NUR 612 PRACTICE EXAM QUESTIONS AND
DETAILED SOLUTIONS 2026
▶ The Best Pharmaceuticals for Children Act:
A. Includes a pediatric exclusivity rule which extends the patent on drugs
studied in children
B. Establishes a committee that writes guidelines for pediatric prescribing
C. Provides funding for new drug development aimed at children
D. Encourages manufacturers specifically to develop pediatric formulations.
Answer: B. Establishes a committee that writes guidelines for pediatric
prescribing
▶ The developmental variation in Phase I enzymes has what impact on
pediatric prescribing?
A. None, Phase I enzymes are stable throughout childhood.
B. Children should always be prescribed lower than adult doses per weight
due to low enzyme activity until puberty.
C. Children should always be prescribed higher than adult doses per
weight due to high enzyme activity.
D. Prescribing dosages will vary based on the developmental activity of
each enzyme, at times requiring lower than adult doses and other times
higher than adult doses based on the age of the child.. Answer: D.
Prescribing dosages will vary based on the developmental activity of each
enzyme, at times requiring lower than adult doses and other times higher
than adult doses based on the age of the child
▶ Developmental variation in renal function has what impact on prescribing
for infants and children?
A. Lower doses of renally excreted drugs may be prescribed to infants
younger than age 6 months.
B. Higher doses of water soluble drugs may need to be prescribed due to
increased renal excretion.
C. Renal excretion rates have no impact on prescribing.
D. Parents need to be instructed on whether drugs are renally excreted or
not.. Answer: A. Lower doses of renally excreted drugs may be prescribed
to infants younger than age 6 months.
,▶ Topical corticosteroids are prescribed cautiously in young children due
to:
A. They may cause an intense hypersensitivity reaction
B. Hypothalamic-pituitary-adrenal (HPA) axis suppression
C. Corticosteroids are less effective in young children
D. Young children may accumulate corticosteroids leading to toxic levels.
Answer: B. Hypothalamic-pituitary-adrenal (HPA) axis suppression
▶ Liza is breastfeeding her 2-month-old son and has an infection that
requires an antibiotic. What drug factors influence the effect of the drug on
the infant? A. Maternal drug levels
B. Half-life
C. Lipid-solubility
D. All of the above. Answer: D. All of the above
▶ Drugs that are absolutely contraindicated in lactating women include:
A. Selective serotonin reuptake inhibitors
B. Antiepileptic drugs such as carbamazepine
C. Antineoplastic drugs such as methotrexate
D. All of the above. Answer: C. Antineoplastic drugs such as methotrexate
▶ Zia is a 4 month old with otitis media. Education of his parents regarding
administering oral antibiotics to an infant includes:
A. How to administer an oral drug using a medication syringe
B. Mixing the medication with a couple ounces of formula and putting it in a
bottle
C. Discontinuing the antibiotic if diarrhea occurs
D. Calling for an antibiotic change if the infant chokes and sputters during
administration. Answer: A. How to administer an oral drug using a
medication syringe
▶ To increase adherence in pediatric patients a prescription medication
should: A. Have a short half-life
B. Be the best tasting of the effective drugs
C. Be the least concentrated form of the medication
D. Be administered 3 or 4 times a day. Answer: B. Be the best tasting of
the effective drugs
, ▶ 10. Janie is a 5-month-old breastfed infant with a fever. Treatment for
her fever may include:
A. "Baby" aspirin
B. Acetaminophen suppository
C. Ibuprofen suppository
D. Alternating acetaminophen and ibuprofen. Answer: B. Acetaminophen
suppository
▶ The client has been prescribed Doxylamine (Unisom) for treatment of
nausea and vomiting during pregnancy. What aspect of the client's history
will cause the nurse to contact the primary health care provider?
a. Arthritis
b. Depression
c. Asthma
d. Hyperglycemia. Answer: c. Asthma
▶ The nurse is teaching a group of pregnant women the importance of
adequate nutrition for the fetus. The nurse instructs the clients that folic
acid deficiency during preconception and early in pregnancy can result in:
a. skeletal defects.
b. neural tube defects.
c. intrauterine growth retardation.
d. small-for-gestational-age infants.. Answer: b. neural tube defects.
▶ A client is ordered to receive iron and antacids. The nurse teaches the
client that iron and antacids should be administered:
a. at the same time.
b. 2 hours apart.
c. with the antacid first.
d. with the iron first.. Answer: b. 2 hours apart.
▶ A client, 10 weeks pregnant, complains of severe nausea of pregnancy.
Meclizine (Bonine) is prescribed. The client reports to the nurse that she
has begun to experience dizziness. What is the highest priority nursing
intervention?
a. Contact the pharmacist; this indicates an overdosage of the medication.
b. Contact the physician; this is an expected side effect of the medication.
c. Contact the pharmacist; this indicates incorrect preparation of the
medication.
DETAILED SOLUTIONS 2026
▶ The Best Pharmaceuticals for Children Act:
A. Includes a pediatric exclusivity rule which extends the patent on drugs
studied in children
B. Establishes a committee that writes guidelines for pediatric prescribing
C. Provides funding for new drug development aimed at children
D. Encourages manufacturers specifically to develop pediatric formulations.
Answer: B. Establishes a committee that writes guidelines for pediatric
prescribing
▶ The developmental variation in Phase I enzymes has what impact on
pediatric prescribing?
A. None, Phase I enzymes are stable throughout childhood.
B. Children should always be prescribed lower than adult doses per weight
due to low enzyme activity until puberty.
C. Children should always be prescribed higher than adult doses per
weight due to high enzyme activity.
D. Prescribing dosages will vary based on the developmental activity of
each enzyme, at times requiring lower than adult doses and other times
higher than adult doses based on the age of the child.. Answer: D.
Prescribing dosages will vary based on the developmental activity of each
enzyme, at times requiring lower than adult doses and other times higher
than adult doses based on the age of the child
▶ Developmental variation in renal function has what impact on prescribing
for infants and children?
A. Lower doses of renally excreted drugs may be prescribed to infants
younger than age 6 months.
B. Higher doses of water soluble drugs may need to be prescribed due to
increased renal excretion.
C. Renal excretion rates have no impact on prescribing.
D. Parents need to be instructed on whether drugs are renally excreted or
not.. Answer: A. Lower doses of renally excreted drugs may be prescribed
to infants younger than age 6 months.
,▶ Topical corticosteroids are prescribed cautiously in young children due
to:
A. They may cause an intense hypersensitivity reaction
B. Hypothalamic-pituitary-adrenal (HPA) axis suppression
C. Corticosteroids are less effective in young children
D. Young children may accumulate corticosteroids leading to toxic levels.
Answer: B. Hypothalamic-pituitary-adrenal (HPA) axis suppression
▶ Liza is breastfeeding her 2-month-old son and has an infection that
requires an antibiotic. What drug factors influence the effect of the drug on
the infant? A. Maternal drug levels
B. Half-life
C. Lipid-solubility
D. All of the above. Answer: D. All of the above
▶ Drugs that are absolutely contraindicated in lactating women include:
A. Selective serotonin reuptake inhibitors
B. Antiepileptic drugs such as carbamazepine
C. Antineoplastic drugs such as methotrexate
D. All of the above. Answer: C. Antineoplastic drugs such as methotrexate
▶ Zia is a 4 month old with otitis media. Education of his parents regarding
administering oral antibiotics to an infant includes:
A. How to administer an oral drug using a medication syringe
B. Mixing the medication with a couple ounces of formula and putting it in a
bottle
C. Discontinuing the antibiotic if diarrhea occurs
D. Calling for an antibiotic change if the infant chokes and sputters during
administration. Answer: A. How to administer an oral drug using a
medication syringe
▶ To increase adherence in pediatric patients a prescription medication
should: A. Have a short half-life
B. Be the best tasting of the effective drugs
C. Be the least concentrated form of the medication
D. Be administered 3 or 4 times a day. Answer: B. Be the best tasting of
the effective drugs
, ▶ 10. Janie is a 5-month-old breastfed infant with a fever. Treatment for
her fever may include:
A. "Baby" aspirin
B. Acetaminophen suppository
C. Ibuprofen suppository
D. Alternating acetaminophen and ibuprofen. Answer: B. Acetaminophen
suppository
▶ The client has been prescribed Doxylamine (Unisom) for treatment of
nausea and vomiting during pregnancy. What aspect of the client's history
will cause the nurse to contact the primary health care provider?
a. Arthritis
b. Depression
c. Asthma
d. Hyperglycemia. Answer: c. Asthma
▶ The nurse is teaching a group of pregnant women the importance of
adequate nutrition for the fetus. The nurse instructs the clients that folic
acid deficiency during preconception and early in pregnancy can result in:
a. skeletal defects.
b. neural tube defects.
c. intrauterine growth retardation.
d. small-for-gestational-age infants.. Answer: b. neural tube defects.
▶ A client is ordered to receive iron and antacids. The nurse teaches the
client that iron and antacids should be administered:
a. at the same time.
b. 2 hours apart.
c. with the antacid first.
d. with the iron first.. Answer: b. 2 hours apart.
▶ A client, 10 weeks pregnant, complains of severe nausea of pregnancy.
Meclizine (Bonine) is prescribed. The client reports to the nurse that she
has begun to experience dizziness. What is the highest priority nursing
intervention?
a. Contact the pharmacist; this indicates an overdosage of the medication.
b. Contact the physician; this is an expected side effect of the medication.
c. Contact the pharmacist; this indicates incorrect preparation of the
medication.
