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NUR-643E – Midterm Exam Practice Questions and Answers (160 Questions, 2026 Latest Updated)

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This document contains 160 comprehensive practice questions and answers for the NUR-643E Midterm Exam. It covers advanced nursing concepts commonly assessed in graduate-level coursework, including health assessment, clinical reasoning, patient evaluation, diagnostic interpretation, and evidence-based nursing practice. The material is designed to support structured revision, reinforce advanced nursing knowledge, and improve readiness for midterm examinations. It aligns with standard NUR-643E coursework and graduate nursing program learning objectives.

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NUR-643E MIDTERM EXAM |160
COMPLETE QUESTIONS WITH
VERIFIED ANSWERS | 2026
NEWEST VERSION | 100% RATED
CORRECT | GRADED A+!!
Prodrug - answer-An inactive drug dosage form that is converted to an active metabolite
by various biochemical reactions once it is inside the body.

-Cytochrome P450

-Ex. Aspirin, psilocybin, heroin



Bioavailability - answer-the rate at and the extent to which a nutrient is absorbed and
used

-Affected by route of administration and drug dosage

-Drug clearance (rate drug leaves circulation)

-Steady state concentration

-Affected by chemical stability, solubility, and first pass



Steady state (of a drug) - answer-stable level of drug in the body, occurs in 5 half lives of
the drug

-rate of drug being added to system is equal to amount being eliminated from system



Pharmacokinetics - answer-The process by which drugs are absorbed, distributed
within the body, metabolized, and excreted.

-what the body does to the drug



First pass - answer-the fact that a medication in the GI tract passes through the liver
before entering other organs

, does not - answer-bioequivalence does/does not affect bioavailability



Bioequivalence - answer-relative therapeutic effectiveness of chemically equivalent
drugs.



Bioavailability (is affected by) - answer--chemical instability

-solubility

-first pass metabolism



Cytochrome P450 - answer--enzymes that function to metabolize potentially toxic
compounds, including drugs and products of endogenous metabolism such as
bilirubin, principally in the liver.

-genetics influence presence of enzymes

-affects metabolism of warfarin, antidepressants, antiepileptics, and statins.

-the levels of these drugs are higher when taken with certain drugs that are inhibitors
(ex. warfarin with omeprazole) because there is competition for enzyme metabolism.

-inducers lead to decreased plasma concentration of drug.



cytochrome p450 inducer - answer-An inducer increases the metabolism of a substrate
resulting in a decreased level or effect of the substrate



cytochrome p450 inhibitor - answer-An inhibitor decreases the metabolism of a
substrate resulting in an increased level or effect of the substrate.



Clopidogrel - answer-prodrug that must be activated by hepatic CYP2C19 metabolism;
individuals who are poor metabolizers may not form the active metabolite and have
reduced antiplatelet response



half-life (determines) - answer-how often a drug is administered

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