Case Based Pediatrics for Medical Students
TEST A
PRACTICE TEST I
Situation 1 – Nurse Mito is assigned to the triage area. While on duty, he assesses the condition of a client with asthma. She has difficulty breathing and her respiratory rate is 45 per minute. The doctor prescribed epinephrine 0.3 mg subcutaneously. 1. The medication for epinephrine injection for the client is to: a. Reduce anaphylaxis b. Relieve hypersensitivity to allergen c. Relieve respiratory distress due to bronchial spasm d. Restore client’s cardiac rhythm 2. What is the initial action of the nurse when preparing the epinephrine injection from an ampule? a. Taps the ampule at the top to allow fluid to flow to the base of the ampule b. Checks expiration date of the medication ampule c. Removes needle cap of syringe and pulls plunger to expel air d. Breaks the neck of the ampule with a gauze wrapped around it 3. When administering a subcutaneous injection to an obese patient, what is the correct action? a. The nurse will inject needle at a 15 degree angle over the stretched skin of the client b. The nurse will pinch skin at the injection site and use airlock technique c. The nurse will pull skin of patient down to administer the drug in a Z track d. The nurse will spread skin at the injection site and inject needle at a 45-90 degree angle 4. The proper size of syringe and needle for a subcutaneous injection would be: a. Syringe 3-5 ml and needle gauge 21 to 23 b. Tuberculin syringe 1 ml with needle gauge 26 to 27 c. Syringe 2 ml and needle gauge 22 d. Syringe 1-3 ml and needle gauge 25 to 27 5. The rationale for giving medication through the subcutaneous route is: a. There are many alternative sites for subcutaneous injection b. Absorption time of the medicine is slower c. There are less pain receptors in this area d. The medication can be injected while the client is in any position
Situation 2 – The therapeutic use of massage and
PRACTICE TEST I
Situation 1 – Nurse Mito is assigned to the triage area. While on duty, he assesses the condition of a client with asthma. She has difficulty breathing and her respiratory rate is 45 per minute. The doctor prescribed epinephrine 0.3 mg subcutaneously. 1. The medication for epinephrine injection for the client is to: a. Reduce anaphylaxis b. Relieve hypersensitivity to allergen c. Relieve respiratory distress due to bronchial spasm d. Restore client’s cardiac rhythm 2. What is the initial action of the nurse when preparing the epinephrine injection from an ampule? a. Taps the ampule at the top to allow fluid to flow to the base of the ampule b. Checks expiration date of the medication ampule c. Removes needle cap of syringe and pulls plunger to expel air d. Breaks the neck of the ampule with a gauze wrapped around it 3. When administering a subcutaneous injection to an obese patient, what is the correct action? a. The nurse will inject needle at a 15 degree angle over the stretched skin of the client b. The nurse will pinch skin at the injection site and use airlock technique c. The nurse will pull skin of patient down to administer the drug in a Z track d. The nurse will spread skin at the injection site and inject needle at a 45-90 degree angle 4. The proper size of syringe and needle for a subcutaneous injection would be: a. Syringe 3-5 ml and needle gauge 21 to 23 b. Tuberculin syringe 1 ml with needle gauge 26 to 27 c. Syringe 2 ml and needle gauge 22 d. Syringe 1-3 ml and needle gauge 25 to 27 5. The rationale for giving medication through the subcutaneous route is: a. There are many alternative sites for subcutaneous injection b. Absorption time of the medicine is slower c. There are less pain receptors in this area d. The medication can be injected while the client is in any position
Situation 2 – The therapeutic use of massage and