NR 565 - ADVANCED PHARMACOLOGY
MIDTERM – CHAMBERLAIN 2025- 2026
MIDTERM STUDY GUIDE WITH ACTUAL
EXAM QUESTIONS AND CORRECT
ANSWERS
Which aspects support the APRN's provision for full prescriptive
authority? Select all that apply.
a. Clinical education includes prescription of medications and
disease processes.
b. Federal regulations support the provision of full authority for
APRNs.
c. National examinations provide validation of the APRN's ability
to provide safecare.
d. Licensure ensures compliance with health care and safety
standards. Correct Answer a.
c.
d.
A family nurse practitioner practicing in Maine is hired at a
practice across state lines in Virginia. Which aspect of practice
may change for the APRN?
,a. The APRN will have less prescriptive authority in the new
position.
b. The APRN will have more prescriptive authority in the new
position.
c. The APRN will have equal prescriptive authority in the new
position.
d. The APRN's authority will depend on federal regulations.
Correct Answer a.
How can collaboration with a pharmacist improve positive
outcomes for patients? Select all that apply.
a. Pharmacists can suggest foods that will help with the patient's
condition.
b. Pharmacists have additional information on drug interactions.
c. The pharmacist can suggest adequate medication dosing.
d. Pharmacists have firsthand knowledge of the facility formulary.
e. Pharmacy can alter prescriptions when necessary to prevent
patient harm. Correct Answer b.
c.
d.
A patient presents with delirium tremens requiring Ativan
administration. The provider of care is not in the facility. Which
action by the nurse is most appropriate?
,a. Obtain a telephone order.
b. Contact the on-call hospitalist.
c. Obtain an order from the charge nurse.
d. Wait for a written Ativan order. Correct Answer a.
A patient with chronic pain calls the provider's office to request a
refill on theiroxycontin. Which action is most appropriate?
a. Fax an order to the pharmacy.
b. Schedule an appointment with the patient.
c. Verify the patient's adherence to drug regimen.
d. Determine the patient's current medication dosage. Correct
Answer b.
A patient prescribed amoxicillin for streptococcal pharyngitis
reports new onset of a flat, itchy red rash on the chest and neck.
Which action is most important?
a. Provide a different prescription.
b. Discontinue the medication.
c. Prescribe an antihistamine cream.
d. Assess for respiratory compromise. Correct Answer b.
A patient taking three medications for hypertension is diagnosed
with COPD. Which action should be taken prior to prescribing
medications to treat COPD?
, a. Obtain baseline laboratory values.
b. Obtain a complete medication history.
c. Assess liver enzyme levels.
d. Determine if patient has insurance coverage. Correct Answer b.
A patient with diabetes reports losing their job and an inability to
purchase required medications. Which action is most
appropriate?
a. Provide a 7-day sample pack.
b. Decrease the daily dose by half.
c. Contact a different pharmacy.
d. Prescribe a different medication. Correct Answer c.
A patient recently prescribed hydrocodone calls to report they are
unable to fill the prescription. Which factors could contribute to the
inability to fill the prescription?Select all that apply.
a. DEA number missing from prescription
b. Prescription sent via electronic messenger
c. Dose higher than typically prescribed
d. Prescriber license number not included
e. Patient name and date of birth were handwritten Correct
Answer a.
b.
MIDTERM – CHAMBERLAIN 2025- 2026
MIDTERM STUDY GUIDE WITH ACTUAL
EXAM QUESTIONS AND CORRECT
ANSWERS
Which aspects support the APRN's provision for full prescriptive
authority? Select all that apply.
a. Clinical education includes prescription of medications and
disease processes.
b. Federal regulations support the provision of full authority for
APRNs.
c. National examinations provide validation of the APRN's ability
to provide safecare.
d. Licensure ensures compliance with health care and safety
standards. Correct Answer a.
c.
d.
A family nurse practitioner practicing in Maine is hired at a
practice across state lines in Virginia. Which aspect of practice
may change for the APRN?
,a. The APRN will have less prescriptive authority in the new
position.
b. The APRN will have more prescriptive authority in the new
position.
c. The APRN will have equal prescriptive authority in the new
position.
d. The APRN's authority will depend on federal regulations.
Correct Answer a.
How can collaboration with a pharmacist improve positive
outcomes for patients? Select all that apply.
a. Pharmacists can suggest foods that will help with the patient's
condition.
b. Pharmacists have additional information on drug interactions.
c. The pharmacist can suggest adequate medication dosing.
d. Pharmacists have firsthand knowledge of the facility formulary.
e. Pharmacy can alter prescriptions when necessary to prevent
patient harm. Correct Answer b.
c.
d.
A patient presents with delirium tremens requiring Ativan
administration. The provider of care is not in the facility. Which
action by the nurse is most appropriate?
,a. Obtain a telephone order.
b. Contact the on-call hospitalist.
c. Obtain an order from the charge nurse.
d. Wait for a written Ativan order. Correct Answer a.
A patient with chronic pain calls the provider's office to request a
refill on theiroxycontin. Which action is most appropriate?
a. Fax an order to the pharmacy.
b. Schedule an appointment with the patient.
c. Verify the patient's adherence to drug regimen.
d. Determine the patient's current medication dosage. Correct
Answer b.
A patient prescribed amoxicillin for streptococcal pharyngitis
reports new onset of a flat, itchy red rash on the chest and neck.
Which action is most important?
a. Provide a different prescription.
b. Discontinue the medication.
c. Prescribe an antihistamine cream.
d. Assess for respiratory compromise. Correct Answer b.
A patient taking three medications for hypertension is diagnosed
with COPD. Which action should be taken prior to prescribing
medications to treat COPD?
, a. Obtain baseline laboratory values.
b. Obtain a complete medication history.
c. Assess liver enzyme levels.
d. Determine if patient has insurance coverage. Correct Answer b.
A patient with diabetes reports losing their job and an inability to
purchase required medications. Which action is most
appropriate?
a. Provide a 7-day sample pack.
b. Decrease the daily dose by half.
c. Contact a different pharmacy.
d. Prescribe a different medication. Correct Answer c.
A patient recently prescribed hydrocodone calls to report they are
unable to fill the prescription. Which factors could contribute to the
inability to fill the prescription?Select all that apply.
a. DEA number missing from prescription
b. Prescription sent via electronic messenger
c. Dose higher than typically prescribed
d. Prescriber license number not included
e. Patient name and date of birth were handwritten Correct
Answer a.
b.
