6521 Advanced Pharmacology Final exam
A nurse is caring for an infant after a surgical immaturity of the blood-brain barrier in
the infant. 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/minute and a
heart rate of 110 beats/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 child will receive 750 mg of an antibiotic 500 mg/5 mL to 375 mg PO twice daily
for 10 days. The child attends day care. The
drug may be dosed in several ways and is
available in two concentrations. Which
dosing regimen will the nurse discuss with
the child's provider?
Parents ask the nurse why an over-the- "Infants are more susceptible to central nervous system
counter cough suppressant with sedative effects than are adults."
side effects is not recommended for infants.
Which response by the nurse is correct?
A nurse caring for a 5-year-old child notes
Tetracyclines that the child has discoloration of several
teeth. When taking a medication history, the
nurse will ask about which group of
medications?
An infant has allergies and often develops a Applying an antihistamine to the skin can cause toxicity in
this pruritic rash when exposed to allergens. The age group.
infant's parents ask the nurse about using a
topical antihistamine. What should the nurse
tell them?
An infant is receiving a medication that has a signs of drug
toxicity. 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 pediatric nurse is teaching nursing "This formula helps approximate the first dose; other
doses students to calculate medication doses for should be based on clinical observations."
children using a formula based on body
surface area. Which statement by a nursing
student indicates understanding of the
teaching?
A pediatric nurse is teaching nursing "Drugs effective in adults may not work in children, even if the
students about medication administration in dose is proportional for weight and size."
children. Which statement by a student
indicates an understanding of the teaching?
A nurse is teaching nursing students about Studies showed a significant percentage of unanticipated
and pediatric medication administration. What potentially lethal side effects in children.
will the nurse include when discussing
pediatric drug research?
A prescriber has ordered medication for a order a dose that is lower than an adult
dose. newborn. The medication is eliminated
primarily by hepatic metabolism. The nurse
expects the prescriber to:
,The parents of a child with asthma ask the Chronic steroid use can inhibit
growth. nurse why their child can not use oral
corticosteroids more often, because they
are so effective. The nurse will offer
which information that is true for
children?
A patient with schizophrenia receives a dose "You will need to take an oral antipsychotic drug for
3 weeks." of risperidone [Risperdal Consta] IM. The
nurse teaching this patient about this
medication will make which statement?
A patient with schizophrenia shows suicidal "If the ANC is less than 3000, the drug will be
discontinued behaviors, and the provider orders permanently."
clozapine [Clozaril]. The nurse teaches the
family about the medication and its side
effects. Which statement by a family
member indicates a need for further
teaching about this drug?
A patient in whom drug therapy has failed Teach the patient about drug side effects and how to
manage several times in the past is readmitted to a them.
hospital to begin therapy for schizophrenia.
What will the nurse do to help improve
adherence?
A nurse provides teaching for a patient "Dry mouth and constipation are uncommon with
this about to begin taking an FGA drug for medication."
schizophrenia. Which statement by the
patient indicates a need for further teaching
about side effects of these drugs?
A patient taking an FGA medication try a second-generation antipsychotic (SGA).
develops severe parkinsonism and is treated
with amantadine [Symmetrel]. The
amantadine is withdrawn 2 months later, and
the parkinsonism returns. The nurse will
expect the provider to:
What are negative symptoms of Poor judgment
schizophrenia? Select all that apply. Poor self-care
Poverty of
speech
A patient is taking an FGA for schizophrenia. Tardive
dyskinesia The nurse notes that the patient has trouble
speaking and chewing and observes
slow, wormlike-movements of the
patient's tongue. The nurse recognizes
which adverse effect in this patient?
, A nurse and a nursing student are discussing "Because this may be an exacerbation of
psychosis, the the plan of care for a patient with provider may increase the dose of the
FGA."
schizophrenia. The patient, who has
been taking a high-potency FGA for 2
months, has become restless and
constantly needs to be in motion. Which
statement by the student
indicates a need for further education?
A patient who is taking a first-generation Giving an anticholinergic medication
antipsychotic (FGA) drug for schizophrenia
comes to the clinic for evaluation. The
nurse observes that the patient has a
shuffling gait and mild tremors. The nurse
will ask the
patient's provider about which course of
action?
A patient with schizophrenia has been taking Some symptoms take months to
improve. an oral FGA for 1 week. The patient has been
taking the drug daily in two divided doses.
The individual complains of daytime
drowsiness. The patient's family reports a
decrease in the person's hostility and
anxiety but states that the patient remains
antisocial with disordered thinking. What will
the nurse tell the patient and the family?
A patient with schizophrenia has been taking Request an order to give
diphenhydramine. an antipsychotic drug for several days. The
nurse enters the patient's room to
administer a dose of haloperidol [Haldol]
and finds the patient having facial spasms.
The patient's
head is thrust back, and the patient is
unable to speak. What will the nurse do?
A parent reports being afraid that a child A decrease in self-care, job, or school function
may have schizophrenia because of A 1-month duration of active phase symptoms
disorganized speech and asocial behaviors. Continuous signs of disturbance for longer than 6 months
The nurse will tell this parent that which of
the following must also be present to make
a diagnosis? Select all that apply.
Which side effects are more common in Agranulocytosis
second-generation antipsychotic Anticholinergic
effects medications than in first-generation Metabolism by
CYP3A4 antipsychotic medications? Select all that
apply.
A nurse is caring for an infant after a surgical immaturity of the blood-brain barrier in
the infant. 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/minute and a
heart rate of 110 beats/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 child will receive 750 mg of an antibiotic 500 mg/5 mL to 375 mg PO twice daily
for 10 days. The child attends day care. The
drug may be dosed in several ways and is
available in two concentrations. Which
dosing regimen will the nurse discuss with
the child's provider?
Parents ask the nurse why an over-the- "Infants are more susceptible to central nervous system
counter cough suppressant with sedative effects than are adults."
side effects is not recommended for infants.
Which response by the nurse is correct?
A nurse caring for a 5-year-old child notes
Tetracyclines that the child has discoloration of several
teeth. When taking a medication history, the
nurse will ask about which group of
medications?
An infant has allergies and often develops a Applying an antihistamine to the skin can cause toxicity in
this pruritic rash when exposed to allergens. The age group.
infant's parents ask the nurse about using a
topical antihistamine. What should the nurse
tell them?
An infant is receiving a medication that has a signs of drug
toxicity. 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 pediatric nurse is teaching nursing "This formula helps approximate the first dose; other
doses students to calculate medication doses for should be based on clinical observations."
children using a formula based on body
surface area. Which statement by a nursing
student indicates understanding of the
teaching?
A pediatric nurse is teaching nursing "Drugs effective in adults may not work in children, even if the
students about medication administration in dose is proportional for weight and size."
children. Which statement by a student
indicates an understanding of the teaching?
A nurse is teaching nursing students about Studies showed a significant percentage of unanticipated
and pediatric medication administration. What potentially lethal side effects in children.
will the nurse include when discussing
pediatric drug research?
A prescriber has ordered medication for a order a dose that is lower than an adult
dose. newborn. The medication is eliminated
primarily by hepatic metabolism. The nurse
expects the prescriber to:
,The parents of a child with asthma ask the Chronic steroid use can inhibit
growth. nurse why their child can not use oral
corticosteroids more often, because they
are so effective. The nurse will offer
which information that is true for
children?
A patient with schizophrenia receives a dose "You will need to take an oral antipsychotic drug for
3 weeks." of risperidone [Risperdal Consta] IM. The
nurse teaching this patient about this
medication will make which statement?
A patient with schizophrenia shows suicidal "If the ANC is less than 3000, the drug will be
discontinued behaviors, and the provider orders permanently."
clozapine [Clozaril]. The nurse teaches the
family about the medication and its side
effects. Which statement by a family
member indicates a need for further
teaching about this drug?
A patient in whom drug therapy has failed Teach the patient about drug side effects and how to
manage several times in the past is readmitted to a them.
hospital to begin therapy for schizophrenia.
What will the nurse do to help improve
adherence?
A nurse provides teaching for a patient "Dry mouth and constipation are uncommon with
this about to begin taking an FGA drug for medication."
schizophrenia. Which statement by the
patient indicates a need for further teaching
about side effects of these drugs?
A patient taking an FGA medication try a second-generation antipsychotic (SGA).
develops severe parkinsonism and is treated
with amantadine [Symmetrel]. The
amantadine is withdrawn 2 months later, and
the parkinsonism returns. The nurse will
expect the provider to:
What are negative symptoms of Poor judgment
schizophrenia? Select all that apply. Poor self-care
Poverty of
speech
A patient is taking an FGA for schizophrenia. Tardive
dyskinesia The nurse notes that the patient has trouble
speaking and chewing and observes
slow, wormlike-movements of the
patient's tongue. The nurse recognizes
which adverse effect in this patient?
, A nurse and a nursing student are discussing "Because this may be an exacerbation of
psychosis, the the plan of care for a patient with provider may increase the dose of the
FGA."
schizophrenia. The patient, who has
been taking a high-potency FGA for 2
months, has become restless and
constantly needs to be in motion. Which
statement by the student
indicates a need for further education?
A patient who is taking a first-generation Giving an anticholinergic medication
antipsychotic (FGA) drug for schizophrenia
comes to the clinic for evaluation. The
nurse observes that the patient has a
shuffling gait and mild tremors. The nurse
will ask the
patient's provider about which course of
action?
A patient with schizophrenia has been taking Some symptoms take months to
improve. an oral FGA for 1 week. The patient has been
taking the drug daily in two divided doses.
The individual complains of daytime
drowsiness. The patient's family reports a
decrease in the person's hostility and
anxiety but states that the patient remains
antisocial with disordered thinking. What will
the nurse tell the patient and the family?
A patient with schizophrenia has been taking Request an order to give
diphenhydramine. an antipsychotic drug for several days. The
nurse enters the patient's room to
administer a dose of haloperidol [Haldol]
and finds the patient having facial spasms.
The patient's
head is thrust back, and the patient is
unable to speak. What will the nurse do?
A parent reports being afraid that a child A decrease in self-care, job, or school function
may have schizophrenia because of A 1-month duration of active phase symptoms
disorganized speech and asocial behaviors. Continuous signs of disturbance for longer than 6 months
The nurse will tell this parent that which of
the following must also be present to make
a diagnosis? Select all that apply.
Which side effects are more common in Agranulocytosis
second-generation antipsychotic Anticholinergic
effects medications than in first-generation Metabolism by
CYP3A4 antipsychotic medications? Select all that
apply.
