Download Pediatric Drug Administration and more Study Guides, Projects, Research Pharmacology in PDF only on Docsity!
NUR 9866 PHARMACOLOGY FINAL EXAM
QUESTIONS AND ANSWERS
100% CORRECT 2024
Question 1 A 6 - month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following before administering the drug? A. That the infant's skin has greater permeability than that of an adult B. That there is less body surface area to be concerned about C. That there is decreased absorption rates of topical drugs in infants D. That there is a lower concentration of water in an infant's body compared with an adult 1 points Question 2 A 21-year-old female has a history of irregular menses. She recently became sexually active, and would like to begin taking oral contraceptives (OCs). The nurse practitioner recognizes that most likely this patient would benefit from taking which category of OCs. A. Monophasic B. Triphasic OC C. Ortho Tri-Cyclen D. Biphasic OC 1 points Question 3 A 30 - year-old man with a BMI of 59 has recently been diagnosed with type 2 diabetes mellitus. In light of the man's lack of success with weight loss programs in the past, his care provider has prescribed sibutramine (Meridia). What instructions should the nurse consequently provide to this patient?
A.
“Take this drug once each day on an empty stomach.” B. “It's best to take a dose of sibutramine after each meal.”
monoamine oxidase inhibitor (MAOI). The nurse should recognize that this combination of drugs creates a serious risk of what health problem? A. Nephrotoxicity B. Hypokalemia C. Hypertensive crisis D. Cardiac dysrhythmia 1 points Question 7 A 35 - year-old woman is on a weight-loss program and is to begin taking sibutramine (Meridia). After baseline physical data are obtained, the nurse will assess the patient's childbearing potential. The nurse will inform the patient that during sibutramine therapy she should A. abstain from sex. B. use adequate contraception. C. obtain a pap smear. D. take a pregnancy test every month. 1 points Question 8 A 10 - year-old boy is taking dextroamphetamine (Dexedrine) daily for ADHD. At each clinic visit, the nurse's priority assessment would be A. body temperature. B. blood pressure. C. Vision.
D.
height and weight. 1 points Question 9 A nurse who provides care on a pediatric medicine unit has conducted a medication reconciliation of a recently-admitted patient. In light of the fact that the child takes methylphenidate (Ritalin), the nurse is justified in considering a history of what health problem? A. ADHD B. Anxiety C. Respiratory depression D. Obesity 1 points Question 10 The clinical nurse educator who oversees the emergency department in a children's hospital has launched an awareness program aimed at reducing drug errors. What measure addresses the most common cause of incorrect doses in the care of infants and children? A. Having nurses check their math calculations with a colleague before administering a drug. B. Recording drug administration in both the nurse's notes and the medication administration record (MAR) C. Avoiding intravenous administration of drugs whenever possible. D. Ensuring that a full assessment takes place no more than 30 minutes before giving a drug. 1 points Question 11 A nurse is explaining to the parents of a 6 - year-old child suffering from angina why nitroglycerin patches for chest pain would not be appropriate. Which of the following will the nurse include in an explanation? A.
D.
phytoestrogens. 1 points Question 14 A child is admitted to the burn unit with second and third degree burns on both arms and part of his or her face. When administering topical medications to the burned areas, the nurse should A. use clean technique only when applying the medication. B. use sterile technique when applying the medication. C. cool the medication prior to administration. D. allow the child to apply the medication if possible. 1 points Question 15 A 3 - year-old boy has developed otitis media and requires antibiotics. In order to increase the chance that the boy will take his prescribed medication, the nurse should A. offer a choice between liquid and chewable medications, if possible. B. insert a central intravenous line. C. have the mother hold the child firmly and sooth him while the drugs are administered. D. teach the boy about the fact that he will feel much better after he takes his medications. 1 points Question 16 A 15 - year-old boy has been diagnosed with bone cancer after several months of fatigue and pain. What question should the nurse include in an assessment when trying to minimize the potential for adverse drug reactions? A. “How much do you weigh?” B.
“On a scale of zero to ten, what level of pain is acceptable to you?” C. “Did Tylenol or other over-the-counter pain remedies ever relieve your pain?” D. “Do you ever use alcohol or drugs?” 1 points Question 17 A 12-year-old boy is being discharged from the hospital after major surgery. The boy will be taking two medications at home for an extended period. The nurse who is discharging the patient should provide medication teaching specifically to A. the mother and be sure to reinforce the need to force the medications, if her son does not want to take them. B. the mother regarding why the boy needs to take the medications. C. the boy by telling him not to worry about the medications and to take them as directed. D. both the boy and his mother regarding all medication issued. 1 points Question 18 A patient reports to a clinic with complaints of breast tenderness, a right lumpy breast, and no breast discharge. The breast tenderness occurs primarily during her menstrual cycle. The nurse practitioner probably suspects A. PMS. B. breast cancer. C. pain in the heart. D. cancerous breast tenderness. 1 points Question 19
1 points Question 22 A nurse is administering drugs to a 10 - year-old child who has multiple health problems. The child is underweight and is on a special diet. Which of the following will the nurse consider when planning for the best absorption of the prescribed drugs? (Select all that apply.) A. Diet B. Route of administration C. Age D. Weight E. Disease process 1 points Question 23 An immunocompromised 7-year-old child was recently discharged home with a peripherally- inserted central line (PIC line) for home antibiotic therapy. He has now been brought to the emergency department by his mother and father with signs and symptoms of line sepsis. Upon questioning, the mother states that she has been removing the PIC dressing daily and washing the site with warm water and a cloth. What nursing diagnosis is most appropriate in this situation? A. Ineffective Family Therapeutic Regimen Management B. Caregiver Role Strain C. Delayed Growth and Development D. Knowledge Deficit 1 points Question 24 A preterm neonate received caffeine for the treatment of apnea. The nurse should monitor the neonate for which of the following?
A.
Constipation B. Bloody stools C. Hypoglycemia D. Bradycardia 1 points Question 25 A nurse is having difficulty administering a bitter drug to a 5 - year-old child. The nurse should A. give the drug in a pill form. B. have the parent gently force the child's mouth open. C. offer the child a flavored ice chip or ice pop prior to administering the drug. D. involve the child in a play therapy session, and then tell the child that the medicine is candy. 1 points Question 26 A 2-year-old child is diagnosed with a minor ailment and is to be administered medications at home for 2 weeks. The child lives with his mother, grandmother, and four other children between the ages of 14 months and 7 years. The home health nurse is asked to assess the home environment to determine if it is appropriate for the child to take his medication at home. Which of the following will have the greatest impact on the nurse's assessment? A. The health status of the other children B. Where the medications will be stored C. The mother and grandmother's understanding about the drugs D. How clean the house is
B.
Changes in blood chemistry as a result of nephrotoxicity and hepatotoxicity C. Impaired maternal nutrition as a result of drug use D. Vasoconstriction leading to reduced placental blood flow 1 points Question 30 A 19 - year-old patient reports to a clinic with vaginal discharge with a foul odor. A microscopic exam reveals trichomonas vaginalis. The nurse practitioner is aware that A. trichomoniasis discharge is typically thin and clear. B. it is unusual to have an odor with trichomoniasis. C. trichomoniasis is an incurable disease. D. asymptomatic women are diagnosed with trichomoniasis by a routine pap smear. 1 points Question 31 A nurse who provides care on a pediatric unit of a hospital is aware that the potential for harm as a result of drug errors is higher among infants and children than adults. This fact is primarily due to A. increased heart rate and subsequently rapid drug distribution among infants and children. B. increased body surface area relative to body volume in infants and children. C. the inability of infants and children and describe symptoms of adverse drug reactions. D. immature liver and kidney function in infants and children. 1 points Question 32
A nurse is going to administer medication to an infant using a medicine dropper. The best method is to open the child's mouth by gently squeezing the cheeks and placing the drops A. at the back of the mouth. B. on top of the tongue. C. in the buccal pouch. D. under the tongue. 1 points Question 33 A patient is being seen in the emergency department for a sprained ankle and is given a drug to relieve pain. When a second dose of the pain medication is given, the patient develops redness of the skin, itching, and swelling at the site of injection of the drug. The most likely cause of this response is A. a paradoxical response. B. an allergic response. C. a hepatotoxic response. D. an idiosyncratic response. 1 points Question 34 A nurse practitioner orders a single dose of 2 g Metronidazole orally. How many milligrams will the patient receive in one dose? A. 1000 mg B. 2000 mg C. 3000 mg
“I am on the middle school track team.” B. “My mother is going to give me my insulin.” C. “I walk two blocks to school every day.” D. “We live in a two-story house.” 1 points Question 38 A nurse is caring for a 10 - year-old boy who complains of chronic headaches. His mother reports that she gives him Tylenol at least three times a day. Which of the following will the nurse work with the physician to evaluate? A. Cardiac function B. Hepatic function C. Respiratory function D. Renal function 1 points Question 39 To which of the following patients would a medication nurse most likely administer caffeine as part of the treatment plan? A. A preterm neonate who has apnea B. A 52 - year-old man with narcolepsy C. A school-age child with severe ADHD D. A 34-year-old woman with a diagnosis of gastric ulcerations 1 points
Question 40 A nurse works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine? A. A 48 - year-old Caucasian man who has adult-onset diabetes B. A 28 - year-old African-American woman with hyperthyroidism A 6 - month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following before administering the drug? Response Feedback: Compared to adult skin, infants' skin exhibits greater permeability. This can result in increased absorption, which may result in adverse effects that usually do not occur in the adult patient. The nurse must consider this fact before
C.
A 60 - year-old African-American man who experiences angina D. A 38 - year-old Caucasian woman with glaucoma Course NURS-6521N-40,Advanced Pharmacology.2017 Summer Qtr 05/30-08/20- PT Test Week 11 - Quiz Started 8/7/17 9:13 PM Submitted 8/7/17 9:53 PM Due Date 8/14/17 1:59 AM Status Completed Attempt Score 40 out of 40 points Time Elapsed 40 minutes out of 1 hour and 40 minutes Instructions Please answer each question below and click Submit when you have completed the Quiz. Results Feedback Displayed Question 1 1 out of 1 points false
length. Drug calculation using body surface area is more accurate than using the weight of the child alone. The methods of using the child's age in months and years are no longer recommended to calculate drug dosages for pediatric patients. Question 6 1 out of 1 points A 15 - year-old boy who has been taking dextroamphetamine for the treatment of ADHD has been experiencing a depressed mood and a sense of hopelessness. He confides in the school nurse that he has begun taking his stepfather's antidepressant to improve his mood. After immediately phoning the boy's stepfather, the nurse learns that the drug in question is phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI). The nurse should recognize that this combination of drugs creates a serious risk of what health problem? Response Feedback: Because of its pressor effects, dextroamphetamine is contraindicated during the first 14 days after discontinuing monoamine oxidase inhibitor (MAOI) therapy, because MAOI therapy itself may predispose the patient toward elevated blood pressure. Therefore, this 14-day washout period for MAOIs must be observed to prevent hypertensive crisis. This particular combination of drugs does not constitute a risk for a dysrhythmias, kidney damage, or electrolyte imbalances. Question 7 1 out of 1 points A 35-year-old woman is on a weight-loss program and is to begin taking sibutramine (Meridia). After baseline physical data are obtained, the nurse will assess the patient's childbearing potential. The nurse will inform the patient that during sibutramine therapy she should Response Feedback: Before sibutramine therapy is started, the nurse should assess the female patient for pregnancy or the intention to become pregnant. This drug is classified as pregnancy category C. Patients should be told to use adequate contraception and to advise their physician if they become or intend to become pregnant during sibutramine therapy. It would not be appropriate to tell the patient to abstain from sex, and a pregnancy test would not be necessary once a month. However, it would be advisable to have a pregnancy test before therapy begins if the patient is unsure if she is pregnant or if the patient has irregular menstrual periods. A pap smear is not necessarily related to the use of sibutramine but should be done on a regular basis as a normal disease-prevention measure for women. Question 8
1 out of 1 points A 10 - year-old boy is taking dextroamphetamine (Dexedrine) daily for ADHD. At each clinic visit, the nurse's priority assessment would be Response Feedback: The nurse should assess blood pressure, body temperature, and vision at each clinic visit as routine nursing measures in caring for a pediatric patient. However, the priority assessment would be of height and weight. Monitoring the growth and development of children taking amphetamines is extremely important because these drugs have been associated with growth suppression. Question 9 1 out of 1 points A nurse who provides care on a pediatric medicine unit has conducted a medication reconciliation of a recently-admitted patient. In light of the fact that the child takes methylphenidate (Ritalin), the nurse is justified in considering a history of what health problem? Response Feedback: Methylphenidate is clinically used to treat ADHD and narcolepsy. The drug is not indicated in the treatment of obesity, respiratory depression, or anxiety. Question 10 1 out of 1 points The clinical nurse educator who oversees the emergency department in a children's hospital has launched an awareness program aimed at reducing drug errors. What measure addresses the most common cause of incorrect doses in the care of infants and children? Response Feedback: Of all the problems that may contribute to an incorrect dose, the most common involve errors in math during dosage calculation. Dosage calculation can involve several steps, and a mathematical error can occur at each step. Documentation in multiple locations, rigorous assessment, and avoidance of IV administration are not practices that appreciably reduce the potential for incorrect doses. Question 11 1 out of 1 points A nurse is explaining to the parents of a 6 - year-old child suffering from angina why
