NCLEX Pediatric Drugs

NCLEX Pediatric Drugs

A 4-year-old child develops thrombocytopenia after vaccination. Which vaccination may be responsible?

• Rotavirus vaccine
• Varicella virus vaccine
• Human papillomavirus vaccine
• Measles, mumps, and rubella virus vaccine (MMR)

When is the first dose of Rotarix vaccine administered in infants?

• Birth to 6 weeks
• 6-12 weeks
• 12-18 weeks
• 18-24 weeks

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?

• "You seem concerned about giving drugs to your child."
• "It's all right to give him baby aspirin when he hurts himself."
• "Aspirin may cause more bleeding. Give him acetaminophen instead."
• "He should be given acetaminophen every day. It'll prevent bleeding."

Loratadine, 10 mg by mouth once a day in the morning, is prescribed for a 15-year-old girl with hay fever. The girl tells the school nurse that she is concerned that she will be sleepy for a quiz the next day. How should the nurse respond?

• By explaining that this medication rarely causes drowsiness
• By advising her to take half a tablet in the morning before school
• By suggesting that she skip the next day's dose if she can tolerate the hay fever
• By recommending that she call the allergist for a prescription containing a stimulant

What is the percentage of total body water in a premature newborn?

A. 55%

B. 65%

C. 75%

D. 85%

A school-aged child is receiving 45 units of intermediate-acting insulin at 7:00 AM and

7:00 PM. What will the nurse tell the parents regarding a bedtime snack?

• Offer a snack at bedtime if there are signs of hyperglycemia.
• Provide a bedtime snack to prevent hypoglycemia during the night.
• Withhold the snack after dinner to prevent hyperglycemia during sleep.
• Leave a snack at the bedside in case the child becomes hungry during the night.

Which vaccine is administered orally in children?

• MMR vaccine
• Rotavirus vaccine
• Live influenza vaccine
• Meningococcal conjugate vaccine (MCV4)

Which vaccine may cause intussusception in children?

• Rotavirus
• Hepatitis
• Measles, mumps, and rubella
• Diphtheria, tetanus, and pertussis

A healthcare provider prescribes an initial loading dose of 75 mcg of oral digoxin for a school-aged child. The medication is supplied as an elixir, 50 mcg/mL. How many milliliters of solution will the nurse administer? Record your answer using one decimal place. ___ mL.

1.5

An adolescent with leukemia is to be given a chemotherapeutic agent that is known to cause nausea and vomiting. When is the best time for the nurse to administer the prescribed antiemetic?

• Before each dose of chemotherapy
• As nausea occurs
• 1 hour before meals
• Just before each meal is eaten

A 10-year-old child is prescribed tetracycline. Which possible drug-related reactions are associated with this drug?

• Kernicterus
• Gray syndrome
• Reye syndrome
• Staining of teeth

Which influenza vaccine is administered by way of the intranasal route?

• Fluarix
• Fluvirin

• FluMist
• Fluzone

A nurse is teaching the parents of an 8-year-old child who is taking a high dose of oral prednisone for asthma. What critical information about prednisone will be included?

• It protects against infection.
• It should be stopped gradually.
• An early growth spurt may occur.
• A moon-shaped face will develop.

Which vaccination is given to young children to provide protection against tetanus and diphtheria but not pertussis?

• Td
• DT
• DTaP
• Tdap

Which statements are true regarding the pharmacokinetic changes observed in infants?Select all that apply.

• An infant's fat content is higher
• An infant's gastric pH is less acidic
• An infant's gastric emptying is slow
• An infant's first-pass metabolism is slow
• An infant's transdermal absorption is rapid

Which type of immune preparation, made from donated blood, contains antibodies that provide passive immunity?

• Toxoid
• Killed vaccine
• Live attenuated vaccine
• Specific immune globulin

A child recovering from a severe asthma attack is given oral prednisone 15 mg twice daily. What is the priority nursing intervention?

• Having the child rest as much as possible
• Checking the child's eosinophil count daily
• Preventing exposure of the child to infection
• Offering nothing by mouth to the child except oral medications

A 12-year-old child has just received a dose of epinephrine. What is the priority assessment after this medication is administered?

• Tachycardia
• Hypoglycemia
• Constricted pupils
• Decreased blood pressure

What is the priority nursing intervention for a school-aged child with lead poisoning who is undergoing chelation therapy?

• Scrupulous skin care
• Provision of a high-protein diet
• Careful monitoring of intake and output
• Daily blood sampling for liver function tests

The mother of a 7-month-old infant who becomes irritable when teething tells the nurse, "My aunt said to wipe my baby's gums with wine to ease the pain." What is the best response by the nurse?

• "You can try the wine, but be sure it's diluted."
• "Your aunt means well, but that's not a good idea."
• "The wine will help kill the pain, but don't use it too often."
• "An over-the-counter topical gel can be used, but make sure it's for teething."

The protein binding capacity of drugs in infants is low. Which is an implication of this physiologic process?

• The free levels of a drug will increase.
• The free levels of a drug will decrease.
• The free levels of a drug will remain constant.
• The free levels of a drug will disappear once administered.

Which diseases are caused by viruses? Select all that apply.

• Mumps
• Tetanus
• Measles
• Hepatitis B
• Diphtheria

Which antiepileptic drug is used as the first-line treatment for absence seizures?

• Phenytoin
• Diazepam
• Valproic acid
• Acetazolamide