Question 1

Most biotransformation of medications occurs in the:

Accepted Answer

The liver is the primary site for the biotransformation (metabolism) of medications, where they are chemically altered to be eliminated from the body.

Question 2

Which of the following conditions in the newborn causes a longer half-life and increased risk of toxicity to medications excreted primarily by the renal system?

Accepted Answer

Immature kidneys in newborns result in decreased renal function, leading to a longer half-life and increased risk of toxicity for medications excreted primarily by the renal system. This is because the kidneys are not yet fully developed and efficient at filtering and excreting substances from the body.

Question 3

The nurse is preparing to administer oral medication to an infant. Based on knowledge of the developmental stage of infants, the nurse would:

Accepted Answer

Having a parent give the medication can help in reducing the infant's anxiety and resistance, as infants often feel more comfortable and secure with their parents. This approach leverages the trust and familiarity the infant has with their parent, making the process smoother and more effective.

Question 4

Based upon the toddler's developmental stage, the nurse giving medications to a toddler would most likely say:

Accepted Answer

Offering a choice between who gives the medication empowers the toddler by giving them some control over the situation, which is appropriate for their developmental stage. It respects their growing independence and decision-making abilities.

Question 5

The nurse is preparing to give a bitter liquid medication to a child. Which of the following statements by the nurse would be best?

Accepted Answer

B is the best choice because it prepares the child for a new experience without creating a negative expectation. It is neutral and does not predispose the child to dislike the medicine before trying it.

Question 6

The nurse is preparing to give a medication to an adolescent client. The nurse prepares to check the wristband, but it is missing. The nurse needs to:

Accepted Answer

The nurse should compare the adolescent to a picture ID to ensure accurate identification, as relying on self-identification or others could lead to errors.

Question 7

At what age can a child be trusted to self-identify for medication administration?

Accepted Answer

The answer of At what age can a child be...

Question 8

The nurse is trying to give oral medication to an uncooperative child. The nurse's best course of action is to:

Accepted Answer

Allowing the child to pretend to give medicine to a stuffed animal first can help make the process of taking medication less intimidating and more understandable for the child. It uses play therapy techniques to engage the child in a positive way, making them more cooperative.

Question 9

Nurses today would use which of the following methods to calculate a medication dosage for a child?

Accepted Answer

The most modern and widely accepted method for calculating medication dosages for children is based on the unit of drug per kilogram of body weight or body surface area. This method is preferred because it takes into account the specific physiological characteristics of the child, providing a more accurate dosage calculation.

Question 10

The nurse is teaching caregivers about the administration of phenobarbital in suspension form. The most important thing the nurse will say to the caregivers to ensure an accurate dose is:

Accepted Answer

Shaking the suspension ensures that the medication is evenly distributed throughout the liquid, providing an accurate dose.

Question 11

The nurse is preparing to give a medicine that comes in tablet form to a 10-month-old child. The nurse checks with the pharmacy and it can be crushed. After the tablet is crushed, which of the following liquids or soft foods would be best to mix the tablet with?

Accepted Answer

The answer of The nurse is preparing to give a...

Question 12

The nurse administering liquid medication to children would teach the caregivers to give the medicine at home using which of the following utensils?

Accepted Answer

A calibrated medication spoon, dropper, or syringe is the most accurate and recommended method for administering liquid medication to children, ensuring the correct dosage is given. Ordinary kitchen utensils can vary greatly in size and are not precise for measuring medication doses.

Question 13

The pediatric nurse is working with a hospitalized child and his family. The child is preparing to go home and back to school. The child is to take medication three times a day for 1 week. The nurse will advise the family to:

Accepted Answer

The nurse should advise the family to check with the school about their policies on medication administration and discuss the medication with the school nurse to ensure the child receives the medication as prescribed while attending school.

Question 14

You are the nurse working with the caregivers of a child who is being discharged from the pediatric unit of the hospital. You have been teaching the caregivers about safe storage, use, and disposal of medicines. Which of the following statements by one of the caregivers would indicate he or she had understood your teachings?

Accepted Answer

B is correct because it emphasizes the importance of completing an antibiotic course as prescribed, without saving medication for future use, which is a key principle in preventing antibiotic resistance and ensuring the full treatment of the infection. Choices A, C, and D suggest unsafe practices such as referring to medicine as candy, sharing prescriptions with others, and using an adult's medication for a child, which could lead to misuse and potential harm.

Question 15

The nurse is preparing to give an intravenous medication to a child. Which of the following actions by the nurse would most help avoid unnecessary anxiety?

Accepted Answer

Having the medication prepared and ready before entering the child's room minimizes the time the child has to anticipate the procedure, thereby reducing anxiety.

Question 16

You are the nurse preparing to give an injection to an infant. Which of the following sites is preferred for giving an intramuscular injection?

Accepted Answer

The vastus lateralis muscle is the preferred site for intramuscular injections in infants due to its large muscle mass and distance from major nerves and blood vessels.

Question 17

You are the nurse assigned to care for several children of varying ages from newborn to toddler. All of these children are to get intramuscular injections. What is the most important criterion you will assess prior to using the dorsogluteal site for the intramuscular injection?

Accepted Answer

The most important criterion to assess before using the dorsogluteal site for an intramuscular injection in children is whether the child has been walking for at least 1 full year. This ensures the muscle is well developed and can safely absorb the medication.

Question 18

The nurse is selecting an injection site for a child. The nurse knows that muscle sites in children are determined primarily by muscle development and which of the following other criteria?

Accepted Answer

The amount of fluid to be given is a key factor in selecting an injection site, as different sites can accommodate different volumes safely.

Question 19

The nurse is preparing to give an injection to a preschooler. The nurse has selected the deltoid muscle. What is the maximum amount of solution that the nurse can give in the deltoid of a preschooler?

Accepted Answer

The maximum amount of solution that can be safely administered into the deltoid muscle of a preschooler is 0.5 cc. This is because the muscle mass in preschoolers is smaller than in adults, limiting the volume that can be injected without causing discomfort or damage.

Question 20

What is the maximum amount of solution a nurse can give an adolescent in the deltoid muscle?

Accepted Answer

The maximum amount of solution a nurse can administer into the deltoid muscle of an adolescent is 1 cc. This is because the deltoid muscle is relatively small and can only safely absorb a limited volume of medication.

Quiz 19: Medication Administration