NUR 565 Midterm Exam – 2025-2026 Complete Nursing Study
Guide with Detailed Notes, Key Concepts, and Practice Questions
for Exam Success with Correct Answers!!!Graded A+
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. - Answer-a.
A patient with chronic pain calls the provider's office to request a
refill on their oxycontin. 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. - 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. - 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.
pg. 1
,b. Obtain a complete medication history.
c. Assess liver enzyme levels.
d. Determine if patient has insurance coverage. - 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. - 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 - Answer-a, b, d.
A patient reports that a medication prescribed for recurrent migraine
headaches is not working. Which action should be taken first?
a. Ask the patient about the number and frequency of tablets taken.
b. Assess the patient's headache pain on a scale from 1 to 10.
c. Report the patient's complaint to the prescriber.
d. Suggest biofeedback as an adjunct to drug therapy. - Answer-a.
A patient is prescribed metronidazole for bacterial vaginosis. Which
patient history finding would be most concerning?
a. Recent yeast infection
pg. 2
,b. Family history of cervical cancer
c. Drinks two glasses of wine every night
d. Patient is currently unemployed - Answer-c.
An APRN works in a urology clinic under the supervision of a
physician who does not restrict the types of medications the APRN is
allowed to prescribe. State law does not require the APRN to practice
under physician supervision. How would the APRN's prescriptive
authority be described?
a. Full authority
b. Independent
c. Without limitation
d. Limited authority - Answer-b. Independent
Which factors increase the need for APRNs to have full prescriptive
authority?
a. More patients will have access to health care.
b. Enrolment in medical schools is predicted to decrease.
c. Physician's assistants are being utilized less often.
d. APRN education is more complex than education for physicians.
- Answer-a. more patients will have access to health care
Which factors could be attributed to limited prescriptive authority for
APRNs? Select all that apply.
a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy - Answer-
a. inaccessibility of patient care
pg. 3
, b. higher health care costs
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 safe care.
d. Licensure ensures compliance with health care and safety
standards.
e. Limiting provision can decrease health care affordability - Answer-
a, c, d.
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 safe care.
d. Licensure ensures compliance with health care and safety
standards. - 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.
pg. 4
Guide with Detailed Notes, Key Concepts, and Practice Questions
for Exam Success with Correct Answers!!!Graded A+
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. - Answer-a.
A patient with chronic pain calls the provider's office to request a
refill on their oxycontin. 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. - 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. - 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.
pg. 1
,b. Obtain a complete medication history.
c. Assess liver enzyme levels.
d. Determine if patient has insurance coverage. - 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. - 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 - Answer-a, b, d.
A patient reports that a medication prescribed for recurrent migraine
headaches is not working. Which action should be taken first?
a. Ask the patient about the number and frequency of tablets taken.
b. Assess the patient's headache pain on a scale from 1 to 10.
c. Report the patient's complaint to the prescriber.
d. Suggest biofeedback as an adjunct to drug therapy. - Answer-a.
A patient is prescribed metronidazole for bacterial vaginosis. Which
patient history finding would be most concerning?
a. Recent yeast infection
pg. 2
,b. Family history of cervical cancer
c. Drinks two glasses of wine every night
d. Patient is currently unemployed - Answer-c.
An APRN works in a urology clinic under the supervision of a
physician who does not restrict the types of medications the APRN is
allowed to prescribe. State law does not require the APRN to practice
under physician supervision. How would the APRN's prescriptive
authority be described?
a. Full authority
b. Independent
c. Without limitation
d. Limited authority - Answer-b. Independent
Which factors increase the need for APRNs to have full prescriptive
authority?
a. More patients will have access to health care.
b. Enrolment in medical schools is predicted to decrease.
c. Physician's assistants are being utilized less often.
d. APRN education is more complex than education for physicians.
- Answer-a. more patients will have access to health care
Which factors could be attributed to limited prescriptive authority for
APRNs? Select all that apply.
a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy - Answer-
a. inaccessibility of patient care
pg. 3
, b. higher health care costs
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 safe care.
d. Licensure ensures compliance with health care and safety
standards.
e. Limiting provision can decrease health care affordability - Answer-
a, c, d.
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 safe care.
d. Licensure ensures compliance with health care and safety
standards. - 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.
pg. 4
