NUR 425 Peds Exam 1 Practice UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Why are infants more sensitive to medications?
a. Gastric emptying is faster
b. Protein binding of medications is limited
c. Liver enzymes are more efficient
d. Decreased peristalsis - CORRECT ANSWER - b. Protein binding of medications is
limited
Rationale:
Gastric emptying is irregular with frequent feedings; liver enzymes are less efficient and there is
increased peristalsis.
Oral liquid medications given to a toddler should be given by which method?
a. Medication cup
b. Oral syringe
c. Mixed in a cup of pudding
d. Mixed with the child's favorite drink - CORRECT ANSWER - b. Oral syringe
Rationale:
You can make sure they get the entire dose, and it doesn't spill. The medication cup may be too
big if the dose is small, and it may spill.
Mixed in a cup, what happens if they don't take it all, same with the favorite drink-med may
flavor the favorite drink and then the drink isn't so favorite anymore.
,What is the EBP best way to prevent medication errors in pediatrics, regardless of where you
are?
a. Know the medication before giving it
b. Double-check the orders
c. Minimize distractions during medication preparation and administration
d. Improve communication among clinicians during transitioning and handoffs. - CORRECT
ANSWER - c. Minimize distractions during medication preparation and administration
Rationale:
Hint, when it says best, all answers are likely correct, but you have to choose the best!
Research shows that interruptions during preparing or delivering medication causes the most
errors.
Which of the following should be in every pediatric patient's room just in case of an emergency?
a. Pulse oximeter
b. Ambu bag and correct size mask
c. Phone number for rapid response team
d. Call light within reach - CORRECT ANSWER - b. Ambu bag and correct size mask
What is a contributing factor for falls in children?
a. Inappropriate bed for the age of the child
b. Children between the ages 3 and 12 years
c. Diagnosis of respiratory problem
d. Lack of parents at the bedside - CORRECT ANSWER - a. Inappropriate bed for the age
of the child
,Rationale:
Children need to be in the correct bed/crib. Because the child is between 3 and 12 years doesn't
increase their risk. Developmental age needs are assessed.
Respiratory issues don't increase the risk any more than other diagnoses.
And we cannot expect parents to be at the bedside all the time. They may need to work, take care
of other children, and even if they are there, they need to go to the bathroom or cafeteria or
sleep!
A 4 y/o child is resistant to taking medication, which strategy should the nurse use to elicit
cooperation?
a. Offer the child a choice of taking medication with juice or water
b. Tell the child it is candy
c. Hide the medicine in a large dish of ice cream
d. Tell the child that they will have a shot instead - CORRECT ANSWER - a. Offer the
child a choice of taking medication with juice or water
Which nursing action is most appropriate when inserting a rectal suppository in an infant?
a. No need to lubricate suppository when administered into the rectum
b. Using one finger insert suppository at least 4 inches
c. Hold buttocks together for 5 minutes to promote absorption and not expel med out
d. Tell the child to lay still and squeeze buttocks at least 5 mins then they can play - CORRECT
ANSWER - c. Hold buttocks together for 5 minutes to promote absorption and not expel
med out
A 12 month old hospitalized with isolation contact precautions, what toy is recommended to
meet this G & D needs?
a. Large building blocks
b. Hanging crib toys
, c. Modeling clay
d. Crayons and coloring book - CORRECT ANSWER - a. Large building blocks
2 y/o child throws a tantrum as parent leave the room, which toy should the nurse provide to
alleviate the child's stress?
a. Set of building blocks
b. Toy hammer and pounding board
c. Picture book about hospitals
d. Stuffed animal - CORRECT ANSWER - b. Toy hammer and pounding board
A nurse is collecting ht and wt data during a well-child visit, the nurse knows birth weight
typically doubles at what age?
a. 1-3 mo
b. 4-6 mo
c. 6-9 mo
d. 9-12 mo - CORRECT ANSWER - b. 4-6 mo
A nurse is caring for a toddler, which of the statements should the nurse use when preparing to
obtain vital signs?
a. "Can I listen to your lungs?"
b. "I am going to listen to your heart."
c. "I am going to take your blood pressure now."
d. "Can you hold still while I feel how warm you are?" - CORRECT ANSWER - b. "I am
going to listen to your heart."
As mom leaves room, a 3 y/o sits quietly, sucks thumb, and turns away from nurse, what does
this behavior indicate?
ACTUAL Exam Questions and CORRECT
Answers
Why are infants more sensitive to medications?
a. Gastric emptying is faster
b. Protein binding of medications is limited
c. Liver enzymes are more efficient
d. Decreased peristalsis - CORRECT ANSWER - b. Protein binding of medications is
limited
Rationale:
Gastric emptying is irregular with frequent feedings; liver enzymes are less efficient and there is
increased peristalsis.
Oral liquid medications given to a toddler should be given by which method?
a. Medication cup
b. Oral syringe
c. Mixed in a cup of pudding
d. Mixed with the child's favorite drink - CORRECT ANSWER - b. Oral syringe
Rationale:
You can make sure they get the entire dose, and it doesn't spill. The medication cup may be too
big if the dose is small, and it may spill.
Mixed in a cup, what happens if they don't take it all, same with the favorite drink-med may
flavor the favorite drink and then the drink isn't so favorite anymore.
,What is the EBP best way to prevent medication errors in pediatrics, regardless of where you
are?
a. Know the medication before giving it
b. Double-check the orders
c. Minimize distractions during medication preparation and administration
d. Improve communication among clinicians during transitioning and handoffs. - CORRECT
ANSWER - c. Minimize distractions during medication preparation and administration
Rationale:
Hint, when it says best, all answers are likely correct, but you have to choose the best!
Research shows that interruptions during preparing or delivering medication causes the most
errors.
Which of the following should be in every pediatric patient's room just in case of an emergency?
a. Pulse oximeter
b. Ambu bag and correct size mask
c. Phone number for rapid response team
d. Call light within reach - CORRECT ANSWER - b. Ambu bag and correct size mask
What is a contributing factor for falls in children?
a. Inappropriate bed for the age of the child
b. Children between the ages 3 and 12 years
c. Diagnosis of respiratory problem
d. Lack of parents at the bedside - CORRECT ANSWER - a. Inappropriate bed for the age
of the child
,Rationale:
Children need to be in the correct bed/crib. Because the child is between 3 and 12 years doesn't
increase their risk. Developmental age needs are assessed.
Respiratory issues don't increase the risk any more than other diagnoses.
And we cannot expect parents to be at the bedside all the time. They may need to work, take care
of other children, and even if they are there, they need to go to the bathroom or cafeteria or
sleep!
A 4 y/o child is resistant to taking medication, which strategy should the nurse use to elicit
cooperation?
a. Offer the child a choice of taking medication with juice or water
b. Tell the child it is candy
c. Hide the medicine in a large dish of ice cream
d. Tell the child that they will have a shot instead - CORRECT ANSWER - a. Offer the
child a choice of taking medication with juice or water
Which nursing action is most appropriate when inserting a rectal suppository in an infant?
a. No need to lubricate suppository when administered into the rectum
b. Using one finger insert suppository at least 4 inches
c. Hold buttocks together for 5 minutes to promote absorption and not expel med out
d. Tell the child to lay still and squeeze buttocks at least 5 mins then they can play - CORRECT
ANSWER - c. Hold buttocks together for 5 minutes to promote absorption and not expel
med out
A 12 month old hospitalized with isolation contact precautions, what toy is recommended to
meet this G & D needs?
a. Large building blocks
b. Hanging crib toys
, c. Modeling clay
d. Crayons and coloring book - CORRECT ANSWER - a. Large building blocks
2 y/o child throws a tantrum as parent leave the room, which toy should the nurse provide to
alleviate the child's stress?
a. Set of building blocks
b. Toy hammer and pounding board
c. Picture book about hospitals
d. Stuffed animal - CORRECT ANSWER - b. Toy hammer and pounding board
A nurse is collecting ht and wt data during a well-child visit, the nurse knows birth weight
typically doubles at what age?
a. 1-3 mo
b. 4-6 mo
c. 6-9 mo
d. 9-12 mo - CORRECT ANSWER - b. 4-6 mo
A nurse is caring for a toddler, which of the statements should the nurse use when preparing to
obtain vital signs?
a. "Can I listen to your lungs?"
b. "I am going to listen to your heart."
c. "I am going to take your blood pressure now."
d. "Can you hold still while I feel how warm you are?" - CORRECT ANSWER - b. "I am
going to listen to your heart."
As mom leaves room, a 3 y/o sits quietly, sucks thumb, and turns away from nurse, what does
this behavior indicate?
