Davis's Q&A
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Richardson
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Pediatric Success
THIRD EDITION
Beth Richardson, PhD, RN, CPNP, FAANP
Associate Professor Emeritus
Indiana University School of Nursing
Indianapolis, Indiana
Pediatric Nurse Practitioner
HealthNet
Indianapolis, Indiana
,4 PEDIATRIC SUCCESS
CONVERSIONS
1 fl ounce = 30 mL (fluid volume) 1 kg = 2.2 lb
1 g = 15 gr 1 L = 1000 mL
1 g = 1000 mg 1 lb = 454 g
1 gr = 60 mg (or 65 mg for Tylenol or 1 lb = 16 ounces
aspirin) 1 mg = 1000 mcg
1 in = 2.54 cm 1 ounce = 28 g (weight)
QUESTIONS
1. A child is to receive phenytoin (Dilantin) 100 mg IV for seizure prophylaxis. Which
intervention is appropriate when administering this drug?
1. Mix it in dextrose 5% in water and give over 1 hour.
2. Administer no faster than 2 mg/kg/min.
3. Do not use an inline filter.
4. Monitor temperature prior to and after administration.
2. The parent of a child who is being discharged from the clinic wants to know if there
is a difference between Advil and ibuprofen, saying, “I can buy ibuprofen over the
counter at a cheaper price than Advil.” What is the nurse’s best response?
1. “Advil and ibuprofen are two different drugs with similar effects.”
2. “There is no difference between the two medications, so you should use
whichever one is cheaper.”
3. “Similarities exist between the drugs, but you need to consult the health-care
provider about the specific order.”
4. “Ibuprofen is usually cheaper, so you should use it.”
3. What time would the nurse most likely see signs and symptoms of hypoglycemia
after administering NPH insulin at 0730?
1. 0930 to 1030.
2. 1130 to 1430.
3. 1130 to 1930.
4. 1530 to 1930.
4. Morphine sulfate (Duramorph) 2 mg IV q2h prn for pain is ordered for a 12-year-
old who has had abdominal surgery. Which is the most appropriate nursing action?
1. Administer the morphine sulfate (Duramorph) using a syringe pump over 1 hour.
2. Encourage the child to use incentive spirometer every hour during the day and
when awake at night.
3. Ask the health-care provider to change the medication to meperidine (Demerol).
4. Administer the morphine sulfate (Duramorph) with Benadryl (diphenhydramine)
to prevent itching.
5. The parent of a child who is being treated for Haemophilus influenzae meningitis tells
the nurse that the family is being treated prophylactically with rifampin (Rifadin).
Which should the nurse include in teaching about this medication?
1. “The drug will change the color of the urine to orange-red, and it will cause
staining.”
2. “Adverse effects of the drug may cause urinary retention.”
3. “The drug is given to treat meningitis.”
4. “You will need to continue taking the drug for 7 days.”
, CHAPTER 2 PHARMACOLOGY 5
6. A 2-year-old child has been prescribed amoxicillin (Amoxil) bid for treatment of
pharyngitis. Which statement indicates that the parent knows how to give the
medication?
1. “If I miss giving my child a dose at breakfast, I will double up on the dose at
night.”
2. “I will give the medication at breakfast and dinner.”
3. “I know that amoxicillin (Amoxil) is a pill, but sometimes my child will not take
it.”
4. “I will continue giving the amoxicillin (Amoxil) for 10 days even after my child is
better.”
7. A nurse is caring for a child who is receiving amphotericin B IV daily for a fungal
infection. Prior to starting the therapy, which should the nurse review?
1. Aspartate aminotransferase and alanine aminotransferase serum levels.
2. Serum amphotericin level.
3. Serum protein and sodium levels.
4. Blood urea, nitrogen, and creatinine levels.
8. Which toxicity is specific to gentamicin (Garamycin)?
1. Hepatatoxicity.
2. Ototoxicity.
3. Myocardial toxicity.
4. Neurotoxicity.
9. A nurse is administrating vancomycin intravenously and sets the pump to infuse the
medication over 90 minutes. Which adverse reaction is the nurse trying to prevent?
1. Vomiting.
2. Headache.
3. Flushing of the face, neck, and chest.
4. Hypertension.
10. The parents of an 8-year-old come to the clinic and ask the nurse if their child
should receive growth hormone to boost short stature. Which is the nurse’s best
response?
1. “Growth hormone only works if the child has short bones.”
2. “Can your child remember to take the pills every day?”
3. “Test results are required before growth hormone can be started in children.”
4. “How tall do you think your child should be?”
11. A child has been receiving prednisone for the past 3 weeks, and the parent wants to
stop the medication. What is the nurse’s best response?
1. “There is no problem in stopping the medication since the child’s symptoms are
gone.”
2. “It is dangerous for steroids to be stopped suddenly.”
3. “Your child may develop severe psychological symptoms when prednisone is
stopped suddenly.”
4. “Stopping the prednisone will require blood work.”
12. A child who has been diagnosed with hypothyroidism is started on levothyroxine
(Synthroid). Which should be included in the nurse’s teaching plan?
1. The child will have more energy the next day after starting the medication.
2. Optimal effectiveness of the medication may not occur for several weeks.
3. The medication should be taken once a day at any time.
4. The medication should be taken with milk.
SUCCESS SERIES
Richardson
• •
rIC
THIRD EDITION
NCLEX-Style Q&A Review
V 9OO NCLEX@-style questions
, + FREE SHIPPING
Use Promo Co:
REVIEW20
Order today online at
www.FADavis.com
P
Pediatric Success
THIRD EDITION
Beth Richardson, PhD, RN, CPNP, FAANP
Associate Professor Emeritus
Indiana University School of Nursing
Indianapolis, Indiana
Pediatric Nurse Practitioner
HealthNet
Indianapolis, Indiana
,4 PEDIATRIC SUCCESS
CONVERSIONS
1 fl ounce = 30 mL (fluid volume) 1 kg = 2.2 lb
1 g = 15 gr 1 L = 1000 mL
1 g = 1000 mg 1 lb = 454 g
1 gr = 60 mg (or 65 mg for Tylenol or 1 lb = 16 ounces
aspirin) 1 mg = 1000 mcg
1 in = 2.54 cm 1 ounce = 28 g (weight)
QUESTIONS
1. A child is to receive phenytoin (Dilantin) 100 mg IV for seizure prophylaxis. Which
intervention is appropriate when administering this drug?
1. Mix it in dextrose 5% in water and give over 1 hour.
2. Administer no faster than 2 mg/kg/min.
3. Do not use an inline filter.
4. Monitor temperature prior to and after administration.
2. The parent of a child who is being discharged from the clinic wants to know if there
is a difference between Advil and ibuprofen, saying, “I can buy ibuprofen over the
counter at a cheaper price than Advil.” What is the nurse’s best response?
1. “Advil and ibuprofen are two different drugs with similar effects.”
2. “There is no difference between the two medications, so you should use
whichever one is cheaper.”
3. “Similarities exist between the drugs, but you need to consult the health-care
provider about the specific order.”
4. “Ibuprofen is usually cheaper, so you should use it.”
3. What time would the nurse most likely see signs and symptoms of hypoglycemia
after administering NPH insulin at 0730?
1. 0930 to 1030.
2. 1130 to 1430.
3. 1130 to 1930.
4. 1530 to 1930.
4. Morphine sulfate (Duramorph) 2 mg IV q2h prn for pain is ordered for a 12-year-
old who has had abdominal surgery. Which is the most appropriate nursing action?
1. Administer the morphine sulfate (Duramorph) using a syringe pump over 1 hour.
2. Encourage the child to use incentive spirometer every hour during the day and
when awake at night.
3. Ask the health-care provider to change the medication to meperidine (Demerol).
4. Administer the morphine sulfate (Duramorph) with Benadryl (diphenhydramine)
to prevent itching.
5. The parent of a child who is being treated for Haemophilus influenzae meningitis tells
the nurse that the family is being treated prophylactically with rifampin (Rifadin).
Which should the nurse include in teaching about this medication?
1. “The drug will change the color of the urine to orange-red, and it will cause
staining.”
2. “Adverse effects of the drug may cause urinary retention.”
3. “The drug is given to treat meningitis.”
4. “You will need to continue taking the drug for 7 days.”
, CHAPTER 2 PHARMACOLOGY 5
6. A 2-year-old child has been prescribed amoxicillin (Amoxil) bid for treatment of
pharyngitis. Which statement indicates that the parent knows how to give the
medication?
1. “If I miss giving my child a dose at breakfast, I will double up on the dose at
night.”
2. “I will give the medication at breakfast and dinner.”
3. “I know that amoxicillin (Amoxil) is a pill, but sometimes my child will not take
it.”
4. “I will continue giving the amoxicillin (Amoxil) for 10 days even after my child is
better.”
7. A nurse is caring for a child who is receiving amphotericin B IV daily for a fungal
infection. Prior to starting the therapy, which should the nurse review?
1. Aspartate aminotransferase and alanine aminotransferase serum levels.
2. Serum amphotericin level.
3. Serum protein and sodium levels.
4. Blood urea, nitrogen, and creatinine levels.
8. Which toxicity is specific to gentamicin (Garamycin)?
1. Hepatatoxicity.
2. Ototoxicity.
3. Myocardial toxicity.
4. Neurotoxicity.
9. A nurse is administrating vancomycin intravenously and sets the pump to infuse the
medication over 90 minutes. Which adverse reaction is the nurse trying to prevent?
1. Vomiting.
2. Headache.
3. Flushing of the face, neck, and chest.
4. Hypertension.
10. The parents of an 8-year-old come to the clinic and ask the nurse if their child
should receive growth hormone to boost short stature. Which is the nurse’s best
response?
1. “Growth hormone only works if the child has short bones.”
2. “Can your child remember to take the pills every day?”
3. “Test results are required before growth hormone can be started in children.”
4. “How tall do you think your child should be?”
11. A child has been receiving prednisone for the past 3 weeks, and the parent wants to
stop the medication. What is the nurse’s best response?
1. “There is no problem in stopping the medication since the child’s symptoms are
gone.”
2. “It is dangerous for steroids to be stopped suddenly.”
3. “Your child may develop severe psychological symptoms when prednisone is
stopped suddenly.”
4. “Stopping the prednisone will require blood work.”
12. A child who has been diagnosed with hypothyroidism is started on levothyroxine
(Synthroid). Which should be included in the nurse’s teaching plan?
1. The child will have more energy the next day after starting the medication.
2. Optimal effectiveness of the medication may not occur for several weeks.
3. The medication should be taken once a day at any time.
4. The medication should be taken with milk.
