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 eyelid 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 eyelid 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 she 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 her age just took his medication like a "good girl." 
A)  Tell the child to take the medication "right now." 
B)  Tell the child to take the medication or she 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 her age just took his medication like a "good girl." C

Question 3

A child is being discharged from the hospital on insulin.The mother is apprehensive about giving the medication.What action by the nurse is most important?

Accepted Answer

A)  Review the side effects of insulin with the mother. 
B)  Have the mother verbalize that she knows the importance of follow-up care. 
C)  Observe the mother while she administers an insulin injection. 
D)  Help the mother devise a rotation schedule for injections. 
A)  Review the side effects of insulin with the mother. 
B)  Have the mother verbalize that she knows the importance of follow-up care. 
C)  Observe the mother while she administers an insulin injection. 
D)  Help the mother devise a rotation schedule for injections. C

Question 4

Guidelines for intramuscular administration of medication in school-age children include

Accepted Answer

A)  inject medication as rapidly as possible. 
B)  insert needle quickly, using a dart-like motion. 
C)  penetrate skin immediately after cleansing site. 
D)  have child stand, if possible and if child is cooperative. 
A)  inject medication as rapidly as possible. 
B)  insert needle quickly, using a dart-like motion. 
C)  penetrate skin immediately after cleansing site. 
D)  have child stand, if possible and if child is cooperative.

Question 5

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 provider. 
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 provider. 
C)  Slow the infusion, and assess for cessation of symptoms. 
D)  Start a dextrose solution, and stay with the child.

Question 6

What nursing actions are correct when administering 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 7

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 8

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 9

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 10

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 11

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.

Question 12

What is the main purpose for using a volume-control device 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 13

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 14

What action is appropriate when using an EMLA cream before intravenous catheter insertion?

Accepted Answer

A)  Rub a liberal amount of cream into the skin thoroughly. 
B)  Cover the skin with a gauze dressing after applying the cream. 
C)  Leave the cream on the skin for 1 to 2 hours before the procedure. 
D)  Use the smallest amount of cream necessary to numb the skin surface. 
A)  Rub a liberal amount of cream into the skin thoroughly. 
B)  Cover the skin with a gauze dressing after applying the cream. 
C)  Leave the cream on the skin for 1 to 2 hours before the procedure. 
D)  Use the smallest amount of cream necessary to numb the skin surface.

Question 15

What is the appropriate nursing response to a parent who asks,"What should I do if my child cannot take a tablet?"

Accepted Answer

A)  "You can crush the tablet and put it in some food." 
B)  "Find out if the medication is available in a liquid form." 
C)  "If the child can't swallow the tablet, tell the child to chew it." 
D)  "Let me show you how to get your child to swallow tablets." 
A)  "You can crush the tablet and put it in some food." 
B)  "Find out if the medication is available in a liquid form." 
C)  "If the child can't swallow the tablet, tell the child to chew it." 
D)  "Let me show you how to get your child to swallow tablets."

Question 16

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 17

A registered nurse is watching a student nurse give an IM injection to a 1-year-old.The student identifies the following site for the injection.What action by the registered nurse is best?

Accepted Answer

A)  Remind the student to don gloves. 
B)  Hand the student an alcohol wipe. 
C)  Ask the student to find another site. 
D)  Assess for the correct needle length. 
A)  Remind the student to don gloves. 
B)  Hand the student an alcohol wipe. 
C)  Ask the student to find another site. 
D)  Assess for the correct needle length.

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

A nurse should routinely ask a colleague to double-check a medication calculation and the actual medication before administering which medications? (Select all that apply.)

Accepted Answer

A)  Antibiotics 
B)  Insulin 
C)  Anticonvulsants 
D)  Anticoagulants 
E)  Narcotics/Opioids 
A)  Antibiotics 
B)  Insulin 
C)  Anticonvulsants 
D)  Anticoagulants 
E)  Narcotics/Opioids

Question 20

Which food is appropriate to mix with medication?

Accepted Answer

A)  Formula or milk 
B)  Applesauce 
C)  Baby food 
D)  Orange juice 
A)  Formula or milk 
B)  Applesauce 
C)  Baby food 
D)  Orange juice

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?

A child is being discharged from the hospital on insulin.The mother is apprehensive about giving the medication.What action by the nurse is most important?

Guidelines for intramuscular administration of medication in school-age children include

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

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

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

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

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

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

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

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

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

What action is appropriate when using an EMLA cream before intravenous catheter insertion?

What is the appropriate nursing response to a parent who asks,"What should I do if my child cannot take a tablet?"

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

A registered nurse is watching a student nurse give an IM injection to a 1-year-old.The student identifies the following site for the injection.What action by the registered nurse is best?

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

A nurse should routinely ask a colleague to double-check a medication calculation and the actual medication before administering which medications? (Select all that apply.)

Which food is appropriate to mix with medication?

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 HealthCare

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 an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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