NCLEX Pediatric Drugs | University of New Brunswick | Questions and answers
The parent of a child with hemophilia asks the nurse, "If Correct
my son hurts himself, is it all right if I give him two baby 3 "Aspirin may cause more bleeding. Give him acetaminophen
instead." aspirins?" What is the best response by the nurse?
A. "You seem concerned about giving drugs to your
child."
B."It's all right to give him baby aspirin when he
hurts himself."
C. "Aspirin may cause more bleeding. Give
him acetaminophen instead."
D."He should be given acetaminophen every day.
It'll prevent bleeding."
Methylphenidate has been prescribed for a 7-year-old A. Ritalin depresses the
appetite. child with attention deficit-hyperactivity disorder (ADHD)
and is to be taken with meals. What rationale does the A side effect of methylphenidate is anorexia; it should be given during or
nurse provide for the parents about the timing of immediately after breakfast. The absorption rate is not affected by the timing
of medication administration? when it is given. Oral mucous membrane irritation is not a side effect of
methylphenidate. In a child of this age the parents are responsible for
A. Ritalin depresses the appetite. administering medications.
B. This will ensure proper absorption. Test-Taking Tip: Do not read too much into the
question or worry that it is a "trick."
C. It is an oral mucous membrane irritant. If you have nursing experience, ask yourself how a classmate who is
D.Children tend to forget to take it before meals. inexperienced would answer this question from only the information provided in
the textbooks or given in the lectures.
, A school nurse teaches a 13-year-old child with hay fever D. Increased nasal
congestion that the prescribed phenylephrine nasal spray must be
used exactly as directed. What complication may occur
if the nasal spray is used more frequently or longer
than recommended?
A. Tinnitus
B.Nasal polyps
C. Bleeding tendencies
D.Increased nasal congestion
A 6-year-old child is experiencing tonic-clonic seizures, 7.5
and carbamazepine 15 mg/kg/day divided equally into
two doses is prescribed. The child weighs 44 lb (20
kg). The medication available is carbamazepine
suspension 100 mg/5 mL. How many milliliters should
the nurse administer in one dose? Record your answer
using one decimal place mL
A nurse is caring for a 3-month-old infant with severe D. The flora that inhabit a healthy gastrointestinal tract must be
recolonized. diarrhea following antibiotic therapy. After the effects of
dehydration are stabilized, the healthcare provider
prescribes Lactobacillus granules. What explanation
does the nurse give to the infant's parents about the
reason for giving lactobacilli?
A. They diminish the inflammatory mucosal edema.
B. The discomfort caused by gastric
hyperacidity is lessened.
C.They relieve the pain caused by gas in
the gastrointestinal tract.
D. The flora that inhabit a healthy
gastrointestinal tract must be recolonized.
An adolescent who has been prescribed prednisone and A. It is a side effect of the
vincristine. vincristine for leukemia tells the nurse that he is very
constipated. What should the nurse cite as the probable
cause of the constipation?
A. It is a side effect of the vincristine.
B. The spleen is compressing the bowel.
C. It is a toxic effect from the prednisone.
D. The leukemic mass is obstructing the bowel.
The parent of a child with hemophilia asks the nurse, "If Correct
my son hurts himself, is it all right if I give him two baby 3 "Aspirin may cause more bleeding. Give him acetaminophen
instead." aspirins?" What is the best response by the nurse?
A. "You seem concerned about giving drugs to your
child."
B."It's all right to give him baby aspirin when he
hurts himself."
C. "Aspirin may cause more bleeding. Give
him acetaminophen instead."
D."He should be given acetaminophen every day.
It'll prevent bleeding."
Methylphenidate has been prescribed for a 7-year-old A. Ritalin depresses the
appetite. child with attention deficit-hyperactivity disorder (ADHD)
and is to be taken with meals. What rationale does the A side effect of methylphenidate is anorexia; it should be given during or
nurse provide for the parents about the timing of immediately after breakfast. The absorption rate is not affected by the timing
of medication administration? when it is given. Oral mucous membrane irritation is not a side effect of
methylphenidate. In a child of this age the parents are responsible for
A. Ritalin depresses the appetite. administering medications.
B. This will ensure proper absorption. Test-Taking Tip: Do not read too much into the
question or worry that it is a "trick."
C. It is an oral mucous membrane irritant. If you have nursing experience, ask yourself how a classmate who is
D.Children tend to forget to take it before meals. inexperienced would answer this question from only the information provided in
the textbooks or given in the lectures.
, A school nurse teaches a 13-year-old child with hay fever D. Increased nasal
congestion that the prescribed phenylephrine nasal spray must be
used exactly as directed. What complication may occur
if the nasal spray is used more frequently or longer
than recommended?
A. Tinnitus
B.Nasal polyps
C. Bleeding tendencies
D.Increased nasal congestion
A 6-year-old child is experiencing tonic-clonic seizures, 7.5
and carbamazepine 15 mg/kg/day divided equally into
two doses is prescribed. The child weighs 44 lb (20
kg). The medication available is carbamazepine
suspension 100 mg/5 mL. How many milliliters should
the nurse administer in one dose? Record your answer
using one decimal place mL
A nurse is caring for a 3-month-old infant with severe D. The flora that inhabit a healthy gastrointestinal tract must be
recolonized. diarrhea following antibiotic therapy. After the effects of
dehydration are stabilized, the healthcare provider
prescribes Lactobacillus granules. What explanation
does the nurse give to the infant's parents about the
reason for giving lactobacilli?
A. They diminish the inflammatory mucosal edema.
B. The discomfort caused by gastric
hyperacidity is lessened.
C.They relieve the pain caused by gas in
the gastrointestinal tract.
D. The flora that inhabit a healthy
gastrointestinal tract must be recolonized.
An adolescent who has been prescribed prednisone and A. It is a side effect of the
vincristine. vincristine for leukemia tells the nurse that he is very
constipated. What should the nurse cite as the probable
cause of the constipation?
A. It is a side effect of the vincristine.
B. The spleen is compressing the bowel.
C. It is a toxic effect from the prednisone.
D. The leukemic mass is obstructing the bowel.
