NURS 6521 ADVANCED PHARMACOLOGY FINAL EXAM QUESTION WITH 100%
VERIFIED CORRECT ANSWERS WALDEN UNIVERSITY
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: | correct |answer |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? | correct |answer |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? | correct
| answer |"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?
|
| correct |answer |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? |correct |answer |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: | correct |answer |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? | correct |answer |"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?
correct |answer |"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? | correct |answer |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: | correct |answer
| 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? | correct |answer |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? | correct
| answer |"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?
|
| correct |answer |"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
| adherence? | correct |answer |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? | correct |answer |"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: | correct |answer |try |a
| second-generation |antipsychotic |(SGA).
What |are |negative |symptoms |of |schizophrenia? |Select |all |that |apply. | correct |answer |Poor
| judgment
Poor |self-care
| Poverty |of |speech
, A |patient |is |taking |an |FGA |for |schizophrenia. |The |nurse |notes |that |the |patient |has
trouble |speaking |and |chewing |and |observes |slow, |wormlike-movements |of |the |patient's
| tongue. |The |nurse |recognizes |which |adverse |effect |in |this |patient? | correct |answer
| Tardive |dyskinesia
A |nurse |and |a |nursing |student |are |discussing |the |plan |of |care |for |a |patient |with
| schizophrenia. |The |patient, |who |has |been |taking |a |high-potency |FGA |for |2 |months, |has
| become |restless |and |constantly |needs |to |be |in |motion. |Which |statement |by |the |student
| indicates |a |need |for |further |education? | correct |answer |"Because |this |may |be |an
| exacerbation |of |psychosis, |the |provider |may |increase |the |dose |of |the |FGA."
A |patient |who |is |taking |a |first-generation |antipsychotic |(FGA) |drug |for |schizophrenia
| comes |to |the |clinic |for |evaluation. |The |nurse |observes |that |the |patient |has |a |shuffling |gait
and |mild |tremors. |The |nurse |will |ask |the |patient's |provider |about |which |course |of |action?
|
| correct |answer |Giving |an |anticholinergic |medication
A |patient |with |schizophrenia |has |been |taking |an |oral |FGA |for |1 |week. |The |patient |has
| been |taking |the |drug |daily |in |two |divided |doses. |The |individual |complains |of |daytime
| drowsiness. |The |patient's |family |reports |a |decrease |in |the |person's |hostility |and |anxiety
| but |states |that |the |patient |remains |antisocial |with |disordered |thinking. |What |will |the
| nurse |tell |the |patient |and |the |family? | correct |answer |Some |symptoms |take |months |to
| improve.
A |patient |with |schizophrenia |has |been |taking |an |antipsychotic |drug |for |several |days. |The
| nurse |enters |the |patient's |room |to |administer |a |dose |of |haloperidol |[Haldol] |and |finds |the
patient |having |facial |spasms. |The |patient's |head |is |thrust |back, |and |the |patient |is |unable
|
| to |speak. |What |will |the |nurse |do? | correct |answer |Request |an |order |to |give
| diphenhydramine.
VERIFIED CORRECT ANSWERS WALDEN UNIVERSITY
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: | correct |answer |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? | correct |answer |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? | correct
| answer |"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?
|
| correct |answer |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? |correct |answer |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: | correct |answer |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? | correct |answer |"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?
correct |answer |"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? | correct |answer |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: | correct |answer
| 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? | correct |answer |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? | correct
| answer |"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?
|
| correct |answer |"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
| adherence? | correct |answer |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? | correct |answer |"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: | correct |answer |try |a
| second-generation |antipsychotic |(SGA).
What |are |negative |symptoms |of |schizophrenia? |Select |all |that |apply. | correct |answer |Poor
| judgment
Poor |self-care
| Poverty |of |speech
, A |patient |is |taking |an |FGA |for |schizophrenia. |The |nurse |notes |that |the |patient |has
trouble |speaking |and |chewing |and |observes |slow, |wormlike-movements |of |the |patient's
| tongue. |The |nurse |recognizes |which |adverse |effect |in |this |patient? | correct |answer
| Tardive |dyskinesia
A |nurse |and |a |nursing |student |are |discussing |the |plan |of |care |for |a |patient |with
| schizophrenia. |The |patient, |who |has |been |taking |a |high-potency |FGA |for |2 |months, |has
| become |restless |and |constantly |needs |to |be |in |motion. |Which |statement |by |the |student
| indicates |a |need |for |further |education? | correct |answer |"Because |this |may |be |an
| exacerbation |of |psychosis, |the |provider |may |increase |the |dose |of |the |FGA."
A |patient |who |is |taking |a |first-generation |antipsychotic |(FGA) |drug |for |schizophrenia
| comes |to |the |clinic |for |evaluation. |The |nurse |observes |that |the |patient |has |a |shuffling |gait
and |mild |tremors. |The |nurse |will |ask |the |patient's |provider |about |which |course |of |action?
|
| correct |answer |Giving |an |anticholinergic |medication
A |patient |with |schizophrenia |has |been |taking |an |oral |FGA |for |1 |week. |The |patient |has
| been |taking |the |drug |daily |in |two |divided |doses. |The |individual |complains |of |daytime
| drowsiness. |The |patient's |family |reports |a |decrease |in |the |person's |hostility |and |anxiety
| but |states |that |the |patient |remains |antisocial |with |disordered |thinking. |What |will |the
| nurse |tell |the |patient |and |the |family? | correct |answer |Some |symptoms |take |months |to
| improve.
A |patient |with |schizophrenia |has |been |taking |an |antipsychotic |drug |for |several |days. |The
| nurse |enters |the |patient's |room |to |administer |a |dose |of |haloperidol |[Haldol] |and |finds |the
patient |having |facial |spasms. |The |patient's |head |is |thrust |back, |and |the |patient |is |unable
|
| to |speak. |What |will |the |nurse |do? | correct |answer |Request |an |order |to |give
| diphenhydramine.
