Question 1

When teaching a mother how to administer eye drops,where should the nurse tell her to place them?

Accepted Answer

A)  In the conjunctival sac that is formed when the lower lid is pulled down 
B)  Carefully under the eye lid while it is gently pulled upward 
C)  On the sclera while the child looks to the side 
D)  Anywhere as long as drops contact the eye's surface 
A)  In the conjunctival sac that is formed when the lower lid is pulled down 
B)  Carefully under the eye lid while it is gently pulled upward 
C)  On the sclera while the child looks to the side 
D)  Anywhere as long as drops contact the eye's surface A

Question 2

What is the best action for the nurse to take when giving medications to a 3-year-old child?

Accepted Answer

A)  Tell the child to take the medication "right now." 
B)  Tell the child to take the medication or he will have to get a shot. 
C)  Allow the child to choose fruit punch or apple juice when giving the medication. 
D)  Tell the child that another child his age just took his medication like a "good boy." 
A)  Tell the child to take the medication "right now." 
B)  Tell the child to take the medication or he will have to get a shot. 
C)  Allow the child to choose fruit punch or apple juice when giving the medication. 
D)  Tell the child that another child his age just took his medication like a "good boy." C

Question 3

What action indicates that a school-age child is using a metered-dose inhaler correctly?

Accepted Answer

A)  The child uses his inhaled steroid before the bronchodilator. 
B)  The child exhales forcefully as he squeezes the inhaler. 
C)  The child holds his breath for 10 seconds after the first puff. 
D)  The child waits 10 minutes before taking a second puff. 
A)  The child uses his inhaled steroid before the bronchodilator. 
B)  The child exhales forcefully as he squeezes the inhaler. 
C)  The child holds his breath for 10 seconds after the first puff. 
D)  The child waits 10 minutes before taking a second puff. C

Question 4

What nursing actions are correct when administering heparin subcutaneously? Select all that apply.

Accepted Answer

A)  Insert the needle with the bevel up at a 15-degree angle. 
B)  Insert the needle at a 45- to 90-degree angle. 
C)  Insert the needle into the tissue on the upper back. 
D)  Insert the needle into the abdominal tissue. 
E)  Massage the injection site when the injection is complete. 
A)  Insert the needle with the bevel up at a 15-degree angle. 
B)  Insert the needle at a 45- to 90-degree angle. 
C)  Insert the needle into the tissue on the upper back. 
D)  Insert the needle into the abdominal tissue. 
E)  Massage the injection site when the injection is complete.

Question 5

Which physiologic difference affects the absorption of oral medications administered to a 3-month-old infant?

Accepted Answer

A)  More rapid peristaltic activity 
B)  More acidic gastric secretions 
C)  Usually more rapid gastric emptying 
D)  Variable pancreatic enzyme activity 
A)  More rapid peristaltic activity 
B)  More acidic gastric secretions 
C)  Usually more rapid gastric emptying 
D)  Variable pancreatic enzyme activity

Question 6

What is the maximum safe volume that a neonate can receive in an intramuscular injection?

Accepted Answer

A)  0.5 mL 
B)  1.0 mL 
C)  1.5 mL 
D)  2 mL 
A)  0.5 mL 
B)  1.0 mL 
C)  1.5 mL 
D)  2 mL

Question 7

In which muscle should the nurse select to give a 6-month-old infant an intramuscular injection?

Accepted Answer

A)  Deltoid 
B)  Ventrogluteal 
C)  Dorsogluteal 
D)  Vastus lateralis 
A)  Deltoid 
B)  Ventrogluteal 
C)  Dorsogluteal 
D)  Vastus lateralis

Question 8

What parameter should guide the nurse when administering a subcutaneous injection to a school-age child with cellulitis?

Accepted Answer

A)  Do not to give injections in edematous areas. 
B)  Attach a clean 1-inch needle to the syringe. 
C)  The maximum volume injected into one site is 2 mL. 
D)  Do not pinch up tissue before inserting the needle. 
A)  Do not to give injections in edematous areas. 
B)  Attach a clean 1-inch needle to the syringe. 
C)  The maximum volume injected into one site is 2 mL. 
D)  Do not pinch up tissue before inserting the needle.

Question 9

The nurse administering an IV piggyback medication to a preschool child should

Accepted Answer

A)  Use a "Smart" pump if available. 
B)  Flush the IV tubing before and after the infusion with normal saline solution. 
C)  Inject the medication into the IV catheter using the port closest to the child. 
D)  Inject the medication into the IV tubing in the direction away from the child. 
A)  Use a "Smart" pump if available. 
B)  Flush the IV tubing before and after the infusion with normal saline solution. 
C)  Inject the medication into the IV catheter using the port closest to the child. 
D)  Inject the medication into the IV tubing in the direction away from the child.

Question 10

What is the main purpose for using a volume-control device,such as a Buretrol or an infusion pump,to administer intravenous fluids to children?

Accepted Answer

A)  To avoid fluid overload 
B)  To aid in measuring intake 
C)  To administer antibiotics 
D)  To ensure adequate intravenous fluid intake 
A)  To avoid fluid overload 
B)  To aid in measuring intake 
C)  To administer antibiotics 
D)  To ensure adequate intravenous fluid intake

Question 11

What nursing action is indicated when a child receiving a unit of packed red blood cells complains of chills,headache,and nausea?

Accepted Answer

A)  Continue the infusion and take the child's vital signs. 
B)  Stop the infusion immediately and notify the physician. 
C)  Slow the infusion and assess for cessation of symptoms. 
D)  Start a dextrose solution and stay with the child. 
A)  Continue the infusion and take the child's vital signs. 
B)  Stop the infusion immediately and notify the physician. 
C)  Slow the infusion and assess for cessation of symptoms. 
D)  Start a dextrose solution and stay with the child.

Question 12

Which factor should the nurse remember when administering topical medication to an infant as compared with an adolescent?

Accepted Answer

A)  Infants require a larger dosage because of a greater body surface area. 
B)  Infants have a thinner stratum corneum that absorbs more medication. 
C)  Infants have a smaller percentage of muscle mass. 
D)  The skin of infants is less sensitive to allergic reactions. 
A)  Infants require a larger dosage because of a greater body surface area. 
B)  Infants have a thinner stratum corneum that absorbs more medication. 
C)  Infants have a smaller percentage of muscle mass. 
D)  The skin of infants is less sensitive to allergic reactions.

Question 13

What action is correct when administering eardrops to a 2-year-old child?

Accepted Answer

A)  Administer the eardrops straight from the refrigerator. 
B)  Pull the pinna of the ear back and down. 
C)  Massage the pinna after administering the medication. 
D)  Pull the pinna of the ear back and up. 
A)  Administer the eardrops straight from the refrigerator. 
B)  Pull the pinna of the ear back and down. 
C)  Massage the pinna after administering the medication. 
D)  Pull the pinna of the ear back and up.

Question 14

A student nurse on the pediatric unit is preparing gentamicin to administer intravenously.The student understands that she must apply the "five rights" when administering medications.Is this statement true or false?

Accepted Answer

A) True 
 B)False

Question 15

What is the hourly maintenance fluid rate for an intravenous infusion in a child weighing 19.5 kg?

Accepted Answer

A)  19 mL 
B)  61 mL 
C)  195 mL 
D)  1475 mL 
A)  19 mL 
B)  61 mL 
C)  195 mL 
D)  1475 mL

Question 16

When liquid medication is given to a crying 10-month-old infant,which approach minimizes the possibility of aspiration?

Accepted Answer

A)  Administer the medication with a syringe (without needle) placed along the side of the infant's tongue. 
B)  Administer the medication as rapidly as possible with the infant securely restrained. 
C)  Mix the medication with the infant's regular formula or juice and administer by bottle. 
D)  Keep the child upright with the nasal passages blocked for a minute after administration. 
A)  Administer the medication with a syringe (without needle) placed along the side of the infant's tongue. 
B)  Administer the medication as rapidly as possible with the infant securely restrained. 
C)  Mix the medication with the infant's regular formula or juice and administer by bottle. 
D)  Keep the child upright with the nasal passages blocked for a minute after administration.

Question 17

A child is receiving intravenous fluids.How frequently should the nurse assess and document the condition of the child's intravenous site?

Accepted Answer

A)  Every hour 
B)  Every 2 hours 
C)  Every 4 hours 
D)  Every shift. 
A)  Every hour 
B)  Every 2 hours 
C)  Every 4 hours 
D)  Every shift.

Question 18

What should the nurse use to prepare liquid medication in volumes less than 5 mL?

Accepted Answer

A)  Calibrated syringe 
B)  Paper measuring cup 
C)  Plastic measuring cup 
D)  Household teaspoon 
A)  Calibrated syringe 
B)  Paper measuring cup 
C)  Plastic measuring cup 
D)  Household teaspoon

Question 19

Which food is appropriate to mix with medication?

Accepted Answer

A)  Formula or milk 
B)  Applesauce 
C)  Syrup 
D)  Orange juice 
A)  Formula or milk 
B)  Applesauce 
C)  Syrup 
D)  Orange juice

Question 20

What is the 24-hour maintenance fluid requirement for a child weighing 8.5 kg?

Accepted Answer

850 ml
The formula for calculating daily

Exam 38: Medication Administration and Safety for Infants and Children

When teaching a mother how to administer eye drops,where should the nurse tell her to place them?

What is the best action for the nurse to take when giving medications to a 3-year-old child?

What action indicates that a school-age child is using a metered-dose inhaler correctly?

What nursing actions are correct when administering heparin subcutaneously? Select all that apply.

Which physiologic difference affects the absorption of oral medications administered to a 3-month-old infant?

What is the maximum safe volume that a neonate can receive in an intramuscular injection?

In which muscle should the nurse select to give a 6-month-old infant an intramuscular injection?

What parameter should guide the nurse when administering a subcutaneous injection to a school-age child with cellulitis?

The nurse administering an IV piggyback medication to a preschool child should

What is the main purpose for using a volume-control device,such as a Buretrol or an infusion pump,to administer intravenous fluids to children?

What nursing action is indicated when a child receiving a unit of packed red blood cells complains of chills,headache,and nausea?

Which factor should the nurse remember when administering topical medication to an infant as compared with an adolescent?

What action is correct when administering eardrops to a 2-year-old child?

A student nurse on the pediatric unit is preparing gentamicin to administer intravenously.The student understands that she must apply the "five rights" when administering medications.Is this statement true or false?

What is the hourly maintenance fluid rate for an intravenous infusion in a child weighing 19.5 kg?

When liquid medication is given to a crying 10-month-old infant,which approach minimizes the possibility of aspiration?

A child is receiving intravenous fluids.How frequently should the nurse assess and document the condition of the child's intravenous site?

What should the nurse use to prepare liquid medication in volumes less than 5 mL?

Which food is appropriate to mix with medication?

What is the 24-hour maintenance fluid requirement for a child weighing 8.5 kg?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating With Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion during Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family With Special Needs

Pregnancy-Related Complications

Concurrent Disorders During Pregnancy

The Woman With an Intrapartum Complication

The Woman With a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s Health Care

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child With a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Pain Management for Children

The Child With a Fluid and Electrolyte Alteration

The Child With an Infectious Disease

The Child With an Immunologic Alteration

The Child With a Gastrointestinal Alteration

The Child With a Genitourinary Alteration

The Child With a Respiratory Alteration

The Child With a Cardiovascular Alteration

The Child With a Hematologic Alteration

The Child With Cancer

The Child With an Alteration in Tissue Integrity

The Child With a Musculoskeletal Alteration

The Child With an Endocrine or Metabolic Alteration

The Child With a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With a Developmental Disability

The Child With a Sensory Alteration

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