2024 ADVANCE PHARMACY
NR565 MIDTERM EXAM WITH
CORRECT ANSWERS
· Who determines and regulates prescriptive authority? - CORRECT
ANSWERS-Nurse practitioner scope of practice is determined by state
practice and licensure laws.
· How does limited prescriptive authority impact patients within the
healthcare system? - CORRECT ANSWERS-limited authority creates problems
for the patient. The patient is not able to get the care they need
•What should be included in medication administration patient education? -
CORRECT ANSWERS-1. dosage size and timing
2. route and technique of administration
3. duration of treatment
4.drug storage
5.nature and time course of desired responses
6. nature and time course of adverse responses
•What are some of the Physiologic changes that occur in the body when a
woman is pregnant that can change the pharmacodynamic and
pharmacokinetic properties of many drugs? - CORRECT ANSWERS-- Increased
GFR= Increased drug excretion
- Increased hepatic metabolism for some drugs.
- Decreased tone and mobility of bowel
- Increased drug absorption.
•During what trimester is a pregnant woman most at risk for adverse drug
reactions with potential long-term consequences? - CORRECT ANSWERS-1
trimester
•What are some medications that we know to be teratogenic? - CORRECT
ANSWERS-•Antiepileptic drugs, antimicrobials such as tetracyclines and
fluoroquinolones, vitamin A in large doses, some anticoagulants, and
hormonal medications such as diethylstilbestrol (DES).
, ·· Which schedule drugs can APRNs prescribe? - CORRECT ANSWERS-
Schedule II-V
· What are the key responsibilities of prescribing? - CORRECT ANSWERS-1. Be
prudent and deliberate in your decision-making process
2. Have a documented provider-patient relationship with the person for
whom you are prescribing
3. Do not prescribe medications for family or friends or for yourself
4. Document a thorough history and physical examination in your records
5.Include any discussions you have with the patient regarding risk factors,
side effects, or therapy options
6. Have a documented plan regarding drug monitoring or titration, if
applicable
Amiodarone can increase level of what drug - CORRECT ANSWERS-Coumadin
Digoxin
Statins-
Which potassium Channel Blockers should not be taken with Grapefruit juice
of any of the cyp3A4 and why - CORRECT ANSWERS-AMIODARONE increase
What are lab values for Total Cholesterol and LDL - CORRECT ANSWERS-Total
Cholesterol less than 200
LDL less than 110
Are Statins safe to use in pregnancy - CORRECT ANSWERS-If you have to you
can use Fibraze or Athesthamide
Names of HMG-CoA reductase inhibitors - CORRECT ANSWERS-Statins
How is Metabolic Syndrome Diagnosed - CORRECT ANSWERS-3 of the
following 5:
1) Elevated waist circumference
2) High TG
3) Low HDL
4) High fasting blood glucose
5) High blood pressure > 130/85
What time of day should Statins be given and why - CORRECT ANSWERS-
Night
Adverse effects of Statin - CORRECT ANSWERS-rhamdomyolysis,
NR565 MIDTERM EXAM WITH
CORRECT ANSWERS
· Who determines and regulates prescriptive authority? - CORRECT
ANSWERS-Nurse practitioner scope of practice is determined by state
practice and licensure laws.
· How does limited prescriptive authority impact patients within the
healthcare system? - CORRECT ANSWERS-limited authority creates problems
for the patient. The patient is not able to get the care they need
•What should be included in medication administration patient education? -
CORRECT ANSWERS-1. dosage size and timing
2. route and technique of administration
3. duration of treatment
4.drug storage
5.nature and time course of desired responses
6. nature and time course of adverse responses
•What are some of the Physiologic changes that occur in the body when a
woman is pregnant that can change the pharmacodynamic and
pharmacokinetic properties of many drugs? - CORRECT ANSWERS-- Increased
GFR= Increased drug excretion
- Increased hepatic metabolism for some drugs.
- Decreased tone and mobility of bowel
- Increased drug absorption.
•During what trimester is a pregnant woman most at risk for adverse drug
reactions with potential long-term consequences? - CORRECT ANSWERS-1
trimester
•What are some medications that we know to be teratogenic? - CORRECT
ANSWERS-•Antiepileptic drugs, antimicrobials such as tetracyclines and
fluoroquinolones, vitamin A in large doses, some anticoagulants, and
hormonal medications such as diethylstilbestrol (DES).
, ·· Which schedule drugs can APRNs prescribe? - CORRECT ANSWERS-
Schedule II-V
· What are the key responsibilities of prescribing? - CORRECT ANSWERS-1. Be
prudent and deliberate in your decision-making process
2. Have a documented provider-patient relationship with the person for
whom you are prescribing
3. Do not prescribe medications for family or friends or for yourself
4. Document a thorough history and physical examination in your records
5.Include any discussions you have with the patient regarding risk factors,
side effects, or therapy options
6. Have a documented plan regarding drug monitoring or titration, if
applicable
Amiodarone can increase level of what drug - CORRECT ANSWERS-Coumadin
Digoxin
Statins-
Which potassium Channel Blockers should not be taken with Grapefruit juice
of any of the cyp3A4 and why - CORRECT ANSWERS-AMIODARONE increase
What are lab values for Total Cholesterol and LDL - CORRECT ANSWERS-Total
Cholesterol less than 200
LDL less than 110
Are Statins safe to use in pregnancy - CORRECT ANSWERS-If you have to you
can use Fibraze or Athesthamide
Names of HMG-CoA reductase inhibitors - CORRECT ANSWERS-Statins
How is Metabolic Syndrome Diagnosed - CORRECT ANSWERS-3 of the
following 5:
1) Elevated waist circumference
2) High TG
3) Low HDL
4) High fasting blood glucose
5) High blood pressure > 130/85
What time of day should Statins be given and why - CORRECT ANSWERS-
Night
Adverse effects of Statin - CORRECT ANSWERS-rhamdomyolysis,
