NR 565 ADVANCED PHARMACOLOGY
MIDTERM EXAM QUESTIONS WITH
CORRECT VERIFIED ANSWERS LATEST
UPDATE
What is the purpose of the Genetic Information Non-Discriminatory Act? -
ANS✔✔--- Protects patients from discrimination by employers and insurance
providers based on genetic information
Difference between practice authority and prescriptive authority? - ANS✔✔---
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? - ANS✔✔---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? - ANS✔✔---is determined by state
practice and licensure laws.
What is full practice authority? - ANS✔✔---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.
Page 1 of 35
,What is reduced practice authority? - ANS✔✔---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? - ANS✔✔---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? - ANS✔✔---Prescriber Contact info
Prescribers name
NPI
DEA
Patient name
DOB
Date
Allergies
Medication name
Strength
Quantity
Indication for use
Direction for use
Refills
Signature
Page 2 of 35
,What are some potential problems that arise with written prescriptions? -
ANS✔✔--- 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 - ANS✔✔---determining therapeutic
dosage evaluating medication adequacy identifying adverse effects serious or
life-threatening risks.
During what trimester is a pregnant woman most at risk for adverse drug
reactions with potential long term consequences? - ANS✔✔---1st trimester
(fetus most at risk d/t rapid growth)
What is BEERS criteria? - ANS✔✔---Recommendations of medications
inappropriate for elderly (65 and older), prescriber ultimately decides
CYP450 inducers - ANS✔✔---Speed up metabolism of drugs (drug is cleared
faster), drug has lesser effect (decrease blood levels of drug), elevate CYP450
enzymes
CYP450 inducers pneumonic - ANS✔✔---"Bullshit Crap GPS INDUCES rage"
Page 3 of 35
, What is the CYP450 (cytochrome P450) - ANS✔✔---liver enzyme system
where medications are metabolized, can either be inducers or inhibitors and
create drug-drug interactions
CYP450 inducer drug names - ANS✔✔---Barbituates, St John wort,
Carbamazepine, rifampin, alcohol, phenytoin, griseofulvin, phenobarbital,
sulfonylureas
CYP450 inhibitors - ANS✔✔---inhibit metabolism, increase blood levels of
medications
CYP450 pneumonic - ANS✔✔---"VISA credit card debt INHIBITS spending
on designers like CK to look GQ"
CYP450 inhibitors drug names - ANS✔✔---Valproate, isoniazid, sulfonamides,
amiodarone, chloramphenicol, ketoconazole, grapefruit juice, quinidine
Physiological changes during pregnancy that impact pharmacodynamics and
pharmacokinetic properties of drugs? - ANS✔✔---increase glomerular filtration
rate leads to increase durg excretion increase hepatic metabolism decrease tone
and motility of bowel increase drug absorption
Examples of medications that can be teratogenic - ANS✔✔---Antiepileptic
drugs, antimicrobials such as tetracyclines and fluoroquinolones, vitamin A in
large doses, some anticoagulants, and hormonal medications such as
diethylstilbestrol (DES).
How is absorption of intramuscular medications different in neonates? -
ANS✔✔---slow and erratic due to low blood flow in muscles first few days of
life
Why is absorption of medication in the stomach increased in infancy? -
ANS✔✔--- delayed gastric emptying
Page 4 of 35
MIDTERM EXAM QUESTIONS WITH
CORRECT VERIFIED ANSWERS LATEST
UPDATE
What is the purpose of the Genetic Information Non-Discriminatory Act? -
ANS✔✔--- Protects patients from discrimination by employers and insurance
providers based on genetic information
Difference between practice authority and prescriptive authority? - ANS✔✔---
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? - ANS✔✔---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? - ANS✔✔---is determined by state
practice and licensure laws.
What is full practice authority? - ANS✔✔---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.
Page 1 of 35
,What is reduced practice authority? - ANS✔✔---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? - ANS✔✔---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? - ANS✔✔---Prescriber Contact info
Prescribers name
NPI
DEA
Patient name
DOB
Date
Allergies
Medication name
Strength
Quantity
Indication for use
Direction for use
Refills
Signature
Page 2 of 35
,What are some potential problems that arise with written prescriptions? -
ANS✔✔--- 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 - ANS✔✔---determining therapeutic
dosage evaluating medication adequacy identifying adverse effects serious or
life-threatening risks.
During what trimester is a pregnant woman most at risk for adverse drug
reactions with potential long term consequences? - ANS✔✔---1st trimester
(fetus most at risk d/t rapid growth)
What is BEERS criteria? - ANS✔✔---Recommendations of medications
inappropriate for elderly (65 and older), prescriber ultimately decides
CYP450 inducers - ANS✔✔---Speed up metabolism of drugs (drug is cleared
faster), drug has lesser effect (decrease blood levels of drug), elevate CYP450
enzymes
CYP450 inducers pneumonic - ANS✔✔---"Bullshit Crap GPS INDUCES rage"
Page 3 of 35
, What is the CYP450 (cytochrome P450) - ANS✔✔---liver enzyme system
where medications are metabolized, can either be inducers or inhibitors and
create drug-drug interactions
CYP450 inducer drug names - ANS✔✔---Barbituates, St John wort,
Carbamazepine, rifampin, alcohol, phenytoin, griseofulvin, phenobarbital,
sulfonylureas
CYP450 inhibitors - ANS✔✔---inhibit metabolism, increase blood levels of
medications
CYP450 pneumonic - ANS✔✔---"VISA credit card debt INHIBITS spending
on designers like CK to look GQ"
CYP450 inhibitors drug names - ANS✔✔---Valproate, isoniazid, sulfonamides,
amiodarone, chloramphenicol, ketoconazole, grapefruit juice, quinidine
Physiological changes during pregnancy that impact pharmacodynamics and
pharmacokinetic properties of drugs? - ANS✔✔---increase glomerular filtration
rate leads to increase durg excretion increase hepatic metabolism decrease tone
and motility of bowel increase drug absorption
Examples of medications that can be teratogenic - ANS✔✔---Antiepileptic
drugs, antimicrobials such as tetracyclines and fluoroquinolones, vitamin A in
large doses, some anticoagulants, and hormonal medications such as
diethylstilbestrol (DES).
How is absorption of intramuscular medications different in neonates? -
ANS✔✔---slow and erratic due to low blood flow in muscles first few days of
life
Why is absorption of medication in the stomach increased in infancy? -
ANS✔✔--- delayed gastric emptying
Page 4 of 35
