Comprehensive Question Bank with Verified Answers,
Detailed Rationales, and High-Yield Content | 100% Correct
| A+ Guaranteed Success
Overview:
Prepare for the NR 565 Midterm Exam with this extensive, meticulously curated question
bank featuring the most frequently tested topics, verified correct answers, and in-depth
rationales.
This resource is designed to:
Cover Core Concepts: Including advanced pathophysiology, pharmacology, patient
assessment, clinical decision-making, and evidence-based practice.
Boost Exam Confidence: Rationales explain not only the correct answer but also the
clinical reasoning behind it.
Streamline Study: Organize material efficiently for quick review and retention of key
high-yield topics.
Enhance Clinical Application: Connects theoretical knowledge with practical, real-
world scenarios that appear on the exam.
Whether aiming for a high score or seeking thorough preparation, this guide ensures you
approach the NR 565 Midterm Exam fully prepared and confident.
What are medication examples of Schedule II drugs?
-Ativan & Valium
-Fentanyl
-Oxycodone
-Methadone
What medications are Schedule III drugs?
-Xanax
-Tramadol
,-anabolic steroids
-<90mg of codeine
What medications are Schedule IV drugs?
-Ativan
-Tramadol
-Methadone
-Adderall
Which schedule drugs can APRNs prescribe?
Schedule II through Schedule IV
examples of reasons for medication non-adherence
-too busy
-too expensive
-ran out
-forgetting
-traveling & busy
Distribution in medication in elderly can be affected in what ways?
-decreased lean mass
-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?
medication binds to protein so decreased protein affects how
medication is absorbed and distributed
In elderly decreased body fat affects medications how?
, 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....
decreased blood flow to the liver, decreased hepatic enzymes
What is the most important cause of adverse drug reactions?
***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?
-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?
-increase drug toxicity
(example plavix - clots & increased platelets)
Black box warning for Opioids
respiratory depression
Black box warning for Fentanyl
FATAL respiratory depression
Black box warning for Methadone (NP cannot prescribe)
QT interval prolongation