.
Week 1
• Which schedule drugs can APRNs prescribe? II-IV depending on which state.
• Who determines and regulates prescriptive authority?
The extent to which they can accomplish this as an autonomous practice component is
determined by legislation that varies depending on professional licensure, physician
affiliation requirements, and state laws.
• How does limited prescriptive authority impact patients within the healthcare system?
Limited prescriptive authority creates numerous barriers to quality, affordable, and
accessible patient care. For example, restrictions on the distance of the APRN or PA
from the physician providing supervision or collaboration may prevent outreach to areas
of greatest need. A requirement to obtain the physician's cosignature on prescriptions
can increase patient waits. Despite the use of terms such as collaborative arrangement,
these relationships create a situation in which one partner holds the power. In the event
of dissolution of the arrangement, the ultimate loss is commonly assumed by the
advanced practice provider rather than the physician.
• What are the key responsibilities of prescribing?
• What should be used to make prescribing decisions?
Prescription writing requires prudent and deliberate decision-making processes to maintain patient
safety and reduce liability, including:
• documentation of a provider-patient relationship for the recipient of the prescribed medications
• documentation of a thorough history and physical examination for the recipient
• documentation of discussions regarding risk factors, side effects, or therapy options
• documentation of drug monitoring or titration plan, if applicable
• documentation of consultations, if any
• avoidance of prescribing medications for self, family, or friends
• Be familiar with pharmacokinetic and pharmacodynamic changes of older adults and
how that would translate to baseline information needed to prescribe.
Absorption of Drugs
Increased gastric pH, Decreased absorptive surface area, Decreased splanchnic blood
flow, Decreased gastrointestinal motility, Delayed gastric emptying
Distribution of Drugs
Increased body fat, Decreased lean body mass, Decreased total body water, Decreased
, NR565 Midterm Study Guide
serum albumin, Decreased cardiac output
Metabolism of Drugs
Decreased hepatic blood flow, Decreased hepatic mass, Decreased activity of hepatic
enzymes
NR565 MIDTERM EXAM STUDY NOTES:
PRESCRIBING AND PATIENT CARE INSIGHTS | 2026
ACCURATE QUESTIONS AND VERIFIED ANSWERS ~
CHAMBERLAIN UNIVERSITY.
Be familiar with the interactive activities throughout course modules. You could see
variations of those same questions on your exams.
Week 1
• Which schedule drugs can APRNs prescribe? II-IV depending on which state.
• Who determines and regulates prescriptive authority?
The extent to which they can accomplish this as an autonomous practice component is
determined by legislation that varies depending on professional licensure, physician
affiliation requirements, and state laws.
• How does limited prescriptive authority impact patients within the healthcare system?
Limited prescriptive authority creates numerous barriers to quality, affordable, and
accessible patient care. For example, restrictions on the distance of the APRN or PA
from the physician providing supervision or collaboration may prevent outreach to areas
of greatest need. A requirement to obtain the physician's cosignature on prescriptions
can increase patient waits. Despite the use of terms such as collaborative arrangement,
these relationships create a situation in which one partner holds the power. In the event
of dissolution of the arrangement, the ultimate loss is commonly assumed by the
advanced practice provider rather than the physician.
• What are the key responsibilities of prescribing?
• What should be used to make prescribing decisions?
Prescription writing requires prudent and deliberate decision-making processes to maintain patient
safety and reduce liability, including:
• documentation of a provider-patient relationship for the recipient of the prescribed medications
• documentation of a thorough history and physical examination for the recipient
• documentation of discussions regarding risk factors, side effects, or therapy options
• documentation of drug monitoring or titration plan, if applicable
• documentation of consultations, if any
• avoidance of prescribing medications for self, family, or friends
• Be familiar with pharmacokinetic and pharmacodynamic changes of older adults and
how that would translate to baseline information needed to prescribe.
Absorption of Drugs
Increased gastric pH, Decreased absorptive surface area, Decreased splanchnic blood
flow, Decreased gastrointestinal motility, Delayed gastric emptying
Distribution of Drugs
Increased body fat, Decreased lean body mass, Decreased total body water, Decreased
, NR565 Midterm Study Guide
serum albumin, Decreased cardiac output
Metabolism of Drugs
Decreased hepatic blood flow, Decreased hepatic mass, Decreased activity of hepatic
enzymes
