NR 565 Midterm Exam NEWEST 2025 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
What medications are Schedule IV drugs? - CORRECT ANSWER- -Ativan
-Tramadol
-Methadone
-Adderall
Which schedule drugs can APRNs prescribe? - CORRECT ANSWER- Schedule II through Schedule IV
examples of reasons for medication non-adherence - CORRECT ANSWER- -too busy
-too expensive
-ran out
-forgetting
-traveling & busy
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
What are medication examples of Schedule II drugs? - CORRECT ANSWER- -Ativan & Valium
-Fentanyl
-Oxycodone
-Methadone
What medications are Schedule III drugs? - CORRECT ANSWER- -Xanax
-Tramadol
-anabolic steroids
-<90mg of codeine
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
In elderly decreased body fat affects medications how? - CORRECT ANSWER- need fat to transport
medications and some drug metabolism is dependent on body weight
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
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
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
How does poor metabolism affect a high or low therapeutic index? - CORRECT ANSWER- -increase
drug toxicity
(example plavix - clots & increased platelets)
Black box warning for Opioids - CORRECT ANSWER- respiratory depression
Black box warning for Fentanyl - CORRECT ANSWER- FATAL respiratory depression
Black box warning for Methadone (NP cannot prescribe) - CORRECT ANSWER- QT interval
prolongation
Black box warning for Codeine - CORRECT ANSWER- -breastfeeding and infant death can occur
-10% of dose converts to morphine
Black box warning for hydromorphone & oxymorphone (NP cannot prescribe long acting
hydromorphone and oxymorphone) - CORRECT ANSWER- -risk for high abuse & overdose
-respiratory depression
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
What medications are Schedule IV drugs? - CORRECT ANSWER- -Ativan
-Tramadol
-Methadone
-Adderall
Which schedule drugs can APRNs prescribe? - CORRECT ANSWER- Schedule II through Schedule IV
examples of reasons for medication non-adherence - CORRECT ANSWER- -too busy
-too expensive
-ran out
-forgetting
-traveling & busy
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
What are medication examples of Schedule II drugs? - CORRECT ANSWER- -Ativan & Valium
-Fentanyl
-Oxycodone
-Methadone
What medications are Schedule III drugs? - CORRECT ANSWER- -Xanax
-Tramadol
-anabolic steroids
-<90mg of codeine
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
In elderly decreased body fat affects medications how? - CORRECT ANSWER- need fat to transport
medications and some drug metabolism is dependent on body weight
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
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
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
How does poor metabolism affect a high or low therapeutic index? - CORRECT ANSWER- -increase
drug toxicity
(example plavix - clots & increased platelets)
Black box warning for Opioids - CORRECT ANSWER- respiratory depression
Black box warning for Fentanyl - CORRECT ANSWER- FATAL respiratory depression
Black box warning for Methadone (NP cannot prescribe) - CORRECT ANSWER- QT interval
prolongation
Black box warning for Codeine - CORRECT ANSWER- -breastfeeding and infant death can occur
-10% of dose converts to morphine
Black box warning for hydromorphone & oxymorphone (NP cannot prescribe long acting
hydromorphone and oxymorphone) - CORRECT ANSWER- -risk for high abuse & overdose
-respiratory depression
