ADVANCED PHARMACOLOGY
DOMINATED: A+ STUDY SYSTEM FOR
NR 565 MIDTERM – CHAMBERLAIN
2026/2027
Why is absorption of medication in the stomach increased in
infancy? - THE CORRECT ANSWER-delayed gastric emptying
Some medications that should be avoided in the pediatric
patient? - THE CORRECT ANSWER-glucocorticoids, discoloration of
developing teeth with tetracyclines, and kernicterus with
sulfonamides, levofloxacin (antibiotics)
aspirin (Severe intoxication from acute overdose)
what should be included in medication administration patient
education? - THE CORRECT ANSWER-dosage size and timing
route and technique of administration
duration of treatment
drug storage
nature and time course of desired responses
nature and time course of adverse responses
finish taking antibiotic
,What are some things that put the elderly patient at higher risk
for adverse drug reactions? - THE CORRECT ANSWER-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
How can healthcare providers decrease likelihood of an elderly
patient experiencing an adverse drug reaction? - THE CORRECT
ANSWER-obtaining a thorough drug history that includes over-
the-counter medications
considering pharmacokinetic and pharmacodynamics changes
due to age
monitoring the patient's clinical response and plasma drug
levels
using the simplest regimen possible
monitoring for drug-drug interactions and iatrogenic illness
periodically reviewing the need for continued drug therapy
encouraging the patient to dispose of old medications
taking steps to promote adherence and to avoid drugs on the
Beers list
,How can we promote medication adherence with elderly
patients? - THE CORRECT ANSWER-simplifying drug regimens
providing clear and concise verbal and written instructions
using an appropriate dosage form
clearly labeling and dispensing easy-to-open containers
developing daily reminders
monitoring frequently
affordability of drugs
support systems
Why do nitrates need to be taken no later than 4 PM? - THE
CORRECT ANSWER-Need nitrate free interval so tolerance doesn't
develop
Nine factors that impact outcome of medication? - THE CORRECT
ANSWER-Gender and race
Genetics and pharmacogenomics
Variability in absorption
placebo effect
Tolerance
patho
age
bodyweight
Do you need informed consent for genetic testing? - THE CORRECT
ANSWER-yes
, What is the purpose of the Genetic Information Non-
Discriminatory Act? - THE CORRECT ANSWER-Protects patients from
discrimination by employers and insurance providers based on
genetic information
Difference between practice authority and prescriptive
authority? - THE CORRECT ANSWER-Practice authority refers to the
nurse practitioner's ability to practice without physician
oversight, whereas prescriptive authority refers to the nurse
practitioner's authority to prescribe medications independently
and without limitations.
Who regulates prescriptive authority? - THE CORRECT ANSWER-the
jurisdiction of a health professional board. This may be the
State Board of Nursing, the State Board of Medicine, or the
State Board of Pharmacy, as determined by each state.
What is scope of practice determined by? - THE CORRECT ANSWER-is
determined by state practice and licensure laws.
What is full practice authority? - THE CORRECT ANSWER-Nurse
practitioners have the autonomy to evaluate patients, diagnose,
order and interpret tests, initiate and manage treatments and
prescribe medications, including controlled substances without
physician oversight.
What is reduced practice authority? - THE CORRECT ANSWER-Nurse
practitioners are limited in at least one element of practice. The
state requires a formal collaborative agreement with an outside
health discipline for the nurse practitioner to provide patient
care. ex/ physician involvement for 5 yrs than independent
DOMINATED: A+ STUDY SYSTEM FOR
NR 565 MIDTERM – CHAMBERLAIN
2026/2027
Why is absorption of medication in the stomach increased in
infancy? - THE CORRECT ANSWER-delayed gastric emptying
Some medications that should be avoided in the pediatric
patient? - THE CORRECT ANSWER-glucocorticoids, discoloration of
developing teeth with tetracyclines, and kernicterus with
sulfonamides, levofloxacin (antibiotics)
aspirin (Severe intoxication from acute overdose)
what should be included in medication administration patient
education? - THE CORRECT ANSWER-dosage size and timing
route and technique of administration
duration of treatment
drug storage
nature and time course of desired responses
nature and time course of adverse responses
finish taking antibiotic
,What are some things that put the elderly patient at higher risk
for adverse drug reactions? - THE CORRECT ANSWER-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
How can healthcare providers decrease likelihood of an elderly
patient experiencing an adverse drug reaction? - THE CORRECT
ANSWER-obtaining a thorough drug history that includes over-
the-counter medications
considering pharmacokinetic and pharmacodynamics changes
due to age
monitoring the patient's clinical response and plasma drug
levels
using the simplest regimen possible
monitoring for drug-drug interactions and iatrogenic illness
periodically reviewing the need for continued drug therapy
encouraging the patient to dispose of old medications
taking steps to promote adherence and to avoid drugs on the
Beers list
,How can we promote medication adherence with elderly
patients? - THE CORRECT ANSWER-simplifying drug regimens
providing clear and concise verbal and written instructions
using an appropriate dosage form
clearly labeling and dispensing easy-to-open containers
developing daily reminders
monitoring frequently
affordability of drugs
support systems
Why do nitrates need to be taken no later than 4 PM? - THE
CORRECT ANSWER-Need nitrate free interval so tolerance doesn't
develop
Nine factors that impact outcome of medication? - THE CORRECT
ANSWER-Gender and race
Genetics and pharmacogenomics
Variability in absorption
placebo effect
Tolerance
patho
age
bodyweight
Do you need informed consent for genetic testing? - THE CORRECT
ANSWER-yes
, What is the purpose of the Genetic Information Non-
Discriminatory Act? - THE CORRECT ANSWER-Protects patients from
discrimination by employers and insurance providers based on
genetic information
Difference between practice authority and prescriptive
authority? - THE CORRECT ANSWER-Practice authority refers to the
nurse practitioner's ability to practice without physician
oversight, whereas prescriptive authority refers to the nurse
practitioner's authority to prescribe medications independently
and without limitations.
Who regulates prescriptive authority? - THE CORRECT ANSWER-the
jurisdiction of a health professional board. This may be the
State Board of Nursing, the State Board of Medicine, or the
State Board of Pharmacy, as determined by each state.
What is scope of practice determined by? - THE CORRECT ANSWER-is
determined by state practice and licensure laws.
What is full practice authority? - THE CORRECT ANSWER-Nurse
practitioners have the autonomy to evaluate patients, diagnose,
order and interpret tests, initiate and manage treatments and
prescribe medications, including controlled substances without
physician oversight.
What is reduced practice authority? - THE CORRECT ANSWER-Nurse
practitioners are limited in at least one element of practice. The
state requires a formal collaborative agreement with an outside
health discipline for the nurse practitioner to provide patient
care. ex/ physician involvement for 5 yrs than independent
