NR565 / NR 565 Midterm Exam Question Bank (Latest 2025 / 2026): Advanced Pharmacology Fundamentals |100% Correct Answers – Chamberlain.

NR565 / NR 565 Midterm Exam Question i,- i,- i,- i,- i,- i,- i,-




Bank (Latest ): Advanced i,- i,- i,- i,- i,- i,-




Pharmacology Fundamentals |100% i,- i,- i,-




Correct Answers – Chamberlain. i,- i,- i,-




How can healthcare providers decrease likelihood of an elderly
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patient experiencing an adverse drug reaction?
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thorough drug history that includes over-the-counter medications
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considering pharmacokinetic and pharmacodynamics changes
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due to age
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monitoring the patient's clinical response and plasma drug levels
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using the simplest regimen possible
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monitoring for drug-drug interactions and iatrogenic illness
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periodically reviewing the need for continued drug therapy
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encouraging the patient to dispose of old medications i,- i,- i,- i,- i,- i,- i,-




taking steps to promote adherence and to avoid drugs on the
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Beers list i,-




How can we promote medication adherence with elderly
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patients? simplifying drug regimens
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providing clear and concise verbal and written instructions
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,using an appropriate dosage form
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clearly labeling and dispensing easy-to-open containers
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developing daily reminders i,- i,-




monitoring frequently i,-




affordability of drugs i,- i,-




support systems i,-




Why do nitrates need to be taken no later than 4 PM?
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nitrate free interval so tolerance doesn't develop
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Nine factors that impact outcome of medication?
i,- i,- i,- i,- i,- i,- i,-i,- i,- Gender and i,- i,-



race
Genetics and pharmacogenomics i,- i,-




Variability in absorption i,- i,-




placebo effect i,-




Tolerance
patho
age
bodyweight


Do you need informed consent for genetic testing?
i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- yes

,What is the purpose of the Genetic Information Non-
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Discriminatory Act? Protects patients from discrimination by i,- i,-i,- i,- i,- i,- i,- i,- i,-



employers and insurance providers based on genetic information
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Difference between practice authority and prescriptive authority?
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Practice authority refers to the nurse practitioner's ability to
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practice without physician oversight, whereas prescriptive
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authority refers to the nurse practitioner's authority to prescribe
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medications independently and without limitations. i,- i,- i,- i,-




Who regulates prescriptive authority?
i,- the jurisdiction of a i,- i,- i,-i,- i,- i,- i,- i,- i,-



health professional board. This may be the State Board of
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Nursing, the State Board of Medicine, or the State Board of
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Pharmacy, as determined by each state. i,- i,- i,- i,- i,-




What is scope of practice determined by?
i,- i,- i,- i,- i,- i,- i,-i,- i,- is determined by
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state practice and licensure laws.
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What is full practice authority?
i,- i,- Nurse practitioners have the
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autonomy to evaluate patients, diagnose, order and interpret
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tests, initiate and manage treatments and prescribe medications,
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including controlled substances without physician oversight.
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, What is reduced practice authority?
i,- i,- Nurse practitioners are i,- i,- i,-i,- i,- i,- i,- i,-



limited in at least one element of practice. The state requires a
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formal collaborative agreement with an outside health discipline
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for the nurse practitioner to provide patient care. ex/ physician
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involvement for 5 yrs than independent i,- i,- i,- i,- i,-




What is restricted practice authority?
i,- i,- Nurse practitioners are i,- i,- i,-i,- i,- i,- i,- i,-



limited in at least one element of practice by requiring
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supervision, delegation, or team management by an outside
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health discipline for the nurse practitioner to provide patient
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care.- typically doctor on site
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During what trimester is a pregnant woman most at risk for
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adverse drug reactions with potential long term consequences?
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1st trimester (fetus most at risk d/t rapid growth)
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What is BEERS criteria?
i,- Recommendations of medications
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inappropriate for elderly (65 and older), prescriber ultimately
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decides


What is the CYP450 (cytochrome P450)
i,- i,- i,- liver enzyme system i,- i,- i,-i,- i,- i,- i,- i,-



where medications are metabolized, can either be inducers or
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inhibitors and create drug-drug interactions
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