NR 565 MIDTERM EXAM NEWEST 2025 COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
Which schedule drugs can APRNs prescribe? - DETAILED ANSWER-Schedule II through
Schedule IV
examples of reasons for medication non-adherence - DETAILED ANSWER--too busy -
too expensive
-ran out
-forgetting
-traveling & busy
Distribution in medication in elderly can be affected in what ways? - DETAILED ANSWER-
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? -
DETAILED ANSWER-medication binds to protein so decreased protein affects how medication
is absorbed and distributed
,In elderly decreased body fat affects medications how? - DETAILED 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.... - DETAILED ANSWER-decreased blood flow to the liver, decreased hepatic enzymes
What is the most important cause of adverse drug reactions? - DETAILED ANSWER-
***overprescribing/polypharmacy
***decreased renal excretion
-high drug dosages (start low & go slow)
-lack of monitoring medications
What are medication examples of Schedule II drugs? - DETAILED ANSWER--Ativan & Valium
-Fentanyl
-Oxycodone
-Methadone
What medications are Schedule III drugs? - DETAILED ANSWER--Xanax
-Tramadol
-anabolic steroids
-<90mg of codeine
What medications are Schedule IV drugs? - DETAILED ANSWER--Ativan
-Tramadol
-Methadone
-Adderall
, What can a poor metabolism phenotype do to a metabolism of a drug? - DETAILED 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? - DETAILED ANSWER-
increase drug toxicity
(example plavix - clots & increased platelets)
Black box warning for Opioids - DETAILED ANSWER-respiratory depression
Black box warning for Fentanyl - DETAILED ANSWER-FATAL respiratory depression
Black box warning for Methadone (NP cannot prescribe) - DETAILED ANSWER-QT interval
prolongation
Black box warning for Codeine - DETAILED 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) - DETAILED ANSWER--risk for high abuse & overdose
-respiratory depression
Black box warning for oxycodone (NP need additional training to prescribe for chronic pain) -
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
Which schedule drugs can APRNs prescribe? - DETAILED ANSWER-Schedule II through
Schedule IV
examples of reasons for medication non-adherence - DETAILED ANSWER--too busy -
too expensive
-ran out
-forgetting
-traveling & busy
Distribution in medication in elderly can be affected in what ways? - DETAILED ANSWER-
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? -
DETAILED ANSWER-medication binds to protein so decreased protein affects how medication
is absorbed and distributed
,In elderly decreased body fat affects medications how? - DETAILED 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.... - DETAILED ANSWER-decreased blood flow to the liver, decreased hepatic enzymes
What is the most important cause of adverse drug reactions? - DETAILED ANSWER-
***overprescribing/polypharmacy
***decreased renal excretion
-high drug dosages (start low & go slow)
-lack of monitoring medications
What are medication examples of Schedule II drugs? - DETAILED ANSWER--Ativan & Valium
-Fentanyl
-Oxycodone
-Methadone
What medications are Schedule III drugs? - DETAILED ANSWER--Xanax
-Tramadol
-anabolic steroids
-<90mg of codeine
What medications are Schedule IV drugs? - DETAILED ANSWER--Ativan
-Tramadol
-Methadone
-Adderall
, What can a poor metabolism phenotype do to a metabolism of a drug? - DETAILED 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? - DETAILED ANSWER-
increase drug toxicity
(example plavix - clots & increased platelets)
Black box warning for Opioids - DETAILED ANSWER-respiratory depression
Black box warning for Fentanyl - DETAILED ANSWER-FATAL respiratory depression
Black box warning for Methadone (NP cannot prescribe) - DETAILED ANSWER-QT interval
prolongation
Black box warning for Codeine - DETAILED 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) - DETAILED ANSWER--risk for high abuse & overdose
-respiratory depression
Black box warning for oxycodone (NP need additional training to prescribe for chronic pain) -
