NCLEX Pediatric Drugs Questions And Correct

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NCLEX Pediatric Drugs Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

• Which anesthetic drug is commonly used for short procedures on pediatric clients?
• Fentanyl B. Morphine C. Meperidine D. Hydromorphone Correct Answer: A. Fentanyl
• A 6-year-old child is experiencing tonic-clonic seizures, and carbamazepine 15

mg/kg/day divided equally into two doses is prescribed. The child weighs 44 lb (20 kg).The medication available is carbamazepine suspension 100 mg/5 mL. How many

milliliters should the nurse administer in one dose?Correct Answer: 7.5 mL

• Methylphenidate has been prescribed for a 7-year-old child with attention deficit-

hyperactivity disorder (ADHD) and is to be taken with meals. What rationale does the nurse provide for the parents about the timing of medication administration? A. Ritalin depresses the appetite. B. This will ensure proper absorption. C. It is an oral mucous membrane irritant. D. Children tend to forget to take it before meals.Correct Answer: A.Ritalin depresses the appetite.

• According to the Healthcare Personnel Vaccination Recommendations, what

meningococcal conjugate vaccine dose should a nurse administer to a 12-year-old with an HIV infection? A. Single initial dose and a booster dose 3 years later B. Single initial dose and a booster dose 5 years later C. Single initial dose and a booster dose 7

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years later D. Two initial doses and a booster dose at 16 years old Correct Answer: D. Two initial doses and a booster dose at 16 years old

• The parent of a child with hemophilia asks the nurse, "If my son hurts himself, is it

all right if I give him two baby aspirins?" What is the best response by the nurse? A."You seem concerned about giving drugs to your child." B. "It's all right to give him baby aspirin when he hurts himself." C. "Aspirin may cause more bleeding. Give him acetaminophen instead." D. "He should be given acetaminophen every day. It'll prevent bleeding." Correct Answer: C. "Aspirin may cause more bleeding. Give him acetaminophen instead."

• A 5-month-old infant is admitted with a diagnosis of respiratory syncytial virus (RSV)

infection. The infant's condition suddenly deteriorates, and a dose of epinephrine is prescribed to relieve bronchospasm. For what side effect of the medication should the nurse assess the infant? A. Tachycardia B. Hypotension C. Respiratory arrest D. Central

nervous system depression Correct Answer: A. Tachycardia

• A school nurse teaches a 13-year-old child with hay fever that the prescribed

phenylephrine nasal spray must be used exactly as directed. What complication may occur if the nasal spray is used more frequently or longer than recommended? A.Tinnitus B. Nasal polyps C. Bleeding tendencies D. Increased nasal congestion Correct

Answer: D. Increased nasal congestion

• A nurse is caring for a 3-month-old infant with severe diarrhea following antibiotic

therapy. After the effects of dehydration are stabilized, the healthcare provider

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prescribes Lactobacillus granules. What explanation does the nurse give to the infant's parents about the reason for giving lactobacilli? A. They diminish the inflammatory mucosal edema. B. The discomfort caused by gastric hyperacidity is lessened. C. They relieve the pain caused by gas in the gastrointestinal tract. D. The flora that inhabit a healthy gastrointestinal tract must be recolonized.Correct Answer: D. The flora that inhabit a healthy gastrointestinal tract must be recolonized.

• Which adverse effect on pediatric clients is associated with nalidixic acid? A.

Kernicterus B. Gray syndrome C. Tendon rupture D. Cartilage erosion Correct Answer: D.Cartilage erosion

• An adolescent who has been prescribed prednisone and vincristine for leukemia

tells the nurse that he is very constipated. What should the nurse cite as the probable cause of the constipation? A. It is a side effect of the vincristine. B. The spleen is compressing the bowel. C. It is a toxic effect from the prednisone. D. The leukemic mass is obstructing the bowel.Correct Answer: A. It is a side effect of the vincristine.

• A 2-year-old boy with hemophilia A is to start receiving prophylactic intravenous

infusions of the recombinant form of factor VIII three times a week. The nurse will instruct the parents to administer the factor at what time on the designated days? A. At bedtime B. After lunch C. Before dinner D. Upon awakening Correct Answer: D. Upon awakening

• A 6-year-old child who has undergone abdominal surgery complains of incisional

pain. The nurse administers the prescribed acetaminophen. The mother asks the

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nurse why her child isn't being given ibuprofen. How will the nurse respond? A. "It could prolong bleeding time." B. "It's contraindicated for young children." C. "It can suppress the healing of the incision." D. "It becomes ineffective when given for long

periods." Correct Answer: A. "It could prolong bleeding time."

• A nurse is teaching parents of toddlers about why children receiving specific

medications should not receive varicella vaccines. Which medication will be included in the discussion? A. Insulin B. Steroids C. Antibiotics D. Anticonvulsants Correct

Answer: B. Steroids

• After surgery for a ruptured appendix, a 12-year-old child is receiving morphine for

pain control by way of a patient-controlled analgesia (PCA) infusion. A bolus of morphine can be delivered every 6 minutes. A parent will be staying with the child during the immediate postoperative period. What statement indicates to the nurse that the instructions about the PCA pump have been understood? A. "I'll make sure that she pushes the PCA button every 6 minutes." B. "She needs to push the PCA button whenever she needs pain medication." C. "I'll have to wake her up on a regular basis so she can push the PCA button." D. "I'll press the PCA button every 6 minutes so she gets enough pain medication while she's sleeping." Correct Answer: B. "She needs to push the PCA button whenever she needs pain medication."

• An 18-month-old toddler is to receive an intravenous infusion of 1000 mL 5%

dextrose and 0.45% sodium chloride over 24 hours. At what rate will the nurse set the

volume-control device?Correct Answer: 42 mL/hr