NCLEX PEDIATRICS FOR TEST 4
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALE (VERIFIED
ANSWERS) REAL EXAM 2024 LATEST
An emergency department nurse prepares to treat a child with acetaminophen (Tylenol) overdose. The
nurse reviews the physicians orders, expecting that which of the following will be prescribed?
a. protamine sulfate.
b. succimer (chemet).
c. acetylcysteine (mucomyst).
d. vitamin K (aquaMEPHYTON) - ------correct answer-------c. acetylcysteine (mucomyst)
- Rationale: Acetylcysteine is the antidote for acetaminophen overdose. It is administered orally or via
nasogastric tube in a diluted form with water, juice or soda. It can also be administered intravenously.
Vitamin K is the antidote for warfarin; protamine sulfate is the antidote for heparin; succimer is used in
the treatment of lead poisoning.
A mother arrives at the emergency department with her child, stating that she just found the child
sitting on the floor next to an empty bottle of aspirin. On assessment, the nurse notes that the child is
drowsy but conscious. The nurse anticipates that the physician will prescribe which of the following?
a. ipecac syrup.
b. activated charcoal.
c. magnesium citrate.
d. magnesium sulfate. - ------correct answer-------b. activated charcoal.
- Rationale: Where as ipecac is administered to induce vomiting in certain poisoning situations, it is not
recommended as the initial treatment in the hospital setting for ingestion of salicylates. This is because
ipecac does not totally remove the poison from the child's system. In this situation, the child is conscious
and the ingested substance (aspirin) would not damage the esophagus or lungs from vomiting. However,
activated charcoal would be prescribed as an antidote in this poisoning situation, because its action is t
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