NR569 DIFFERENTIAL DIAGNOSIS IN ACUTE CARE MIDTERM
FINAL EXAM CORRECTLY ANSWERED 2024/2025 LATEST
|GRADED A+.
QUESTION: What medications are Schedule III drugs? ✓✓Correct Answer: -Xanax
-Tramadol
-anabolic steroids
-<90mg of codeine
QUESTION: What medications are Schedule IV drugs? ✓✓Correct Answer: -Ativan
-Tramadol
-Methadone
-Adderall
QUESTION: Which schedule drugs can APRNs prescribe? ✓✓Correct Answer: Schedule II through
Schedule IV
QUESTION: examples of reasons for medication non-adherence ✓✓Correct Answer: -too busy
-too expensive
-ran out
-forgetting
-traveling & busy
QUESTION: Distribution in medication in elderly can be affected in what ways? ✓✓Correct Answer: -
decreased lean mass
-decreased albumin
-decreased body fat
-slower gastric acidity
-slower absorption results in delayed response
Page 1 of 69
,QUESTION: In the elderly decrease albumin and decreased lean mass affects medications how?
✓✓Correct Answer: medication binds to protein so decreased protein affects how medication is
absorbed and distributed
QUESTION: In elderly decreased body fat affects medications how? ✓✓Correct Answer: need fat to
transport medications and some drug metabolism is dependent on body weight
QUESTION: When prescribing medication, we must understand that liver function declines with age
due to.... ✓✓Correct Answer: decreased blood flow to the liver, decreased hepatic enzymes
QUESTION: What is the most important cause of adverse drug reactions? ✓✓Correct Answer:
***overprescribing/polypharmacy
***decreased renal excretion
-high drug dosages (start low & go slow)
-lack of monitoring medications
QUESTION: What can a poor metabolism phenotype do to a metabolism of a drug? ✓✓Correct
Answer: -slow or increase absorption
-slow the metabolism
-keep drug in body longer
-increase toxicity
QUESTION: How does poor metabolism affect a high or low therapeutic index? ✓✓Correct Answer: -
increase drug toxicity
(example plavix - clots & increased platelets)
QUESTION: Black box warning for Opioids ✓✓Correct Answer: respiratory depression
QUESTION: Black box warning for Fentanyl ✓✓Correct Answer: FATAL respiratory depression
Page 2 of 69
,QUESTION: Black box warning for Methadone (NP cannot prescribe) ✓✓Correct Answer: QT interval
prolongation
QUESTION: Black box warning for Codeine ✓✓Correct Answer: -breastfeeding and infant death can
occur
-10% of dose converts to morphine
QUESTION: Black box warning for hydromorphone & oxymorphone (NP cannot prescribe long acting
hydromorphone and oxymorphone) ✓✓Correct Answer: -risk for high abuse & overdose
-respiratory depression
QUESTION: Black box warning for oxycodone (NP need additional training to prescribe for chronic
pain) ✓✓Correct Answer: -HIGH potential for abuse
-respiratory depression
QUESTION: Meds that require special training for APNs to prescribe are... ✓✓Correct Answer: -
Opioids
-Fentanyl
-Methadone
-Codeine
-Hydromorphone & oxymorphone
-Oxycodone
QUESTION: What are therapeutic uses for morphine? ✓✓Correct Answer: MODERATE TO SEVERE
PAIN
-acute pain
-post op/surgical pain
-end of life pain management
-MI
-labor & delivery
-cancer
Page 3 of 69
, QUESTION: What are therapeutic uses for Fentanyl? ✓✓Correct Answer: BREAKTHROUGH PAIN
surgical pain
severe pain
opioid tolerant patients
QUESTION: What are therapeutic uses for codeine? ✓✓Correct Answer: MILD TO MODERATE PAIN
cough
QUESTION: What is MME and when to use it? ✓✓Correct Answer: morphine milligram equivalent
used for overdose(OD)
assess where patient is at in their pain management and monitor them safely
QUESTION: What is the PDPM and when to use it? ✓✓Correct Answer: -database to access to
patient's prescription history of controlled substances used to ensure safe prescribing to prevent
overdosing and polypharmacy
-use prior to starting opioid therapy and during opioid therapy
QUESTION: Renal and hepatic insufficiencies with opioids
1)Codeine ✓✓Correct Answer: stays in body longer & metabolism is effected
QUESTION: Renal and hepatic insufficiencies with opioids
2) Morphine ✓✓Correct Answer: neurotoxicity
QUESTION: Renal and hepatic insufficiencies with opioids
3)Oxycodone ✓✓Correct Answer: overdose
can use with extreme caution and reduction of dosage
QUESTION: Renal and hepatic insufficiencies with opioids
Page 4 of 69
FINAL EXAM CORRECTLY ANSWERED 2024/2025 LATEST
|GRADED A+.
QUESTION: What medications are Schedule III drugs? ✓✓Correct Answer: -Xanax
-Tramadol
-anabolic steroids
-<90mg of codeine
QUESTION: What medications are Schedule IV drugs? ✓✓Correct Answer: -Ativan
-Tramadol
-Methadone
-Adderall
QUESTION: Which schedule drugs can APRNs prescribe? ✓✓Correct Answer: Schedule II through
Schedule IV
QUESTION: examples of reasons for medication non-adherence ✓✓Correct Answer: -too busy
-too expensive
-ran out
-forgetting
-traveling & busy
QUESTION: Distribution in medication in elderly can be affected in what ways? ✓✓Correct Answer: -
decreased lean mass
-decreased albumin
-decreased body fat
-slower gastric acidity
-slower absorption results in delayed response
Page 1 of 69
,QUESTION: In the elderly decrease albumin and decreased lean mass affects medications how?
✓✓Correct Answer: medication binds to protein so decreased protein affects how medication is
absorbed and distributed
QUESTION: In elderly decreased body fat affects medications how? ✓✓Correct Answer: need fat to
transport medications and some drug metabolism is dependent on body weight
QUESTION: When prescribing medication, we must understand that liver function declines with age
due to.... ✓✓Correct Answer: decreased blood flow to the liver, decreased hepatic enzymes
QUESTION: What is the most important cause of adverse drug reactions? ✓✓Correct Answer:
***overprescribing/polypharmacy
***decreased renal excretion
-high drug dosages (start low & go slow)
-lack of monitoring medications
QUESTION: What can a poor metabolism phenotype do to a metabolism of a drug? ✓✓Correct
Answer: -slow or increase absorption
-slow the metabolism
-keep drug in body longer
-increase toxicity
QUESTION: How does poor metabolism affect a high or low therapeutic index? ✓✓Correct Answer: -
increase drug toxicity
(example plavix - clots & increased platelets)
QUESTION: Black box warning for Opioids ✓✓Correct Answer: respiratory depression
QUESTION: Black box warning for Fentanyl ✓✓Correct Answer: FATAL respiratory depression
Page 2 of 69
,QUESTION: Black box warning for Methadone (NP cannot prescribe) ✓✓Correct Answer: QT interval
prolongation
QUESTION: Black box warning for Codeine ✓✓Correct Answer: -breastfeeding and infant death can
occur
-10% of dose converts to morphine
QUESTION: Black box warning for hydromorphone & oxymorphone (NP cannot prescribe long acting
hydromorphone and oxymorphone) ✓✓Correct Answer: -risk for high abuse & overdose
-respiratory depression
QUESTION: Black box warning for oxycodone (NP need additional training to prescribe for chronic
pain) ✓✓Correct Answer: -HIGH potential for abuse
-respiratory depression
QUESTION: Meds that require special training for APNs to prescribe are... ✓✓Correct Answer: -
Opioids
-Fentanyl
-Methadone
-Codeine
-Hydromorphone & oxymorphone
-Oxycodone
QUESTION: What are therapeutic uses for morphine? ✓✓Correct Answer: MODERATE TO SEVERE
PAIN
-acute pain
-post op/surgical pain
-end of life pain management
-MI
-labor & delivery
-cancer
Page 3 of 69
, QUESTION: What are therapeutic uses for Fentanyl? ✓✓Correct Answer: BREAKTHROUGH PAIN
surgical pain
severe pain
opioid tolerant patients
QUESTION: What are therapeutic uses for codeine? ✓✓Correct Answer: MILD TO MODERATE PAIN
cough
QUESTION: What is MME and when to use it? ✓✓Correct Answer: morphine milligram equivalent
used for overdose(OD)
assess where patient is at in their pain management and monitor them safely
QUESTION: What is the PDPM and when to use it? ✓✓Correct Answer: -database to access to
patient's prescription history of controlled substances used to ensure safe prescribing to prevent
overdosing and polypharmacy
-use prior to starting opioid therapy and during opioid therapy
QUESTION: Renal and hepatic insufficiencies with opioids
1)Codeine ✓✓Correct Answer: stays in body longer & metabolism is effected
QUESTION: Renal and hepatic insufficiencies with opioids
2) Morphine ✓✓Correct Answer: neurotoxicity
QUESTION: Renal and hepatic insufficiencies with opioids
3)Oxycodone ✓✓Correct Answer: overdose
can use with extreme caution and reduction of dosage
QUESTION: Renal and hepatic insufficiencies with opioids
Page 4 of 69
