NR565 Pharmacology week 1 Exam 2026
Questions and Answers
Restrictive practice scope? - Correct answer-Nurse practitioners are limited in at
least one element of practice by requiring supervision, delegation, or team
management by an outside health discipline for the nurse practitioner to provide
patient care.
Full practice scope? - 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.
Reduced-practice scope? - 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.
Nurse practitioner scope of practice is determined by? - Correct answer-state
practice and licensure laws
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,scope of practice is categorized ? - Correct answer-as practice authority and
prescriptive authority.
Practice authority refers to? - Correct answer-the nurse practitioner's ability to
practice without physician oversight, whereas prescriptive authority refers to the
nurse practitioner's authority to prescribe medications.
Practice authority and prescriptive authority together are described as practice ? -
Correct answer-"environments" according to state laws and regulations.
Prescription writing requires prudent and deliberate decision-making processes to
maintain patient safety and reduce liability, including: - Correct answer--
documentation of a provider-patient relationship for the recipient of the prescribed
medications
-documentation of a thorough history and physical examination for the recipient
-documentation of discussions regarding risk factors, side effects, or therapy
options
-documentation of drug monitoring or titration plan, if applicable
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,-documentation of consultations, if any
avoidance of prescribing medications for self, family, or friends
Rational Drug Selection includes: - Correct answer--Cost
It is of critical importance that providers ask patients if they have difficulty
obtaining their medication because it is cost-prohibitive.
-Guidelines
It is the provider's responsibility to keep abreast of new recommendations or
changes in guidelines and to incorporate these into their prescribing practices.
-Availability
The drug you want may not be available in your facility or at a specific pharmacy.
This can affect your choice of medications.
-Interactions
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, There are very few medications that do not interact with either another medication
or food. Polypharmacy greatly increases the risk of interactions. Some of these
interactions are negligible, but some can have life-threatening consequences.
-Side Effects
All drugs have side effects. Some are adverse, and some may be beneficial.
-Allergies
Unfortunately, your patient may have an allergy to that medication or class of drug.
It is of critical importance to determine the type of reaction and to document it in
the patient's chart. Then, the selection of an appropriate drug may begin.
-Hepatic and Renal Function
Many drugs are metabolized and eliminated by the liver and kidneys. If these
systems are impaired, this can lead to increased adverse effects and possible
medication overdose.
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Questions and Answers
Restrictive practice scope? - Correct answer-Nurse practitioners are limited in at
least one element of practice by requiring supervision, delegation, or team
management by an outside health discipline for the nurse practitioner to provide
patient care.
Full practice scope? - 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.
Reduced-practice scope? - 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.
Nurse practitioner scope of practice is determined by? - Correct answer-state
practice and licensure laws
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,scope of practice is categorized ? - Correct answer-as practice authority and
prescriptive authority.
Practice authority refers to? - Correct answer-the nurse practitioner's ability to
practice without physician oversight, whereas prescriptive authority refers to the
nurse practitioner's authority to prescribe medications.
Practice authority and prescriptive authority together are described as practice ? -
Correct answer-"environments" according to state laws and regulations.
Prescription writing requires prudent and deliberate decision-making processes to
maintain patient safety and reduce liability, including: - Correct answer--
documentation of a provider-patient relationship for the recipient of the prescribed
medications
-documentation of a thorough history and physical examination for the recipient
-documentation of discussions regarding risk factors, side effects, or therapy
options
-documentation of drug monitoring or titration plan, if applicable
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,-documentation of consultations, if any
avoidance of prescribing medications for self, family, or friends
Rational Drug Selection includes: - Correct answer--Cost
It is of critical importance that providers ask patients if they have difficulty
obtaining their medication because it is cost-prohibitive.
-Guidelines
It is the provider's responsibility to keep abreast of new recommendations or
changes in guidelines and to incorporate these into their prescribing practices.
-Availability
The drug you want may not be available in your facility or at a specific pharmacy.
This can affect your choice of medications.
-Interactions
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, There are very few medications that do not interact with either another medication
or food. Polypharmacy greatly increases the risk of interactions. Some of these
interactions are negligible, but some can have life-threatening consequences.
-Side Effects
All drugs have side effects. Some are adverse, and some may be beneficial.
-Allergies
Unfortunately, your patient may have an allergy to that medication or class of drug.
It is of critical importance to determine the type of reaction and to document it in
the patient's chart. Then, the selection of an appropriate drug may begin.
-Hepatic and Renal Function
Many drugs are metabolized and eliminated by the liver and kidneys. If these
systems are impaired, this can lead to increased adverse effects and possible
medication overdose.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
