NURS 5354 EXAM 1 2025/2026
QUESTIONS AND ANSWERS 100% PASS
Describe Full prescriptive authority in TX as it relates to APRNs
can prescribe schedule III-V with supervising MD
What are the 9 medication education components?
- Medication name
- Purpose
- Dosing regimen
- Administration
- Adverse effects
- Special storage needs
- Associated lab findings
- Food or drug interactions
Duration of therapy
Describe the scheduled drug classes (provide examples on III-V)
- schedule I: no medical use & high risk for abuse
- schedule II: has some medical use, but still increase risk for abuse
-Schedule III: mod-low risk for dependence (Tylenol #3, testosterone, ketamine, anabolic
steroids)
- Schedule IV: low risk for abuse/dependence (Xanax, ambien, valium, darvocet)
- Schedule V: lower potential for abuse (Robitussin AC, Lyrica, Lomotil)
What are some geriatric considerations when prescribing medications?
Decreased renal function
Decreased liver function
Cost
1 @COPYRIGHT 2025/2026.
, Side effects
Monitoring
Adherence
memory
What are two examples of food/drug interactions?
- Metronidazole- no alcohol for duration of therapy
- MAO meds- no foods rich in tyramine such as aged cheese, yeast extracts or chianti wine)
What labs need to be monitored for ACE inhibitors?
Potassium and serum creatinine
What labs need to be monitored for digoxin?
Digoxin level and serum electrolytes
What labs need to be monitored for lithium?
CBC, lithium level, thyroid function, renal function, and serum electrolytes
What labs need to be monitored for NSAIDs?
CBC, creatinine, and liver function
What are the 10 key components of prescriptions?
- Prescriber name, license #, and contact info
- DEA # if applicable
- Patient name and DOB
- Patient allergies
- Name of med
- Indication of med
- Medication strength
- Dose and frequency
- Number of tablets to dispense
-Number of refills
What is the definition of therapeutic index?
The measure of drugs safety. ratio of lethal dose (LD) 50 to Effective dose (ED)50
What is the first pass effect?
The rapid hepatic inactivation of certain oral meds when they pass through the liver
What are the 4 stages of drugs as they move through the body?
2 @COPYRIGHT 2025/2026.
QUESTIONS AND ANSWERS 100% PASS
Describe Full prescriptive authority in TX as it relates to APRNs
can prescribe schedule III-V with supervising MD
What are the 9 medication education components?
- Medication name
- Purpose
- Dosing regimen
- Administration
- Adverse effects
- Special storage needs
- Associated lab findings
- Food or drug interactions
Duration of therapy
Describe the scheduled drug classes (provide examples on III-V)
- schedule I: no medical use & high risk for abuse
- schedule II: has some medical use, but still increase risk for abuse
-Schedule III: mod-low risk for dependence (Tylenol #3, testosterone, ketamine, anabolic
steroids)
- Schedule IV: low risk for abuse/dependence (Xanax, ambien, valium, darvocet)
- Schedule V: lower potential for abuse (Robitussin AC, Lyrica, Lomotil)
What are some geriatric considerations when prescribing medications?
Decreased renal function
Decreased liver function
Cost
1 @COPYRIGHT 2025/2026.
, Side effects
Monitoring
Adherence
memory
What are two examples of food/drug interactions?
- Metronidazole- no alcohol for duration of therapy
- MAO meds- no foods rich in tyramine such as aged cheese, yeast extracts or chianti wine)
What labs need to be monitored for ACE inhibitors?
Potassium and serum creatinine
What labs need to be monitored for digoxin?
Digoxin level and serum electrolytes
What labs need to be monitored for lithium?
CBC, lithium level, thyroid function, renal function, and serum electrolytes
What labs need to be monitored for NSAIDs?
CBC, creatinine, and liver function
What are the 10 key components of prescriptions?
- Prescriber name, license #, and contact info
- DEA # if applicable
- Patient name and DOB
- Patient allergies
- Name of med
- Indication of med
- Medication strength
- Dose and frequency
- Number of tablets to dispense
-Number of refills
What is the definition of therapeutic index?
The measure of drugs safety. ratio of lethal dose (LD) 50 to Effective dose (ED)50
What is the first pass effect?
The rapid hepatic inactivation of certain oral meds when they pass through the liver
What are the 4 stages of drugs as they move through the body?
2 @COPYRIGHT 2025/2026.
