1|Page
NURS 6521 ADVANCED PHARMOCOLOGY FINAL EXAM
NEWEST 2026/2027 ACTUAL EXAM COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
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:
......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? ......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? ......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
,2|Page
nurse will ask about which group of medications?
......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?
......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: ......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? ......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? ......ANSWER......"Drugs effective in
adults may not work in children, even if the dose is proportional for
weight and size."
,3|Page
A nurse is teaching nursing students about pediatric medication
administration. What will the nurse include when discussing pediatric
drug research? ......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: ......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?
......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? ......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?
......ANSWER......"If the ANC is less than 3000, the drug will be
discontinued permanently."
, 4|Page
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? ......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?
......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: ......ANSWER......try a second-generation antipsychotic
(SGA).
What are negative symptoms of schizophrenia? Select all that apply.
......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? ......ANSWER......Tardive dyskinesia
NURS 6521 ADVANCED PHARMOCOLOGY FINAL EXAM
NEWEST 2026/2027 ACTUAL EXAM COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
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:
......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? ......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? ......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
,2|Page
nurse will ask about which group of medications?
......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?
......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: ......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? ......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? ......ANSWER......"Drugs effective in
adults may not work in children, even if the dose is proportional for
weight and size."
,3|Page
A nurse is teaching nursing students about pediatric medication
administration. What will the nurse include when discussing pediatric
drug research? ......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: ......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?
......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? ......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?
......ANSWER......"If the ANC is less than 3000, the drug will be
discontinued permanently."
, 4|Page
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? ......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?
......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: ......ANSWER......try a second-generation antipsychotic
(SGA).
What are negative symptoms of schizophrenia? Select all that apply.
......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? ......ANSWER......Tardive dyskinesia
