6521 ADVANCED PHARMACOLOGY FINAL
EXAM QUESTIONS 100% CORRECT ANSWERS
WELL DETAILED
1. 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 minute
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:: immaturity of the blood-brain barrier in the infant.
2.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?: 500 mg/5 mL to
375 mg PO twice daily
3.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?: "Infants are
more susceptible to central nervous system effects than are adults."
4.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?:
Tetracyclines
5.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 antihist- amine. What should the nurse
tell them?: Applying an antihistamine to the skin can cause toxicity in
this age group.
6. 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 th
infant for:: signs of drug toxicity.
7.A pediatric nurse is teaching nursing students to calculate
medication doses for children using a formula based on body
surface area. Which state- ment by a nursing student indicates
understanding of the teaching?: "This formula helps approximate
the first dose; other doses should be based on clinical observations."
8.A pediatric nurse is teaching nursing students about
medication adminis- tration in children. Which statement by a
student indicates an understanding of the teaching?: "Drugs
effective in adults may not work in children, even if the dose is
proportional for weight and size."
9.A nurse is teaching nursing students about pediatric
medication adminis- tration. What will the nurse include when
discussing pediatric drug research?-
: Studies showed a significant percentage of unanticipated and
potentially lethal side effects in children.
, 10. A prescriber has ordered medication for a newborn. The
medication is eliminated primarily by hepatic metabolism. The
nurse expects the prescriber to:: order a dose that is lower than a
adult dose.
11.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?: Chronic steroid use can inhibit growth.
12.A patient with schizophrenia receives a dose of risperidone
[Risperdal Consta] IM. The nurse teaching this patient about
this medication will make which statement?: "You will need to
take an oral antipsychotic drug for 3 weeks."
13. A patient with schizophrenia shows suicidal behaviors, an
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?: "If the ANC is less than 3000, the drug
will be discontinued permanently."
EXAM QUESTIONS 100% CORRECT ANSWERS
WELL DETAILED
1. 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 minute
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:: immaturity of the blood-brain barrier in the infant.
2.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?: 500 mg/5 mL to
375 mg PO twice daily
3.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?: "Infants are
more susceptible to central nervous system effects than are adults."
4.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?:
Tetracyclines
5.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 antihist- amine. What should the nurse
tell them?: Applying an antihistamine to the skin can cause toxicity in
this age group.
6. 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 th
infant for:: signs of drug toxicity.
7.A pediatric nurse is teaching nursing students to calculate
medication doses for children using a formula based on body
surface area. Which state- ment by a nursing student indicates
understanding of the teaching?: "This formula helps approximate
the first dose; other doses should be based on clinical observations."
8.A pediatric nurse is teaching nursing students about
medication adminis- tration in children. Which statement by a
student indicates an understanding of the teaching?: "Drugs
effective in adults may not work in children, even if the dose is
proportional for weight and size."
9.A nurse is teaching nursing students about pediatric
medication adminis- tration. What will the nurse include when
discussing pediatric drug research?-
: Studies showed a significant percentage of unanticipated and
potentially lethal side effects in children.
, 10. A prescriber has ordered medication for a newborn. The
medication is eliminated primarily by hepatic metabolism. The
nurse expects the prescriber to:: order a dose that is lower than a
adult dose.
11.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?: Chronic steroid use can inhibit growth.
12.A patient with schizophrenia receives a dose of risperidone
[Risperdal Consta] IM. The nurse teaching this patient about
this medication will make which statement?: "You will need to
take an oral antipsychotic drug for 3 weeks."
13. A patient with schizophrenia shows suicidal behaviors, an
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?: "If the ANC is less than 3000, the drug
will be discontinued permanently."
