[DAVIS'S SUCCESS SERIES] PEDIATRIC SUCCESS; NCLEX Style Q&A Review 3RD EDITION (2019, F.A. Davis)

1. A child is to receive phenytoin (Dilantin) 100 mg IV for seizure prophylaxis. Which
intervention is appropriate when administering this drug?
1. Mix it in dextrose 5% in water and give over 1 hour.
2. Administer no faster than 2 mg/kg/min.
3. Do not use an inline fi lter.
4. Monitor temperature prior to and after administration.
2. The parent of a child who is being discharged from the clinic wants to know if there
is a difference between Advil and ibuprofen, saying, “I can buy ibuprofen over the
counter at a cheaper price than Advil.” What is the nurse ’ s best response?
1. “Advil and ibuprofen are two different drugs with similar effects.”
2. “There is no difference between the two medications, so you should use
whichever one is cheaper.”
3. “Similarities exist between the drugs, but you need to consult the health-care
provider about the specifi c order.”
4. “Ibuprofen is usually cheaper, so you should use it.”
3. What time would the nurse most likely see signs and symptoms of hypoglycemia
after administering NPH insulin at 0730?
1. 0930 to 1030.
2. 1130 to 1430.
3. 1130 to 1930.
4. 1530 to 1930.
4. Morphine sulfate (Duramorph) 2 mg IV q2h prn for pain is ordered for a 12-yearold
who has had abdominal surgery. Which is the most appropriate nursing action?
1. Administer the morphine sulfate (Duramorph) using a syringe pump over 1 hour.
2. Encourage the child to use incentive spirometer every hour during the day and
when awake at night.
3. Ask the health-care provider to change the medication to meperidine (Demerol).
4. Administer the morphine sulfate (Duramorph) with Benadryl (diphenhydramine)
to prevent itching.
5. The parent of a child who is being treated for Haemophilus infl uenzae meningitis tells
the nurse that the family is being treated prophylactically with rifampin (Rifadin).
Which should the nurse include in teaching about this medication?
1. “The drug will change the color of the urine to orange-red, and it will cause
staining.”
2. “Adverse effects of the drug may cause urinary retention.”
3. “The drug is given to treat meningitis.”
4. “You will need to continue taking the drug for 7 days.”