NUR-227 PEDS Test 2 -Medication
Administration Questions and Correct
Answers
A pediatric patient cannot swallow pills. The medication order is for an enteric-coated
medication. How should the nurse proceed?
Notify the health care provider.
Crush tablet for administration.
Ask the child to chew the tablet.
Administer the medication as a liquid. ✅Notify the health care provider.
The nurse should notify the ordering provider and request the medication be changed to
a different form. Medication that is enteric-coated cannot be crushed or chewed without
hindering the effectiveness of the medication.
When preparing a suspension or elixir that specifies dosage in milligrams (mg), what
should the nurse do to ensure the patient receives the correct amount of the
medication?
Use a tablespoon to administer the oral medication.
Weigh the bottle of liquid on a scale and then weigh the dose.
Draw an amount of liquid equal to the number of milligrams prescribed.
Calculate the dose based on the number of mg/mL in the suspension. ✅Calculate the
dose based on the number of mg/mL in the suspension.
Prescriptions will often state the dosage in mg—and not mL—for liquids; care must be
given to calculate the correct liquid dose.
The nurse is preparing to administer prescribed oral medication to a 3-month-old
patient. How should the nurse administer this medication?
Place the infant on his or her back prior to administering medication.
Hold the infant with the dominant hand to ensure the child does not move.
Using a nipple, wait for the infant to begin sucking before adding the medication.
Using a teaspoon, place the medication into the mouth along the side of the cheek.
✅Using a nipple, wait for the infant to begin sucking before adding the medication.
The infant should be encouraged to begin sucking the empty nipple and only afterward
should the medication be added. By waiting until the infant is sucking the nurse can
ensure that the infant is able to feed.
An 8-year-old child is prescribed a medication that must be delivered by injection. Which
statements should the nurse make to prepare the child for administration of this
medication?
Select all that apply.
, "This may sting a bit but should not last very long."
"This medication is necessary to help your body function properly."
"This medication is going to help you and you did not do anything wrong."
"I am going to ask your parents to leave briefly while I administer your medication."
"You may feel a warm sensation at the injection site, but it is normal and will only last a
few minutes." ✅"This may sting a bit but should not last very long."
Preparing the child for what to expect will help him process the situation and encourage
his involvement in the process.
"This medication is necessary to help your body function properly."
The nurse should explain the reason for the injection and help the child understand that
the medication will help with her illness. This will help the child remain calm if she
understands that it is for her benefit.
"This medication is going to help you and you did not do anything wrong."
Helping the child to understand that the injection will help her feel better is an important
aspect of increasing the child's confidence in the procedure. The nurse should help the
child understand that the injection in NOT a punishment.
"You may feel a warm sensation at the injection site, but it is normal and will only last a
few minutes."
The nurse should explain the length of time sensations associated with the injection
should last when preparing the child for an injection. If the child knows what to expect
then he or she is more likely to be cooperative.
A nurse has been asked to administer an intramuscular injection to a 1-year-old child.
How does the nurse choose the appropriate needle to use?
Select all that apply.
The nurse may contact a colleague to obtain information about the correct needle to
use.
Determine the shortest length needle according to the selected muscle.
Choose the needle length by taking into account the amount of body fat on the child.
Determine the appropriate gauge needle for the type of medication to be administered.
Look up the last intramuscular injection that was given to see what size was used
before. ✅Determine the shortest length needle according to the selected muscle.
The nurse should choose the shortest-length needle for the administering of an IM
injection based upon the selected muscle for administration. This will help prevent the
injection from penetrating too deeply.
Choose the needle length by taking into account the amount of body fat on the child.
The amount of body fat on the child would influence the correct needle choice by
requiring a longer needle when the child is carrying a higher amount of body fat.
Determine the appropriate gauge needle for the type of medication to be administered.
The nurse should choose the smallest-gauge needle, based on the site and viscosity of
the medication, when administering an IM injection. Using the smallest-gauge needle
Administration Questions and Correct
Answers
A pediatric patient cannot swallow pills. The medication order is for an enteric-coated
medication. How should the nurse proceed?
Notify the health care provider.
Crush tablet for administration.
Ask the child to chew the tablet.
Administer the medication as a liquid. ✅Notify the health care provider.
The nurse should notify the ordering provider and request the medication be changed to
a different form. Medication that is enteric-coated cannot be crushed or chewed without
hindering the effectiveness of the medication.
When preparing a suspension or elixir that specifies dosage in milligrams (mg), what
should the nurse do to ensure the patient receives the correct amount of the
medication?
Use a tablespoon to administer the oral medication.
Weigh the bottle of liquid on a scale and then weigh the dose.
Draw an amount of liquid equal to the number of milligrams prescribed.
Calculate the dose based on the number of mg/mL in the suspension. ✅Calculate the
dose based on the number of mg/mL in the suspension.
Prescriptions will often state the dosage in mg—and not mL—for liquids; care must be
given to calculate the correct liquid dose.
The nurse is preparing to administer prescribed oral medication to a 3-month-old
patient. How should the nurse administer this medication?
Place the infant on his or her back prior to administering medication.
Hold the infant with the dominant hand to ensure the child does not move.
Using a nipple, wait for the infant to begin sucking before adding the medication.
Using a teaspoon, place the medication into the mouth along the side of the cheek.
✅Using a nipple, wait for the infant to begin sucking before adding the medication.
The infant should be encouraged to begin sucking the empty nipple and only afterward
should the medication be added. By waiting until the infant is sucking the nurse can
ensure that the infant is able to feed.
An 8-year-old child is prescribed a medication that must be delivered by injection. Which
statements should the nurse make to prepare the child for administration of this
medication?
Select all that apply.
, "This may sting a bit but should not last very long."
"This medication is necessary to help your body function properly."
"This medication is going to help you and you did not do anything wrong."
"I am going to ask your parents to leave briefly while I administer your medication."
"You may feel a warm sensation at the injection site, but it is normal and will only last a
few minutes." ✅"This may sting a bit but should not last very long."
Preparing the child for what to expect will help him process the situation and encourage
his involvement in the process.
"This medication is necessary to help your body function properly."
The nurse should explain the reason for the injection and help the child understand that
the medication will help with her illness. This will help the child remain calm if she
understands that it is for her benefit.
"This medication is going to help you and you did not do anything wrong."
Helping the child to understand that the injection will help her feel better is an important
aspect of increasing the child's confidence in the procedure. The nurse should help the
child understand that the injection in NOT a punishment.
"You may feel a warm sensation at the injection site, but it is normal and will only last a
few minutes."
The nurse should explain the length of time sensations associated with the injection
should last when preparing the child for an injection. If the child knows what to expect
then he or she is more likely to be cooperative.
A nurse has been asked to administer an intramuscular injection to a 1-year-old child.
How does the nurse choose the appropriate needle to use?
Select all that apply.
The nurse may contact a colleague to obtain information about the correct needle to
use.
Determine the shortest length needle according to the selected muscle.
Choose the needle length by taking into account the amount of body fat on the child.
Determine the appropriate gauge needle for the type of medication to be administered.
Look up the last intramuscular injection that was given to see what size was used
before. ✅Determine the shortest length needle according to the selected muscle.
The nurse should choose the shortest-length needle for the administering of an IM
injection based upon the selected muscle for administration. This will help prevent the
injection from penetrating too deeply.
Choose the needle length by taking into account the amount of body fat on the child.
The amount of body fat on the child would influence the correct needle choice by
requiring a longer needle when the child is carrying a higher amount of body fat.
Determine the appropriate gauge needle for the type of medication to be administered.
The nurse should choose the smallest-gauge needle, based on the site and viscosity of
the medication, when administering an IM injection. Using the smallest-gauge needle
