Advanced Pharmacology Care of the
Fundamentals Exam | Questions and Verified
Quiz_________________?
Which schedule drugs can APRNs prescribe? -
Answer✅
Schedule II-V
Quiz_________________?
Prescriptive authority -
Answer✅
2 components
(1) the right to prescribe independently
(2) the right to prescribe without limitation
Physicians have full prescriptive authority. APPs are limited depending on state laws
Quiz_________________?
1
, Who determines and regulates prescriptive authority? -
Answer✅
State laws & State Board of Nursing
Quiz_________________?
How does limited prescriptive authority impact patients within the healthcare system? -
Answer✅
Limited prescriptive authority creates barriers to quality, affordable and accessible
healthcare
Ex. Restrictions on the distance of the APP from the MD providing
supervision/collaboration can prevent outreach to areas of greatest need
Ex. Needing a MD co-signature can cause delays in care.
Ex. Currently we have a physician shortage, so less are able to oversee APPs
Quiz_________________?
What are the key responsibilities of prescribing? -
Answer✅
Protect patients from harm
Know MOA, safety, efficacy, and select right med/dose to maximize outcome and minimize
adverse effects
Quiz_________________?
What should be used to make prescribing decisions? -
Answer✅
- Have a documented provider-patient relationship
2
, - Document H&P
- Discuss & document risk factors, side effects, and therapy options
- Document plan for monitoring and/or titration
- Consider cost, drug availability, and clinical practice guidelines
- Consider side effects, allergies, hepatic/renal function, need for monitoring, and lifespan
considerations
Quiz_________________?
Elements of a prescription -
Answer✅
Prescriber name, license, contact info, and DEA (if applicable)
Patient name, DOB, allergies
Medication name, indication, strength, dose, frequency, dispense quantity and number of
refills
May be telephone, written, e-script, or refill
-Schedule II cannot be prescribed or refilled by phone
-Written scripts must be legible, in ink, no abbreviations, and never sign a blank script
-Not all DEA drugs can be e-prescribed
-With refills, consider monitoring needs
Quiz_________________?
Pharmacokinetics -
Answer✅
How the drug moves ("kinetic") through the body (absorption, distribution, metabolism,
excretion)
Absorption - Drug entering blood (ex. Absorbed from GI tract)
3
, Distribution - Drug moving from blood to tissues/cells of liver, kidneys or other site
Metabolism - Drug-structure altered by enzymes
Excretion - Drugs & their metabolites move out of the body via bile or urine
Quiz_________________?
Pharmacodynamics -
Answer✅
PharmacoDynamics
(What Drugs Do to the body)
MOA (interactions between drug and receptors or enzymes), dose, tolerance, dependence,
interactions, adverse effects; drugs affects individuals differently
Relates to agonists, antagonists
Quiz_________________?
Agonists & Antagonists -
Answer✅
Agonists mimic the body's own regulatory molecules and activate receptors. Ex.
Dobutamine (drug) mimics norepinephrine at receptors on the heart, allowing it to bind and
cause the heart rate to increase.
Antagonists block the actions of regulating molecules. They do not activate receptors. Ex.
Antihistamines suppress allergy symptoms by binding to the receptors of histamine and
preventing activation of these receptors by histamine released in response to allergens.
Quiz_________________?
4
Fundamentals Exam | Questions and Verified
Quiz_________________?
Which schedule drugs can APRNs prescribe? -
Answer✅
Schedule II-V
Quiz_________________?
Prescriptive authority -
Answer✅
2 components
(1) the right to prescribe independently
(2) the right to prescribe without limitation
Physicians have full prescriptive authority. APPs are limited depending on state laws
Quiz_________________?
1
, Who determines and regulates prescriptive authority? -
Answer✅
State laws & State Board of Nursing
Quiz_________________?
How does limited prescriptive authority impact patients within the healthcare system? -
Answer✅
Limited prescriptive authority creates barriers to quality, affordable and accessible
healthcare
Ex. Restrictions on the distance of the APP from the MD providing
supervision/collaboration can prevent outreach to areas of greatest need
Ex. Needing a MD co-signature can cause delays in care.
Ex. Currently we have a physician shortage, so less are able to oversee APPs
Quiz_________________?
What are the key responsibilities of prescribing? -
Answer✅
Protect patients from harm
Know MOA, safety, efficacy, and select right med/dose to maximize outcome and minimize
adverse effects
Quiz_________________?
What should be used to make prescribing decisions? -
Answer✅
- Have a documented provider-patient relationship
2
, - Document H&P
- Discuss & document risk factors, side effects, and therapy options
- Document plan for monitoring and/or titration
- Consider cost, drug availability, and clinical practice guidelines
- Consider side effects, allergies, hepatic/renal function, need for monitoring, and lifespan
considerations
Quiz_________________?
Elements of a prescription -
Answer✅
Prescriber name, license, contact info, and DEA (if applicable)
Patient name, DOB, allergies
Medication name, indication, strength, dose, frequency, dispense quantity and number of
refills
May be telephone, written, e-script, or refill
-Schedule II cannot be prescribed or refilled by phone
-Written scripts must be legible, in ink, no abbreviations, and never sign a blank script
-Not all DEA drugs can be e-prescribed
-With refills, consider monitoring needs
Quiz_________________?
Pharmacokinetics -
Answer✅
How the drug moves ("kinetic") through the body (absorption, distribution, metabolism,
excretion)
Absorption - Drug entering blood (ex. Absorbed from GI tract)
3
, Distribution - Drug moving from blood to tissues/cells of liver, kidneys or other site
Metabolism - Drug-structure altered by enzymes
Excretion - Drugs & their metabolites move out of the body via bile or urine
Quiz_________________?
Pharmacodynamics -
Answer✅
PharmacoDynamics
(What Drugs Do to the body)
MOA (interactions between drug and receptors or enzymes), dose, tolerance, dependence,
interactions, adverse effects; drugs affects individuals differently
Relates to agonists, antagonists
Quiz_________________?
Agonists & Antagonists -
Answer✅
Agonists mimic the body's own regulatory molecules and activate receptors. Ex.
Dobutamine (drug) mimics norepinephrine at receptors on the heart, allowing it to bind and
cause the heart rate to increase.
Antagonists block the actions of regulating molecules. They do not activate receptors. Ex.
Antihistamines suppress allergy symptoms by binding to the receptors of histamine and
preventing activation of these receptors by histamine released in response to allergens.
Quiz_________________?
4
