NUR 2474 PHARMACOLOGY FINAL 2026 FINAL
REVIEW QUESTIONS ANSWERS BUNDLED
PRACTICE COLLECTION
◉ A nurse is caring for an infant after a surgical procedure. After
ensuring that the ordered dose is appropriate for the infant's age
and weight, the nurse administers a narcotic analgesic intravenously.
When assessing the infant 15 minutes later, the nurse notes
respirations of 22 breaths per minute and a heart rate of 110 beats
per minute. The infant is asleep in the parent's arms and does not
awaken when vital signs are assessed. The nurse understands that
these findings are the result of:
a.an allergic reaction to the medication.
b.immaturity of the blood-brain barrier in the infant.
c.toxic effects of the narcotic, requiring naloxone (Narcan) as an
antidote.
d.unexpected side effects of medications in infants..
Answer: b.immaturity of the blood-brain barrier in the infant.
◉ An infant is receiving a medication that has a narrow therapeutic
range. The nurse reviews the medication information and learns
that the drug is excreted by the kidneys. When giving the
medication, the nurse will assess the infant for:
,a.decreased effectiveness of the drug.
b.shorter period of the drug's effects.
c.signs of drug toxicity.
d.unusual CNS effects..
Answer: c.signs of drug toxicity.
◉ A prescriber has ordered medication for a newborn. The
medication is eliminated primarily by hepatic metabolism. The
nurse expects the prescriber to:
a.order a dose that is lower than an adult dose.
b.order a dose that is higher than an adult dose.
c.increase the frequency of medication dosing.
d.discontinue the drug after one or two doses..
Answer: a.order a dose that is lower than an adult dose.
◉ A nurse caring for a 5-year-old child notes that the child has
discoloration of several teeth. When taking a medication history, the
nurse will ask about which group of medications?
a.Glucocorticoids
b.Salicylates
,c.Sulfonamides
d.Tetracyclines.
Answer: d.Tetracyclines
◉ A nurse is caring for a patient and her newborn immediately after
delivery. The patient's medication history includes prenatal vitamins
throughout pregnancy, one or two glasses of wine before knowing
she was pregnant, occasional use of an albuterol inhaler in her last
trimester, and intravenous morphine during labor. What will the
nurse expect to do?
a.Administer opioids to the infant to prevent withdrawal syndrome.
b.Monitor the infant's respirations closely and prepare to administer
oxygen.
c.Note a high-pitched cry and irritability in the infant.
d.Prepare the patient for motor delays in the infant caused by the
alcohol use..
Answer: b.Monitor the infant's respirations closely and prepare to
administer oxygen.
◉ A patient who has just learned she is pregnant has stopped using
a prescription medication that she takes for asthma because she
doesn't want to harm her baby. What will the nurse tell her?
, a.That asthma medications will not affect the fetus
b.That her baby's health is dependent on hers
c.To avoid taking medications during her pregnancy
d.To resume the medication in her second trimester.
Answer: b.That her baby's health is dependent on hers
◉ A pregnant patient asks the nurse about the safe use of
medications during the third trimester. What will the nurse tell her
about drugs taken at this stage?
a.They may need to be given in higher doses if they undergo renal
clearance.
b.They require lower doses if they are metabolized by the liver.
c.They are less likely to cross the placenta and affect the fetus.
d.They are more likely to cause anatomical defects if they are
teratogenic..
Answer: a.They may need to be given in higher doses if they undergo
renal clearance.
◉ A breast-feeding patient must take a prescription medication for 2
weeks. The medication is safe, but the patient wants to make sure
her baby receives as little of the drug as possible. What will the
nurse tell the patient?
REVIEW QUESTIONS ANSWERS BUNDLED
PRACTICE COLLECTION
◉ A nurse is caring for an infant after a surgical procedure. After
ensuring that the ordered dose is appropriate for the infant's age
and weight, the nurse administers a narcotic analgesic intravenously.
When assessing the infant 15 minutes later, the nurse notes
respirations of 22 breaths per minute and a heart rate of 110 beats
per minute. The infant is asleep in the parent's arms and does not
awaken when vital signs are assessed. The nurse understands that
these findings are the result of:
a.an allergic reaction to the medication.
b.immaturity of the blood-brain barrier in the infant.
c.toxic effects of the narcotic, requiring naloxone (Narcan) as an
antidote.
d.unexpected side effects of medications in infants..
Answer: b.immaturity of the blood-brain barrier in the infant.
◉ An infant is receiving a medication that has a narrow therapeutic
range. The nurse reviews the medication information and learns
that the drug is excreted by the kidneys. When giving the
medication, the nurse will assess the infant for:
,a.decreased effectiveness of the drug.
b.shorter period of the drug's effects.
c.signs of drug toxicity.
d.unusual CNS effects..
Answer: c.signs of drug toxicity.
◉ A prescriber has ordered medication for a newborn. The
medication is eliminated primarily by hepatic metabolism. The
nurse expects the prescriber to:
a.order a dose that is lower than an adult dose.
b.order a dose that is higher than an adult dose.
c.increase the frequency of medication dosing.
d.discontinue the drug after one or two doses..
Answer: a.order a dose that is lower than an adult dose.
◉ A nurse caring for a 5-year-old child notes that the child has
discoloration of several teeth. When taking a medication history, the
nurse will ask about which group of medications?
a.Glucocorticoids
b.Salicylates
,c.Sulfonamides
d.Tetracyclines.
Answer: d.Tetracyclines
◉ A nurse is caring for a patient and her newborn immediately after
delivery. The patient's medication history includes prenatal vitamins
throughout pregnancy, one or two glasses of wine before knowing
she was pregnant, occasional use of an albuterol inhaler in her last
trimester, and intravenous morphine during labor. What will the
nurse expect to do?
a.Administer opioids to the infant to prevent withdrawal syndrome.
b.Monitor the infant's respirations closely and prepare to administer
oxygen.
c.Note a high-pitched cry and irritability in the infant.
d.Prepare the patient for motor delays in the infant caused by the
alcohol use..
Answer: b.Monitor the infant's respirations closely and prepare to
administer oxygen.
◉ A patient who has just learned she is pregnant has stopped using
a prescription medication that she takes for asthma because she
doesn't want to harm her baby. What will the nurse tell her?
, a.That asthma medications will not affect the fetus
b.That her baby's health is dependent on hers
c.To avoid taking medications during her pregnancy
d.To resume the medication in her second trimester.
Answer: b.That her baby's health is dependent on hers
◉ A pregnant patient asks the nurse about the safe use of
medications during the third trimester. What will the nurse tell her
about drugs taken at this stage?
a.They may need to be given in higher doses if they undergo renal
clearance.
b.They require lower doses if they are metabolized by the liver.
c.They are less likely to cross the placenta and affect the fetus.
d.They are more likely to cause anatomical defects if they are
teratogenic..
Answer: a.They may need to be given in higher doses if they undergo
renal clearance.
◉ A breast-feeding patient must take a prescription medication for 2
weeks. The medication is safe, but the patient wants to make sure
her baby receives as little of the drug as possible. What will the
nurse tell the patient?
