Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. A 4-year-old child asks tearfully if the IM injection will hurt. What is a nurse’s most
effective response?
a. “No. It is over before you know it.”
b. “Yes. It will sting a little.”
c. “No. Would you like to see the syringe?”
d. “Yes. Your mom and I are going to hold you to help you be still.”
ANS: B
Truthful answers will give a child a realistic expectation and help establish trust in the
nurse.
DIF: Cognitive Level: Application REF: 477 OBJ: 11
TOP: Preparation for an IM Injection KEY: Nursing Process Step:
Implementation
2. Where is the best site for giving an IM injection to a 15-month-old child?
a. Ventrogluteal muscle
b. Dorsogluteal muscle
c. Deltoid muscle
d. Vastus lateralis muscle
ANS: D
The vastus lateralis muscle is free of major blood vessels and nerves and can be used
in children of any age.
DIF: Cognitive Level: Application REF: 477 OBJ: 11
TOP: Administering Injections KEY: Nursing Process Step: Planning
, 3. What factor does a nurse explain affects the infant’s physiological response to
medications?
a. Faster metabolism in the liver
b. Slower intestinal transit
c. Immature kidney function
d. Increased secretion of hydrochloric acid
ANS: C
Immature kidney function prevents effective excretion of drugs from the body in
infants less than 1 year of age.
DIF: Cognitive Level: Comprehension REF: 474 OBJ: N/A
TOP: Physiological Responses to Medication
KEY: Nursing Process Step: Implementation
4. What intervention should a nurse implement after topical administration of
hydrocortisone cream to the buttocks and abdomen of an infant?
a. Diaper the infant snugly with a disposable diaper.
b. Cover the area with a transparent dressing.
c. Apply a cloth diaper.
d. Place the infant on a plastic pad, undiapered.
ANS: C
Plastic coverings increase the absorption of drugs. The diaper should be cloth, or the
infant should be left undiapered on a cloth pad.
DIF: Cognitive Level: Application REF: 477 OBJ: 2
TOP: Rapid Absorption of Drug KEY: Nursing Process Step:
Implementation
5. A nurse enters the hospital room and decides parents of a 1-year-old infant could benefit
from safety education to prevent unintentional injury based on which of the following
observations?
a. The blanket is not tucked into the mattress.
b. Diapers and wipes are stacked at the foot of the crib.
c. The crib side is locked in the up position.
MULTIPLE CHOICE
1. A 4-year-old child asks tearfully if the IM injection will hurt. What is a nurse’s most
effective response?
a. “No. It is over before you know it.”
b. “Yes. It will sting a little.”
c. “No. Would you like to see the syringe?”
d. “Yes. Your mom and I are going to hold you to help you be still.”
ANS: B
Truthful answers will give a child a realistic expectation and help establish trust in the
nurse.
DIF: Cognitive Level: Application REF: 477 OBJ: 11
TOP: Preparation for an IM Injection KEY: Nursing Process Step:
Implementation
2. Where is the best site for giving an IM injection to a 15-month-old child?
a. Ventrogluteal muscle
b. Dorsogluteal muscle
c. Deltoid muscle
d. Vastus lateralis muscle
ANS: D
The vastus lateralis muscle is free of major blood vessels and nerves and can be used
in children of any age.
DIF: Cognitive Level: Application REF: 477 OBJ: 11
TOP: Administering Injections KEY: Nursing Process Step: Planning
, 3. What factor does a nurse explain affects the infant’s physiological response to
medications?
a. Faster metabolism in the liver
b. Slower intestinal transit
c. Immature kidney function
d. Increased secretion of hydrochloric acid
ANS: C
Immature kidney function prevents effective excretion of drugs from the body in
infants less than 1 year of age.
DIF: Cognitive Level: Comprehension REF: 474 OBJ: N/A
TOP: Physiological Responses to Medication
KEY: Nursing Process Step: Implementation
4. What intervention should a nurse implement after topical administration of
hydrocortisone cream to the buttocks and abdomen of an infant?
a. Diaper the infant snugly with a disposable diaper.
b. Cover the area with a transparent dressing.
c. Apply a cloth diaper.
d. Place the infant on a plastic pad, undiapered.
ANS: C
Plastic coverings increase the absorption of drugs. The diaper should be cloth, or the
infant should be left undiapered on a cloth pad.
DIF: Cognitive Level: Application REF: 477 OBJ: 2
TOP: Rapid Absorption of Drug KEY: Nursing Process Step:
Implementation
5. A nurse enters the hospital room and decides parents of a 1-year-old infant could benefit
from safety education to prevent unintentional injury based on which of the following
observations?
a. The blanket is not tucked into the mattress.
b. Diapers and wipes are stacked at the foot of the crib.
c. The crib side is locked in the up position.
