· NR 565 - advanced pharmacology midterm –
Chamberlain Ques ons and answers Newest RATED A+
2025/2026 UPDATED
· Which schedule drugs can APRNs prescribe? - CORRECT ANSWERS Schedule II-V
· Who determines and regulates prescrip"ve authority? - CORRECT ANSWERS Nurse
prac""oner scope of prac"ce is determined by state prac"ce and licensure laws.
· How does limited prescrip"ve authority impact pa"ents within the healthcare system? -
CORRECT ANSWERS limited authority creates problems for the pa"ent. The pa"ent is not able
to get the care they need
· What are the key responsibili"es of prescribing? - CORRECT ANSWERS 1. Be prudent and
deliberate in your decision-making process
2. Have a documented provider-pa"ent rela"onship with the person for whom you are
prescribing
3. Do not prescribe medica"ons for family or friends or for yourself
4. Document a thorough history and physical examina"on in your records
5.Include any discussions you have with the pa"ent regarding risk factors, side effects, or
therapy op"ons
6. Have a documented plan regarding drug monitoring or "tra"on, if applicable
· What should be used to make prescribing decisions? - CORRECT ANSWERS
Pharmakine"scs and Pharmodynamics of older adults - CORRECT ANSWERS drug
accumula"on secondary to reduced renal func"on
polypharmacy (the use of five or more medica"ons daily)
,greater severity of illness
presence of comorbidi"es
use of drugs that have a low therapeu"c index (e.g., digoxin)
increased individual varia"on secondary to altered pharmacokine"cs
inadequate supervision of long-term therapy
poor pa"ent adherence
· Beer's Criteria - CORRECT ANSWERS •poten"ally Inappropriate Medica"on (PIM) use in older
adults
•PIM use in older adults due to medica"on-disease or medica"on-syndrome interac"ons that
may exacerbate the disease or syndrome
•medica"ons to be used cau"ously in older adults
•clinically significant drug interac"ons that should be avoided in older adults
•medica"ons to be avoided or dosage decreased in the presence of impaired kidney func"on in
older adults (American Geriatric Society Beers Criteria Update Expert Panel, 2019)
CYP450 - CORRECT ANSWERS Many medica"ons are metabolized through the liver enzyme
system called cytochrome P450 (CYP450). Metaboliza"on can be inhibited or induced by drugs
and once this happens drug-drug interac"ons can occur.
VISA credit card dept Inhibits Spending on CK and GQ - CORRECT ANSWERS Valproate
I-soniazid
S-ulfamids
A-miodarone
C-hloramphenical
Ketoconazole
,G-rapefruit Juice
Q-uinidine
CYP450 Inhibitors - CORRECT ANSWERS - Decreases the CYP450 which keeps the medica"on in
your body longer which can cause toxicity
CYP450 INDUCERS - CORRECT ANSWERS Increase CYP450 to work faster causes
Drugs to leave your body faster.
Inducers for PY450 Chronic Alcholics Steal Phen Phen and Never Refuse Greasy Carbs -
CORRECT ANSWERS Chronic Alcoholics
St. Johns Wort
Phenytoin
Phenobarbital
Nevirapine
Refiampin
Griseofalvin
Carbamazepine
· What happens when someone has a poor metabolism phenotype? - CORRECT ANSWERS
Metabolizes to slow or to fast.
How is absorp"on of intramuscular medica"on different in neonates? - CORRECT ANSWERS
•Slow and erra"c due to low blood flow in muscles first few days of life
, •Why is absorp"on of medica"on in the stomach increased in infancy? - CORRECT ANSWERS
Delayed gastric emptying (adult values reached by 6-8 months)
What are some medica"ons that should be avoided in the pediatric pa"ent? - CORRECT
ANSWERS glucocor"coids, discolora"on of developing teeth with tetracyclines, and kernicterus
with sulfonamides
•What should be included in medica"on administra"on pa"ent educa"on? - CORRECT
ANSWERS 1. dosage size and "ming
2. route and technique of administra"on
3. dura"on of treatment
4.drug storage
5.nature and "me course of desired responses
6. nature and "me course of adverse responses
•What are some of the Physiologic changes that occur in the body when a woman is pregnant
that can change the pharmacodynamic and pharmacokine"c proper"es of many drugs? -
CORRECT ANSWERS - Increased GFR= Increased drug excre"on
- Increased hepa"c metabolism for some drugs.
- Decreased tone and mobility of bowel
- Increased drug absorp"on.
•During what trimester is a pregnant woman most at risk for adverse drug reac"ons with
poten"al long-term consequences? - CORRECT ANSWERS 1 trimester
•What are some medica"ons that we know to be teratogenic? - CORRECT ANSWERS
•An"epilep"c drugs, an"microbials such as tetracyclines and fluoroquinolones, vitamin A in
large doses, some an"coagulants, and hormonal medica"ons such as diethyls"lbestrol (DES).
Chamberlain Ques ons and answers Newest RATED A+
2025/2026 UPDATED
· Which schedule drugs can APRNs prescribe? - CORRECT ANSWERS Schedule II-V
· Who determines and regulates prescrip"ve authority? - CORRECT ANSWERS Nurse
prac""oner scope of prac"ce is determined by state prac"ce and licensure laws.
· How does limited prescrip"ve authority impact pa"ents within the healthcare system? -
CORRECT ANSWERS limited authority creates problems for the pa"ent. The pa"ent is not able
to get the care they need
· What are the key responsibili"es of prescribing? - CORRECT ANSWERS 1. Be prudent and
deliberate in your decision-making process
2. Have a documented provider-pa"ent rela"onship with the person for whom you are
prescribing
3. Do not prescribe medica"ons for family or friends or for yourself
4. Document a thorough history and physical examina"on in your records
5.Include any discussions you have with the pa"ent regarding risk factors, side effects, or
therapy op"ons
6. Have a documented plan regarding drug monitoring or "tra"on, if applicable
· What should be used to make prescribing decisions? - CORRECT ANSWERS
Pharmakine"scs and Pharmodynamics of older adults - CORRECT ANSWERS drug
accumula"on secondary to reduced renal func"on
polypharmacy (the use of five or more medica"ons daily)
,greater severity of illness
presence of comorbidi"es
use of drugs that have a low therapeu"c index (e.g., digoxin)
increased individual varia"on secondary to altered pharmacokine"cs
inadequate supervision of long-term therapy
poor pa"ent adherence
· Beer's Criteria - CORRECT ANSWERS •poten"ally Inappropriate Medica"on (PIM) use in older
adults
•PIM use in older adults due to medica"on-disease or medica"on-syndrome interac"ons that
may exacerbate the disease or syndrome
•medica"ons to be used cau"ously in older adults
•clinically significant drug interac"ons that should be avoided in older adults
•medica"ons to be avoided or dosage decreased in the presence of impaired kidney func"on in
older adults (American Geriatric Society Beers Criteria Update Expert Panel, 2019)
CYP450 - CORRECT ANSWERS Many medica"ons are metabolized through the liver enzyme
system called cytochrome P450 (CYP450). Metaboliza"on can be inhibited or induced by drugs
and once this happens drug-drug interac"ons can occur.
VISA credit card dept Inhibits Spending on CK and GQ - CORRECT ANSWERS Valproate
I-soniazid
S-ulfamids
A-miodarone
C-hloramphenical
Ketoconazole
,G-rapefruit Juice
Q-uinidine
CYP450 Inhibitors - CORRECT ANSWERS - Decreases the CYP450 which keeps the medica"on in
your body longer which can cause toxicity
CYP450 INDUCERS - CORRECT ANSWERS Increase CYP450 to work faster causes
Drugs to leave your body faster.
Inducers for PY450 Chronic Alcholics Steal Phen Phen and Never Refuse Greasy Carbs -
CORRECT ANSWERS Chronic Alcoholics
St. Johns Wort
Phenytoin
Phenobarbital
Nevirapine
Refiampin
Griseofalvin
Carbamazepine
· What happens when someone has a poor metabolism phenotype? - CORRECT ANSWERS
Metabolizes to slow or to fast.
How is absorp"on of intramuscular medica"on different in neonates? - CORRECT ANSWERS
•Slow and erra"c due to low blood flow in muscles first few days of life
, •Why is absorp"on of medica"on in the stomach increased in infancy? - CORRECT ANSWERS
Delayed gastric emptying (adult values reached by 6-8 months)
What are some medica"ons that should be avoided in the pediatric pa"ent? - CORRECT
ANSWERS glucocor"coids, discolora"on of developing teeth with tetracyclines, and kernicterus
with sulfonamides
•What should be included in medica"on administra"on pa"ent educa"on? - CORRECT
ANSWERS 1. dosage size and "ming
2. route and technique of administra"on
3. dura"on of treatment
4.drug storage
5.nature and "me course of desired responses
6. nature and "me course of adverse responses
•What are some of the Physiologic changes that occur in the body when a woman is pregnant
that can change the pharmacodynamic and pharmacokine"c proper"es of many drugs? -
CORRECT ANSWERS - Increased GFR= Increased drug excre"on
- Increased hepa"c metabolism for some drugs.
- Decreased tone and mobility of bowel
- Increased drug absorp"on.
•During what trimester is a pregnant woman most at risk for adverse drug reac"ons with
poten"al long-term consequences? - CORRECT ANSWERS 1 trimester
•What are some medica"ons that we know to be teratogenic? - CORRECT ANSWERS
•An"epilep"c drugs, an"microbials such as tetracyclines and fluoroquinolones, vitamin A in
large doses, some an"coagulants, and hormonal medica"ons such as diethyls"lbestrol (DES).
