NR565 MIDTERM EXAM NEWEST 2025/2026 COMPLETE 300
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
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A pediatric nurse is teaching nursing students to calculate medication doses for
childrenusing a formula based on body surface area. Which statement by a
nursing student indicates understanding of the teaching?
a. "This formula helps approximate the first dose; other doses should be based on
clinical observations."
b. "This formula accounts for pharmacokinetic factors that are different in
children."
c. "Using this formula will prevent side effects of medications in children."
d. "This formula can determine medication dosing for a child of any age." -
ANSWER-a.
A pediatric nurse is teaching nursing students about medication administration in
children. Which statement by a student indicates an understanding of the
teaching?
a. "Drugs effective in adults may not work in children, even if the dose is
proportional for weight and size."
b. "Infants metabolize drugs more quickly than do older children and adults."
c. "Side effects of drugs in children are similar to side effects of drugs in adults."
d. "The known differences in drug effects in children versus those in adults are
related to the
size of the patient." - ANSWER-a.
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, NR565 Midterm Exam
A nurse is teaching nursing students about pediatric medication administration.
What will the nurse include when discussing pediatric drug research?
a. Early studies revealed that less than 10% of drugs known to be effective in
adults were effective in children.
b. Research findings show that drug doses may be safely calculated by
extrapolating adult dosing.
c. Studies showed a significant percentage of unanticipated and potentially lethal
side effects in children.
d. There is no need to continue with pediatric-specific drug research, since early
studies were reassuring. - ANSWER-c.
A prescriber has ordered medication for a newborn. The medication is eliminated
primarily by hepatic metabolism. The nurse expects the prescriber to:
a. order a dose that is lower than an adult dose.
b. order a dose that is higher than an adult dose.
c. increase the frequency of medication dosing.
d. discontinue the drug after one or two doses. - ANSWER-a.
Theparentsofachildwithasthmaaskthenursewhytheirchildcannotuseoralcorticoster
oids more often, because they are so effective. The nurse will offer which
information that is true for children?
a. Chronic steroid use can inhibit growth.
b.Frequent use of this drug may lead to a decreased response.
c. A hypersensitivity reaction to this drug may occur.
d. Systemic steroids are more toxic in children. - ANSWER-a.
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, NR565 Midterm Exam
A nurse is obtaining a drug history from an older adult patient who is taking
multiple medications prescribed by different providers. Which two medications
taken together create a reason for concern?
a. Acetaminophen [Tylenol] and oxycodone
b. Amitriptyline [Elavil] and diphenhydramine [Benadryl]
c. Fexofenadine [Allegra] and an over-the-counter laxative
d. Zolpidem [Ambien] and sertraline [Zoloft] - ANSWER-b.
Anurseisteachingagroupofnursingstudentsaboutadministeringmedicationstooldera
dult patients. Which statement by a student indicates a need for further teaching?
a. "Alteration in hepatic function requires more frequent drug dosing."
b. "Changes in GI function in older adult patients lead to lower serum drug levels."
c. "Most adverse drug reactions in older adult patients are related to altered renal
function."
d. "Most nonadherence among older adult patients is intentional." - ANSWER-a.
A nurse is preparing to give medications to four older patients who are all taking
multiple medications. Which patient is most likely to have an adverse drug
reaction related to increased drug effects?
a. Obese patient
b. Patient with decreased serum creatinine
c. Patient with chronic diarrhea
d. Thin patient with a chronically low appetite - ANSWER-d.
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, NR565 Midterm Exam
A nurse is concerned about renal function in an 84-year-old patient who is taking
several medications. What will the nurse assess?
a. Creatinine clearance
b. Sodium levels
c. Potassium levels
d. Serum creatinine - ANSWER-a.
A nurse is preparing to teach a forgetful older adult patient about a multiple drug
regimen to follow after discharge from the hospital. To help promote adherence,
what will the nurse do?
a. Ask the patient to share the teaching with a neighbor or friend soon after
discharge.
b. Give the patient detailed written information about each drug.
c. Cluster medication administration times as much as possible.
d. Make sure the patient understands the actions and side effects of each drug. -
ANSWER-c.
Based on changes in hepatic function in older adult patients, which adjustment
should the nurse expect for oral medications that undergo extensive first pass
metabolism?
a. A higher dose should be used with the same time schedule.
b. The interval between doses should be increased.
c. No change is necessary; metabolism will not be affected.
d. The interval between doses should be reduced. - ANSWER-b.
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