NR 565 Advanced Pharmacology Fundamentals Midterm Exam Study Guide 100% Guarantee Pass 2026 UPDATE

NR 565 Advanced Pharmacology Fundamentals Midterm Exam
Study Guide
100% Guarantee Pass \2026 UPDATE



1. What schedule drugs can APRNs prescribe?
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ANS>>
It depends on the governing
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body in each state. In AZ there are no restrictions on APRN prescribing by schedule.
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2. Who determines and regulates prescriptive authority?
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ANS>>
AZ - State Board of Nursing
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3. How does limited prescriptive authority impact patients within the
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health- care system?
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ANS>>
Creates numerous barriers to quality affordable and acessible patient care.
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, 4. What are the key responsibilities of prescribing?
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ANS>>
1. Be prudent and deliberate in your decision-making process
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2. Have a documented provider-patient relationship with the person for
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whom you are prescribing
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3. Do not prescribe medications for family or friends or for yourself
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4. Document a thorough history and physical examination in your records
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5. Include any discussions you have with the patient regarding risk
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n, factors, side effects, or therapy options
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5. Have a documented plan regarding drug monitoring or titration, if applicable.
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5. What should be used to make prescribing decisions?
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ANS>>

Cost, availability, cur- rent practice guidelines, medication interactions with
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n, food side effects need for monitoring how drug is metabolized. special
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populations. ask if prescriptions are cost prohibitive.
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6. Be familiar with pharmacokinetic and pharmacodynamic changes of
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older adults and how that would translate to baseline information
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n, needed to pre- scribe. n, n, n,





,ANS>>
Older adults often metabolize drugs more slowly. Dosages may need to be
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n, adjusted to accommodate age related changes in GI system, liver function,
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kidney function, etc.
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7. What is the BEERS criteria? n, n, n, n,




ANS>>
lists potentially inappropriate drugs that lead to adverse effects in the elderly
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8. why is the BEERS criteria important?
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ANS>>
It provides a list of medications that are potentially harmful in elderly. List
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n, that identifies drugs with a high likelihood of causing adverse effects in
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older adults. Beers Criteria are recommendations;
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ultimately prescribers must determine whether a medication is appropriate for
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use or not. These guidelines are not intended to limit the use of medications or
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n, apply to all older adults. Safe and judicious prescribing is crucial in the older
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adult to optimize pharmacotherapy.
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9. Impacts/outcomes of polypharmacy n, n,




ANS>>


, - drug interactions with mild side effects to life-threatening consequences
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10. CYP450 inhibitors n,




ANS>>
inhibit metabolism, increase blood levels of medications
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11. CYP450 inhibitors mnemonic ^ drug levels
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ANS>>
CRACK AMIGOS n,




Cimetidine

n, Ritonavir

n, Amiodarone

n, Ciprofloxacin

n, Ketoconazole

n, Acute Alcohol Use
n, n,




n, Macrolides

n, Isoniazid

n, Grapefruit Juice n,




n, Omeprazole

n, Sulfonamides

12. CYP450 inducers mnemonicn, n,