NR565 ADVANCED PHARMACOLOGY
MIDTERM EXAM QUESTIONS WITH CORRECT
ANSWERS 2026
What schedule drugs can APRNs prescribe? - CORRECT ANSWER -It depends on the governing
body in each state. In AZ there are no restrictions on APRN prescribing by schedule.
Who determines and regulates prescriptive authority? - CORRECT ANSWER -AZ - State Board of
Nursing
How does limited prescriptive authority impact patients within the healthcare system? -
CORRECT ANSWER -Creates numerous barriers to quality affordable and acessible patient care.
What are the key responsibilities of prescribing? - CORRECT ANSWER -1. Be prudent and
deliberate in your decision-making process
2. Have a documented provider-patient relationship with the person for whom you are
prescribing
3. Do not prescribe medications for family or friends or for yourself
4. Document a thorough history and physical examination in your records
5.Include any discussions you have with the patient regarding risk factors, side effects, or
therapy options
6. Have a documented plan regarding drug monitoring or titration, if applicable.
What should be used to make prescribing decisions? - CORRECT 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.
Be familiar with pharmacokinetic and pharmacodynamic changes of older adults and how that
would translate to baseline information needed to prescribe. - CORRECT ANSWER -Older adults
,often metabolize drugs more slowly. Dosages may need to be adjusted to accommodate age
related changes in GI system, liver function, kidney function, etc.
What is the BEERS criteria? - CORRECT ANSWER -lists potentially inappropriate drugs that lead
to adverse effects in the elderly
why is the BEERS criteria important? - CORRECT ANSWER -It provides a list of medications that
are potentially harmful in elderly. List that identifies drugs with a high likelihood of causing
adverse effects in older adults. Beers Criteria are recommendations; ultimately prescribers must
determine whether a medication is appropriate for use or not. These guidelines are not
intended to limit the use of medications or apply to all older adults. Safe and judicious
prescribing is crucial in the older adult to optimize pharmacotherapy.
Impacts/outcomes of polypharmacy - CORRECT ANSWER -- drug interactions with mild side
effects to life-threatening consequences
CYP450 inhibitors - CORRECT ANSWER -inhibit metabolism, increase blood levels of medications
CYP450 inhibitors mnemonic ^ drug levels - CORRECT ANSWER -CRACK AMIGOS
Cimetidine
Ritonavir
Amiodarone
Ciprofloxacin
Ketoconazole
Acute Alcohol Use
Macrolides
Isoniazid
, Grapefruit Juice
Omeprazole
Sulfonamides
CYP450 inducers mnemonic - CORRECT ANSWER -Bull Shit CRAP GPS induces my rage.
Barbiturates
St. John's wort
Carbamzapine
Rifampin
Alcohol (Chronic use)
Phenytoin
Griseofulvin
Phenobarbital
Sulfonylureas
CYP450 inducers - CORRECT ANSWER -increase rate of metabolism breaking down more drug.
Subsequently reducing the therapeutic concentration of the drug.
What happens when someone has a poor metabolism phenotype? - CORRECT ANSWER -
medications metabolized slower, medication might not work or put them at risk for side-effects
What does the US food and drug administration regulate when it comes to medications? -
CORRECT ANSWER -Whether the drug is safe, effective, and benefits of a drug outweigh the
risks
MIDTERM EXAM QUESTIONS WITH CORRECT
ANSWERS 2026
What schedule drugs can APRNs prescribe? - CORRECT ANSWER -It depends on the governing
body in each state. In AZ there are no restrictions on APRN prescribing by schedule.
Who determines and regulates prescriptive authority? - CORRECT ANSWER -AZ - State Board of
Nursing
How does limited prescriptive authority impact patients within the healthcare system? -
CORRECT ANSWER -Creates numerous barriers to quality affordable and acessible patient care.
What are the key responsibilities of prescribing? - CORRECT ANSWER -1. Be prudent and
deliberate in your decision-making process
2. Have a documented provider-patient relationship with the person for whom you are
prescribing
3. Do not prescribe medications for family or friends or for yourself
4. Document a thorough history and physical examination in your records
5.Include any discussions you have with the patient regarding risk factors, side effects, or
therapy options
6. Have a documented plan regarding drug monitoring or titration, if applicable.
What should be used to make prescribing decisions? - CORRECT 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.
Be familiar with pharmacokinetic and pharmacodynamic changes of older adults and how that
would translate to baseline information needed to prescribe. - CORRECT ANSWER -Older adults
,often metabolize drugs more slowly. Dosages may need to be adjusted to accommodate age
related changes in GI system, liver function, kidney function, etc.
What is the BEERS criteria? - CORRECT ANSWER -lists potentially inappropriate drugs that lead
to adverse effects in the elderly
why is the BEERS criteria important? - CORRECT ANSWER -It provides a list of medications that
are potentially harmful in elderly. List that identifies drugs with a high likelihood of causing
adverse effects in older adults. Beers Criteria are recommendations; ultimately prescribers must
determine whether a medication is appropriate for use or not. These guidelines are not
intended to limit the use of medications or apply to all older adults. Safe and judicious
prescribing is crucial in the older adult to optimize pharmacotherapy.
Impacts/outcomes of polypharmacy - CORRECT ANSWER -- drug interactions with mild side
effects to life-threatening consequences
CYP450 inhibitors - CORRECT ANSWER -inhibit metabolism, increase blood levels of medications
CYP450 inhibitors mnemonic ^ drug levels - CORRECT ANSWER -CRACK AMIGOS
Cimetidine
Ritonavir
Amiodarone
Ciprofloxacin
Ketoconazole
Acute Alcohol Use
Macrolides
Isoniazid
, Grapefruit Juice
Omeprazole
Sulfonamides
CYP450 inducers mnemonic - CORRECT ANSWER -Bull Shit CRAP GPS induces my rage.
Barbiturates
St. John's wort
Carbamzapine
Rifampin
Alcohol (Chronic use)
Phenytoin
Griseofulvin
Phenobarbital
Sulfonylureas
CYP450 inducers - CORRECT ANSWER -increase rate of metabolism breaking down more drug.
Subsequently reducing the therapeutic concentration of the drug.
What happens when someone has a poor metabolism phenotype? - CORRECT ANSWER -
medications metabolized slower, medication might not work or put them at risk for side-effects
What does the US food and drug administration regulate when it comes to medications? -
CORRECT ANSWER -Whether the drug is safe, effective, and benefits of a drug outweigh the
risks
