NR571 MIDTERM CERTIFICATION EVALUATION
TEST 2026 QUESTIONS AND ANSWERS
GUARANTEED TO PASS
◉ Which type of medication prescribed to a pregnant patient is
more likely to have effects on her fetus? Answer: Lipid-soluble drugs
◉ A pregnant woman asks why more is not known about the
teratogenic effects of maternal medication ingestion during
pregnancy. Which response will the provider offer to address the
patient's concern? Answer: "Clinical trials to determine teratogenic
effects would put the fetus at risk."
◉ An infant developed a pruritic rash following exposure to an
allergen. The infant's parents ask the provider about using a topical
antihistamine. What information should the provider use to address
the parents' question? Answer: Applying an antihistamine to the
skin can cause toxicity in this age group.
◉ The parents of a child with asthma ask the provider why their
child cannot use oral corticosteroids more often, because they are so
effective. The provider will base the discussion with the parents on
what fact concerning oral corticosteroids? Answer: Chronic
glucocorticoid use can inhibit physical growth
,◉ An infant is prescribed a medication that has a narrow
therapeutic range and is excreted by the kidneys. The provider will
monitor closely for which effect? Answer: Evidence of drug toxicity
◉ A medication prescribed for a neonate is eliminated primarily by
hepatic metabolism. What action will the prescriber take to
minimize risk to the infant? Answer: Prescribe a dose that is
relatively lower than an adult dose when adjusted for body surface
area
◉ A pediatric provider is teaching nursing students to calculate
medication doses for children using a formula based on body surface
area. Which statement by a nursing student indicates understanding
of the teaching? Answer: "This formula helps approximate the first
dose; other doses should be based on clinical observations."
◉ A child attending daycare is prescribed 750 mg of an antibiotic for
10 days. The drug may be dosed in several ways and is available in
two concentrations. Which dosing regimen will the provider
consider to best assure drug adherence? Answer: 375 mg of a 500
mg/5 mL solution PO twice daily
◉ A 5-year-old has gray teeth. When taking a medication history, the
provider will ask about previous use of which group of medications?
Answer: Tetracyclines
, ◉ A provider is concerned about renal function in an 84-year-old
patient who is taking several medications. What laboratory result
will the provider order? Answer: Creatinine clearance
◉ An older adult patient with a history of forgetfulness will need to
take multiple drugs after discharge from the hospital. What provider
action will most successfully promote medication adherence in a
forgetful patient? Answer: Schedule medications to be taken at the
same times as much as possible
◉ A provider is reviewing an older adult patient's chart during a
routine visit. Which patient information is of most concern
regarding the renewing of medication prescriptions for highly
protein-bound drugs? Answer: Low serum albumin
◉ Four older adult patients are taking multiple medications. For
which patient is the provider most concerned about the risk for
adverse drug effects? Answer: An underweight patient with a
chronically low appetite
◉ An older adult patient is entering into the immediate
postoperative period after a total hip replacement. The patient's son
concerned about related pain asks meperidine be prescribed since,
"I had it for severe pain when I injured when I was younger." What
action will the provider take to reduce the patient's risk for injury
while addressing the patient's pain? Answer: Prescribe morphine
and discuss the rationale with the patient's son.
TEST 2026 QUESTIONS AND ANSWERS
GUARANTEED TO PASS
◉ Which type of medication prescribed to a pregnant patient is
more likely to have effects on her fetus? Answer: Lipid-soluble drugs
◉ A pregnant woman asks why more is not known about the
teratogenic effects of maternal medication ingestion during
pregnancy. Which response will the provider offer to address the
patient's concern? Answer: "Clinical trials to determine teratogenic
effects would put the fetus at risk."
◉ An infant developed a pruritic rash following exposure to an
allergen. The infant's parents ask the provider about using a topical
antihistamine. What information should the provider use to address
the parents' question? Answer: Applying an antihistamine to the
skin can cause toxicity in this age group.
◉ The parents of a child with asthma ask the provider why their
child cannot use oral corticosteroids more often, because they are so
effective. The provider will base the discussion with the parents on
what fact concerning oral corticosteroids? Answer: Chronic
glucocorticoid use can inhibit physical growth
,◉ An infant is prescribed a medication that has a narrow
therapeutic range and is excreted by the kidneys. The provider will
monitor closely for which effect? Answer: Evidence of drug toxicity
◉ A medication prescribed for a neonate is eliminated primarily by
hepatic metabolism. What action will the prescriber take to
minimize risk to the infant? Answer: Prescribe a dose that is
relatively lower than an adult dose when adjusted for body surface
area
◉ A pediatric provider is teaching nursing students to calculate
medication doses for children using a formula based on body surface
area. Which statement by a nursing student indicates understanding
of the teaching? Answer: "This formula helps approximate the first
dose; other doses should be based on clinical observations."
◉ A child attending daycare is prescribed 750 mg of an antibiotic for
10 days. The drug may be dosed in several ways and is available in
two concentrations. Which dosing regimen will the provider
consider to best assure drug adherence? Answer: 375 mg of a 500
mg/5 mL solution PO twice daily
◉ A 5-year-old has gray teeth. When taking a medication history, the
provider will ask about previous use of which group of medications?
Answer: Tetracyclines
, ◉ A provider is concerned about renal function in an 84-year-old
patient who is taking several medications. What laboratory result
will the provider order? Answer: Creatinine clearance
◉ An older adult patient with a history of forgetfulness will need to
take multiple drugs after discharge from the hospital. What provider
action will most successfully promote medication adherence in a
forgetful patient? Answer: Schedule medications to be taken at the
same times as much as possible
◉ A provider is reviewing an older adult patient's chart during a
routine visit. Which patient information is of most concern
regarding the renewing of medication prescriptions for highly
protein-bound drugs? Answer: Low serum albumin
◉ Four older adult patients are taking multiple medications. For
which patient is the provider most concerned about the risk for
adverse drug effects? Answer: An underweight patient with a
chronically low appetite
◉ An older adult patient is entering into the immediate
postoperative period after a total hip replacement. The patient's son
concerned about related pain asks meperidine be prescribed since,
"I had it for severe pain when I injured when I was younger." What
action will the provider take to reduce the patient's risk for injury
while addressing the patient's pain? Answer: Prescribe morphine
and discuss the rationale with the patient's son.
