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Considerations- NCLEX Questions

Latest nclex materials Jan 8, 2026 ★★★★☆ (4.0/5)
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Unit 1 Pharmacology Basics: Ch. 3 Lifespan

Considerations- NCLEX Questions Leave the first rating Terms in this set (26) Science Medicine Save The nurse is reviewing factors that influence pharmacokinetics in the neonatal patient. Which factor puts the neonatal patient at risk with regard to drug therapy?Immature renal system.The physiologic differences in the pediatric pt compared with the adult pt affect the amount of drug needed to produce a therapeutic effect. The nurse is aware that one of the main differences is that infants have of...Water composition of approximately 75%.While teaching a 76-year-old pt about the adverse effects of his medications, the nurse encourages him to keep a journal of the adverse effects he experiences. This intervention is important for the older adult pt because of which alterations in pharmacokinetics?-Decreased blood flow to the liver.-Resulting in altered metabolism.

When the nurse is reviewing a list of medications taken by an 88-year-old pt, the pt says, "I get dizzy when I stand up." She also states that she has nearly fainted "a time or two" in the afternoons. Her systolic blood pressure drops 15 points when she stands up. What type of medication may be responsible for these effects?Antihypertensives A pregnant pt who is 32 weeks' gestation has a cold and calls the office to ask about taking an OTC medication that is rated as a pregnancy category A. Which answer by the nurse is correct?

  • "This drug causes problems in the
  • human fetus, so you should not take this medication."

  • "This drug may cause problems in
  • the human fetus, but nothing has been proven in clinical trials. It is best not to take this medication."

  • "This drug has not caused
  • problems in animals, but no testing has been done in humans. It is probably safe to take."

  • "Studies indicate that there is no
  • risk to the human fetus, so it is okay to take this medication as directed if you need it." "Studies indicate that there is no risk to the human fetus, so it is okay to take this medication as directed if you need it."

The nurse is preparing to administer an injection to a preschool-age child.Which approaches are appropriate for this age group? (Select all that apply.)

  • Explain to the child in advance
  • about the injection.

  • Provide a brief, concrete
  • explanation about the injection.

  • Encourage participation in the
  • procedure.

  • Make use of magical thinking.
  • Provide comfort measures after
  • the injection.-Provide a brief, concrete explanation about the injection.-Make use of magical thinking.-Provide comfort measures after the injection.An 82 year-old pt is admitted to the hospital after an episode of confusion at home. The nurse is assessing the current medications he is taking at home. Which method is the best way to assess his home medications?Ask the pt's wife to bring his medications to the hospital in their original containers.When calculating pediatric dosages, the nurse understands which method is MOST accurate for dosing calculations?Dosage calculation by body surface area because it takes into account the difference in size for children and neonates.-The body surface area takes into account not only the child's weight but also the relationship with height and is therefore both the most accurate and most preferred method. Immature renal and hepatic function would necessitate a decrease in dose, not an increase.

The nurse is teaching a pregnant patient about the effects of medication on fetal development.The nurse understands the greatest risk for medication effects on developing fetuses occurs during which time period?First trimester.-During the first trimester of pregnancy, fetuses are at the greatest risk for drug-induced developmental defects. During this period, the fetus undergoes rapid cell proliferation, and the skeleton, muscles, limbs, and visceral organs are developing at their most rapid rate.Knowing that the albumin in neonates and infants has a lower binding capacity for medications, the nurse anticipates the health care provider will perform which action to minimize the risk of toxicity?Decrease the amount of drug given.-A lower binding capacity leaves more drug available for action; thus, a lower dose would be required to prevent toxicity.The physiologic changes that normally occur in older adult patients have which implication for drug response?Drug half-life is lengthened.-Drug half-life is extended secondary to diminished liver and renal function in older adults.While conducting a health history for an older adult patient with heart failure, the patient tells the nurse, I have chronic constipation." The nurse suspects this gastrointestinal complaint is caused by which class of drugs?Calcium channel blockers.-Calcium channel blocker drugs may worsen constipation in the older adult population and thus should be avoided.

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Category: Latest nclex materials
Added: Jan 8, 2026
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Unit 1 Pharmacology Basics: Ch. 3 Lifespan Considerations- NCLEX Questions Leave the first rating Terms in this set Science Medicine Save The nurse is reviewing factors that influence pharmacokinet...

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