NUR 600 FINAL EXAM QUESTIONS
WITH VERIFIED SOLUTIONS
2026/2027
Instructions: This practice exam contains multiple-choice questions covering the core content
domains tested on the NUR 600 Final Examination. Topics include pediatric and geriatric
prescribing considerations, pharmacokinetics, pharmacodynamics, cardiovascular, endocrine,
respiratory, and renal pharmacology, and professional prescribing practice.
1. Developmental variation in renal function has what impact on
prescribing for infants and children?
A. Lower doses of renally excreted drugs may be prescribed to infants
younger than age 6 months.
B. Higher doses of water-soluble drugs may need to be prescribed due
to increased renal excretion.
C. Renal excretion rates have no impact on prescribing.
D. Parents need to be instructed on whether drugs are renally excreted
or not.
Correct Answer: A — Lower doses of renally excreted drugs may be
prescribed to infants younger than age 6 months.
,Rationale: Renal function is reduced in infants younger than 6 months,
so lower doses of renally excreted drugs may be prescribed . Higher
doses would not be prescribed due to reduced, not increased, renal
excretion.
2. Topical corticosteroids are prescribed cautiously in young children
due to:
A. They may cause an intense hypersensitivity reaction
B. Hypothalamic-pituitary-adrenal (HPA) axis suppression
C. Corticosteroids are less effective in young children
D. Young children may accumulate corticosteroids leading to toxic
levels
Correct Answer: B — Hypothalamic-pituitary-adrenal (HPA) axis
suppression
Rationale: Topical corticosteroids can be absorbed systemically in
young children, leading to HPA axis suppression. They are not less
effective in children, and hypersensitivity is uncommon .
,3. Liza is breastfeeding her 2-month-old son and has an infection that
requires an antibiotic. What drug factors influence the effect of the
drug on the infant?
A. Maternal drug levels
B. Half-life
C. Lipid-solubility
D. All of the above
Correct Answer: D — All of the above
Rationale: Maternal drug levels, half-life, and lipid-solubility all
influence how much drug transfers into breast milk and affects the
infant .
4. Drugs that are absolutely contraindicated in lactating women
include:
A. Selective serotonin reuptake inhibitors
B. Antiepileptic drugs such as carbamazepine
, C. Antineoplastic drugs such as methotrexate
D. All of the above
Correct Answer: C — Antineoplastic drugs such as methotrexate
Rationale: Antineoplastic drugs such as methotrexate are absolutely
contraindicated in lactating women. SSRIs and carbamazepine are not
absolutely contraindicated and may be used with monitoring .
5. Zia is a 4-month-old with otitis media. Education of his parents
regarding administering oral antibiotics to an infant includes:
A. How to administer an oral drug using a medication syringe
B. Mixing the medication with a couple ounces of formula and putting it
in a bottle
C. Discontinuing the antibiotic if diarrhea occurs
D. Calling for an antibiotic change if the infant chokes and sputters
during administration
Correct Answer: A — How to administer an oral drug using a medication
syringe
WITH VERIFIED SOLUTIONS
2026/2027
Instructions: This practice exam contains multiple-choice questions covering the core content
domains tested on the NUR 600 Final Examination. Topics include pediatric and geriatric
prescribing considerations, pharmacokinetics, pharmacodynamics, cardiovascular, endocrine,
respiratory, and renal pharmacology, and professional prescribing practice.
1. Developmental variation in renal function has what impact on
prescribing for infants and children?
A. Lower doses of renally excreted drugs may be prescribed to infants
younger than age 6 months.
B. Higher doses of water-soluble drugs may need to be prescribed due
to increased renal excretion.
C. Renal excretion rates have no impact on prescribing.
D. Parents need to be instructed on whether drugs are renally excreted
or not.
Correct Answer: A — Lower doses of renally excreted drugs may be
prescribed to infants younger than age 6 months.
,Rationale: Renal function is reduced in infants younger than 6 months,
so lower doses of renally excreted drugs may be prescribed . Higher
doses would not be prescribed due to reduced, not increased, renal
excretion.
2. Topical corticosteroids are prescribed cautiously in young children
due to:
A. They may cause an intense hypersensitivity reaction
B. Hypothalamic-pituitary-adrenal (HPA) axis suppression
C. Corticosteroids are less effective in young children
D. Young children may accumulate corticosteroids leading to toxic
levels
Correct Answer: B — Hypothalamic-pituitary-adrenal (HPA) axis
suppression
Rationale: Topical corticosteroids can be absorbed systemically in
young children, leading to HPA axis suppression. They are not less
effective in children, and hypersensitivity is uncommon .
,3. Liza is breastfeeding her 2-month-old son and has an infection that
requires an antibiotic. What drug factors influence the effect of the
drug on the infant?
A. Maternal drug levels
B. Half-life
C. Lipid-solubility
D. All of the above
Correct Answer: D — All of the above
Rationale: Maternal drug levels, half-life, and lipid-solubility all
influence how much drug transfers into breast milk and affects the
infant .
4. Drugs that are absolutely contraindicated in lactating women
include:
A. Selective serotonin reuptake inhibitors
B. Antiepileptic drugs such as carbamazepine
, C. Antineoplastic drugs such as methotrexate
D. All of the above
Correct Answer: C — Antineoplastic drugs such as methotrexate
Rationale: Antineoplastic drugs such as methotrexate are absolutely
contraindicated in lactating women. SSRIs and carbamazepine are not
absolutely contraindicated and may be used with monitoring .
5. Zia is a 4-month-old with otitis media. Education of his parents
regarding administering oral antibiotics to an infant includes:
A. How to administer an oral drug using a medication syringe
B. Mixing the medication with a couple ounces of formula and putting it
in a bottle
C. Discontinuing the antibiotic if diarrhea occurs
D. Calling for an antibiotic change if the infant chokes and sputters
during administration
Correct Answer: A — How to administer an oral drug using a medication
syringe
