NCLEX Pediatric Drugs - Questions and Answers

NCLEX Pediatric Drugs - Questions and Answers A 4-year-old child develops thrombocytopenia after vaccination. Which vaccination may be responsible? A. Rotavirus vaccine B. Varicella virus vaccine C. Human papillomavirus vaccine D. Measles, mumps, and rubella virus vaccine (MMR) When is the first dose of Rotarix vaccine administered in infants? A. Birth to 6 weeks B. 6-12 weeks C. 12-18 weeks D. 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? A. "You seem concerned about giving drugs to your child." B. "It's all right to give him baby aspirin when he hurts himself." C. "Aspirin may cause more bleeding. Give him acetaminophen instead." D. "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? A. By explaining that this medication rarely causes drowsiness B. By advising her to take half a tablet in the morning before school C. By suggesting that she skip the next day's dose if she can tolerate the hay fever D. 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? A. Offer a snack at bedtime if there are signs of hyperglycemia. B. Provide a bedtime snack to prevent hypoglycemia during the night. C. Withhold the snack after dinner to prevent hyperglycemia during sleep. D. Leave a snack at the bedside in case the child becomes hungry during the night. Which vaccine is administered orally in children? A. MMR vaccine B. Rotavirus vaccine C. Live influenza vaccine D. Meningococcal conjugate vaccine (MCV4) Which vaccine may cause intussusception in children? A. Rotavirus B. Hepatitis C. Measles, mumps, and rubella D. 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? A. Before each dose of chemotherapy B. As nausea occurs C. 1 hour before meals D. Just before each meal is eaten A 10-year-old child is prescribed tetracycline. Which possible drug-related reactions are associated with this drug? A. Kernicterus B. Gray syndrome C. Reye syndrome D. Staining of teeth Which influenza vaccine is administered by way of the intranasal route? A. Fluarix B. Fluvirin