NURS 5359 Exam 1 Test Bank Questions and 100% Correct
Answers 2026/27 Latest - UT Tyler
Q1. Why might a prescription cost $200 with insurance but $20 cash?
A. Insurance always gives discounts.
B. Pharmacies may receive higher reimbursement through insurance.
C. Cash pricing is illegal.
D. Generic pricing is fixed.
✅ Answer: B
Rationale: Pharmacies often benefit more from billing insurance → may not
disclose cheaper cash pricing.
NURS 5359 Exam 1 Test Bank
,Q2. When must a prescriber check “dispense as written”?
A. To allow substitution.
B. To prevent the pharmacy from substituting brand for generic.
C. To ensure controlled substances are filled.
D. To increase patient cost.
✅ Answer: B
Rationale: Without DAW, pharmacy may switch brand/generic based on
profit or stock.
Q3. Prescriptions can be transferred between which pharmacies?
A. Any two pharmacies in the U.S.
B. Only within the same chain (e.g., Walgreens → Walgreens).
C. Internationally.
D. Only between hospital and retail pharmacies.
✅ Answer: B
Rationale: Transfers only possible within the same chain and only for non-
controlled meds.
NURS 5359 Exam 1 Test Bank
,Pediatrics
Q4. Which is the safest way to write pediatric liquid dosing?
A. “1 teaspoon”
B. “5 mL”
C. “½ tablespoon”
D. “1 dropper”
✅ Answer: B
Rationale: Teaspoons vary at home; dosing in mL with a calibrated device
prevents errors.
Q5. Why must child weight always specify “lb” or “kg”?
A. Insurance requires it.
B. Prevents dosing errors from unit confusion.
C. It determines pill vs liquid.
D. It ensures brand substitution.
✅ Answer: B
Rationale: Confusing lbs with kg can cause overdosing.
Q6. What can help children swallow pills?
A. Cutting in half only
B. Mixing with yogurt/applesauce
C. Always crushing into water
D. Switching to brand only
NURS 5359 Exam 1 Test Bank
, ✅ Answer: B
Rationale: Smooth foods help children swallow intact pills safely.
Antipsychotics
Q7. Which SGA is least likely to increase prolactin?
A. Risperidone
B. Paliperidone
C. Aripiprazole
D. Quetiapine
✅ Answer: C
Rationale: Aripiprazole (partial D2 agonist) does not elevate prolactin.
Q8. Which antipsychotic is sublingual?
A. Clozapine
B. Risperidone
C. Asenapine
D. Olanzapine
✅ Answer: C
Rationale: Asenapine uniquely has a sublingual formulation.
Q9. Which antipsychotics have QT prolongation risk? (Select all that apply)
A. Ziprasidone
NURS 5359 Exam 1 Test Bank
Answers 2026/27 Latest - UT Tyler
Q1. Why might a prescription cost $200 with insurance but $20 cash?
A. Insurance always gives discounts.
B. Pharmacies may receive higher reimbursement through insurance.
C. Cash pricing is illegal.
D. Generic pricing is fixed.
✅ Answer: B
Rationale: Pharmacies often benefit more from billing insurance → may not
disclose cheaper cash pricing.
NURS 5359 Exam 1 Test Bank
,Q2. When must a prescriber check “dispense as written”?
A. To allow substitution.
B. To prevent the pharmacy from substituting brand for generic.
C. To ensure controlled substances are filled.
D. To increase patient cost.
✅ Answer: B
Rationale: Without DAW, pharmacy may switch brand/generic based on
profit or stock.
Q3. Prescriptions can be transferred between which pharmacies?
A. Any two pharmacies in the U.S.
B. Only within the same chain (e.g., Walgreens → Walgreens).
C. Internationally.
D. Only between hospital and retail pharmacies.
✅ Answer: B
Rationale: Transfers only possible within the same chain and only for non-
controlled meds.
NURS 5359 Exam 1 Test Bank
,Pediatrics
Q4. Which is the safest way to write pediatric liquid dosing?
A. “1 teaspoon”
B. “5 mL”
C. “½ tablespoon”
D. “1 dropper”
✅ Answer: B
Rationale: Teaspoons vary at home; dosing in mL with a calibrated device
prevents errors.
Q5. Why must child weight always specify “lb” or “kg”?
A. Insurance requires it.
B. Prevents dosing errors from unit confusion.
C. It determines pill vs liquid.
D. It ensures brand substitution.
✅ Answer: B
Rationale: Confusing lbs with kg can cause overdosing.
Q6. What can help children swallow pills?
A. Cutting in half only
B. Mixing with yogurt/applesauce
C. Always crushing into water
D. Switching to brand only
NURS 5359 Exam 1 Test Bank
, ✅ Answer: B
Rationale: Smooth foods help children swallow intact pills safely.
Antipsychotics
Q7. Which SGA is least likely to increase prolactin?
A. Risperidone
B. Paliperidone
C. Aripiprazole
D. Quetiapine
✅ Answer: C
Rationale: Aripiprazole (partial D2 agonist) does not elevate prolactin.
Q8. Which antipsychotic is sublingual?
A. Clozapine
B. Risperidone
C. Asenapine
D. Olanzapine
✅ Answer: C
Rationale: Asenapine uniquely has a sublingual formulation.
Q9. Which antipsychotics have QT prolongation risk? (Select all that apply)
A. Ziprasidone
NURS 5359 Exam 1 Test Bank
