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Midterm Exam: NR565 / NR-565
(Latest Update 2025 / 2026) Advanced Pharmacology Fundamentals | Questions & Answers | 100% Correct | Grade A - Chamberlain
Question:
What is used to calculate a patient's overdose risk?
Answer:
total morphine milligram equivalent (MME) per day to help assess the patient's overdose risk. If it is high (≥50 MME/day and especially ≥90 MME/day)
Question:
How would you know when to refer someone to a pain specialist for pain management?
Answer:
required for patients who take 120 mme per day of morphine milligram equivalents
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Question:
Prescription Drug Monitoring Program (PDMP)
- What is it?
- Why is it important?
Answer:
Electronic databases enable providers to access information regarding a patient's prescription history of controlled substances.
identify those at risk for overdose
Question:
How renal and hepatic function impact medication levels in the body
Answer:
Patients with renal or hepatic insufficiency can experience greater peak effects and longer duration of action for medications, thereby reducing the dose at which respiratory depression and overdose may occur. Similarly, for patients ages 65 years and older, reduced renal function and medication clearance due to age can result in a smaller therapeutic window between safe dosages and dosages associated with respiratory depression and overdose.
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Question:
How to assess someone for possible drug diversion
Answer:
Urine test at least yearly PDMP routinely
Question:
When should naloxone be prescribed for a patient?
Answer:
with every opioid prescription
Question:
Behaviors that predict controlled substance addiction
Answer:
chronic pain family history other substance abuse prescribed for long-term use
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Question:
Schedule II drugs
- Rules around prescribing
- Examples
Answer:
Substances or chemicals are defined as drugs with a high potential for abuse, with use potentially leading to severe psychological or physical dependence
Examples Combination products with less than 15 milligrams of Hydrocodone per dosage unit Vicodin Cocaine Methamphetamine Methadone Hydromorphone (Dilaudid) Meperidine (Demerol) Oxycodone (OxyContin) Fentanyl Dexedrine Adderall Ritalin
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