NURS 6521 - Advanced Pharmacology Midterm
Practice Exam Guide 2026
1. What are the two components of prescriptive author- The right to prescribe in-
ity dependently
And the right to pre-
scribewithout limitation
2. The regulation for prescriptive Authority comes from The State Board of Nurs-
ing
The State Board of Medi-
cine
State Board of Pharmacy
3. What is the most importantfunction to evaluate when Hepatic and renal function
prescribing a medication
4. What must you pay attention to when performing a 1. Is this a newer medica-
refill tion for a patient
2. changing the dose of
frequency
3. am I adding new medi-
cines to their regimen
4. is this patient having
undesired ettects
5. How long has it been
since I've seen the pa-
tient
6. Is this a Schedule II
medication
*If the answer to any
of these questions is yes
consider a shorter time
period for a refill (one to
three months)
, NURS 6521 - Advanced Pharmacology Midterm
Practice Exam Guide 2026
5. What should be included in the teaching for drug What test is needed
monitoring When is test required
Where will testing take
place
Why is testing necessary
How does the patient pre-
pare for testing
6. What periodic Laboratory Testing is needed with Ace Potassium/ creatinine
and ARB These drugs can cause hy-
perkalemia
Renal perfusion is depen-
dent on Angiotensin in
some patients increased
creatinine may require a
change in medication
7. What LaboratoryTesting is required with amiodarone Liver function, thyroid
function, pulmonary func-
tion and chest x-rays
Hepatoxicity is an adverse
ettect
Either hypo or hyperthy-
roidism may occur
Pulmonary toxicity is not
uncommon, attects maybe
permanent
8. What Laboratory Testing is required with anticonvul- Serum drug levels-some
sants have a very narrow thera-
peutic index
,9. What Laboratory Testing is required with lithium CBC, lithium level, thyroid
function, renal function,
serum electrolytes
This drug has a narrow
therapeutic margin,
lithium can cause leuko-
cyte elevation
Both hypo and hyperthy-
roidism may occur
Renal damage is a serious
adverse ettect
Nephrogenic diabetes in-
sipidus May occur, and
hyponatremia can create
complications
10. What are the four basic pharmacokinetic processes absorption, distribution,
metabolism, excretion
11. What is the combination of metabolism and excretion Elimination
called
12. What determines the concentration of a drug at its site The four pharmacokinetic
of action processes acting in con-
cert
13. What are the three ways for drugs to cross the cell Passage through channels
membrane or pores
Passage with the aid of a
, transport system
Direct penetration of the
membrane
Of all three direct penetra-
tion of the membrane is
most common
14. What is an example of a drug that can pass through a Sodium or potassium
Channel or poor
15. What are common drug transporters Pgp- P - glycoprotein
16. What is the general rule in chemistry dissolve like Membranes
are composed primarily of
lipids-therefore to direct-
ly penetrate membranes a
drug must be lipid soluble
or lipophilic
17. What is a kind of moleculethat is not lipid soluble and Polar molecules and ions
therefore cannot penetrate membranes
18. What is a polar molecule? a molecule in which the
charges are unevenly dis-
tributed
Example is water
19. What are ions Charged particles that
have a net electrical
charge
determined by the pH
of the surrounding medi-
Practice Exam Guide 2026
1. What are the two components of prescriptive author- The right to prescribe in-
ity dependently
And the right to pre-
scribewithout limitation
2. The regulation for prescriptive Authority comes from The State Board of Nurs-
ing
The State Board of Medi-
cine
State Board of Pharmacy
3. What is the most importantfunction to evaluate when Hepatic and renal function
prescribing a medication
4. What must you pay attention to when performing a 1. Is this a newer medica-
refill tion for a patient
2. changing the dose of
frequency
3. am I adding new medi-
cines to their regimen
4. is this patient having
undesired ettects
5. How long has it been
since I've seen the pa-
tient
6. Is this a Schedule II
medication
*If the answer to any
of these questions is yes
consider a shorter time
period for a refill (one to
three months)
, NURS 6521 - Advanced Pharmacology Midterm
Practice Exam Guide 2026
5. What should be included in the teaching for drug What test is needed
monitoring When is test required
Where will testing take
place
Why is testing necessary
How does the patient pre-
pare for testing
6. What periodic Laboratory Testing is needed with Ace Potassium/ creatinine
and ARB These drugs can cause hy-
perkalemia
Renal perfusion is depen-
dent on Angiotensin in
some patients increased
creatinine may require a
change in medication
7. What LaboratoryTesting is required with amiodarone Liver function, thyroid
function, pulmonary func-
tion and chest x-rays
Hepatoxicity is an adverse
ettect
Either hypo or hyperthy-
roidism may occur
Pulmonary toxicity is not
uncommon, attects maybe
permanent
8. What Laboratory Testing is required with anticonvul- Serum drug levels-some
sants have a very narrow thera-
peutic index
,9. What Laboratory Testing is required with lithium CBC, lithium level, thyroid
function, renal function,
serum electrolytes
This drug has a narrow
therapeutic margin,
lithium can cause leuko-
cyte elevation
Both hypo and hyperthy-
roidism may occur
Renal damage is a serious
adverse ettect
Nephrogenic diabetes in-
sipidus May occur, and
hyponatremia can create
complications
10. What are the four basic pharmacokinetic processes absorption, distribution,
metabolism, excretion
11. What is the combination of metabolism and excretion Elimination
called
12. What determines the concentration of a drug at its site The four pharmacokinetic
of action processes acting in con-
cert
13. What are the three ways for drugs to cross the cell Passage through channels
membrane or pores
Passage with the aid of a
, transport system
Direct penetration of the
membrane
Of all three direct penetra-
tion of the membrane is
most common
14. What is an example of a drug that can pass through a Sodium or potassium
Channel or poor
15. What are common drug transporters Pgp- P - glycoprotein
16. What is the general rule in chemistry dissolve like Membranes
are composed primarily of
lipids-therefore to direct-
ly penetrate membranes a
drug must be lipid soluble
or lipophilic
17. What is a kind of moleculethat is not lipid soluble and Polar molecules and ions
therefore cannot penetrate membranes
18. What is a polar molecule? a molecule in which the
charges are unevenly dis-
tributed
Example is water
19. What are ions Charged particles that
have a net electrical
charge
determined by the pH
of the surrounding medi-
