NR 565 ADVANCED PHARMACOLOGY FUNDAMENTALS
NR 565 ADVANCED PHARMACOLOGY FUNDAMENTALS MIDTERM
EXAM QUESTIONS AND ANSWERS GRADED A+ 2026
1. What schedule drugs can APRNs prescribe?
Answer
It depends on the governing
body in each state. In AZ there are no restrictions on APRN prescribing by schedule.
2. Who determines and regulates prescriptive authority?
Answer
AZ - State Board of Nursing
3. How does limited prescriptive authority impact patients within the health- care system?
Answer
Creates numerous barriers to quality affordable and accessible patient care.
4. 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
,NR 565 ADVANCED PHARMACOLOGY FUNDAMENTALS
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
5. Have a documented plan regarding drug monitoring or titration, if applicable.
5. What should be used to make prescribing decisions?
Answer
Cost, availability, cur- rent practice guidelines, medication interactions with food side effects need
for monitoring how drug is metabolized. special populations. ask if prescriptions are cost
prohibitive.
6. Be familiar with pharmacokinetic and pharmacodynamic changes of older adults and
how that would translate to baseline information needed to pre- scribe.
Answer
Older adults often metabolize drugs more slowly. Dosages may need to be adjusted to
accommodate age related changes in GI system, liver function, kidney function, etc.
7. What are the BEERS criteria?
Answer
lists potentially inappropriate drugs that lead to adverse effects in the elderly
8. why are the BEERS criteria
important? Answer
It provides a list of medications that are potentially harmful in elderly. List that identifies
drugs with a high likelihood of causing adverse effects in older adults. Beers Criteria are
recommendations;
ultimately prescribers must determine whether a medication is appropriate for use or not. These
,NR 565 ADVANCED PHARMACOLOGY FUNDAMENTALS
guidelines are not intended to limit the use of medications or apply to all older adults. Safe and
judicious prescribing is crucial in the older adult to optimize pharmacotherapy.
9. Impacts/outcomes of polypharmacy
Answer
- drug interactions with mild side effects to life-threatening consequences
10. CYP450 inhibitors
Answer
inhibit metabolism, increase blood levels of medications
11. CYP450 inhibitors mnemonic ^ drug levels
Answer
CRACK AMIGOS
Cimetidine
Ritonavir
Amiodarone
Ciprofloxacin
Ketoconazole Acute
Alcohol Use
Macrolides Isoniazid
Grapefruit Juice
Omeprazole
Sulfonamides
12. CYP450 inducers mnemonic
Answer
Bull Shit CRAP GPS induces my rage.
NR 565 ADVANCED PHARMACOLOGY FUNDAMENTALS MIDTERM
EXAM QUESTIONS AND ANSWERS GRADED A+ 2026
1. What schedule drugs can APRNs prescribe?
Answer
It depends on the governing
body in each state. In AZ there are no restrictions on APRN prescribing by schedule.
2. Who determines and regulates prescriptive authority?
Answer
AZ - State Board of Nursing
3. How does limited prescriptive authority impact patients within the health- care system?
Answer
Creates numerous barriers to quality affordable and accessible patient care.
4. 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
,NR 565 ADVANCED PHARMACOLOGY FUNDAMENTALS
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
5. Have a documented plan regarding drug monitoring or titration, if applicable.
5. What should be used to make prescribing decisions?
Answer
Cost, availability, cur- rent practice guidelines, medication interactions with food side effects need
for monitoring how drug is metabolized. special populations. ask if prescriptions are cost
prohibitive.
6. Be familiar with pharmacokinetic and pharmacodynamic changes of older adults and
how that would translate to baseline information needed to pre- scribe.
Answer
Older adults often metabolize drugs more slowly. Dosages may need to be adjusted to
accommodate age related changes in GI system, liver function, kidney function, etc.
7. What are the BEERS criteria?
Answer
lists potentially inappropriate drugs that lead to adverse effects in the elderly
8. why are the BEERS criteria
important? Answer
It provides a list of medications that are potentially harmful in elderly. List that identifies
drugs with a high likelihood of causing adverse effects in older adults. Beers Criteria are
recommendations;
ultimately prescribers must determine whether a medication is appropriate for use or not. These
,NR 565 ADVANCED PHARMACOLOGY FUNDAMENTALS
guidelines are not intended to limit the use of medications or apply to all older adults. Safe and
judicious prescribing is crucial in the older adult to optimize pharmacotherapy.
9. Impacts/outcomes of polypharmacy
Answer
- drug interactions with mild side effects to life-threatening consequences
10. CYP450 inhibitors
Answer
inhibit metabolism, increase blood levels of medications
11. CYP450 inhibitors mnemonic ^ drug levels
Answer
CRACK AMIGOS
Cimetidine
Ritonavir
Amiodarone
Ciprofloxacin
Ketoconazole Acute
Alcohol Use
Macrolides Isoniazid
Grapefruit Juice
Omeprazole
Sulfonamides
12. CYP450 inducers mnemonic
Answer
Bull Shit CRAP GPS induces my rage.
