Advanced Pharmacology Care of the
Fundamentals Exam | Questions and
Quiz_________________?
Which scheduled drugs can APRNs prescribe? -
Answer✅
II-V
Quiz_________________?
Who determines and regulates prescriptive authority? -
Answer✅
Boards of nursing, pharmacy, medicine
Quiz_________________?
How does limited prescriptive authority impact patients within the healthcare system? -
Answer✅
Decreased access to care, longer wait times for APRN/MD signatures, decreased treatment
time of the patient
Quiz_________________?
1
, Key responsibility of prescribing? -
Answer✅
Documentation of discussion between prescriber and patient, did not prescribe to friends
and family, obtain thorough H&P, document discussions regarding medication's, side effects,
respecters, monitoring and titrating
Quiz_________________?
What should be used to make prescribing decisions? -
Answer✅
Cost, availability, hepatic/renal monitoring, allergies, side effects, interactions, guidelines,
special populations
Quiz_________________?
Pharmacokinetic/pharmacodynamic changes in older adults. -
Answer✅
Things move slower in older adults. Absorption of medication's in the G.I. tract decrease
function of the liver decrease function of the kidneys. Decrease lean muscle mass increase
adipose tissue.
Quiz_________________?
Beers Criteria for Potentially Inappropriate Medication Use in Older Adults -
Answer✅
Potentially inappropriate medication used in adults due to medication disease or medication
syndrome interactions that may exacerbate the disease or syndrome. Clinically significant
drug interactions that should be avoided in older adults there's decrease may need to be
incorporated it due to decreased kidney function
Quiz_________________?
Impacts - outcomes of polypharmacy -
Answer✅
2
, Simplifying drug regimen, 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 system.
Quiz_________________?
CYP 450 inhibitors -
Answer✅
Inhibits the metabolism activity of one or more of the CYP 450 enzymes VISA CKGQ
valproate , Isoniazid, sulfonamides, amiodarone, Chloramphincol, ketoconazole, grapefruit,
quinidine. Can cause higher levels of toxicity in some meds
Quiz_________________?
CYP 450 inducers -
Answer✅
Induces are xenobiotics that elevate CYP 450 enzyme activity by increasing enzyme
synthesis examples crap GPS is BS. Carbamazepine, rifampin, alcohol, PhenoBarb,
Griselfulvin, phenytoin, barbiturate, St. John's wort, may need to start higher doses of some
of these medication's to take affect may take longer.
Quiz_________________?
What happens when someone has a poor metabolism phenotype? -
Answer✅
Alters the effect of the medication to produce the desired outcome can either be slow or
fast
Quiz_________________?
What does the US Food and drug in ministration regulate when it comes to medication? -
Answer✅
Adverse drug reactions
Quiz_________________?
3
Fundamentals Exam | Questions and
Quiz_________________?
Which scheduled drugs can APRNs prescribe? -
Answer✅
II-V
Quiz_________________?
Who determines and regulates prescriptive authority? -
Answer✅
Boards of nursing, pharmacy, medicine
Quiz_________________?
How does limited prescriptive authority impact patients within the healthcare system? -
Answer✅
Decreased access to care, longer wait times for APRN/MD signatures, decreased treatment
time of the patient
Quiz_________________?
1
, Key responsibility of prescribing? -
Answer✅
Documentation of discussion between prescriber and patient, did not prescribe to friends
and family, obtain thorough H&P, document discussions regarding medication's, side effects,
respecters, monitoring and titrating
Quiz_________________?
What should be used to make prescribing decisions? -
Answer✅
Cost, availability, hepatic/renal monitoring, allergies, side effects, interactions, guidelines,
special populations
Quiz_________________?
Pharmacokinetic/pharmacodynamic changes in older adults. -
Answer✅
Things move slower in older adults. Absorption of medication's in the G.I. tract decrease
function of the liver decrease function of the kidneys. Decrease lean muscle mass increase
adipose tissue.
Quiz_________________?
Beers Criteria for Potentially Inappropriate Medication Use in Older Adults -
Answer✅
Potentially inappropriate medication used in adults due to medication disease or medication
syndrome interactions that may exacerbate the disease or syndrome. Clinically significant
drug interactions that should be avoided in older adults there's decrease may need to be
incorporated it due to decreased kidney function
Quiz_________________?
Impacts - outcomes of polypharmacy -
Answer✅
2
, Simplifying drug regimen, 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 system.
Quiz_________________?
CYP 450 inhibitors -
Answer✅
Inhibits the metabolism activity of one or more of the CYP 450 enzymes VISA CKGQ
valproate , Isoniazid, sulfonamides, amiodarone, Chloramphincol, ketoconazole, grapefruit,
quinidine. Can cause higher levels of toxicity in some meds
Quiz_________________?
CYP 450 inducers -
Answer✅
Induces are xenobiotics that elevate CYP 450 enzyme activity by increasing enzyme
synthesis examples crap GPS is BS. Carbamazepine, rifampin, alcohol, PhenoBarb,
Griselfulvin, phenytoin, barbiturate, St. John's wort, may need to start higher doses of some
of these medication's to take affect may take longer.
Quiz_________________?
What happens when someone has a poor metabolism phenotype? -
Answer✅
Alters the effect of the medication to produce the desired outcome can either be slow or
fast
Quiz_________________?
What does the US Food and drug in ministration regulate when it comes to medication? -
Answer✅
Adverse drug reactions
Quiz_________________?
3
