RNC-NIC: Pharmacology Exam with all Correct & 100%
Verified Answers |Latest Version |Already Graded A+
Skin maturation occurs between __-__wks of gestation ✔Correct Answer-23-33wks
When drugs are bound to proteins in the blood this results in what? ✔Correct Answer-protein
binding- not able to be active
increased in preemies
drugs with high affinity for plasma proteins increase the neonates risk of ✔Correct Answer-
hyperbili/kernicterus
anticoagulant therapy for neonates (3) ✔Correct Answer-Unfractionated heparin
Low molecular weight heparin
Warfarin (rare)
Able to enhance effect of heparin in heparin resistant infants with administration of what?
✔Correct Answer-Fresh frozen plasma (FFP)
Drug of choice for neonatal seizures ✔Correct Answer-Phenobarb
If phenobarb is ineffective in neonate, what other drugs can be used? (3) ✔Correct Answer-1-
fosphenytoin (cerbxy)
2- phenytoin (dilantin)
3- lorazepam (ativan)
Neonate is receiving antiseizure medication called Fosphenytoin (cerbxy). What does the RN
need to monitor whiel infant is on this medication? ✔Correct Answer-Bilirubin levels
Blood pressure
Neonate is receiving Phenytoin (Dilantin) for seizure activity. What should the RN monitor for
and what considerations about this med do you need to think about? ✔Correct Answer-
Monitor BP and HR for hypotension/bradycardia- means given too quickly
Incompatible with glucose and other medications- flush with NS
major adverse effect of lorazepam administration on neonate ✔Correct Answer-resp
depression
Vitamin __ deficiency can cause seizures ✔Correct Answer-B6
mechanism of action narrow spectrum antibiotics ✔Correct Answer-bactericidal,
bacteriostatic(prevent reprod.)
, gentamicin targets gram ___ bacterial infections ✔Correct Answer-gram negative
Elevated gent levels cause what in neonates? ✔Correct Answer-ototoxicity, nephrotoxicity
Neonatal Antivirals ✔Correct Answer-Acyclovir (HSV, varicella)
Ganciclovir (CMV)
Synagis (RSV)
RSVIG (RSV but less desirable)
Neonate diagnosed with congenital CMV. What medication does RN anticipate to give?
✔Correct Answer-Ganciclovir
Neonate is diagnosed with congenital varicella. What medications does RN anticipate giving?
✔Correct Answer-Acyclovir
Class of Meds:
Captopril
Propanolol
Labetalol ✔Correct Answer-Antihypertensives
ACE inhibitor antihypertensive ✔Correct Answer-captropril
Beta blocker antihypertensive ✔Correct Answer-propanolol
beta andrenergic antihypertensive ✔Correct Answer-labetalol
Indomethicin is an _____(class), and inhibits ___ production which speeds closure of ____
✔Correct Answer-An NSAID; prostaglandin; PDA
Prostaglandins are given to maintain patency of ____ in conditions such as ___ and ____
✔Correct Answer-PDA; coarct, transposition of greater arteries
Class of meds:
- furosemide
- bumetanide
- ethacrynic acid ✔Correct Answer-loop diuretics
Spironolactone class of med ✔Correct Answer-K sparing steroid diuretic
Conditions to use diuretics in neonates? ✔Correct Answer-heart failure
lung d/o like BPD
- to decrease fluid load
Verified Answers |Latest Version |Already Graded A+
Skin maturation occurs between __-__wks of gestation ✔Correct Answer-23-33wks
When drugs are bound to proteins in the blood this results in what? ✔Correct Answer-protein
binding- not able to be active
increased in preemies
drugs with high affinity for plasma proteins increase the neonates risk of ✔Correct Answer-
hyperbili/kernicterus
anticoagulant therapy for neonates (3) ✔Correct Answer-Unfractionated heparin
Low molecular weight heparin
Warfarin (rare)
Able to enhance effect of heparin in heparin resistant infants with administration of what?
✔Correct Answer-Fresh frozen plasma (FFP)
Drug of choice for neonatal seizures ✔Correct Answer-Phenobarb
If phenobarb is ineffective in neonate, what other drugs can be used? (3) ✔Correct Answer-1-
fosphenytoin (cerbxy)
2- phenytoin (dilantin)
3- lorazepam (ativan)
Neonate is receiving antiseizure medication called Fosphenytoin (cerbxy). What does the RN
need to monitor whiel infant is on this medication? ✔Correct Answer-Bilirubin levels
Blood pressure
Neonate is receiving Phenytoin (Dilantin) for seizure activity. What should the RN monitor for
and what considerations about this med do you need to think about? ✔Correct Answer-
Monitor BP and HR for hypotension/bradycardia- means given too quickly
Incompatible with glucose and other medications- flush with NS
major adverse effect of lorazepam administration on neonate ✔Correct Answer-resp
depression
Vitamin __ deficiency can cause seizures ✔Correct Answer-B6
mechanism of action narrow spectrum antibiotics ✔Correct Answer-bactericidal,
bacteriostatic(prevent reprod.)
, gentamicin targets gram ___ bacterial infections ✔Correct Answer-gram negative
Elevated gent levels cause what in neonates? ✔Correct Answer-ototoxicity, nephrotoxicity
Neonatal Antivirals ✔Correct Answer-Acyclovir (HSV, varicella)
Ganciclovir (CMV)
Synagis (RSV)
RSVIG (RSV but less desirable)
Neonate diagnosed with congenital CMV. What medication does RN anticipate to give?
✔Correct Answer-Ganciclovir
Neonate is diagnosed with congenital varicella. What medications does RN anticipate giving?
✔Correct Answer-Acyclovir
Class of Meds:
Captopril
Propanolol
Labetalol ✔Correct Answer-Antihypertensives
ACE inhibitor antihypertensive ✔Correct Answer-captropril
Beta blocker antihypertensive ✔Correct Answer-propanolol
beta andrenergic antihypertensive ✔Correct Answer-labetalol
Indomethicin is an _____(class), and inhibits ___ production which speeds closure of ____
✔Correct Answer-An NSAID; prostaglandin; PDA
Prostaglandins are given to maintain patency of ____ in conditions such as ___ and ____
✔Correct Answer-PDA; coarct, transposition of greater arteries
Class of meds:
- furosemide
- bumetanide
- ethacrynic acid ✔Correct Answer-loop diuretics
Spironolactone class of med ✔Correct Answer-K sparing steroid diuretic
Conditions to use diuretics in neonates? ✔Correct Answer-heart failure
lung d/o like BPD
- to decrease fluid load
