INTRODUCTORY MATERNITY AND PEDIATRIC NURSING #10 EXAM
QUESTIONS AND ANSWERS
The nursing student identifies which technique as the correct one to use when giving
oral medications to an infant? - correct answer Use a dropper and slowly inject the liquid
into the side of the infant's mouth.
A nurse is administering ear drops to a 7-year-old girl. What should the nurse do? -
correct answer Pull the pinna of the ear up and back to straighten the external ear
canal.
A mother of a newborn brings her child to the well child clinic the week after birth. The
mother asks the nurse if the child will get any "shots" at the next appointment. The best
response from the nurse would be: - correct answer "Yes, your child will get 3 shots
next time. They will be the polio vaccine (called IPV), Haemophilus influenza B vaccine
(called Hib), and hepatitis B vaccine. They will be given in the thigh."
The nurse is administering medications to a 10-year-old child who takes medications at
home for a chronic condition. The child's parent is at the bedside. What are appropriate
guidelines for medication administration to this client? Select all that apply. - correct
answer 1. The nurse compares the child's ID band with the medication record.
2. The nurse carefully reads the label on the side of the medication bottle.
3. The nurse documents the medication administration after giving the medication.
A 4-year-old child is admitted to the hospital for surgery. Before the nurse administers
medicine, the best way to identify the child would be to: - correct answer Reread the
armband
The nurse is preparing to administer regular insulin to a child following lunch. Which
finding will cause the nurse to question administering the medication? - correct answer
The client received insulin aspart 2 hours ago.
Parents question the necessity of moving their preschooler from her room to another
place to insert her IV line. The nurse explains: - correct answer The importance of
avoiding unpleasant experiences in the child's room and bed in order for both to remain
safe places.
The nurse is teaching a parent how to administer medications to her young child. Which
instructions are appropriate? Select all that apply. - correct answer 1. Gently restrain the
child's head and arms.
2. Have the parent administer the medication.
3.Hold the child against the body with the head raised.
An infant is to have a scalp-vein intravenous infusion begun. What is an advantage of
this insertion site? - correct answer The scalp veins are easily visualized.
, The nurse is caring for an 8-year-old girl who requires medication that is only available
in an enteric tablet form. The nurse is teaching the mother how to help the girl swallow
the medication. Which statement indicates a need for further teaching? - correct answer
"I can pinch her nose to make it easier to swallow."
Samuel, a 1-month-old baby, is severely ill and has been prescribed an injection as part
of his drug therapy. What is the preferred injection site? - correct answer The vastus
lateralis muscle...the largest muscle mass in the groups
A toddler requires 1.5 ml (.05 oz) of an antibiotic given intramuscularly (IM). How will the
nurse administer this medication? - correct answer Divide the dose. Administer 0.75 ml
(0.25 oz) IM in each vastus lateralis.
The clinical nurse educator who oversees the emergency department in a children's
hospital has launched an awareness program aimed at reducing drug errors. What
measure addresses the most common cause of incorrect doses in the care of infants
and children? - correct answer Having nurses check their math calculations with a
colleague before administering a drug
A 12-month-old child weighing 11 lb has an order for gentamycin sulfate 13 mg IM q 36
hour. The pharmacy has 20 mg/2 ml on hand. How may milliliters would the infant
receive, and what is the best site for the injection? - correct answer 1.3 ml; vastus
lateralis...For IM injections in infants, the mandatory site for administration is the vastus
lateralis muscle of the anterior thigh
The nurse enters the room to give a subcutaneous injection of insulin to a 6-year-old
female who is diabetic. What is the best method of medication administration? - correct
answer Ask her where she would like to have the nurse give the injection.
The nurse is working to gain a preschooler's cooperation to swallow an oral medication.
What would be the nurse's best approach? - correct answer ask if the child would like to
take the medicine in a cup or through an oral syringe
The nurse is planning to provide a preschool-age client with an oral medication. Which
approach should the nurse use to gain the child's cooperation? - correct answer Ask the
child if a cup or oral syringe is preferred to take the medicine.
The nurse is caring for a toddler diagnosed with iron deficiency anemia and prescribed
an iron supplement. What would the nurse include in the educational plan for the
parents? Select all that apply. - correct answer 1. Iron supplements may cause dark
stools, so monitor for this as an expected finding
2. Give the iron suppleiment with a liquid or food high in vitamin C (such as orange
juice/oranges)
The nurse is preparing to administer an oral dose of metoclopramide to a 5-year-old
child who weighs 40 lb (18.2 kg). The prescription reads metoclopramide 0.8 mg/kg/day
QUESTIONS AND ANSWERS
The nursing student identifies which technique as the correct one to use when giving
oral medications to an infant? - correct answer Use a dropper and slowly inject the liquid
into the side of the infant's mouth.
A nurse is administering ear drops to a 7-year-old girl. What should the nurse do? -
correct answer Pull the pinna of the ear up and back to straighten the external ear
canal.
A mother of a newborn brings her child to the well child clinic the week after birth. The
mother asks the nurse if the child will get any "shots" at the next appointment. The best
response from the nurse would be: - correct answer "Yes, your child will get 3 shots
next time. They will be the polio vaccine (called IPV), Haemophilus influenza B vaccine
(called Hib), and hepatitis B vaccine. They will be given in the thigh."
The nurse is administering medications to a 10-year-old child who takes medications at
home for a chronic condition. The child's parent is at the bedside. What are appropriate
guidelines for medication administration to this client? Select all that apply. - correct
answer 1. The nurse compares the child's ID band with the medication record.
2. The nurse carefully reads the label on the side of the medication bottle.
3. The nurse documents the medication administration after giving the medication.
A 4-year-old child is admitted to the hospital for surgery. Before the nurse administers
medicine, the best way to identify the child would be to: - correct answer Reread the
armband
The nurse is preparing to administer regular insulin to a child following lunch. Which
finding will cause the nurse to question administering the medication? - correct answer
The client received insulin aspart 2 hours ago.
Parents question the necessity of moving their preschooler from her room to another
place to insert her IV line. The nurse explains: - correct answer The importance of
avoiding unpleasant experiences in the child's room and bed in order for both to remain
safe places.
The nurse is teaching a parent how to administer medications to her young child. Which
instructions are appropriate? Select all that apply. - correct answer 1. Gently restrain the
child's head and arms.
2. Have the parent administer the medication.
3.Hold the child against the body with the head raised.
An infant is to have a scalp-vein intravenous infusion begun. What is an advantage of
this insertion site? - correct answer The scalp veins are easily visualized.
, The nurse is caring for an 8-year-old girl who requires medication that is only available
in an enteric tablet form. The nurse is teaching the mother how to help the girl swallow
the medication. Which statement indicates a need for further teaching? - correct answer
"I can pinch her nose to make it easier to swallow."
Samuel, a 1-month-old baby, is severely ill and has been prescribed an injection as part
of his drug therapy. What is the preferred injection site? - correct answer The vastus
lateralis muscle...the largest muscle mass in the groups
A toddler requires 1.5 ml (.05 oz) of an antibiotic given intramuscularly (IM). How will the
nurse administer this medication? - correct answer Divide the dose. Administer 0.75 ml
(0.25 oz) IM in each vastus lateralis.
The clinical nurse educator who oversees the emergency department in a children's
hospital has launched an awareness program aimed at reducing drug errors. What
measure addresses the most common cause of incorrect doses in the care of infants
and children? - correct answer Having nurses check their math calculations with a
colleague before administering a drug
A 12-month-old child weighing 11 lb has an order for gentamycin sulfate 13 mg IM q 36
hour. The pharmacy has 20 mg/2 ml on hand. How may milliliters would the infant
receive, and what is the best site for the injection? - correct answer 1.3 ml; vastus
lateralis...For IM injections in infants, the mandatory site for administration is the vastus
lateralis muscle of the anterior thigh
The nurse enters the room to give a subcutaneous injection of insulin to a 6-year-old
female who is diabetic. What is the best method of medication administration? - correct
answer Ask her where she would like to have the nurse give the injection.
The nurse is working to gain a preschooler's cooperation to swallow an oral medication.
What would be the nurse's best approach? - correct answer ask if the child would like to
take the medicine in a cup or through an oral syringe
The nurse is planning to provide a preschool-age client with an oral medication. Which
approach should the nurse use to gain the child's cooperation? - correct answer Ask the
child if a cup or oral syringe is preferred to take the medicine.
The nurse is caring for a toddler diagnosed with iron deficiency anemia and prescribed
an iron supplement. What would the nurse include in the educational plan for the
parents? Select all that apply. - correct answer 1. Iron supplements may cause dark
stools, so monitor for this as an expected finding
2. Give the iron suppleiment with a liquid or food high in vitamin C (such as orange
juice/oranges)
The nurse is preparing to administer an oral dose of metoclopramide to a 5-year-old
child who weighs 40 lb (18.2 kg). The prescription reads metoclopramide 0.8 mg/kg/day
