NURS 6521 / NURS6521 Advanced
Pharmacology Final Exam Questions
and Correct Answers| Latest Update
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?
"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?
"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?
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?
"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:
try a second-generation antipsychotic (SGA).
What are negative symptoms of schizophrenia? Select all that apply.
Poor judgment
Poor self-care
Poverty of speech
Pharmacology Final Exam Questions
and Correct Answers| Latest Update
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?
"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?
"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?
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?
"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:
try a second-generation antipsychotic (SGA).
What are negative symptoms of schizophrenia? Select all that apply.
Poor judgment
Poor self-care
Poverty of speech
