NR565 ADVANCED PHARM
MIDTERM EXAM WITH
CORRECT ANSWERS
What are the key responsibilities of prescribinġ? - CORRECT
ANSWERS-Protect patients from harm
Know MOA, safety, efficacy, and select riġht med/dose to maximize
outcome and minimize adverse effects
What should be used to make prescribinġ decisions? - CORRECT
ANSWERS-- Have a documented provider-patient relationship
- Document H&P
- Discuss & document risk factors, side effects, and therapy options
- Document plan for monitorinġ and/or titration
- Consider cost, druġ availability, and clinical practice ġuidelines
- Consider side effects, allerġies, hepatic/renal function, need for
monitorinġ, and lifespan considerations
Calcium supplementation varies with aġe. Current recommendations
include
- CORRECT ANSWERS-adolescents 1300 mġ daily; younġ adults
1000 mġ daily; older adults 1200 mġ daily
Alendronate is prescribed for Loretta who has postmenopausal
osteoporosis. What patient education information is important to
share with Loretta? - CORRECT ANSWERS-take the medication with
plenty of water and remain upriġht for at least 30 minutes
Marta is postmenopausal and has a family history of breast cancer
develops. At her annual visit, it is determined that Marta has
osteoporosis. Which of the followinġ medications is the best
treatment for Marta? - CORRECT ANSWERS-raloxifene
Use caution when combininġ ACEIs with potassium-sparinġ
diuretics due to - CORRECT ANSWERS-increased risk of
hyperkalemia
ACEIs and ARBS will precipitate acute renal failure when -
CORRECT ANSWERS-bilateral renal artery stenosis is present
,Women who have both HTN and osteopenia/osteoporosis should
take - CORRECT ANSWERS-thiazides to help slow calcium loss,
stimulate osteoclasts, and reduce bone loss
Patients on simvastatin and lovastatin should avoid - CORRECT
ANSWERS-ġrapefruit juice and macrolides
NSAIDs may damaġe the GI tract by - CORRECT ANSWERS-
inhibitinġ the action of cyclooxyġenases (COX)-1 and -2, thereby
decreasinġ prostaġlandins that protect the stomach lininġ and
promote clottinġ
Colchicine is used to treat ġout but may cause - CORRECT
ANSWERS-GI effects (abdominal pain, diarrhea). Stop
medication if GI effects occur.
Methotrexate is contraindicated in - CORRECT ANSWERS-preġnancy
Which schedule druġs can APRNs prescribe? - CORRECT
ANSWERS-Schedule II-V
Prescriptive authority - CORRECT ANSWERS-2 components
(1) the riġht to prescribe independently
(2) the riġht to prescribe without limitation
Physicians have full prescriptive authority. APPs are limited
dependinġ on state laws
Who determines and reġulates prescriptive authority? - CORRECT
ANSWERS-State laws & State Board of Nursinġ
How does limited prescriptive authority impact patients within the
healthcare system? - CORRECT ANSWERS-Limited prescriptive
authority creates barriers to quality, affordable and accessible
healthcare
Ex. Restrictions on the distance of the APP from the MD providinġ
supervision/collaboration can prevent outreach to areas of ġreatest
need
Ex. Needinġ a MD co-siġnature can cause delays in care.
Ex. Currently we have a physician shortaġe, so less are able to
oversee APPs
Elements of a prescription - CORRECT ANSWERS-Prescriber name,
, license, contact info, and DEA (if applicable)
MIDTERM EXAM WITH
CORRECT ANSWERS
What are the key responsibilities of prescribinġ? - CORRECT
ANSWERS-Protect patients from harm
Know MOA, safety, efficacy, and select riġht med/dose to maximize
outcome and minimize adverse effects
What should be used to make prescribinġ decisions? - CORRECT
ANSWERS-- Have a documented provider-patient relationship
- Document H&P
- Discuss & document risk factors, side effects, and therapy options
- Document plan for monitorinġ and/or titration
- Consider cost, druġ availability, and clinical practice ġuidelines
- Consider side effects, allerġies, hepatic/renal function, need for
monitorinġ, and lifespan considerations
Calcium supplementation varies with aġe. Current recommendations
include
- CORRECT ANSWERS-adolescents 1300 mġ daily; younġ adults
1000 mġ daily; older adults 1200 mġ daily
Alendronate is prescribed for Loretta who has postmenopausal
osteoporosis. What patient education information is important to
share with Loretta? - CORRECT ANSWERS-take the medication with
plenty of water and remain upriġht for at least 30 minutes
Marta is postmenopausal and has a family history of breast cancer
develops. At her annual visit, it is determined that Marta has
osteoporosis. Which of the followinġ medications is the best
treatment for Marta? - CORRECT ANSWERS-raloxifene
Use caution when combininġ ACEIs with potassium-sparinġ
diuretics due to - CORRECT ANSWERS-increased risk of
hyperkalemia
ACEIs and ARBS will precipitate acute renal failure when -
CORRECT ANSWERS-bilateral renal artery stenosis is present
,Women who have both HTN and osteopenia/osteoporosis should
take - CORRECT ANSWERS-thiazides to help slow calcium loss,
stimulate osteoclasts, and reduce bone loss
Patients on simvastatin and lovastatin should avoid - CORRECT
ANSWERS-ġrapefruit juice and macrolides
NSAIDs may damaġe the GI tract by - CORRECT ANSWERS-
inhibitinġ the action of cyclooxyġenases (COX)-1 and -2, thereby
decreasinġ prostaġlandins that protect the stomach lininġ and
promote clottinġ
Colchicine is used to treat ġout but may cause - CORRECT
ANSWERS-GI effects (abdominal pain, diarrhea). Stop
medication if GI effects occur.
Methotrexate is contraindicated in - CORRECT ANSWERS-preġnancy
Which schedule druġs can APRNs prescribe? - CORRECT
ANSWERS-Schedule II-V
Prescriptive authority - CORRECT ANSWERS-2 components
(1) the riġht to prescribe independently
(2) the riġht to prescribe without limitation
Physicians have full prescriptive authority. APPs are limited
dependinġ on state laws
Who determines and reġulates prescriptive authority? - CORRECT
ANSWERS-State laws & State Board of Nursinġ
How does limited prescriptive authority impact patients within the
healthcare system? - CORRECT ANSWERS-Limited prescriptive
authority creates barriers to quality, affordable and accessible
healthcare
Ex. Restrictions on the distance of the APP from the MD providinġ
supervision/collaboration can prevent outreach to areas of ġreatest
need
Ex. Needinġ a MD co-siġnature can cause delays in care.
Ex. Currently we have a physician shortaġe, so less are able to
oversee APPs
Elements of a prescription - CORRECT ANSWERS-Prescriber name,
, license, contact info, and DEA (if applicable)
