1|Page
NURS 6521 Advanced Pharmacology Final Exam (NEW
UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+
[2026]
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/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: - CORRECT ANSWER
immaturity of the blood-brain barrier in the infant.
QUESTION : A child will receive 750 mg of an antibiotic 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? - CORRECT
ANSWER 500 mg/5 mL to 375 mg PO twice daily
QUESTION : Parents ask the nurse why an over-the-counter cough suppressant with
sedative side effects is not recommended for infants. Which response by the nurse is
correct? - CORRECT ANSWER "Infants are more susceptible to central nervous
system effects than are adults."
QUESTION : 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? - CORRECT ANSWER Tetracyclines
QUESTION : An infant has allergies and often develops a pruritic rash when exposed to
allergens. The infant's parents ask the nurse about using a topical antihistamine. What
should the nurse tell them? - CORRECT ANSWER Applying an antihistamine to
the skin can cause toxicity in this age group.
QUESTION : 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
2026 2027 GRADED A+
,2|Page
kidneys. When giving the medication, the nurse will assess the infant for: - CORRECT
ANSWER signs of drug toxicity.
QUESTION : A pediatric nurse 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? - CORRECT ANSWER
"This formula helps approximate the first dose; other doses should be based on clinical
observations."
QUESTION : A pediatric nurse is teaching nursing students about medication
administration in children. Which statement by a student indicates an understanding of
the teaching? - CORRECT ANSWER "Drugs effective in adults may not work in
children, even if the dose is proportional for weight and size."
QUESTION : A nurse is teaching nursing students about pediatric medication
administration. What will the nurse include when discussing pediatric drug research? -
CORRECT ANSWER Studies showed a significant percentage of unanticipated
and potentially lethal side effects in children.
QUESTION : A prescriber has ordered medication for a newborn. The medication is
eliminated primarily by hepatic metabolism. The nurse expects the prescriber to: -
CORRECT ANSWER order a dose that is lower than an adult dose.
QUESTION : The parents of a child with asthma ask the 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? - CORRECT ANSWER Chronic steroid
use can inhibit growth.
QUESTION : A patient with schizophrenia receives a dose of risperidone [Risperdal
Consta] IM. The nurse teaching this patient about this medication will make which
statement? - CORRECT ANSWER "You will need to take an oral antipsychotic
drug for 3 weeks."
2026 2027 GRADED A+
,3|Page
QUESTION : A patient with schizophrenia shows suicidal behaviors, and the provider
orders 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? - CORRECT ANSWER "If the ANC is less than 3000, the drug will
be discontinued permanently."
QUESTION : A patient in whom drug therapy has failed several times in the past is
readmitted to a hospital to begin therapy for schizophrenia. What will the nurse do to
help improve adherence? - CORRECT ANSWER Teach the patient about drug
side effects and how to manage them.
QUESTION : A nurse provides teaching for a patient about to begin taking an FGA drug
for schizophrenia. Which statement by the patient indicates a need for further teaching
about side effects of these drugs? - CORRECT ANSWER "Dry mouth and
constipation are uncommon with this medication."
QUESTION : A patient taking an FGA medication 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: - CORRECT ANSWER
try a second-generation antipsychotic (SGA).
QUESTION : What are negative symptoms of schizophrenia? Select all that apply. -
CORRECT ANSWER Poor judgment
Poor self-care
Poverty of speech
QUESTION : A patient is taking an FGA for schizophrenia. 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? -
CORRECT ANSWER Tardive dyskinesia
QUESTION : A nurse and a nursing student are discussing the plan of care for a patient
with 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
2026 2027 GRADED A+
, 4|Page
student indicates a need for further education? - CORRECT ANSWER "Because
this may be an exacerbation of psychosis, the provider may increase the dose of the
FGA."
QUESTION : A patient who is taking a first-generation 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? - CORRECT ANSWER Giving an anticholinergic medication
QUESTION : A patient with schizophrenia has been taking 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? - CORRECT ANSWER Some symptoms
take months to improve.
QUESTION : A patient with schizophrenia has been taking 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? - CORRECT ANSWER
Request an order to give diphenhydramine.
QUESTION : A parent reports being afraid that a child may have schizophrenia because
of disorganized speech and asocial behaviors. The nurse will tell this parent that which
of the following must also be present to make a diagnosis? Select all that apply. -
CORRECT ANSWER A decrease in self-care, job, or school function
A 1-month duration of active phase symptoms
Continuous signs of disturbance for longer than 6 months
QUESTION : Which side effects are more common in second-generation antipsychotic
medications than in first-generation antipsychotic medications? Select all that apply. -
CORRECT ANSWER Agranulocytosis
Anticholinergic effects
Metabolism by CYP3A4
2026 2027 GRADED A+
NURS 6521 Advanced Pharmacology Final Exam (NEW
UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+
[2026]
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/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: - CORRECT ANSWER
immaturity of the blood-brain barrier in the infant.
QUESTION : A child will receive 750 mg of an antibiotic 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? - CORRECT
ANSWER 500 mg/5 mL to 375 mg PO twice daily
QUESTION : Parents ask the nurse why an over-the-counter cough suppressant with
sedative side effects is not recommended for infants. Which response by the nurse is
correct? - CORRECT ANSWER "Infants are more susceptible to central nervous
system effects than are adults."
QUESTION : 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? - CORRECT ANSWER Tetracyclines
QUESTION : An infant has allergies and often develops a pruritic rash when exposed to
allergens. The infant's parents ask the nurse about using a topical antihistamine. What
should the nurse tell them? - CORRECT ANSWER Applying an antihistamine to
the skin can cause toxicity in this age group.
QUESTION : 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
2026 2027 GRADED A+
,2|Page
kidneys. When giving the medication, the nurse will assess the infant for: - CORRECT
ANSWER signs of drug toxicity.
QUESTION : A pediatric nurse 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? - CORRECT ANSWER
"This formula helps approximate the first dose; other doses should be based on clinical
observations."
QUESTION : A pediatric nurse is teaching nursing students about medication
administration in children. Which statement by a student indicates an understanding of
the teaching? - CORRECT ANSWER "Drugs effective in adults may not work in
children, even if the dose is proportional for weight and size."
QUESTION : A nurse is teaching nursing students about pediatric medication
administration. What will the nurse include when discussing pediatric drug research? -
CORRECT ANSWER Studies showed a significant percentage of unanticipated
and potentially lethal side effects in children.
QUESTION : A prescriber has ordered medication for a newborn. The medication is
eliminated primarily by hepatic metabolism. The nurse expects the prescriber to: -
CORRECT ANSWER order a dose that is lower than an adult dose.
QUESTION : The parents of a child with asthma ask the 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? - CORRECT ANSWER Chronic steroid
use can inhibit growth.
QUESTION : A patient with schizophrenia receives a dose of risperidone [Risperdal
Consta] IM. The nurse teaching this patient about this medication will make which
statement? - CORRECT ANSWER "You will need to take an oral antipsychotic
drug for 3 weeks."
2026 2027 GRADED A+
,3|Page
QUESTION : A patient with schizophrenia shows suicidal behaviors, and the provider
orders 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? - CORRECT ANSWER "If the ANC is less than 3000, the drug will
be discontinued permanently."
QUESTION : A patient in whom drug therapy has failed several times in the past is
readmitted to a hospital to begin therapy for schizophrenia. What will the nurse do to
help improve adherence? - CORRECT ANSWER Teach the patient about drug
side effects and how to manage them.
QUESTION : A nurse provides teaching for a patient about to begin taking an FGA drug
for schizophrenia. Which statement by the patient indicates a need for further teaching
about side effects of these drugs? - CORRECT ANSWER "Dry mouth and
constipation are uncommon with this medication."
QUESTION : A patient taking an FGA medication 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: - CORRECT ANSWER
try a second-generation antipsychotic (SGA).
QUESTION : What are negative symptoms of schizophrenia? Select all that apply. -
CORRECT ANSWER Poor judgment
Poor self-care
Poverty of speech
QUESTION : A patient is taking an FGA for schizophrenia. 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? -
CORRECT ANSWER Tardive dyskinesia
QUESTION : A nurse and a nursing student are discussing the plan of care for a patient
with 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
2026 2027 GRADED A+
, 4|Page
student indicates a need for further education? - CORRECT ANSWER "Because
this may be an exacerbation of psychosis, the provider may increase the dose of the
FGA."
QUESTION : A patient who is taking a first-generation 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? - CORRECT ANSWER Giving an anticholinergic medication
QUESTION : A patient with schizophrenia has been taking 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? - CORRECT ANSWER Some symptoms
take months to improve.
QUESTION : A patient with schizophrenia has been taking 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? - CORRECT ANSWER
Request an order to give diphenhydramine.
QUESTION : A parent reports being afraid that a child may have schizophrenia because
of disorganized speech and asocial behaviors. The nurse will tell this parent that which
of the following must also be present to make a diagnosis? Select all that apply. -
CORRECT ANSWER A decrease in self-care, job, or school function
A 1-month duration of active phase symptoms
Continuous signs of disturbance for longer than 6 months
QUESTION : Which side effects are more common in second-generation antipsychotic
medications than in first-generation antipsychotic medications? Select all that apply. -
CORRECT ANSWER Agranulocytosis
Anticholinergic effects
Metabolism by CYP3A4
2026 2027 GRADED A+
