NR565 / NR 565 Midterm Exam Study Guide (Latest 2025 UPDATED):
Advanced Pharmacology Fundamentals - Chamberlain
What are medication examples of Schedule II drugs? - (ANSWER)-Ativan & Valium
-Fentanyl
-Oxycodone
-Methadone
What medications are Schedule III drugs? - (ANSWER)-Xanax
-Tramadol
-anabolic steroids
-<90mg of codeine
What medications are Schedule IV drugs? - (ANSWER)-Ativan
-Tramadol
-Methadone
-Adderall 你是想要一篇“眼睛容易阅读的”
中文文章，还是一篇关于“眼睛”
主题的中文文章？
Which schedule drugs can APRNs prescribe? - (ANSWER)Schedule II through Schedule IV
examples of reasons for medication non-adherence - (ANSWER)-too busy
-too expensive
-ran out
-forgetting
-traveling & busy
Distribution in medication in elderly can be affected in what ways? - (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? -
(ANSWER)medication binds to protein so decreased protein affects how medication is absorbed
and distributed
In elderly decreased body fat affects medications how? - (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....
- (ANSWER)decreased blood flow to the liver, decreased hepatic enzymes
What is the most important cause of adverse drug reactions? -
(ANSWER)***overprescribing/polypharmacy
***decreased renal excretion
-high drug dosages (start low你是想要一篇“眼睛容易阅读的”
& go slow)
中文文章，还是一篇关于“眼睛”
-lack of monitoring medications
主题的中文文章？
What can a poor metabolism phenotype do to a metabolism of a drug? - (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? - (ANSWER)-increase drug
toxicity
(example plavix - clots & increased platelets)
, Black box warning for Opioids - (ANSWER)respiratory depression
Black box warning for Fentanyl - (ANSWER)FATAL respiratory depression
Black box warning for Methadone (NP cannot prescribe) - (ANSWER)QT interval prolongation
Black box warning for Codeine - (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) - (ANSWER)-risk for high abuse & overdose
-respiratory depression
Black box warning for oxycodone (NP need additional training to prescribe for chronic pain) -
(ANSWER)-HIGH potential for abuse
-respiratory depression
你是想要一篇“眼睛容易阅读的”
Meds that require special training for APNs to prescribe are... - (ANSWER)-Opioids
-Fentanyl 中文文章，还是一篇关于“眼睛”
主题的中文文章？
-Methadone
-Codeine
-Hydromorphone & oxymorphone
-Oxycodone
What are therapeutic uses for morphine? - (ANSWER)MODERATE TO SEVERE PAIN
-acute pain
-post op/surgical pain
-end of life pain management
-MI
Advanced Pharmacology Fundamentals - Chamberlain
What are medication examples of Schedule II drugs? - (ANSWER)-Ativan & Valium
-Fentanyl
-Oxycodone
-Methadone
What medications are Schedule III drugs? - (ANSWER)-Xanax
-Tramadol
-anabolic steroids
-<90mg of codeine
What medications are Schedule IV drugs? - (ANSWER)-Ativan
-Tramadol
-Methadone
-Adderall 你是想要一篇“眼睛容易阅读的”
中文文章，还是一篇关于“眼睛”
主题的中文文章？
Which schedule drugs can APRNs prescribe? - (ANSWER)Schedule II through Schedule IV
examples of reasons for medication non-adherence - (ANSWER)-too busy
-too expensive
-ran out
-forgetting
-traveling & busy
Distribution in medication in elderly can be affected in what ways? - (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? -
(ANSWER)medication binds to protein so decreased protein affects how medication is absorbed
and distributed
In elderly decreased body fat affects medications how? - (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....
- (ANSWER)decreased blood flow to the liver, decreased hepatic enzymes
What is the most important cause of adverse drug reactions? -
(ANSWER)***overprescribing/polypharmacy
***decreased renal excretion
-high drug dosages (start low你是想要一篇“眼睛容易阅读的”
& go slow)
中文文章，还是一篇关于“眼睛”
-lack of monitoring medications
主题的中文文章？
What can a poor metabolism phenotype do to a metabolism of a drug? - (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? - (ANSWER)-increase drug
toxicity
(example plavix - clots & increased platelets)
, Black box warning for Opioids - (ANSWER)respiratory depression
Black box warning for Fentanyl - (ANSWER)FATAL respiratory depression
Black box warning for Methadone (NP cannot prescribe) - (ANSWER)QT interval prolongation
Black box warning for Codeine - (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) - (ANSWER)-risk for high abuse & overdose
-respiratory depression
Black box warning for oxycodone (NP need additional training to prescribe for chronic pain) -
(ANSWER)-HIGH potential for abuse
-respiratory depression
你是想要一篇“眼睛容易阅读的”
Meds that require special training for APNs to prescribe are... - (ANSWER)-Opioids
-Fentanyl 中文文章，还是一篇关于“眼睛”
主题的中文文章？
-Methadone
-Codeine
-Hydromorphone & oxymorphone
-Oxycodone
What are therapeutic uses for morphine? - (ANSWER)MODERATE TO SEVERE PAIN
-acute pain
-post op/surgical pain
-end of life pain management
-MI
