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Pediatric Nursing Skills and Pediatric Assessment > Pediatrics

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Total Questions : 8

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Question 1:

A nurse is preparing to administer medication to a pediatric patient. Which action should the nurse prioritize before administering medication?

A. Verify the medication with another nurse. B. Ask the child for their preferred method of administration. C. Check the medication order against the patient's identification. D. Administer the medication as prescribed by the provider.

Answer and Explanation

Choice A:

Incorrect. While verifying medication with another nurse (a safety practice known as "the double-check") is important, it is not the highest priority action in this context.

Choice B:

Incorrect. Asking the child for their preferred method of administration may not always be feasible or appropriate, especially if the child is too young or uncooperative.

Choice C:

Correct. Before administering medication, it is crucial to verify the medication order against the patient's identification to ensure the right patient receives the right medication.

Choice D:

Incorrect. Administering the medication as prescribed by the provider is an important step, but first, it is essential to ensure the medication is intended for the correct patient.

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Question 2:

A client is prescribed liquid medication for their 3-year-old child. The child is refusing to take it. What should the nurse advise the client to do?

A. Mix the medication with their favorite juice. B. Disguise the medication in their food. C. Hold the child's nose until they swallow the medication. D. Administer the medication intravenously.

Answer and Explanation

Choice A:

Correct. Mixing the medication with a preferred juice can help mask the taste and make it more palatable for the child.

Choice B:

Incorrect. While disguising the medication in food may be effective, it may not be suitable for all types of medications, and the nurse should consider the specific medication's administration requirements.

Choice C:

Incorrect. Holding the child's nose is not a recommended method for medication administration and may cause distress.

Choice D:

Incorrect. Administering medication intravenously is an invasive method and would only be appropriate if indicated for the specific medication and condition, not for general administration difficulties.

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Question 3:

A nurse is administering a medication to a pediatric patient through a nasogastric tube. What action should the nurse take to ensure proper administration?

A. Administer the medication with a rapid bolus. B. Dilute the medication with water before administration. C. Flush the tube with water before and after medication administration. D. Administer the medication without verifying the dosage.

Answer and Explanation

Choice A:

Incorrect. Administering the medication with a rapid bolus may lead to inadequate delivery or potential aspiration.

Choice B:

Incorrect. Diluting the medication with water before administration should be done only if recommended by the provider or specified in the medication instructions.

Choice C:

Correct. When administering medication through a nasogastric tube, it is important to flush the tube with water before and after medication administration to ensure that the medication is properly delivered and does not remain in the tube.

Choice D:

Incorrect. Administering the medication without verifying the dosage is not a safe practice and could lead to medication errors.

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Question 4:

A client asks the nurse why their child's medication tastes bitter. How should the nurse respond?

A. "The medication is formulated to have a bitter taste to discourage accidental ingestion." B. "It's important to have a bitter taste to ensure the medication is effective." C. "The bitterness helps mask the taste of other medications the child may be taking." D. "The taste is not significant and does not affect the medication's effectiveness."

Answer and Explanation

Choice A:

Correct. Many medications are formulated with a bitter taste to discourage accidental ingestion, especially in children who may be curious and prone to exploring their environment with their mouths.

Choice B:

Incorrect. While effectiveness is important, the bitter taste is primarily a safety feature.

Choice C:

Incorrect. While some medications may be combined to mask taste, the primary reason for bitterness is safety.

Choice D:

Incorrect. The taste can be significant, especially for children who may find bitter flavors unpleasant.

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Question 5:

A nurse is administering medication to a 6-month-old infant. Which technique should the nurse use for oral medication administration?

A. Administer the medication with a dropper towards the back of the mouth. B. Mix the medication with a bottle of formula. C. Apply the medication to a pacifier and let the infant suck it. D. Offer the medication on a spoon and encourage the infant to swallow.

Answer and Explanation

Choice A:

Correct. Administering the medication with a dropper towards the back of the mouth helps ensure that the medication is swallowed rather than pushed out by the infant's tongue.

Choice B:

Incorrect. Mixing the medication with a bottle of formula may not guarantee that the full dose is ingested, as the infant may not finish the entire bottle.

Choice C:

Incorrect. Applying the medication to a pacifier may not provide precise dosing and may not be as effective as direct administration.

Choice D:

Incorrect. Using a spoon may be challenging for an infant and may not provide accurate dosing.

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Question 6:

A client is concerned about their child's medication dosage. What should the nurse advise the client to do?

A. Administer a double dose to ensure effectiveness. B. Verify the dosage with the provider before administration. C. Skip the dose if the child seems fine. D. Crush the medication for easier administration.

Answer and Explanation

Choice A:

Incorrect. Administering a double dose without provider approval can lead to overdose and potential harm to the child.

Choice B:

Correct. If a client is concerned about the medication dosage, it is crucial to advise them to verify the dosage with the prescribing provider to ensure accuracy and safety.

Choice C:

Incorrect. Skipping a dose without consulting the provider may lead to suboptimal treatment and may not be appropriate.

Choice D:

Incorrect. Crushing medication should only be done if it is safe and appropriate for the specific medication. It should not be a standard practice without provider guidance.

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Question 7:

A nurse is administering medication to a pediatric patient. The medication is available in a chewable tablet form. What should the nurse do if the child is unable to chew the tablet?

A. Administer the medication with a sip of water. B. Crush the tablet and mix it with applesauce. C. Discontinue the medication and notify the provider. D. Offer the child a different form of medication.

Answer and Explanation

Choice A:

Incorrect. Administering the medication with water alone may not effectively address the issue of the child's inability to chew the tablet.

Choice B:

Correct. If a child is unable to chew a tablet, crushing it and mixing it with a suitable substance (like applesauce) can help facilitate administration.

Choice C:

Incorrect. Discontinuing the medication without consulting the provider may not be appropriate and could lead to gaps in treatment.

Choice D:

Incorrect. While offering a different form of medication may be an option, it should be done under the guidance of the provider and may not always be necessary.

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Question 8:

A client is administering ear drops to their 2-year-old child. How should the nurse instruct the client to administer the drops?

A. Pull the earlobe down and back before administering the drops. B. Insert the dropper deep into the ear canal to ensure effectiveness. C. Have the child lie on their side with the affected ear facing up. D. Administer the drops while the child is sitting upright.

Answer and Explanation

Choice A:

Incorrect. Pulling the earlobe down and back is a technique used for administering ear drops in adults, not children.

Choice B:

Incorrect. Inserting the dropper deep into the ear canal is not recommended, as it can cause injury to the ear.

Choice C:

Correct. Having the child lie on their side with the affected ear facing up helps facilitate the proper administration of ear drops, ensuring that the drops reach the ear canal effectively.

Choice D:

Incorrect. Administering ear drops while the child is sitting upright may not allow the drops to reach the ear canal effectively.

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