UPDATED NURS 6521 / NURS6521 Advanced Pharmacology Midterm-
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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
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:: 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 seda-
tive 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 al-
lergens. The infant's parents ask the nurse about using a topical antihistamine.
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 the 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 statement
by a nursing student indicates understanding of the teaching?: "This formula helps
approximate the first dose; other doses should be based on clinical observations."
, UPDATED NURS 6521 / NURS6521 Advanced Pharmacology Midterm-
2025|Actual Exam Set Questions And Verified Answers (Correct solution
| Get It 100% Accurate!!
Study online at https://quizlet.com/_gm2h9d
8. A pediatric nurse is teaching nursing students about medication administra-
tion 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 administra-
tion. 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 an 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 Con-
sta] 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, 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?: "If the ANC is less than 3000, the drug will be discontinued
permanently."
14. 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?: Teach the patient about drug side effects and how to manage them.
15. 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?: "Dry mouth and constipation are uncommon with
this medication."
16. A patient taking an FGA medication develops severe parkinsonism and is
treated with amantadine [Symmetrel]. The amantadine is withdrawn 2 months
, UPDATED NURS 6521 / NURS6521 Advanced Pharmacology Midterm-
2025|Actual Exam Set Questions And Verified Answers (Correct solution
| Get It 100% Accurate!!
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later, and the parkinsonism returns. The nurse will expect the provider to:: try a
second-generation antipsychotic (SGA).
17. What are negative symptoms of schizophrenia? Select all that apply.: Poor
judgment
Poor self-care
Poverty of speech
18. 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?: Tardive dyskinesia
19. 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?: "Because this may
be an exacerbation of psychosis, the provider may increase the dose of the FGA."
20. A patient who is taking a first-generation antipsychotic (FGA) drug for schizo-
phrenia comes to the clinic for evaluation. The nurse observes that the patient
has a shuffling gait and mild tremors. The nurse will ask the patient's provider
about which course of action?: Giving an anticholinergic medication
21. A patient with schizophrenia has been taking an oral FGA for 1 week. The
patient has been taking the drug daily in two divided doses. The individual
complains of daytime drowsiness. The patient's family reports a decrease in the
person's hostility and anxiety but states that the patient remains antisocial with
disordered thinking. What will the nurse tell the patient and the family?: Some
symptoms take months to improve.
22. A patient with schizophrenia has been taking an antipsychotic drug for
several days. The nurse enters the patient's room to administer a dose of
haloperidol [Haldol] and finds the patient having facial spasms. The patient's
head is thrust back, and the patient is unable to speak. What will the nurse
do?: Request an order to give diphenhydramine.
, UPDATED NURS 6521 / NURS6521 Advanced Pharmacology Midterm-
2025|Actual Exam Set Questions And Verified Answers (Correct solution
| Get It 100% Accurate!!
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23. A parent reports being afraid that a child may have schizophrenia because of
disorganized speech and asocial behaviors. The nurse will tell this parent that
which of the following must also be present to make a diagnosis? Select all that
apply.: A decrease in self-care, job, or school function
A 1-month duration of active phase symptoms
Continuous signs of disturbance for longer than 6 months
24. Which side effects are more common in second-generation antipsychotic
medications than in first-generation antipsychotic medications? Select all that
apply.: Agranulocytosis
Anticholinergic effects
Metabolism by CYP3A4
25. A nurse in a mental health hospital finds a patient with schizophrenia who
takes haloperidol [Haldol] lying rigid in bed with a temperature of 41.3°C.
A cardiac monitor shows cardiac dysrhythmias. What will be included in the
treatment of this patient? Select all that apply.: Dantrolene
Intravenous fluids
Withdrawal of haloperidol
26. A patient who has diabetes mellitus is diagnosed with schizophrenia and
the provider orders thioridazine. The patient asks the nurse why the provider
has not ordered olanzapine [Zyprexa], which the patient has seen advertised
on television. Which response by the nurse is the most important reason that
this patient is not receiving olanzapine?: "Olanzapine causes more metabolic side effects than
thioridazine."
27. A patient who has been taking a monoamine oxidase inhibitor (MAOI) for
depression for several months tells the provider that the medication has not
helped with symptoms. The provider plans to switch the patient to an SSRI. The
nurse will teach this patient to:: stop taking the MAOI 2 weeks before starting the SSRI.
28. A young adult patient has been taking an antidepressant medication for
several weeks and reports having increased thoughts of suicide. The nurse
questions further and learns that the patient has attempted suicide more than
2025|Actual Exam Set Questions And Verified Answers (Correct solution
| Get It 100% Accurate!!
Study online at https://quizlet.com/_gm2h9d
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
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:: 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 seda-
tive 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 al-
lergens. The infant's parents ask the nurse about using a topical antihistamine.
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 the 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 statement
by a nursing student indicates understanding of the teaching?: "This formula helps
approximate the first dose; other doses should be based on clinical observations."
, UPDATED NURS 6521 / NURS6521 Advanced Pharmacology Midterm-
2025|Actual Exam Set Questions And Verified Answers (Correct solution
| Get It 100% Accurate!!
Study online at https://quizlet.com/_gm2h9d
8. A pediatric nurse is teaching nursing students about medication administra-
tion 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 administra-
tion. 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 an 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 Con-
sta] 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, 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?: "If the ANC is less than 3000, the drug will be discontinued
permanently."
14. 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?: Teach the patient about drug side effects and how to manage them.
15. 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?: "Dry mouth and constipation are uncommon with
this medication."
16. A patient taking an FGA medication develops severe parkinsonism and is
treated with amantadine [Symmetrel]. The amantadine is withdrawn 2 months
, UPDATED NURS 6521 / NURS6521 Advanced Pharmacology Midterm-
2025|Actual Exam Set Questions And Verified Answers (Correct solution
| Get It 100% Accurate!!
Study online at https://quizlet.com/_gm2h9d
later, and the parkinsonism returns. The nurse will expect the provider to:: try a
second-generation antipsychotic (SGA).
17. What are negative symptoms of schizophrenia? Select all that apply.: Poor
judgment
Poor self-care
Poverty of speech
18. 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?: Tardive dyskinesia
19. 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?: "Because this may
be an exacerbation of psychosis, the provider may increase the dose of the FGA."
20. A patient who is taking a first-generation antipsychotic (FGA) drug for schizo-
phrenia comes to the clinic for evaluation. The nurse observes that the patient
has a shuffling gait and mild tremors. The nurse will ask the patient's provider
about which course of action?: Giving an anticholinergic medication
21. A patient with schizophrenia has been taking an oral FGA for 1 week. The
patient has been taking the drug daily in two divided doses. The individual
complains of daytime drowsiness. The patient's family reports a decrease in the
person's hostility and anxiety but states that the patient remains antisocial with
disordered thinking. What will the nurse tell the patient and the family?: Some
symptoms take months to improve.
22. A patient with schizophrenia has been taking an antipsychotic drug for
several days. The nurse enters the patient's room to administer a dose of
haloperidol [Haldol] and finds the patient having facial spasms. The patient's
head is thrust back, and the patient is unable to speak. What will the nurse
do?: Request an order to give diphenhydramine.
, UPDATED NURS 6521 / NURS6521 Advanced Pharmacology Midterm-
2025|Actual Exam Set Questions And Verified Answers (Correct solution
| Get It 100% Accurate!!
Study online at https://quizlet.com/_gm2h9d
23. A parent reports being afraid that a child may have schizophrenia because of
disorganized speech and asocial behaviors. The nurse will tell this parent that
which of the following must also be present to make a diagnosis? Select all that
apply.: A decrease in self-care, job, or school function
A 1-month duration of active phase symptoms
Continuous signs of disturbance for longer than 6 months
24. Which side effects are more common in second-generation antipsychotic
medications than in first-generation antipsychotic medications? Select all that
apply.: Agranulocytosis
Anticholinergic effects
Metabolism by CYP3A4
25. A nurse in a mental health hospital finds a patient with schizophrenia who
takes haloperidol [Haldol] lying rigid in bed with a temperature of 41.3°C.
A cardiac monitor shows cardiac dysrhythmias. What will be included in the
treatment of this patient? Select all that apply.: Dantrolene
Intravenous fluids
Withdrawal of haloperidol
26. A patient who has diabetes mellitus is diagnosed with schizophrenia and
the provider orders thioridazine. The patient asks the nurse why the provider
has not ordered olanzapine [Zyprexa], which the patient has seen advertised
on television. Which response by the nurse is the most important reason that
this patient is not receiving olanzapine?: "Olanzapine causes more metabolic side effects than
thioridazine."
27. A patient who has been taking a monoamine oxidase inhibitor (MAOI) for
depression for several months tells the provider that the medication has not
helped with symptoms. The provider plans to switch the patient to an SSRI. The
nurse will teach this patient to:: stop taking the MAOI 2 weeks before starting the SSRI.
28. A young adult patient has been taking an antidepressant medication for
several weeks and reports having increased thoughts of suicide. The nurse
questions further and learns that the patient has attempted suicide more than
