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NR 565 ADVANCED PHARMACOLOGY MIDTERM ACTUAL EXAM NEWEST VERSION QUESTION AND CORRECT ANSWER FROM VERIFIED SOURCES RATED A GRADE. Chamberlain €18,57
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NR 565 ADVANCED PHARMACOLOGY MIDTERM ACTUAL
EXAM NEWEST VERSION 2024-2025 QUESTION AND
CORRECT ANSWER FROM VERIFIED SOURCES RATED A GRADE.
Chamberlain
What are some potential problems that arise with written prescriptions?
✔✔CORRECT ANSWER✔✔Must contain all elements
May have pre-populated information
Write legibly
Avoid error prone abbreviations
Tamper resistant scripts are often required
Reasons for monitoring drug therapy ✔✔CORRECT ANSWER✔✔determining
therapeutic dosage
evaluating medication adequacy
identifying adverse effects
serious or life-threatening risks.
Which schedules of drugs can APRNs prescribe? ✔✔CORRECT
ANSWER✔✔depends on state - most II-V
How does limited prescriptive authority impact patients within the
healthcare system? ✔✔CORRECT ANSWER✔✔longer wait times to sign a
prescription
,limits practitioners that are needed in rural areas
unequal relationships between providers. Ex. one has more power
high need for providers due to lack of providers and high amounts of
patients.
Independent practitioners= more patients being seen= lessens the
patient/provider load
Provider key responsibilities when prescribing? ✔✔CORRECT
ANSWER✔✔safe and competent practice
understanding of the drugs, reactions, and pharmacology
Be aware of the age group you are prescribing to
Ex. Children vs older adults
What should be used to make prescribing decisions? ✔✔CORRECT
ANSWER✔✔documented provider-patient relationship, not prescribing for
family or friends, documenting a thorough H&P, including discussions with
the patient, drug monitoring/titrating.
cost, guidelines, availability, interactions, side effects, allergies, hepatic and
renal function, need for monitoring, and special populations
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
reasons for medication non-adherence ✔✔CORRECT ANSWER✔✔patients
never filling/refilling prescriptions (resulting in therapeutic failure)
multiple chronic disorders
multiple prescription medications
multiple doses per day for each medication
drug packaging that is difficult to open
multiple prescribers
changes in the regimen (adding meds, changes in dose or timing)
cognitive or physical impairment (reduction in memory, hearing, visual,
color, or manual dexterity)
living alone
recent discharge from hospital
low literacy
inability to pay for meds
personal conviction that a drug is unnecessary or the dosage is too high
presence of side effects
Which statements are possible reasons for medication non-adherence?
✔✔CORRECT ANSWER✔✔"I tried to take for weeks and it just wasn't
working"
"It was so expensive I only took it once a day instead of twice"
, "I dropped the whole medication bottle on the floor"
"I was traveling and busy"
"I lost the medication level"
"I ran out"
"I couldn't remember if I took it this morning and sometimes I just forget"
What are black box warnings? ✔✔CORRECT ANSWER✔✔Is the strongest
safety warning a drug can carry and still remain on the market. Usually
presented on the label with a heavy black border.
Why are black box warnings issued? ✔✔CORRECT ANSWER✔✔Issued by the
FDA due to having serious or life-threatening risks
What is neonate and infant drug dosing based on? ✔✔CORRECT
ANSWER✔✔weight or body surface area (BSA)
After age one what happens to pharmacokinetic parameters, including drug
sensitivity? ✔✔CORRECT ANSWER✔✔mirror adult parameters
Children under two have fast metabolism ✔✔CORRECT ANSWER✔✔true
How is absorption of transdermal medications different in neonates?
✔✔CORRECT ANSWER✔✔more rapid and complete in infants than in older
children and adults. the skin is very thin and blood flow is great in infants
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