NR 565 MIDTERM EXAM 3 LATEST VERSIONS ACTUAL EXAM 100 QUESTIONS AND
CORRECT VERIFIED ANSWERS |ALREADY GRADED A+
Which Drugs can APRNS perscribe - (ANSWER)DEA license will allow for prescribing
schedules 2-5 there can be restrictions as noted in collaborative agreement. maybe
facility/state dependent.
Who determines and regulates prescriptive authority? - (ANSWER)determines: APRNS can
prescribe without limitation and is state dependent. It is regulated by health professional !@#$%
board state board of nursing or state board of medicine or pharmacy. federal government ^&*()
controls regulation but no control over prescriptive authority.
How does limited prescriptive authority impact patients within the healthcare system? -
(ANSWER)Creates numerous barriers to quality affordable and acessible patient care.
Key responsibilities to prescribing? - (ANSWER)Do not prescribe to family/friends or
yourself. document a thorough history and physical examination. Include discussions with
patient about risk factors and side effects, medication monitoring or titration. if additional
consults are made, know limitations, keep rx pads in a safe place confirm allergies verify
medication list dont let insurance dictate quality of RN charting is key.
what should be used to make prescribing decisions? - (ANSWER)Cost, availability, current
practice guidelines, medication interactions with food side effects need for monitoring how
drug is metabolized. special populations. ask if prescriptions are cost prohibitive.
Pharmacokinetics - (ANSWER)what the body does to the drug
Pharmacodynamics - (ANSWER)what the drug does to the body
physilogic changes that can affect the pharmaconetics in older adults. -
(ANSWER)absorption: inc gastric PH decreased absorptive surface area and dec
splanchnic blood flow. dec GI motility delayed gastric emptying distribution: inc body fat
dec lean body mass dec total body water serum albumin cardiac output. metabolism: dec
hepatic blood flow mass and activity of hepatic enzymes. excretion: decreased renal blood
flow GFR tubular secretion and number of nephrons.
reducing adverse drug reaction in older adults? - (ANSWER)Thorough drug history go low
and slow with initiating drug therapy monitor clinical responses and plasma levels use
simple medication regimen, monitor drug interaction review drug therapy dispose old
medications promote adherence use beers criteria.
, NR 565 MIDTERM EXAM 3 LATEST VERSIONS ACTUAL EXAM 100 QUESTIONS AND
CORRECT VERIFIED ANSWERS |ALREADY GRADED A+
Beers Criteria - (ANSWER)A list of medications that are generally considered inappropriate
when given to elderly people
impacts of polypharmacy - (ANSWER)using 5 or more medications daily leads to possible
drug interactions. !@#$%
^&*()
CYP450 inhibitors - (ANSWER)CRACK AMIGOS
Chloramphenicol
Ritonavir (protease inhibitor)
Amiodarone
Ciprofloxacin
Ketocanazole (and other azoles)
Acute alcohol use
Valproate
Isoniazid
Grapefruit Juice
Sulfonamides
CYP450 inhibitors function - (ANSWER)slow down the metabolic activity of specific
enzymes, causing a decrease in the rate/extent of metabolism of other drugs that are
substrates for those same enzymes this can cause drug toxicity.
CYP450 inducers - (ANSWER)barbituates, griseofulvin, carbamazepine, rifampin, st. john
wart, chronic alcoholism, phenytoin (CRAP GPS)
CYP450 inducers function - (ANSWER)increase medication metabolism. act on the liver to
stimulate enzyme synthesis
If CYP450 is induced, what is the effect on medication metabolism? - (ANSWER)drug may
not achieve therapeutic effects
When patients have a poor metabolism phenotype? - (ANSWER)slows or increases
absorption ex; plavix clots and inc platelets pregnancy hepatic metabolism increases and
dec bowel motility increases absorption of the drug. newborns the drug metabolizing
capacity is low, children by the age of 1 are similar to adults but they can be metabolized
CORRECT VERIFIED ANSWERS |ALREADY GRADED A+
Which Drugs can APRNS perscribe - (ANSWER)DEA license will allow for prescribing
schedules 2-5 there can be restrictions as noted in collaborative agreement. maybe
facility/state dependent.
Who determines and regulates prescriptive authority? - (ANSWER)determines: APRNS can
prescribe without limitation and is state dependent. It is regulated by health professional !@#$%
board state board of nursing or state board of medicine or pharmacy. federal government ^&*()
controls regulation but no control over prescriptive authority.
How does limited prescriptive authority impact patients within the healthcare system? -
(ANSWER)Creates numerous barriers to quality affordable and acessible patient care.
Key responsibilities to prescribing? - (ANSWER)Do not prescribe to family/friends or
yourself. document a thorough history and physical examination. Include discussions with
patient about risk factors and side effects, medication monitoring or titration. if additional
consults are made, know limitations, keep rx pads in a safe place confirm allergies verify
medication list dont let insurance dictate quality of RN charting is key.
what should be used to make prescribing decisions? - (ANSWER)Cost, availability, current
practice guidelines, medication interactions with food side effects need for monitoring how
drug is metabolized. special populations. ask if prescriptions are cost prohibitive.
Pharmacokinetics - (ANSWER)what the body does to the drug
Pharmacodynamics - (ANSWER)what the drug does to the body
physilogic changes that can affect the pharmaconetics in older adults. -
(ANSWER)absorption: inc gastric PH decreased absorptive surface area and dec
splanchnic blood flow. dec GI motility delayed gastric emptying distribution: inc body fat
dec lean body mass dec total body water serum albumin cardiac output. metabolism: dec
hepatic blood flow mass and activity of hepatic enzymes. excretion: decreased renal blood
flow GFR tubular secretion and number of nephrons.
reducing adverse drug reaction in older adults? - (ANSWER)Thorough drug history go low
and slow with initiating drug therapy monitor clinical responses and plasma levels use
simple medication regimen, monitor drug interaction review drug therapy dispose old
medications promote adherence use beers criteria.
, NR 565 MIDTERM EXAM 3 LATEST VERSIONS ACTUAL EXAM 100 QUESTIONS AND
CORRECT VERIFIED ANSWERS |ALREADY GRADED A+
Beers Criteria - (ANSWER)A list of medications that are generally considered inappropriate
when given to elderly people
impacts of polypharmacy - (ANSWER)using 5 or more medications daily leads to possible
drug interactions. !@#$%
^&*()
CYP450 inhibitors - (ANSWER)CRACK AMIGOS
Chloramphenicol
Ritonavir (protease inhibitor)
Amiodarone
Ciprofloxacin
Ketocanazole (and other azoles)
Acute alcohol use
Valproate
Isoniazid
Grapefruit Juice
Sulfonamides
CYP450 inhibitors function - (ANSWER)slow down the metabolic activity of specific
enzymes, causing a decrease in the rate/extent of metabolism of other drugs that are
substrates for those same enzymes this can cause drug toxicity.
CYP450 inducers - (ANSWER)barbituates, griseofulvin, carbamazepine, rifampin, st. john
wart, chronic alcoholism, phenytoin (CRAP GPS)
CYP450 inducers function - (ANSWER)increase medication metabolism. act on the liver to
stimulate enzyme synthesis
If CYP450 is induced, what is the effect on medication metabolism? - (ANSWER)drug may
not achieve therapeutic effects
When patients have a poor metabolism phenotype? - (ANSWER)slows or increases
absorption ex; plavix clots and inc platelets pregnancy hepatic metabolism increases and
dec bowel motility increases absorption of the drug. newborns the drug metabolizing
capacity is low, children by the age of 1 are similar to adults but they can be metabolized
