STUDYSAGE
Advance Pharmacy NR565
MIDTERM EXAM | complete
study guide with updated
answers| latest 2025 get a pass
· Which schedule drugs can APRNs prescribe? - CORRECT
ANSWERS✔️✔️Schedule II-V
· Who determines and regulates prescriptive authority? - CORRECT
ANSWERS✔️✔️Nurse practitioner scope of practice is determined by state
practice and licensure laws.
· How does limited prescriptive authority impact patients within the healthcare
system? - CORRECT ANSWERS✔️✔️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? - CORRECT ANSWERS✔️✔️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
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? - CORRECT ANSWERS✔️✔️
SUCCESS
,STUDYSAGE
Pharmakinetiscs and Pharmodynamics of older adults - CORRECT
ANSWERS✔️✔️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
inadequate supervision of long-term therapy
poor patient adherence
- CORRECT ANSWERS✔️✔️
· Beer's Criteria - CORRECT ANSWERS✔️✔️•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 - CORRECT ANSWERS✔️✔️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.
SUCCESS
, STUDYSAGE
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 medication 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
SUCCESS
Advance Pharmacy NR565
MIDTERM EXAM | complete
study guide with updated
answers| latest 2025 get a pass
· Which schedule drugs can APRNs prescribe? - CORRECT
ANSWERS✔️✔️Schedule II-V
· Who determines and regulates prescriptive authority? - CORRECT
ANSWERS✔️✔️Nurse practitioner scope of practice is determined by state
practice and licensure laws.
· How does limited prescriptive authority impact patients within the healthcare
system? - CORRECT ANSWERS✔️✔️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? - CORRECT ANSWERS✔️✔️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
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? - CORRECT ANSWERS✔️✔️
SUCCESS
,STUDYSAGE
Pharmakinetiscs and Pharmodynamics of older adults - CORRECT
ANSWERS✔️✔️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
inadequate supervision of long-term therapy
poor patient adherence
- CORRECT ANSWERS✔️✔️
· Beer's Criteria - CORRECT ANSWERS✔️✔️•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 - CORRECT ANSWERS✔️✔️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.
SUCCESS
, STUDYSAGE
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 medication 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
SUCCESS
