NURS 6521 ADVANCED PHARMACOLOGY NURSING FINAL EXAM WITH ALL
QUESTIONS AND ANSWERS GRADED A+ LATEST UPDATE.
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: ANS >> immaturity of the
blood-brain barrier in the infant.
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?
ANS >> 500 mg/5 mL to 375 mg PO twice daily
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? ANS >>
"Infants are more susceptible to central nervous system
effects than are adults."
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? ANS >> Tetracyclines
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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? ANS >> Applying an antihistamine to the
skin can cause toxicity in this age group.
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: ANS >> signs of drug toxicity.
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? ANS >> "This
formula helps approximate the first dose; other doses should
be based on clinical observations."
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A pediatric nurse is teaching nursing students about
medication administration in children. Which statement by a
student indicates an understanding of the teaching? ANS >>
"Drugs effective in adults may not work in children, even if
the dose is proportional for weight and size."
A nurse is teaching nursing students about pediatric
medication administration. What will the nurse include when
discussing pediatric drug research? ANS >> Studies showed
a significant percentage of unanticipated and potentially
lethal side effects in children.
A prescriber has ordered medication for a newborn. The
medication is eliminated primarily by hepatic metabolism.
The nurse expects the prescriber to: ANS >> order a dose
that is lower than an adult dose.
The parents of a child with asthma ask the nurse why their
child cannot use oral corticosteroids more often, because
they are so effective. The nurse will offer which information
that is true for children? ANS >> Chronic steroid use can
inhibit growth.
A patient with schizophrenia receives a dose of risperidone
[Risperdal Consta] IM. The nurse teaching this patient about
this medication will make which statement? ANS >> "You
will need to take an oral antipsychotic drug for 3 weeks."
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? ANS >> "If the ANC is less than
3000, the drug will be discontinued permanently."
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
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adherence? ANS >> Teach the patient about drug side
effects and how to manage them.
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? ANS >> "Dry mouth and constipation
are uncommon with this medication."
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:
ANS >> try a second-generation antipsychotic (SGA).