NURS 6521 Advanced Pharmacology Final Exam (Latest
2026 -2027 Updated) | High-Yield Questions, Verified
Answers, Clinical Cases & Detailed Rationales| 100%
Guarantee Pass ,Graded A+ ,Reviewed and Updated|
Latest Exam and Brand New Version!!!
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:
Correct Answer:
immaturity of the blood-brain barrier in the infant.
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 The amantadine is withdrawn 2 months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:
Correct Answer:
try a second-generation antipsychotic (SGA).
What are negative symptoms of schizophrenia? Select all that apply.
Correct 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?
,Correct Answer:
Tardive dyskinesia
A nurse and a nursing student are discussing the plan of care for a patient with
schizophrenia. The patient, who has been taking a high-potency FGA for 2
months, has become restless and constantly needs to be in motion. Which
statement by the student indicates a need for further education?
Correct Answer:
"Because this may be an exacerbation of psychosis, the provider may increase
the dose of the FGA."
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?
Correct 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?
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 nurse will ask about which
group of medications?
Correct 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?
Correct 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:
Correct 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?
Correct 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?
Correct Answer:
"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?
Correct 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:
Correct 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?
Correct 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?
Correct 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?
Correct Answer:
"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?
Correct 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?
Correct Answer:
"Dry mouth and constipation are uncommon with this medication."
A nurse and a nursing student are discussing the plan of care for a patient with
schizophrenia. The patient, who has been taking a high-potency FGA for 2
months, has become restless and constantly needs to be in motion. Which
statement by the student indicates a need for further education?
Correct Answer:
"Because this may be an exacerbation of psychosis, the provider may increase
the dose of the FGA."
A patient who is taking a first-generation antipsychotic (FGA) drug for
schizophrenia comes to the clinic for evaluation. The nurse observes that the
2026 -2027 Updated) | High-Yield Questions, Verified
Answers, Clinical Cases & Detailed Rationales| 100%
Guarantee Pass ,Graded A+ ,Reviewed and Updated|
Latest Exam and Brand New Version!!!
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:
Correct Answer:
immaturity of the blood-brain barrier in the infant.
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:
Correct Answer:
try a second-generation antipsychotic (SGA).
What are negative symptoms of schizophrenia? Select all that apply.
Correct 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?
,Correct Answer:
Tardive dyskinesia
A nurse and a nursing student are discussing the plan of care for a patient with
schizophrenia. The patient, who has been taking a high-potency FGA for 2
months, has become restless and constantly needs to be in motion. Which
statement by the student indicates a need for further education?
Correct Answer:
"Because this may be an exacerbation of psychosis, the provider may increase
the dose of the FGA."
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?
Correct 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?
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 nurse will ask about which
group of medications?
Correct 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?
Correct 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:
Correct 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?
Correct 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?
Correct Answer:
"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?
Correct 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:
Correct 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?
Correct 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?
Correct 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?
Correct Answer:
"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?
Correct 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?
Correct Answer:
"Dry mouth and constipation are uncommon with this medication."
A nurse and a nursing student are discussing the plan of care for a patient with
schizophrenia. The patient, who has been taking a high-potency FGA for 2
months, has become restless and constantly needs to be in motion. Which
statement by the student indicates a need for further education?
Correct Answer:
"Because this may be an exacerbation of psychosis, the provider may increase
the dose of the FGA."
A patient who is taking a first-generation antipsychotic (FGA) drug for
schizophrenia comes to the clinic for evaluation. The nurse observes that the
