Pass the BCPPS on your first try.

Why D is correct

A 10-month-old is an infant, and infants commonly need caregiver-administered liquid medication with an oral syringe for accurate dosing and better acceptance. Small volumes directed into the buccal pouch reduce gagging and spitting. Acetaminophen oral liquid is appropriate when the infant can swallow liquids but not solid forms. This matches age-linked administration counseling and supports adherence.

Why the other options are incorrect

A: Tempting because food-mixing can seem easier. The eliminating fact is that infants generally do not manage tablets safely or accurately; crushing also risks incomplete dosing. Pediatric administration references favor liquid formulations with oral syringes when available.

C: Tempting when a child spits out medication. The eliminating fact is that rectal acetaminophen has variable absorption and is not the preferred routine route when oral liquid can be administered with technique optimization.

B: Tempting because cups are common measuring devices. The eliminating fact is that medicine cups are less accurate for small volumes and infants do not self-administer liquids reliably; an oral syringe is preferred for precision and safety.