1|Page
NR565 /NR 565 MIDTERM EXAM 3 LATEST VERSIONS
ACTUAL EXAM 2025/ 2026 NEWEST EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST VERSION!!!
·· Which schedule drugs can APRNs prescribe? - Answer-
Schedule II-V
· Who determines and regulates prescriptive authority? -
Answer-Nurse practitioner scope of practice is determined
by state practice and licensure laws.
· How does limited prescriptive authority impact patients
within the healthcare system? - Answer-limited authority
creates problems for the patient. The patient is not able to
get the care they need
· What are the key responsibilities of prescribing? -
Answer-1. Be prudent and deliberate in your decision-
making process
2. Have a documented provider-patient relationship with
the person for whom you are prescribing
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3. Do not prescribe medications for family or friends or for
yourself
4. Document a thorough history and physical examination
in your records
5.Include any discussions you have with the patient
regarding risk factors, side effects, or therapy options
6. Have a documented plan regarding drug monitoring or
titration, if applicable
· What should be used to make prescribing decisions? -
Answer-
Pharmakinetiscs and Pharmodynamics of older adults -
Answer-drug accumulation secondary to reduced renal
function
polypharmacy (the use of five or more medications daily)
greater severity of illness
presence of comorbidities
use of drugs that have a low therapeutic index (e.g.,
digoxin)
increased individual variation secondary to altered
pharmacokinetics
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inadequate supervision of long-term therapy
poor patient adherence
· Beer's Criteria - Answer-•potentially Inappropriate
Medication (PIM) use in older adults
•PIM use in older adults due to medication-disease or
medication-syndrome interactions that may exacerbate the
disease or syndrome
•medications to be used cautiously in older adults
•clinically significant drug interactions that should be
avoided in older adults
•medications to be avoided or dosage decreased in the
presence of impaired kidney function in older adults
(American Geriatric Society Beers Criteria Update Expert
Panel, 2019)
CYP450 - Answer-Many medications are metabolized
through the liver enzyme system called cytochrome P450
(CYP450). Metabolization can be inhibited or induced by
drugs and once this happens drug-drug interactions can
occur.
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VISA credit card dept Inhibits Spending on CK and GQ -
Answer-Valproate
I-soniazid
S-ulfamids
A-miodarone
C-hloramphenical
Ketoconazole
G-rapefruit Juice
Q-uinidine
CYP450 Inhibitors - Answer-- Decreases the CYP450
which keeps the medication in your body longer which can
cause toxicity
CYP450 INDUCERS - Answer-Increase CYP450 to work
faster causes
Drugs to leave your body faster.
NR565 /NR 565 MIDTERM EXAM 3 LATEST VERSIONS
ACTUAL EXAM 2025/ 2026 NEWEST EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST VERSION!!!
·· Which schedule drugs can APRNs prescribe? - Answer-
Schedule II-V
· Who determines and regulates prescriptive authority? -
Answer-Nurse practitioner scope of practice is determined
by state practice and licensure laws.
· How does limited prescriptive authority impact patients
within the healthcare system? - Answer-limited authority
creates problems for the patient. The patient is not able to
get the care they need
· What are the key responsibilities of prescribing? -
Answer-1. Be prudent and deliberate in your decision-
making process
2. Have a documented provider-patient relationship with
the person for whom you are prescribing
,2|Page
3. Do not prescribe medications for family or friends or for
yourself
4. Document a thorough history and physical examination
in your records
5.Include any discussions you have with the patient
regarding risk factors, side effects, or therapy options
6. Have a documented plan regarding drug monitoring or
titration, if applicable
· What should be used to make prescribing decisions? -
Answer-
Pharmakinetiscs and Pharmodynamics of older adults -
Answer-drug accumulation secondary to reduced renal
function
polypharmacy (the use of five or more medications daily)
greater severity of illness
presence of comorbidities
use of drugs that have a low therapeutic index (e.g.,
digoxin)
increased individual variation secondary to altered
pharmacokinetics
,3|Page
inadequate supervision of long-term therapy
poor patient adherence
· Beer's Criteria - Answer-•potentially Inappropriate
Medication (PIM) use in older adults
•PIM use in older adults due to medication-disease or
medication-syndrome interactions that may exacerbate the
disease or syndrome
•medications to be used cautiously in older adults
•clinically significant drug interactions that should be
avoided in older adults
•medications to be avoided or dosage decreased in the
presence of impaired kidney function in older adults
(American Geriatric Society Beers Criteria Update Expert
Panel, 2019)
CYP450 - Answer-Many medications are metabolized
through the liver enzyme system called cytochrome P450
(CYP450). Metabolization can be inhibited or induced by
drugs and once this happens drug-drug interactions can
occur.
, 4|Page
VISA credit card dept Inhibits Spending on CK and GQ -
Answer-Valproate
I-soniazid
S-ulfamids
A-miodarone
C-hloramphenical
Ketoconazole
G-rapefruit Juice
Q-uinidine
CYP450 Inhibitors - Answer-- Decreases the CYP450
which keeps the medication in your body longer which can
cause toxicity
CYP450 INDUCERS - Answer-Increase CYP450 to work
faster causes
Drugs to leave your body faster.
