ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 3 : Lifespan Considerations Questions
Question 1 of 5
The nurse is trying to give a liquid medication to a 2 1/2-year-old child and notes that the medication has a strong taste. Which technique is the best way for the nurse to give the medication to this child?
Correct Answer: A
Rationale: Ice cream or another nonessential food disguises the taste of the medication. Adding to a bottle or milk risks incomplete dosing if not fully consumed, and using the word 'candy' may lead to confusion, as the child might think drugs are candy.
Question 2 of 5
The nurse is preparing to give an injection to a 4-year-old child. Which intervention is age appropriate for this child?
Correct Answer: C
Rationale: For a 4-year-old child, offering a brief, concrete explanation about a procedure just beforehand, with the parent or caregiver present, is appropriate. No preparation, explaining afterward, or preparing without a parent are not age-appropriate interventions.
Question 3 of 5
A 7-year-old child will be receiving amoxicillin (Amoxil) 50 mg/kg/day in two divided doses. The child weighs 55 pounds. The medication, once reconstituted, is available as an oral suspension of 125 mg/5 mL. Identify how many milliliters will the child receive per dose.
Correct Answer: 25 mL
Rationale: Convert pounds to kilograms: 55 pounds = 25 kg. 25 kg x 50 mg/kg/day = 1250 mg/day.
To get the amount per dose, divide 1250 by 2, which equals 625 mg/dose.
To calculate the milliliters: 125 mg/5 mL = 625 mg/x mL. (125 * x) = (5 * 625); 125x = 3125; x = 25 mL/dose.
Question 4 of 5
Drug transfer to the fetus is more likely during the last trimester of pregnancy for which reason?
Correct Answer: C
Rationale: Drug transfer to the fetus is more likely during the last trimester of pregnancy as a result of enhanced blood flow to the fetus. Increased fetal surface area, not decreased, is a factor that affects drug transfer to the fetus. The placenta's surface area does not increase during this time. Drug transfer is increased because of an increased amount of free drug, not protein-bound drug, in the mother's circulation.
Question 5 of 5
The nurse is monitoring a patient who is in the 26th week of pregnancy and has developed gestational diabetes and pneumonia. She is given medications that pose a possible fetal risk, but the potential benefits may warrant the use of the medications in her situation. The nurse recognizes that these medications are in which U.S. Food and Drug Administration pregnancy safety category?
Correct Answer: D
Rationale: Pregnancy category D fits the description given, as it indicates evidence of human fetal risk, but potential benefits may warrant use in pregnant women despite risks. Category A indicates no risk to the human fetus; Category B indicates no risk to animal fetus with no human data available; Category C indicates adverse effects in animal fetus with no human data available.