NR 565 MIDTERM EXAM QUESTIONS AND
CORRECT ANSWERS 2026
What are medication examples o𝑓 Schedule II drugs? - CORRECT ANSWER --Ativan &
Valium -Fentanyl
-Oxycodone
-Methadone
What medications are Schedule III drugs? - CORRECT ANSWER --Xanax
-Tramadol
-anabolic steroids
-<90mg o𝑓 codeine
What medications are Schedule IV drugs? - CORRECT ANSWER --Ativan -
Tramadol
-Methadone
-Adderall
Which schedule drugs can APRNs prescribe? - CORRECT ANSWER -Schedule II through Schedule
IV
examples o𝑓 reasons 𝑓or medication non-adherence - CORRECT ANSWER --too busy
-too expensive
-ran out
-𝑓orgetting
-traveling & busy
,Distribution in medication in elderly can be a𝑓𝑓ected in what ways? - CORRECT ANSWER
--decreased lean mass
-decreased albumin
-decreased body 𝑓at
-slower gastric acidity
-slower absorption results in delayed response
In the elderly decrease albumin and decreased lean mass a𝑓𝑓ects medications how? - CORRECT
ANSWER -medication binds to protein so decreased protein a𝑓𝑓ects how medication is
absorbed and distributed
In elderly decreased body 𝑓at a𝑓𝑓ects medications how? - CORRECT ANSWER -need 𝑓at
to transport medications and some drug metabolism is dependent on body weight
When prescribing medication, we must understand that liver 𝑓unction declines with age due
to.... - CORRECT ANSWER -decreased blood 𝑓low to the liver, decreased hepatic enzymes
What is the most important cause o𝑓 adverse drug reactions? - CORRECT ANSWER -
***overprescribing/polypharmacy
***decreased renal excretion
-high drug dosages (start low & go slow)
-lack o𝑓 monitoring medications
What can a poor metabolism phenotype do to a metabolism o𝑓 a drug? - CORRECT ANSWER --
slow or increase absorption
-slow the metabolism
-keep drug in body longer
, -increase toxicity
How does poor metabolism a𝑓𝑓ect a high or low therapeutic index? - CORRECT ANSWER --
increase drug toxicity
(example plavix - clots & increased platelets)
Black box warning 𝑓or Opioids - CORRECT ANSWER -respiratory depression
Black box warning 𝑓or Fentanyl - CORRECT ANSWER -FATAL respiratory depression
Black box warning 𝑓or Methadone (NP cannot prescribe) - CORRECT ANSWER -QT interval
prolongation
Black box warning 𝑓or Codeine - CORRECT ANSWER --breast𝑓eeding and in𝑓ant death can occur
-10% o𝑓 dose converts to morphine
Black box warning 𝑓or hydromorphone & oxymorphone (NP cannot prescribe long acting
hydromorphone and oxymorphone) - CORRECT ANSWER --risk 𝑓or high abuse & overdose
-respiratory depression
Black box warning 𝑓or oxycodone (NP need additional training to prescribe 𝑓or chronic pain) -
CORRECT ANSWER --HIGH potential 𝑓or abuse
-respiratory depression
Meds that require special training 𝑓or APNs to prescribe are... - CORRECT ANSWER --Opioids
-Fentanyl
-Methadone
CORRECT ANSWERS 2026
What are medication examples o𝑓 Schedule II drugs? - CORRECT ANSWER --Ativan &
Valium -Fentanyl
-Oxycodone
-Methadone
What medications are Schedule III drugs? - CORRECT ANSWER --Xanax
-Tramadol
-anabolic steroids
-<90mg o𝑓 codeine
What medications are Schedule IV drugs? - CORRECT ANSWER --Ativan -
Tramadol
-Methadone
-Adderall
Which schedule drugs can APRNs prescribe? - CORRECT ANSWER -Schedule II through Schedule
IV
examples o𝑓 reasons 𝑓or medication non-adherence - CORRECT ANSWER --too busy
-too expensive
-ran out
-𝑓orgetting
-traveling & busy
,Distribution in medication in elderly can be a𝑓𝑓ected in what ways? - CORRECT ANSWER
--decreased lean mass
-decreased albumin
-decreased body 𝑓at
-slower gastric acidity
-slower absorption results in delayed response
In the elderly decrease albumin and decreased lean mass a𝑓𝑓ects medications how? - CORRECT
ANSWER -medication binds to protein so decreased protein a𝑓𝑓ects how medication is
absorbed and distributed
In elderly decreased body 𝑓at a𝑓𝑓ects medications how? - CORRECT ANSWER -need 𝑓at
to transport medications and some drug metabolism is dependent on body weight
When prescribing medication, we must understand that liver 𝑓unction declines with age due
to.... - CORRECT ANSWER -decreased blood 𝑓low to the liver, decreased hepatic enzymes
What is the most important cause o𝑓 adverse drug reactions? - CORRECT ANSWER -
***overprescribing/polypharmacy
***decreased renal excretion
-high drug dosages (start low & go slow)
-lack o𝑓 monitoring medications
What can a poor metabolism phenotype do to a metabolism o𝑓 a drug? - CORRECT ANSWER --
slow or increase absorption
-slow the metabolism
-keep drug in body longer
, -increase toxicity
How does poor metabolism a𝑓𝑓ect a high or low therapeutic index? - CORRECT ANSWER --
increase drug toxicity
(example plavix - clots & increased platelets)
Black box warning 𝑓or Opioids - CORRECT ANSWER -respiratory depression
Black box warning 𝑓or Fentanyl - CORRECT ANSWER -FATAL respiratory depression
Black box warning 𝑓or Methadone (NP cannot prescribe) - CORRECT ANSWER -QT interval
prolongation
Black box warning 𝑓or Codeine - CORRECT ANSWER --breast𝑓eeding and in𝑓ant death can occur
-10% o𝑓 dose converts to morphine
Black box warning 𝑓or hydromorphone & oxymorphone (NP cannot prescribe long acting
hydromorphone and oxymorphone) - CORRECT ANSWER --risk 𝑓or high abuse & overdose
-respiratory depression
Black box warning 𝑓or oxycodone (NP need additional training to prescribe 𝑓or chronic pain) -
CORRECT ANSWER --HIGH potential 𝑓or abuse
-respiratory depression
Meds that require special training 𝑓or APNs to prescribe are... - CORRECT ANSWER --Opioids
-Fentanyl
-Methadone
