NR 565 MIDTERM EXAM 3 LATEST VERSIONS ACTUAL EXAM NEWEST 2025 COMPLETE
300 QUESTIONS AND CORRECT DETAILED ANSWERS
1. What are medication examples of Schedule II drugs?
A) Ativan & Valium
B) Fentanyl
C) Oxycodone #$%^&*()
D) Methadone
ANSWER: B) Fentanyl, C) Oxycodone, D) Methadone
Note: Ativan and Valium are Schedule IV drugs.
2. What medications are Schedule III drugs?
A) Xanax
B) Tramadol
C) Anabolic steroids
D) <90mg of codeine per dosage unit
ANSWER: C) Anabolic steroids, D) <90mg of codeine
Note: Xanax and Tramadol are Schedule IV drugs.
3. What medications are Schedule IV drugs?
A) Ativan
B) Tramadol
C) Methadone
D) Adderall
ANSWER: A) Ativan, B) Tramadol
Which schedule drugs can APRNs prescribe? - (ANSWER)Schedule II through Schedule IV
examples of reasons for medication non-adherence - (ANSWER)-too busy
-too expensive
-ran out
-forgetting
-traveling & busy
Distribution in medication in elderly can be affected in what ways? - (ANSWER)-decreased lean
mass
,NR 565 MIDTERM EXAM 3 LATEST VERSIONS ACTUAL EXAM NEWEST 2025 COMPLETE
300 QUESTIONS AND CORRECT DETAILED ANSWERS
-decreased albumin
-decreased body fat
-slower gastric acidity
#$%^&*()
-slower absorption results in delayed response
In the elderly decrease albumin and decreased lean mass affects medications how? -
(ANSWER)medication binds to protein so decreased protein affects how medication is absorbed
and distributed
In elderly decreased body fat affects medications how? - (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....
- (ANSWER)decreased blood flow to the liver, decreased hepatic enzymes
What is the most important cause of adverse drug reactions? -
(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? - (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? - (ANSWER)-increase drug
toxicity
, NR 565 MIDTERM EXAM 3 LATEST VERSIONS ACTUAL EXAM NEWEST 2025 COMPLETE
300 QUESTIONS AND CORRECT DETAILED ANSWERS
(example plavix - clots & increased platelets)
Black box warning for Opioids - (ANSWER)respiratory depression
#$%^&*()
Black box warning for Fentanyl - (ANSWER)FATAL respiratory depression
Black box warning for Methadone (NP cannot prescribe) - (ANSWER)QT interval prolongation
Black box warning for Codeine - (ANSWER)-breastfeeding and infant death can occur
-10% of dose converts to morphine
Black box warning for hydromorphone & oxymorphone (NP cannot prescribe long acting
hydromorphone and oxymorphone) - (ANSWER)-risk for high abuse & overdose
-respiratory depression
Black box warning for oxycodone (NP need additional training to prescribe for chronic pain) -
(ANSWER)-HIGH potential for abuse
-respiratory depression
Meds that require special training for APNs to prescribe are... - (ANSWER)-Opioids
-Fentanyl
-Methadone
-Codeine
-Hydromorphone & oxymorphone
-Oxycodone
What are therapeutic uses for morphine? - (ANSWER)MODERATE TO SEVERE PAIN
300 QUESTIONS AND CORRECT DETAILED ANSWERS
1. What are medication examples of Schedule II drugs?
A) Ativan & Valium
B) Fentanyl
C) Oxycodone #$%^&*()
D) Methadone
ANSWER: B) Fentanyl, C) Oxycodone, D) Methadone
Note: Ativan and Valium are Schedule IV drugs.
2. What medications are Schedule III drugs?
A) Xanax
B) Tramadol
C) Anabolic steroids
D) <90mg of codeine per dosage unit
ANSWER: C) Anabolic steroids, D) <90mg of codeine
Note: Xanax and Tramadol are Schedule IV drugs.
3. What medications are Schedule IV drugs?
A) Ativan
B) Tramadol
C) Methadone
D) Adderall
ANSWER: A) Ativan, B) Tramadol
Which schedule drugs can APRNs prescribe? - (ANSWER)Schedule II through Schedule IV
examples of reasons for medication non-adherence - (ANSWER)-too busy
-too expensive
-ran out
-forgetting
-traveling & busy
Distribution in medication in elderly can be affected in what ways? - (ANSWER)-decreased lean
mass
,NR 565 MIDTERM EXAM 3 LATEST VERSIONS ACTUAL EXAM NEWEST 2025 COMPLETE
300 QUESTIONS AND CORRECT DETAILED ANSWERS
-decreased albumin
-decreased body fat
-slower gastric acidity
#$%^&*()
-slower absorption results in delayed response
In the elderly decrease albumin and decreased lean mass affects medications how? -
(ANSWER)medication binds to protein so decreased protein affects how medication is absorbed
and distributed
In elderly decreased body fat affects medications how? - (ANSWER)need fat to transport
medications and some drug metabolism is dependent on body weight
When prescribing medication, we must understand that liver function declines with age due to....
- (ANSWER)decreased blood flow to the liver, decreased hepatic enzymes
What is the most important cause of adverse drug reactions? -
(ANSWER)***overprescribing/polypharmacy
***decreased renal excretion
-high drug dosages (start low & go slow)
-lack of monitoring medications
What can a poor metabolism phenotype do to a metabolism of a drug? - (ANSWER)-slow or
increase absorption
-slow the metabolism
-keep drug in body longer
-increase toxicity
How does poor metabolism affect a high or low therapeutic index? - (ANSWER)-increase drug
toxicity
, NR 565 MIDTERM EXAM 3 LATEST VERSIONS ACTUAL EXAM NEWEST 2025 COMPLETE
300 QUESTIONS AND CORRECT DETAILED ANSWERS
(example plavix - clots & increased platelets)
Black box warning for Opioids - (ANSWER)respiratory depression
#$%^&*()
Black box warning for Fentanyl - (ANSWER)FATAL respiratory depression
Black box warning for Methadone (NP cannot prescribe) - (ANSWER)QT interval prolongation
Black box warning for Codeine - (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) - (ANSWER)-risk for high abuse & overdose
-respiratory depression
Black box warning for oxycodone (NP need additional training to prescribe for chronic pain) -
(ANSWER)-HIGH potential for abuse
-respiratory depression
Meds that require special training for APNs to prescribe are... - (ANSWER)-Opioids
-Fentanyl
-Methadone
-Codeine
-Hydromorphone & oxymorphone
-Oxycodone
What are therapeutic uses for morphine? - (ANSWER)MODERATE TO SEVERE PAIN
