FUNDAMENTALS EXAM STUDY GUIDE –
MIDTERM EXAM LATEST EDITION 2026
Exam Format: Non-Cumulative exam
Question Type: Multiple Choice
Number of Questions: 100
Time Allotted: 120 minutes (1.2 minutes per question)
Testing Timeframe: The midterm exam will be available starting on
Wednesday week #4 at 12:01 am MT until Saturday week #4 at 11:59 pm
MT.
1. Exam Coverage
Content Areas:
• Week 1: Foundations in Pharmacology
• Week 2: Pharmacotherapy for Cardiovascular Conditions
• Week 3: Pharmacotherapy for Pain
• Week 4: Pharmacotherapy for Musculoskeletal and Rheumatologic
Conditions
2. Key Concepts to Study
Week 1: Chapters 1–10 – Foundations in Pharmacology
• Prescriptive authority
• The legal right to prescribe drugs
• 1 – the right to prescribe independently
• Physicians, some non-physicians
• Not subject to requiring physician supervision or
collaboration
• 2 – the right to prescribe without any limitation
• Any drugs (except schedule 1)
, • PAs must have affiliation to physician
• APRN are educated to prescribe independently, but depending on
states may require physician affiliation
• Determined by state law
• State Board of Nursing, State Board of Medicine, or State
Board of Pharmacy
• Not federal government (they control drug regulation, not
prescriptive authority)
• Prescription writing
• Necessities
• Prescriber name, license number, contact information
• DEA number if applicable
• Patient name and DOB
• Patient allergies
• Name of medication
• Indication
• Dose and frequency
• Number of tablets to dispense
• Number of refills
• Telephone
• Written
• E-prescribing
• Refills
• Prescribing considerations
• Cost
• Guidelines
• Stay up to date on current guidelines, if deviating,
document why
, • Availability
• Formulary meds, substitutions
• Interactions
• Side effects
• May be favorable
• Allergies
• Avoid anaphylaxis, but other milder allergies may not be
avoidable
• Hepatic and renal function
• Hepatic and renal dosing
• Need for monitoring
• Warfarin, lithium, opioids, immunosuppressants
• Special populations
• Pregnant, breastfeeding, older adults
• Medication education
• Medication name
• Generic and brand
• Purpose
• Dosing
• Administration
• With or without food
• Special apparatus
• Adverse effects
• Common and rare
• Signs and symptoms to report
• Lab testing
• Food or drug interactions