1.
The nurse is giving instructions to a mother with a child receiving a liquid oral iron supplement. The nurse tells the mother to:
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.
2.
A child with B-thalassemia is undergoing a blood transfusion. To prevent organ damage from the excessive amount of iron
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.
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:
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.
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?
Correct Answer
D. Factor VIII
Explanation
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.
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?
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.
6.
A 4 month-year-old infant has just received diphtheria
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.
7.
A 6-year-old child is scheduled to have measles
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.
8.
Which of the following is not true regarding varicella vaccine?
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.
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?
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.
10.
An unconscious child is brought to the emergency room due to Tylenol poisoning. Which of the following is the most appropriate nursing action?
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.