QUESTIONS AND ANSWERS|| GUARANTEED
PASS|| LATEST VERSION 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
Robert is a 72 year old who has hypertension and angina. He is at risk for
common medication practices seen in the elderly including:
A. Use of another person's medications
B. Hoarding medications
C. Changing his medication regimen without telling his provider
D. All of the above - ANSWER-D. All of the above
To improve positive outcomes when prescribing for the elderly the nurse
practitioner should:
A. Assess cognitive functioning in the elder
B. Encourage the patient to take a weekly "drug holiday" to keep drug costs
down
C. Encourage the patient to cut drugs in half with a knife to lower costs
,D. All of the above - ANSWER-A. Assess cognitive functioning in the elder
When an elderly diabetic patient is constipated the best treatment options
include:
A. Mineral oil
B. Bulk-forming laxatives such as psyllium
C. Stimulant laxatives such as senna
D. Stool softeners such as docusate - ANSWER-D. Stool softeners such as
docusate
Delta is an 88 year old who has mild low back pain. What guidelines should be
followed when prescribing pain management for Delta?
A. Keep the dose of oxycodone low to prevent development of tolerance
B. Acetaminophen is the first-line drug of choice
C. Avoid prescribing NSAIDs
D. Add in a short-acting benzodiazepine for a synergistic effect on pain -
ANSWER-B. Acetaminophen is the first-line drug of choice
Robert is complaining of poor sleep. Medications that may contribute to sleep
problems in the elderly include:
A. Diuretics
B. Trazodone
C. Clonazepam
D. Levodopa - ANSWER-A. Diuretics
Different areas of the brain are involved in specific aspects of pain. The
reticular and limbic systems in the brain influence:
A. The sensory aspects of pain
B. The discriminative aspects of pain
, C. The motivational aspects of pain
D. The cognitive aspects of pain - ANSWER-C. The motivational aspects of
pain
Patients need to be questioned about all pain sites because:
A. Patients tend to report the most severe or important in their perception
B. Pain tolerance generally decreases with repeated exposure
C. The reported pain site is usually the most important to treat
D. Pain may be referred from a different site to the one reported - ANSWER-A.
Patients tend to report the most severe or important in their perception
The goal of treatment of acute pain is:
A. Pain at a tolerable level where patient may return to activities of daily living
B. Reduction of pain with a minimum of drug adverse effects
C. Reduction or elimination of pain with minimum adverse reactions
D. Adequate pain relief without constipation or nausea from the drugs -
ANSWER-C. Reduction or elimination of pain with minimum adverse reactions
Which of the following statements is true about age and pain?
A. Use of drugs that depend heavily on the renal system for excretion may
require dosage adjustments in very young children.
B. Among the NSAIDs, indomethacin is the preferred drug because of lower
adverse effects profiles than other NSAIDs.
C. Older adults who have dementia probably do not experience much pain due
to loss of pain receptors in the brain.
D. Acetaminophen is especially useful in both children and adults because it has
no effect on platelets and has fewer adverse effects than NSAIDs. - ANSWER-
Acetaminophen is especially useful in both children and adults because it has no
effect on platelets and has fewer adverse effects than NSAIDs.
Pain assessment to determine adequacy of pain management is important for all
patients. This assessment is done to: