NURS 6521WEEK 11 MIDTERM EXAM COLLECTION QUESTION & CORRECT ANSWERS
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 infa...
NURS 6521WEEK 11 MIDTERM EXAM COLLECTION
QUESTION & CORRECT ANSWERS 2024-2025
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 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 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 patient who is taking a first-generation antipsychotic (FGA) drug for schizophrenia comes to the
clinic for evaluation. The nurse observes that the patient has a shufling gait and mild tremors. The
nurse will ask the patient's provider about which course of action? >> Correct Answer>>Giving an
anticholinergic medication
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? >> Correct
Answer>>Some symptoms take months to improve.
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? >>
Correct Answer>>Request an order to give diphenhydramine.
, 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. >> Correct Answer>>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
Which side effects are more common in second-generation antipsychotic medications than in first-
generation antipsychotic medications? Select all that apply. >> Correct Answer>>Agranulocytosis
Anticholinergic effects Metabolism by CYP3A4
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. >>
Correct Answer>>Dantrolene
Intravenous fluids Withdrawal of haloperidol
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? >> Correct Answer>>"Olanzapine causes
more metabolic side effects than thioridazine."
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: >> Correct Answer>>stop
taking the MAOI 2
weeks before starting the SSRI.
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 once in the past. The patient identifies a concrete plan for committing
suicide. The nurse will contact the provider to discuss: >> Correct Answer>>hospitalizing the
patient for closer monitoring.
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