Drug Therapy in Nursing, 3e

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1. A nurse working in a cancer center is preparing to administer medication to a 5-year-old

child. The nurse will calculate the drug dosage by using:
A) Body surface area
B) Weight
C) Age in months
D) Age in years

2. A nurse is administering drugs to a 10-year-old child who has multiple health problems.
The child is underweight and is on a special diet. Which of the following will the nurse
consider when planning for the best absorption of the prescribed drugs? (Select all that
apply.)
A) Age
B) Weight
C) Disease process
D) Diet
E) Route of administration

3. 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 her explanation?
A) A child has an erratic blood flow from an immature peripheral circulation, which
increases drug absorption, causing an increase in adverse effects.
B) A child's gastric pH is decreased, causing less of the drug to be absorbed from the
subcutaneous skin, therefore producing more adverse effects.
C) A child has a greater body surface area, creating greater permeability resulting in an
increase in absorption of topical agents, which may result in more adverse effects.
D) A child has a smaller body surface area, resulting in an increase in topical
absorption, which can cause more adverse effects.

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4. A 7-year-old child has been taking tetracycline for a bacterial infection. The nurse will
be sure to inform the parents that this drug could cause:
A) Orange-tinged urine
B) Staining of permanent teeth
C) Sleep deprivation
D) Deep muscle pain

5. A nurse is going to administer medication to an infant using a medicine dropper. The

best method is to open the child's mouth by gently squeezing the cheeks and placing the
drops:
A) At the back of the mouth
B) In the buccal pouch
C) Under the tongue
D) On top of the tongue

6. A nurse is having difficulty administering a bitter drug to a 5-year-old child. The nurse
should:
A) Have the parent gently force the child's mouth open.
B) Give the drug in a pill form.
C) Involve the child in a play therapy session, and then tell the child the medicine is
candy.
D) Offer the child a flavored ice chip or ice pop prior to administering the drug.

7. A 5-year-old boy needs an IM injection. The least painful and most effective injection
site would be the:
A) Deltoid muscle
B) Rectus femoris muscle
C) Ventrogluteal muscle
D) Dorsogluteal muscle

8. A 12-year-boy is being discharged from the hospital after major surgery. The boy will
be taking two medications at home for an extended period. The nurse who is
discharging the patient should provide medication teaching specifically to:
A) The mother regarding why the boy needs to take the medications
B) Both the boy and his mother regarding all medication issued
C) The boy by telling him not to worry about the medications and to take them as
directed
D) The mother and be sure to reinforce the need to force the medications, if her son
does not want to take them

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 9. A 6-month-old has developed skin irritation due to an allergic reaction. He has been
prescribed a topical skin ointment. The nurse will consider which of the following
before administering the drug?
A) That the infant's skin has greater permeability than that of an adult
B) That there is less body surface area to be concerned about
C) That there is decreased absorption rates of topical drugs in infants
D) That there is a lower concentration of water in an infant's body compared with an
adult

10. A 2-year-old is diagnosed with a minor ailment and is to be administered medications at

home for 2 weeks. The child lives with his mother and grandmother and four other
children between the ages of 14 months and 7 years. The home health nurse is asked to
assess the home environment to determine if it is appropriate for the child to take his
medication at home. Which of the following will have the greatest impact on the nurse's
assessment?
A) The mother and grandmother's understanding about the drugs
B) How clean the house is
C) The health status of the other children
D) Where the medications will be stored

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Answer Key
1. A
2. A, C, D, E
3. C
4. B
5. B
6. D
7. C
8. B
9. A
10. D

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