1. A nurse who provides care on a pediatric unit of a hospital is aware that the potential for
harm as a result of drug errors is higher among infants and children than adults. This fact
is primarily due to
A. increased body surface area relative to body volume in infants and children.
B. increased heart rate and subsequently rapid drug distribution among infants and
children.
C. immature liver and kidney function in infants and children.
D. the inability of infants and children and describe symptoms of adverse drug
reactions.
1 points
Question 2
1. A 30-year-old man with a BMI of 59 has recently been diagnosed with type 2 diabetes
mellitus. In light of the man's lack of success with weight loss programs in the past, his
care provider has prescribed sibutramine (Meridia). What instructions should the nurse
consequently provide to this patient?
A. “This drug will help you to lose weight without having to exercise or change your
normal diet.”
B. “It's best to take a dose of sibutramine after each meal.”
C. “Take a dose when you feel like you are tempted to binge on food.”
D. “Take this drug once each day on an empty stomach.”
1 points
Question 3
1. A 5-year-old boy needs an IM injection. The least painful and most effective injection site
would be the
A. rectus femoris muscle.
B. dorsogluteal muscle.
C. ventrogluteal muscle.
D. deltoid muscle.
1 points
,Question 4
1. A nurse is providing patient education to a 13-year-old girl who was just diagnosed with
type 1 diabetes mellitus. Which of the following statements by the patient will alert the
nurse that special instructions regarding insulin are necessary?
A. “We live in a two-story house.”
B. “My mother is going to give me my insulin.”
C. “I walk two blocks to school every day.”
D. “I am on the middle school track team.”
1 points
Question 5
1. A 22-year-old woman has given birth to an infant who exhibits the signs and symptoms
of maternal cocaine use during pregnancy. These signs and symptoms are a result of what
pathophysiological effect of opioid use during pregnancy?
A. Hypoxia as a result of a prolonged second stage of labor
B. Impaired maternal nutrition as a result of drug use
C. Vasoconstriction leading to reduced placental blood flow
D. Changes in blood chemistry as a result of nephrotoxicity and hepatotoxicity
1 points
Question 6
1. A nurse is caring for a 10-year-old boy who complains of chronic headaches. His mother
reports that she gives him Tylenol at least three times a day. Which of the following will
the nurse work with the physician to evaluate?
A. Cardiac function
B. Respiratory function
C. Renal function
D. Hepatic function
1 points
Question 7
1. A 3-year-old boy has developed otitis media and requires antibiotics. In order to increase
the chance that the boy will take his prescribed medication, the nurse should
, A. offer a choice between liquid and chewable medications, if possible.
B. insert a central intravenous line.
C. have the mother hold the child firmly and sooth him while the drugs are
administered.
D. teach the boy about the fact that he will feel much better after he takes his
medications.
1 points
Question 8
1. An immunocompromised 7-year-old child was recently discharged home with a
peripherally-inserted central line (PIC line) for home antibiotic therapy. He has now been
brought to the emergency department by his mother and father with signs and symptoms
of line sepsis. Upon questioning, the mother states that she has been removing the PIC
dressing daily and washing the site with warm water and a cloth. What nursing diagnosis
is most appropriate in this situation?
A. Delayed Growth and Development
B. Knowledge Deficit
C. Ineffective Family Therapeutic Regimen Management
D. Caregiver Role Strain
1 points
Question 9
1. A 21-year-old female has a history of irregular menses. She recently became sexually
active, and would like to begin taking oral contraceptives (OCs). The nurse practitioner
recognizes that most likely this patient would benefit from taking which category of OCs.
A. Biphasic OC
B. Monophasic
C. Triphasic OC
D. Ortho Tri-Cyclen
1 points
Question 10
1. A nurse is explaining to the parents of a 6-year-old child suffering from angina why
nitroglycerin patches for chest pain would not be appropriate. Which of the following
will the nurse include in an explanation?
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