NUR 521 Advanced Pharmacology
Blueprint Exam 1 Questions With
Correct Answers| 2026 Updated
Why should APRNs have full prescriptive authority? Who would benefit from this?
To inc pt care, accessibility, quality, and affordability.
Pts benefit, especially underprivileged, rural communities. Could also improve wait times and
lower hc costs for pts and hc systems by reducing reliance on more expensive providers. APRNs
could benefit because they could practice to the full extent of their abilities
Schedule I Drugs
No medical use in the US
Heroin
Marijuana
LSD
MDMA
Schedule II Drugs
High abuse potential w/ psych/physical dependence
Stimulants and depressants
,Opium
Morphine
Codeine
Dilaudid
Methadone
Demerol
Hydrocodone
Schedule III Drugs
High abuse potential but less than I and II
Contains compounds w/ limited amounts of certain drugs
Products containing no more than 90mg of Codeine per dosage unit
Tylenol w/ codeine
Buprenorphine (Suboxone)
Schedule IV Drugs
Abuse potential less than I, II, and III
Barbital
Phenobarbital
Chloral Hydrate
Clorazepate (Tranxene)
Alprazolam (Xanax)
Quazepam (Dormalin)
,Schedule V Drugs
Abuse potential less than I-IV
Preparations w/ limits amounts of certain narcs/stims used for diarrhea, cough, and pain
Buprenorphine
Propylhexedrine
What components are necessary when writing a prescription?
Prescriber name, license #, contact info
Prescriber DEA # (if applicable)
NPI #
Pt name/ DOB
Name of med
Indication for med
Med concentration if liquid prep
Dose, route, freq
# of tab/cap to dispense
# of refills
If ok to use generic
What factors should the APRN consider when prescribing medications?
Cost
Drug interactions
Liver/ Renal function
, Guidelines
SEs
Monitoring Parameters (Coumadin, thyroid, lithium)
Availability
Allergies
Special populations (OB, BF, PED, GERI)
What factors should the APRN consider when refilling medications? Especially narcotics
New med for pt?
Changing dose/freq?
Adding new meds?
Undesired SEs
When will I follow-up?
When was pt seen last?
Do they need to be seen again before refill?
Is this a schedule II med?
Considerations with telephone, written, E-prescribing meds
Phone- can have specified designee call in to pharmacy but cannot call in Sch II
Written- never presign, write in ink, avoid abbrev, use tamper resistant scripts
E-prescribing- CMS incentivizes using EMR to prescribe.
"Meaningful Use" with intent to inc pt safety/ improve outcomes. Requires 2 factor
authentication software to prescribe scheduled meds
Blueprint Exam 1 Questions With
Correct Answers| 2026 Updated
Why should APRNs have full prescriptive authority? Who would benefit from this?
To inc pt care, accessibility, quality, and affordability.
Pts benefit, especially underprivileged, rural communities. Could also improve wait times and
lower hc costs for pts and hc systems by reducing reliance on more expensive providers. APRNs
could benefit because they could practice to the full extent of their abilities
Schedule I Drugs
No medical use in the US
Heroin
Marijuana
LSD
MDMA
Schedule II Drugs
High abuse potential w/ psych/physical dependence
Stimulants and depressants
,Opium
Morphine
Codeine
Dilaudid
Methadone
Demerol
Hydrocodone
Schedule III Drugs
High abuse potential but less than I and II
Contains compounds w/ limited amounts of certain drugs
Products containing no more than 90mg of Codeine per dosage unit
Tylenol w/ codeine
Buprenorphine (Suboxone)
Schedule IV Drugs
Abuse potential less than I, II, and III
Barbital
Phenobarbital
Chloral Hydrate
Clorazepate (Tranxene)
Alprazolam (Xanax)
Quazepam (Dormalin)
,Schedule V Drugs
Abuse potential less than I-IV
Preparations w/ limits amounts of certain narcs/stims used for diarrhea, cough, and pain
Buprenorphine
Propylhexedrine
What components are necessary when writing a prescription?
Prescriber name, license #, contact info
Prescriber DEA # (if applicable)
NPI #
Pt name/ DOB
Name of med
Indication for med
Med concentration if liquid prep
Dose, route, freq
# of tab/cap to dispense
# of refills
If ok to use generic
What factors should the APRN consider when prescribing medications?
Cost
Drug interactions
Liver/ Renal function
, Guidelines
SEs
Monitoring Parameters (Coumadin, thyroid, lithium)
Availability
Allergies
Special populations (OB, BF, PED, GERI)
What factors should the APRN consider when refilling medications? Especially narcotics
New med for pt?
Changing dose/freq?
Adding new meds?
Undesired SEs
When will I follow-up?
When was pt seen last?
Do they need to be seen again before refill?
Is this a schedule II med?
Considerations with telephone, written, E-prescribing meds
Phone- can have specified designee call in to pharmacy but cannot call in Sch II
Written- never presign, write in ink, avoid abbrev, use tamper resistant scripts
E-prescribing- CMS incentivizes using EMR to prescribe.
"Meaningful Use" with intent to inc pt safety/ improve outcomes. Requires 2 factor
authentication software to prescribe scheduled meds
