NCLEX Pharmacology Quiz 39 Pediatric Medications And Administrations
All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
- 1.
The nurse is giving instructions to a mother with a child receiving a liquid oral iron supplement. The nurse tells the mother to:
- A.
Take it with meals.
- B.
Mix it with food.
- C.
Mix it with milk.
- D.
Administer it using a straw.
Correct Answer
D. Administer it using a straw.Explanation
An oral liquid iron supplement should be given with a straw because the medicine will stain the teeth.Option A: Taking it with meals will decrease the absorption.Options B and C: Iron is not mixed with any food/drink.Rate this question:
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- 2.
A child with B-thalassemia is undergoing a blood transfusion. To prevent organ damage from the excessive amount of iron
- A.
Dextromethorphan.
- B.
Desirudin.
- C.
Deferasirox.
- D.
Desipramine.
Correct Answer
C. Deferasirox.Explanation
Chelation therapy with deferasirox (Exjade) or deferoxamine (Desferal) is prescribed to prevent organ damage from the presence of too much iron in the body as a result of the transfusion.Option A is a cough suppressant.Option B is a thrombin inhibitor.Option D is an antidepressant.Rate this question:
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- 3.
A child with Kawasaki disease is admitted to the pediatric ward. Which of the following medications will you expect to be a part of the treatment? Select all that apply:
- A.
Gamma Globulin.
- B.
Warfarin.
- C.
Acetaminophen.
- D.
Aspirin.
- E.
Atenolol.
Correct Answer(s)
A. Gamma Globulin.
B. Warfarin.
D. Aspirin.Explanation
The principal goal of treatment for Kawasaki disease is to prevent coronary artery disease and to relieve symptoms such as fever and joint pain so an antipyretic, antiplatelet, and gamma globulin is used.
Option C is antipyretic but is not responsive to this disease.
Option D is a beta blocker.Rate this question:
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- 4.
A child with known hemophilia A was brought to the emergency room with complaints of nose bleeding and some bruises in the joints. Which of the following should the nurse anticipate to be given to the child?
- A.
Oral iron supplement.
- B.
Cyclosporine.
- C.
Factor X.
- D.
Factor VIII
Correct Answer
D. Factor VIIIExplanation
Hemophilia A, also called factor VIII (FVIII) deficiency or classic hemophilia, is a genetic disorder caused by missing or defective factor VIII, a clotting protein. The initial treatment is the administration of factor VIII to replace the missing factor and decreases the bleeding episode.Rate this question:
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- 5.
The nurse is reviewing the child’s record who is scheduled to receive inactivated polio vaccine (IPV). Which of the following would prompt the nurse to withhold the administration?
- A.
History of upper respiratory infections.
- B.
History of an anaphylactic reaction to streptomycin.
- C.
History of recent diarrheal episodes.
- D.
History of redness at the previous injection site.
Correct Answer
B. History of an anaphylactic reaction to streptomycin.Explanation
Inactivated polio vaccine (IPV) contains a trace amount of streptomycin, neomycin, and polymyxin.
Options A, C, and D are not contraindicated with this vaccine.Rate this question:
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- 6.
A 4 month-year-old infant has just received diphtheria
- A.
Application of cold compress.
- B.
Application of hot compress.
- C.
Monitor for signs of fever.
- D.
Report to the clinic for a repeat injection on the other site.
Correct Answer
A. Application of cold compress.Explanation
Redness, tenderness or swelling may happen at the site of injection. This will be relieved through cool application for the first 24 hours, followed by warm compress if inflammation persists.
Options B, C, and D are inappropriate intervention.Rate this question:
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- 7.
A 6-year-old child is scheduled to have measles
- A.
Intramuscularly in the vastus lateralis muscle.
- B.
Intramuscularly in the deltoid muscle.
- C.
Subcutaneously in the gluteal area.
- D.
Subcutaneously in the outer aspect of the upper arm.
Correct Answer
D. Subcutaneously in the outer aspect of the upper arm.Explanation
(MMR) the vaccine is administered subcutaneously in the outer aspect of the upper arm.Options A and B: MMR is not administered intramuscularly.Option C: Gluteal area is not used as a site.Rate this question:
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- 8.
Which of the following is not true regarding varicella vaccine?
- A.
It is administered subcutaneously.
- B.
Children 13 years and older (With no history of chickenpox or have not previously vaccinated) need two doses given at least 28 days apart.
- C.
Give aspirin for any injection-related pain.
- D.
The most common mild side effects are pain
Correct Answer
C. Give aspirin for any injection-related pain.Explanation
Children receiving varicella vaccine should avoid aspirin or aspirin containing products because of the risk of Reye’s syndrome.Rate this question:
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- 9.
A nurse is handling a child who is on a Furosemide (Lasix) IV infusion. The nurse instruct the mother to encourage the child to eat which of the following?
- A.
Apricot and baked potato skin.
- B.
Bread and butter.
- C.
Gelatin and Cauliflower.
- D.
Ginger ale and cereal.
Correct Answer
A. Apricot and baked potato skin.Explanation
One of the side effects of taking furosemide is hypokalemia, so a supplemental food rich in potassium is encouraged.
Options B, C, and D are low in potassium.Rate this question:
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- 10.
An unconscious child is brought to the emergency room due to Tylenol poisoning. Which of the following is the most appropriate nursing action?
- A.
Administer mucomyst P.O.
- B.
Gastric lavage with activated charcoal.
- C.
Gastric Lavage with activated charcoal and mucomyst.
- D.
Administer ethylenediaminetetraacetic acid (EDTA).
Correct Answer
B. Gastric lavage with activated charcoal.Explanation
In an unconscious child with Tylenol poisoning, the priority intervention is to administer gastric lavage with activated charcoal to decrease the absorption of Tylenol.
Option A is not correct due to the risk of aspiration.
Option C: Activated charcoal inactivates mucomyst.
Option D is the drug of choice for lead poisoning.Rate this question:
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Aug 22, 2023Quiz Edited by
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Aug 14, 2017Quiz Created by
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