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NUR 521 Exam 1 with correct answers, Exams of Nursing

NUR 521 Exam 1 with correct answers

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2024/2025

Available from 06/28/2025

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NUR 521 Exam 1 with correct answers
Why|should|APRNs|have|full|prescriptive|authority?|-|verified|answerslimited|prescriptive|authority|
causes|barriers|to|quality,|affordability|and|pt|access|to|care
-|lower|income|patients|would|benefit
Schedule|1|drugs|-|verified|answersno|accepted|medical|use,|highest|potential|for|abuse|(LSD,|Herorin)
Schedule|2|drugs|-|verified|answershigh|potential|for|abuse|(morphine,|codeine,|norco)
Schedule|3|drugs|-|verified|answershas|potential|for|abuse|(Tylenol|with|codeine,|buprenorphine)
Schedule|4|drugs|-|verified|answershas|potential|for|abuse,|but|less|than|others|(alprazolam,|
phenobarbital)
Schedule|5|drugs|-|verified|answersless|abuse|potential|and|has|small|amount|of|stimulant
What|components|are|necessary|when|writing|a|prescription?|-|verified|answersprescriber|name,|
license,|contact|information|
DEA|and|NPI
pt|name|and|DOB|
pt|allergies
indication|for|medication|
dos,|route,|frequency|(SIG)
number|of|tabs
refills|
generic|or|not
What|factors|should|the|APRN|consider|when|refilling|medications?|-|verified|answersIs|this|a|new|
medication?
Am|I|changing|the|dose|frequently?|S/e?
Follow|up|appointment?
What|is|the|benefit|of|collaboration|during|drug|selection|and|prescription|writing?|-|verified|
answersPharmacists|can|help|with|additional|information|regarding|drug|interactions,|assist|with|dosing,|
and|first-hand|knowledge|of|formulary
What|information|should|be|included|in|pt|educational|material?|-|verified|answersname,|purpose,|dose,|
administration,|a/e,|storage,|lab|testing|and|why,|interactions,|duration|
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NUR 521 Exam 1 with correct answers

Why|should|APRNs|have|full|prescriptive|authority?|-|verified|answerslimited|prescriptive|authority| causes|barriers|to|quality,|affordability|and|pt|access|to|care

  • |lower|income|patients|would|benefit Schedule| 1 |drugs|-|verified|answersno|accepted|medical|use,|highest|potential|for|abuse|(LSD,|Herorin) Schedule| 2 |drugs|-|verified|answershigh|potential|for|abuse|(morphine,|codeine,|norco) Schedule| 3 |drugs|-|verified|answershas|potential|for|abuse|(Tylenol|with|codeine,|buprenorphine) Schedule| 4 |drugs|-|verified|answershas|potential|for|abuse,|but|less|than|others|(alprazolam,| phenobarbital) Schedule| 5 |drugs|-|verified|answersless|abuse|potential|and|has|small|amount|of|stimulant What|components|are|necessary|when|writing|a|prescription?|-|verified|answersprescriber|name,| license,|contact|information| DEA|and|NPI pt|name|and|DOB| pt|allergies indication|for|medication| dos,|route,|frequency|(SIG) number|of|tabs refills| generic|or|not What|factors|should|the|APRN|consider|when|refilling|medications?|-|verified|answersIs|this|a|new| medication? Am|I|changing|the|dose|frequently?|S/e? Follow|up|appointment? What|is|the|benefit|of|collaboration|during|drug|selection|and|prescription|writing?|-|verified| answersPharmacists|can|help|with|additional|information|regarding|drug|interactions,|assist|with|dosing,| and|first-hand|knowledge|of|formulary What|information|should|be|included|in|pt|educational|material?|-|verified|answersname,|purpose,|dose,| administration,|a/e,|storage,|lab|testing|and|why,|interactions,|duration|

(what,|when,|where,|why,|how) What|is|the|best|way|to|promote|positive|outcomes|with|drug|therapy?|-|verified|answersScheduled| medication|reviews|with|the|pt|to|optimize|medication|regimens|based|on|pt|experiences|and|needs absorption|-|verified|answersdrugs|movement|from|its|site|of|administration|into|the|blood distribution|-|verified|answersdrugs|movement|from|the|blood|to|the|interstitial|space|of|tissues|and| into|cells metabolism|-|verified|answersenzymatically|mediated|alteration|of|drug|structure|(breaking|down) What|is|bioavailability?|-|verified|answersthe|amount|of|active|drug|that|reaches|the|systemic|circulation| from|its|site|of|administration Explain|how|the|same|drug|manufactured|by|a|different|drug|company|can|have|different|absorption| rates?|-|verified|answersThe|rate|the|drug|is|absorbed|is|influenced|by|physical|and|chemical|properties.| drug|companies|use|fillers|and|binders|(inactive|ingredients)|that|change|the|bioavailability What|happens|when|a|patient|takes|a|drug|that|is|metabolized|by|P450|enzymes|if|an|inducing|or|an| inhibiting|drug|is|added|to|the|current|drug|regimen?|-|verified|answersdrugs|metabolized|by|P450|are| substrates|that|occur|in|the|liver.|Inducing|drugs|increase|metabolism|which|DECREASES|the| effectiveness.|Inhibiting|slows|down|metabolism|and|can|INCREASE|active|drug|accumulation|leading|to| toxicity Agonist|-|verified|answersmolecules|that|activate|receptors| i.e|dobutamine antagonist|-|verified|answersprevent|receptor|activation| i.e|antihistamines|block|allergy|producing|receptors What|are|ways|to|minimize|adverse|effects?|-|verified|answersmonitor|kidney,|liver,|bone|marrow| through|labs| monitor|s/s FDA|special|alerts|(black|box|warnings|and|med|guides) What|factors|can|contribute|to|medication|errors?|-|verified|answersPrescribing|practices| Oversight| Communication What|is|the|purpose|of|genetic|testing?|-|verified|answersstudy|of|the|ways|genetic|variations|affect| individual|responses|to|drugs|through|alterations|in|genes|that|code|for|drug|metabolizing|enzymes|and| drug|receptors When|are|pregnant|women|most|susceptible|to|teratogenic|drugs?|-|verified|answersfirst|trimester

bethanechol|-|verified|answersdrug|that|treats|urinary|retention|by|binding|to|muscarinic|cholinergic| receptors (muscarinic|cholinergic|agonist) Pryidostigmine|-|verified|answerstreatment|for|myasthenia|gravis| (cholinesterase|inhibiter) muscarinic|agonists|-|verified|answersclass|of|drugs|that|mimic|the|effect|of|acetylcholine|by|binding| with|muscarinic|receptors|causing|a|parasympathetic|response what|is|the|antidote|to|bethanechol|-|verified|answersatropine atropine|-|verified|answerscauses|a|sympathetic|response| used|in|childhood|as|inhalation|prep|for|asthma muscarinic|antagonist|-|verified|answersclass|of|drugs|that|act|to|block|Ach|at|muscarinic|receptors|

  • |block|parasympathetic|nervous|system epinepherine|-|verified|answersused|to|delay|absorption|of|local|anesthetics|and|control|superficial| bleeding| adrenergic|agonist Alpha| 1 |-|verified|answersreceptor|that|when|activated|causes|mydriasis
  • |hemostasis
  • |nasal|decongestion
  • |adjunct|to|local|anesthesia|
  • |increased|BP what|transmitter|activates| 4 |subtypes|of|adrenergic|receptors|producing|sympathetic|responses|-| verified|answersepinepherine beta| 2 |-|verified|answersreceptor|that|works|in|the|lungs|and|uterus beta| 1 |-|verified|answersreceptor|that|works|in|the|heart|and|kidneys prazosin|-|verified|answersadrenergic|antagonist|
  • |treats|HTN|and|BPH
  • |has|1st|dose|effect,|the|1st|dose|can|cause|loss|of|consciousness
  • |perform|CV|exam:|HR,|BP,|EKG|before|prescribing adrenergic|antagonist|-|verified|answersclass|of|drugs|that|causes|direct|blockage|of|adrenergic|receptors clondidine|-|verified|answersCentrally|acting|Alpha| 2 |agonist|
  • |reduces|sympathetic|outflow|to|blood|vessels|and|the|heart|causing|decreased|HR|and|vasodilation
  • |educate|pt|to|take|at|bedtime|(sedation)|
  • |drowsiness|my|lessen|with|time|
  • |abruptly|stoping|causes|rebound|HTN|
  • |high|abuse|potential|with|other|drugs|bc|it|increases|euphoria requip|(ropinerole)|-|verified|answersdopamin|agonist selective|for|D2|and|D3|receptors| treats|parkinsons|and|RLS Levidopa|(sinemet)|-|verified|answersDopaminerigc Namenda|(memantine)|-|verified|answersNMDA|receptor|antagonist
  • |works|to|bind|glutamate|at|receptor|sites|with|allows|calcium|to|come|into|the|cells|
  • |treats|alzheimers Donazepil|(Aricept)|-|verified|answerscholinesterase|inhibitor works|to|stop|Ach|form|found|in|the|brain|
  • |treats|alzheimers Cholinergic|receptor|mediate|responses|to:|-|verified|answersacetylcholine Nictotinic|N|(neuronal)|-|verified|answersPromote|ganglionic|transmission|at|all|ganglia|of|sympathetic| and|parasympathetic|nervous|system Promotes|release|of|of|epi|from|adrenal|medulla Nicotinic|M|(muscle)|-|verified|answerscauses|contraction|of|skeletal|muscle Muscarinic|-|verified|answers-located|in|most|internal|organs -(cardiac,|respiratory,|GI|&|GU) -Activation|by|Ach|=|excited|or|inhibits
  • |wide|therapeutic|response What|is|the|function|of|the|Parasympathetic|division|of|the|PNS|-|verified|answersthink|rest|and|digest|-| cholinergic|-|muscarinic| decrease|HR,|increase|GI|movement,|constrict|eyes|(miosis),|stimulate|salivation,|constrict|bronchioles What|is|the|function|of|the|Sympathetic|division|of|the|PNS|-|verified|answersfight|or|flight dilates|pupils|(mydriasis),|inhibit|salivation,|increase|HR|and|contractility,|dilate|bronchioles,|stop| digestion,|secrete|epi|and|norepi

How|do|you|teach|your|patient|about|using|an|EPI|Pen?|-|verified|answers0.3|and|0.5mg|dosing| repeat|every|5-15|minutes|up|to| 2 |times keep|on|you|at|all|times| refill|immediately What|are|adrenergic|antagonist|drugs|used|for?|How|do|they|work?|-|verified|answersblock|activation|of| adrenergic|receptors|to|create|a|parasympathetic|response What|important|patient|education|should|be|taught|when|starting|Prazosin|(Minipress),|an|adrenergic| antagonist?|-|verified|answerss/s|of|orthostatic|hypotension What|are|centrally|acting|alpha| 2 |agonist|drugs|used|for?|-|verified|answersselectively|work|on|A2|to| create|a|decreased|sympathetic|response| i.e|clonidine|-|decrease|HR|and|BP What|should|you|teach|your|patient|who|is|taking|Sinemet|for|Parkinsons?|-|verified|answersDiet|low|in| protein Protein|can|cause|the|medication|to|work|less|effectively What|would|you|prescribe|in|addition|to|Sinemet|if|the|patient|is|experiencing|acute|loss|of|effect|of| drug?|-|verified|answersEntacapone|-|increases|effectiveness What|drug|can|you|prescribe|for|restless|leg?|-|verified|answersRopinerole|(requip) What|drug|can|you|not|prescribe|with|Cyclobenzaprine?|-|verified|answersSSRIs|due|to|increased|risk|of| serotonin|syndrome What|is|a|contraindication|for|Dantrolene?|-|verified|answersCI|-|liver|disease/impairment| BBW|-|hepatotoxicity What|is|the|BBW|for|Baclofen?|-|verified|answersRhabdomylisis What|are|contraindications|of|amide|type|local|anesthetics|-|verified|answersDo|not|combine|with| epinephrine|due|to|risk|of|ischemia What|are|adverse|effects|of|morphine?|-|verified|answersrespiratory|depression,|sedation,|nausea,|and| vomiting,|constipation Class| 2 |drug What|is|used|to|treat|opioid|overdose?|-|verified|answersNarcan|(naloxone) What|is|Imitrex?|-|verified|answersSumatriptan|-|selective|serotonin|receptor|agonist What|is|sumatriptan|used|for?|-|verified|answersAbort|migraines What|are|contraindications|of|Sumatriptan?|-|verified|answersPregnancy,|use|of|MAOIs,|HTN,|MI Why|should|MAOI|and|SSRIs|not|be|taken|together?|-|verified|answersrisk|for|serotonin|syndrome

You|are|taking|your|patient|off|an|MAOI,|how|long|do|you|wait|before|starting|a|SSRI?|-|verified| answers14|days|at|least What|patient|education|should|be|covered|when|starting|an|MAOI|such|as|Phenylzine|(Nardil)?|-|verified| answersA|tyramine|free|diet What|conditions|do|Risperidone|treat?|-|verified|answersschizophrenia bipolar|disorder Why|would|Risperidone|and|Lithium|be|used|together?|-|verified|answersacute|manic|or|mixed|episode| of|bipolar|disorder What|conditions|might|develop|as|a|result|of|taking|lithium?|-|verified|answersParkinsonism|tremors| treat|with|propranolol