MSN 571 EVALUATION EXAM 2025/2026 QUESTIONS WITH
SOLUTIONS RATED A+
✔✔A medication prescribed for a neonate is eliminated primarily by hepatic metabolism.
What action will the prescriber take to minimize risk to the infant? - ✔✔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? - ✔✔"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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔Prescribe morphine and discuss the rationale with the patient's son.
, ✔✔An older adult patient is admitted to the hospital for treatment of an exacerbation of
a chronic illness. Admission laboratory work reveals an extremely low serum drug level
of the drug used to treat this condition. The patient's renal and hepatic function tests are
normal. What might the provider suspect as a likely cause of this finding? -
✔✔Nonadherence to the medical regimen
✔✔A provider obtains a drug history from an older adult who is a new patient. Of the
multiple medications taken, which two, taken together, create a reason for concern? -
✔✔Amitriptyline and diphenhydramine
✔✔A frail older adult patient is admitted to the hospital after several days of vomiting,
diarrhea, poor intake of foods and fluids, and anuria for 8 hours. What laboratory studies
will the provider order to help guide medication administration? - ✔✔Creatinine
clearance, Plasma drug levels, Serum albumin
✔✔A patient has been taking oxycodone to manage severe, chronic pain for the last 6
months but now reports that it is no longer effective. The provider will discuss
prescribing which medication for the patient? - ✔✔Fentanyl transdermal patch
✔✔A patient has been taking methadone for 5 months to overcome an opioid addiction.
The provider will monitor the patient for which electrocardiographic change? -
✔✔Prolonged QT interval
✔✔A patient receives an epidural anesthetic during labor and delivery. What effect in
the newborn in the immediate postpartum period must the provider be prepared to
address? - ✔✔Bradycardia
✔✔A provider has prescribed the topical anesthetic lidocaine for a patient who has a
second-degree burn on one arm. Which statement by the patient indicates
understanding of the teaching regarding this treatment? - ✔✔"I will apply a thin layer of
the medication to only the burned area."
✔✔Within a few minutes of administration a local anesthetic, the patient has a pulse of
54 beats/minute, respirations of 18 breaths/minute, and a blood pressure of 90/42 mm
Hg. The provider should monitor the patient for further signs of what condition? -
✔✔Heart block
✔✔The provider used lidocaine with epinephrine as a local anesthetic when suturing a
laceration on a patient's hand. Following the procedure, which patient symptom causes
the most concern? - ✔✔Nervousness and tachycardia
SOLUTIONS RATED A+
✔✔A medication prescribed for a neonate is eliminated primarily by hepatic metabolism.
What action will the prescriber take to minimize risk to the infant? - ✔✔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? - ✔✔"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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔Prescribe morphine and discuss the rationale with the patient's son.
, ✔✔An older adult patient is admitted to the hospital for treatment of an exacerbation of
a chronic illness. Admission laboratory work reveals an extremely low serum drug level
of the drug used to treat this condition. The patient's renal and hepatic function tests are
normal. What might the provider suspect as a likely cause of this finding? -
✔✔Nonadherence to the medical regimen
✔✔A provider obtains a drug history from an older adult who is a new patient. Of the
multiple medications taken, which two, taken together, create a reason for concern? -
✔✔Amitriptyline and diphenhydramine
✔✔A frail older adult patient is admitted to the hospital after several days of vomiting,
diarrhea, poor intake of foods and fluids, and anuria for 8 hours. What laboratory studies
will the provider order to help guide medication administration? - ✔✔Creatinine
clearance, Plasma drug levels, Serum albumin
✔✔A patient has been taking oxycodone to manage severe, chronic pain for the last 6
months but now reports that it is no longer effective. The provider will discuss
prescribing which medication for the patient? - ✔✔Fentanyl transdermal patch
✔✔A patient has been taking methadone for 5 months to overcome an opioid addiction.
The provider will monitor the patient for which electrocardiographic change? -
✔✔Prolonged QT interval
✔✔A patient receives an epidural anesthetic during labor and delivery. What effect in
the newborn in the immediate postpartum period must the provider be prepared to
address? - ✔✔Bradycardia
✔✔A provider has prescribed the topical anesthetic lidocaine for a patient who has a
second-degree burn on one arm. Which statement by the patient indicates
understanding of the teaching regarding this treatment? - ✔✔"I will apply a thin layer of
the medication to only the burned area."
✔✔Within a few minutes of administration a local anesthetic, the patient has a pulse of
54 beats/minute, respirations of 18 breaths/minute, and a blood pressure of 90/42 mm
Hg. The provider should monitor the patient for further signs of what condition? -
✔✔Heart block
✔✔The provider used lidocaine with epinephrine as a local anesthetic when suturing a
laceration on a patient's hand. Following the procedure, which patient symptom causes
the most concern? - ✔✔Nervousness and tachycardia
