Question: The nurse is administering a liquid medication to a 3-year-old child using an oral syringe. Which action is most appropriate?
Answer Choices:
Direct the liquid toward the anterior side of the mouth.
Give all of the drug in the syringe at one time with one squirt.
Allow the child time to swallow the medication in between squirts.
Keep the child’s hand away from the oral syringe when squirting the medication.
Answer: C — Allow the child time to swallow the medication in between squirts.
Question: The nurse is preparing to administer hydrochlorothiazide to a 5-year-old child who weighs 35 lb (16 kg). The prescribed single dose is 1 to 2 mg/kg/day. Which is the appropriate dose range for this child?
Answer Choices:
8 to 16 mg
16 to 32 mg
35 to 70 mg
70 to 140 mg
Answer: B — 16 to 32 mg
Question: The nurse is performing an assessment of the reproductive system of a 17-year-old female child. Which assessment finding would prompt the nurse to follow up with further investigation?
Answer Choices:
The first menstrual period has not occurred.
The areola and papilla are separate from the contour of the breast.
The pubic hair is coarse and fills the triangle of the pubic region.
The breast tissue is visible and palpable.
Answer: A — The first menstrual period has not occurred.
Question: A child is NPO during the preoperative period and requires IV fluid maintenance. The child weighs 24 kg. What is the recommended hourly IV fluid rate?
Answer Choices:
65.83 ml per hr.
66 ml per hr.
65.83 oz per hr.
65.mg per hr.
Answer: 65.83 ml per hr.
Question: The nurse is teaching a class on preventing diaper rash in newborns to a group of new parents. Which statement made by a parent indicates a correct understanding of the teaching?
Answer Choices:
• “I will apply baby oil and powder to the creases in my infant’s buttocks.”
• “I should wash my infant’s buttocks with soap before applying a thin layer of oil.”
• “I should wash my infant’s buttocks with soap and water every time I change the diaper.”
• “I will wash with a mild soap and water and dry thoroughly whenever my infant has a bowel movement.”
Answer: “I will wash with a mild soap and water and dry thoroughly whenever my infant has a bowel movement.”
Question: The nurse is assessing a child who presents with patches of scaling on the scalp and central hair loss. What fungal rash does this condition signify?
Answer Choices:
Tinea cruris
Tinea capitis
Tinea corporis
Tinea versicolor
Answer: B — Tinea capitis
Question: The nurse is talking to the parents of a child with pediculosis capitis. Which should the nurse include when explaining how to manage pediculosis capitis?
Answer Choices:
“You can wash all nits out of hair with a regular shampoo.”
“You will need to cut the hair shorter if infestation and nits are severe.”
“You will need to remove nits with an extra-fine tooth comb or tweezers.”
“You can distinguish viable from nonviable nits, and remove all viable ones.”
Answer: C — “You will need to remove nits with an extra-fine tooth comb or tweezers.”
Question: The MD ordered Tylenol 650mg po to be given every 6 hrs. to a child who weighs 40kg. The safe recommended dose is between 10mg-15mg/kg every 6 hrs. Is the MD’s dose safe to give?
Answer Choices:
• Med is safe but not therapeutic
• Med is safe and therapeutic
• Med should be given
• Med is not safe nor therapeutic.
Answer: Med is not safe nor therapeutic.
Question: The nurse is teaching the parents of an 18-month-old child with a weight at the 95th percentile. Which intervention does the nurse recommend to promote proportionate growth?
Answer Choices:
• Reduce the amount of high-fat food the child eats.
• Ensure 30 minutes of unstructured activity per day.
• Avoid sharing your snacks and candy with the child.
• Remove high-calorie, low-nutrient foods from the diet.
Answer: Remove high-calorie, low-nutrient foods from the diet.
Question: The nurse is caring for a child with severe atopic dermatitis. Which of the following medications would the Pediatrician order for this condition?
Answer Choices:
• Retinoids
• Silver sulfadiazine 1%
• Systemic corticosteroids
• Topical immune modulators
Answer: Topical immune modulators
Question: The nurse is administering pain medication for a child with continuous pain from internal injuries. Which method should be prescribed to dispense the medication?
Answer Choices:
• Administer the medication PRN (as needed).
• Administer the medication when pain has peaked.
• Administer the medication when the child reports pain.
• Administer the medication around the clock at timed intervals.
Answer: Administer the medication around the clock at timed intervals.