NURS 6521
Advanced
Pharmacology
Final Exam 2025
Questions and
Answers
,NURS 6521 Advanced Pharmacology
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:
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?
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?
"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?
Tetracyclines
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?
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:
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?
"This formula helps approximate the first dose; other doses should
be based on clinical observations."
, A pediatric nurse is teaching nursing students about medication
administration in children. Which statement by a student indicates
an understanding of the teaching?
"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?
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:
order a dose that is lower than an adult dose.
The parents of a child with asthma ask the nurse why their child
can not use oral corticosteroids more often, because they are so
effective. The nurse will offer which information that is true for
children?
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?
Advanced
Pharmacology
Final Exam 2025
Questions and
Answers
,NURS 6521 Advanced Pharmacology
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:
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?
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?
"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?
Tetracyclines
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?
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:
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?
"This formula helps approximate the first dose; other doses should
be based on clinical observations."
, A pediatric nurse is teaching nursing students about medication
administration in children. Which statement by a student indicates
an understanding of the teaching?
"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?
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:
order a dose that is lower than an adult dose.
The parents of a child with asthma ask the nurse why their child
can not use oral corticosteroids more often, because they are so
effective. The nurse will offer which information that is true for
children?
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?
