Page 1 of 61
NR 565 - advanced pharmacology midterm –
Chamberlain QUESTIONS AND CORRECT DETAILED
SOLUTIONS LATEST UPDATED VERSION JUST
RELEASED RECENTLY
Question: What are some potential problems that arise with written prescriptions? -
ANSWER✔✔Must contain all elements
May have pre-populated information
Write legibly
Avoid error prone abbreviations
Tamper resistant scripts are often required
Question: Reasons for monitoring drug therapy - ANSWER✔✔determining therapeutic dosage
evaluating medication adequacy
identifying adverse effects
serious or life-threatening risks.
, Page 2 of 61
Question: Which schedules of drugs can APRNs prescribe? - ANSWER✔✔depends on state -
most II-V
Question: How does limited prescriptive authority impact patients within the healthcare
system? - ANSWER✔✔longer wait times to sign a prescription
limits practitioners that are needed in rural areas
unequal relationships between providers. Ex. one has more power
high need for providers due to lack of providers and high amounts of patients.
Independent practitioners= more patients being seen= lessens the patient/provider load
Question: Provider key responsibilities when prescribing? - ANSWER✔✔safe and competent
practice
understanding of the drugs, reactions, and pharmacology
Be aware of the age group you are prescribing to
Ex. Children vs older adults
, Page 3 of 61
Question: What should be used to make prescribing decisions? - ANSWER✔✔documented
provider-patient relationship, not prescribing for family or friends, documenting a thorough
H&P, including discussions with the patient, drug monitoring/titrating.
cost, guidelines, availability, interactions, side effects, allergies, hepatic and renal function, need
for monitoring, and special populations
Q:During what trimester is a pregnant woman most at risk for adverse drug reactions with
potential long term consequences? - ANSWER✔✔1st trimester (fetus most at risk d/t rapid
growth)
Question: What is BEERS criteria? - ANSWER✔✔Recommendations of medications
inappropriate for elderly (65 and older), prescriber ultimately decides
Question: What is the CYP450 (cytochrome P450) - ANSWER✔✔liver enzyme system where
medications are metabolized, can either be inducers or inhibitors and create drug-drug
interactions
Question: CYP450 inducers - ANSWER✔✔Speed up metabolism of drugs (drug is cleared
faster), drug has lesser effect (decrease blood levels of drug), elevate CYP450 enzymes
, Page 4 of 61
Question: CYP450 inducers pneumonic - ANSWER✔✔"Bullshit Crap GPS INDUCES rage"
Question: CYP450 inducer drug names - ANSWER✔✔Barbituates, St John wort,
Carbamazepine, rifampin, alcohol, phenytoin, griseofulvin, phenobarbital, sulfonylureas
Question: CYP450 inhibitors - ANSWER✔✔inhibit metabolism, increase blood levels of
medications
Question: CYP450 pneumonic - ANSWER✔✔"VISA credit card debt INHIBITS spending on
designers like CK to look GQ"
Question: CYP450 inhibitors drug names - ANSWER✔✔Valproate, isoniazid, sulfonamides,
amiodarone, chloramphenicol, ketoconazole, grapefruit juice, quinidine
NR 565 - advanced pharmacology midterm –
Chamberlain QUESTIONS AND CORRECT DETAILED
SOLUTIONS LATEST UPDATED VERSION JUST
RELEASED RECENTLY
Question: What are some potential problems that arise with written prescriptions? -
ANSWER✔✔Must contain all elements
May have pre-populated information
Write legibly
Avoid error prone abbreviations
Tamper resistant scripts are often required
Question: Reasons for monitoring drug therapy - ANSWER✔✔determining therapeutic dosage
evaluating medication adequacy
identifying adverse effects
serious or life-threatening risks.
, Page 2 of 61
Question: Which schedules of drugs can APRNs prescribe? - ANSWER✔✔depends on state -
most II-V
Question: How does limited prescriptive authority impact patients within the healthcare
system? - ANSWER✔✔longer wait times to sign a prescription
limits practitioners that are needed in rural areas
unequal relationships between providers. Ex. one has more power
high need for providers due to lack of providers and high amounts of patients.
Independent practitioners= more patients being seen= lessens the patient/provider load
Question: Provider key responsibilities when prescribing? - ANSWER✔✔safe and competent
practice
understanding of the drugs, reactions, and pharmacology
Be aware of the age group you are prescribing to
Ex. Children vs older adults
, Page 3 of 61
Question: What should be used to make prescribing decisions? - ANSWER✔✔documented
provider-patient relationship, not prescribing for family or friends, documenting a thorough
H&P, including discussions with the patient, drug monitoring/titrating.
cost, guidelines, availability, interactions, side effects, allergies, hepatic and renal function, need
for monitoring, and special populations
Q:During what trimester is a pregnant woman most at risk for adverse drug reactions with
potential long term consequences? - ANSWER✔✔1st trimester (fetus most at risk d/t rapid
growth)
Question: What is BEERS criteria? - ANSWER✔✔Recommendations of medications
inappropriate for elderly (65 and older), prescriber ultimately decides
Question: What is the CYP450 (cytochrome P450) - ANSWER✔✔liver enzyme system where
medications are metabolized, can either be inducers or inhibitors and create drug-drug
interactions
Question: CYP450 inducers - ANSWER✔✔Speed up metabolism of drugs (drug is cleared
faster), drug has lesser effect (decrease blood levels of drug), elevate CYP450 enzymes
, Page 4 of 61
Question: CYP450 inducers pneumonic - ANSWER✔✔"Bullshit Crap GPS INDUCES rage"
Question: CYP450 inducer drug names - ANSWER✔✔Barbituates, St John wort,
Carbamazepine, rifampin, alcohol, phenytoin, griseofulvin, phenobarbital, sulfonylureas
Question: CYP450 inhibitors - ANSWER✔✔inhibit metabolism, increase blood levels of
medications
Question: CYP450 pneumonic - ANSWER✔✔"VISA credit card debt INHIBITS spending on
designers like CK to look GQ"
Question: CYP450 inhibitors drug names - ANSWER✔✔Valproate, isoniazid, sulfonamides,
amiodarone, chloramphenicol, ketoconazole, grapefruit juice, quinidine
