Exam Practice Questions EXAM GUIDE
2026/2027 | COMPLETE REVIEW | FINAL
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Why do many medications lack pediatric dosing information in their drug labeling? -
ANSWER✅✅✅✅There is a lack of evidence-based literature on the safe and effective
use of medications in children
Why are neonates at greater risk for toxicity with highly protein-bound drugs? -
ANSWER✅✅✅✅Protein binding is decreased in neonates increasing the amount of
free drug available.
At what age are adult levels of renal function achieved? -ANSWER✅✅✅✅12 months
What is the most accurate device for measuring a 2.5 mL dose for a child? -
ANSWER✅✅✅✅An oral syringe
Digoxin pediatric solution is available in a concentration of 50 mcg/mL. If a child weighs
10 pounds and has an order for 10 mcg/kg/day, how much should be dispensed for a 30
day supply? -ANSWER✅✅✅✅27 mL
You order cephalexin 375 by mouth Q 12 hours. If you are going to order the cephalexin
125 mg/ 5 mL, what instructions do you write on the sig? -ANSWER✅✅✅✅Give 15
mL by mouth every twelve hours.
You order cephalexin 375 by mouth Q 12 hours. If you are going to order the cephalexin
125 mg/ 5 mL, how much suspension is needed for 10 days worth of medication? -
ANSWER✅✅✅✅300 mL
How do you help prevent medication errors?
A. Use zero after decimal point
B. Write out the term daily
C. Abbreviate every 12 hours to bid
D. Do not use a zero before a decimal point -ANSWER✅✅✅✅B. Write out the term
"daily"
Drug sensitivity in the very young results largely from organ ________, whereasdrug
sensitivity in the elderly results from organ _____________. -ANSWER✅✅✅✅organ
system immaturity
, organ system degeneration
In determining the intensity of response of a drug in a pediatric patient, organ immaturity
puts patient at risk for _________ and _________ -ANSWER✅✅✅✅elevated drug
levels and delayed elimination
In pediatric patients gastric acidity does not reach adult values for -ANSWER✅✅✅✅2
years
In the pediatric population, adverse reactions to fluoroquinolones may cause -
ANSWER✅✅✅✅Tendon rupture
Nalidixic acid may cause _______ in children. -ANSWER✅✅✅✅Cartilage erosion
You prescribe acetaminophen elixir OTC for a baby that weighs 12 lbs. Reference
recommends 10/mg/kg/dose. The drug is available in an oral solution 160 mg/5mL. How
many mLs would you prescribe? -ANSWER✅✅✅✅1.7 mL
You are ordering cefaclor for a child 16 months old that weighs 15 kg. Reference
recommends a total daily dose of 20-40 mg/kg in divided doses q 12 hours. What is the
dose? -ANSWER✅✅✅✅• Lowest dose 150 mg by mouth every twelve hours
• Highest dose 300 mg by mouth every twelve hours
The principles underlying complication to drug therapy in the elderly include___, ____,
____, and ____. -ANSWER✅✅✅✅altered pharmacokinetics
multiple and severe illnesses
multiple-drug therapy
poor adherence
Altered absorption of drugs in the elderly may result in ____drug response -
ANSWER✅✅✅✅delayed
The four major factors that can alter drug distribution in the elderly include ___, ___,
___, and ___. -ANSWER✅✅✅✅increased body fat
decreased percentage of lean body mass
decreased total body water
reduced concentration of serum albumin
Because of reduced ___ levels, protein binding drugs decreases, causing the level of
____ to rise -ANSWER✅✅✅✅Albumin
Free drug
The most important cause of adverse drug reactions in the elderly is -
ANSWER✅✅✅✅drug accumulation secondary to reduced renal excretion