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NUR 412: Nursing Concepts for Pediatric Patients Exam 1 2024
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NUR 412: Nursing Concepts for Pediatric Patients Exam 1 2024
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NUR 412: Nursing Concepts for PediatricPatients Exam 1 2024
A two year old toddler who weighs 30 pounds is diagnosed with otitis media (middle ear
infection.) The physician ordered the antibiotic amoxicillin 20 mg/kg PO q8h. The label
reads 125 mg in 5 mL. How many milliliters will you administer?
A. 20 mL
B. 5 mL
C. 1.75 mL
D. 10.9 mL - ANSWERD. 10.9 mL
Prescriber's order: Lanoxin (digoxin) 0.1 mg IM daily. The label reads 0.1 mg/mL
injection. What is the dose in micrograms?
A. 0.1 mcg
B. 0.01 mcg
C. 0.001 mcg
D. 0.0001 mcg - ANSWERD. 0.0001 mcg
A child who weighs 18 kg is to receive Motrin (ibuprofen) 8 mg/kg po q4h prn for pain.
The label reads 100 mg/5 mL. How many milliliters will you administer?
A. 0.7 mL
B. 0.9 mL
C. 7.3 mL
D. 7.2 mL - ANSWERD. 7.2 mL
135 mg dose of medication is to be administered to a patient. The drug is available in
250 mg/5 mL. Your drug reference says that the drug should be diluted in NS to a total
volume of 40 mL to be administered and infused over 30 minutes.
A. How much medication will you initially draw up?
B. How much NS will you add to the medication to receive the appropriate volume?
C. What rate (mL/hour) will you infuse the medication to administer it in the appropriate
time frame?
D. At what rate (mL/hour) will you infuse the flush? - ANSWERA. 2.7 mL
B. 37.3 mL
C. 80 mL/hour
D. 80 mL/hour
A child weighing 18 lbs. is to receive 200 mg dose of a medication every 6 hours. The
average (or safe) dosage range for this medication is 50-100 mg/kg/day.
A. What is the dosage infusing in 24 hours for this patient?
B. What is the average (or safe) daily dose range for this patient?
,C. Is the patient's dosage within average (or safe) daily dose range? - ANSWERA. 800
mg/day
B. 410 mg/day - 820 mg/day
C. Yes
Patient's weight: 45 pounds. Give 30 mg/kg/day equally divided in 3 doses.
A. How many mg per dose?
B. How many mg per day? - ANSWERA. 205 mg/dose
B. 615 mg/day
Patient's weight: 45 pounds. Give 30 mg/kg TID.
A. How many mg per dose?
B. How many mg per day? - ANSWERA. 615 mg/dose
B. 1845 mg/day
Patient's weight: 47 pounds. Order for medication 40 mg BID. Recommended dosage 3-
5 mg/kg/day every 12 hours.
A. What is the recommended dose for this patient per day?
B. What is the actual dose per day for this patient?
C. Is the dose safe? - ANSWERA. 64.2 mg/day - 107 mg/day
B. 80 mg/day
C. Yes
Order to give 75 mg of a medication. The medication comes in 250 mg/5 mL. What is
the volume of medication that you should administer? - ANSWER1.5 mL
Patient's weight 28 pounds. Order for medication 150 mg/kg/day in 2 divided doses.
Medication is supplied in 500 mg/5 mL.
A. What is the dose of medication per day?
B. What is the dose of medication per dose?
C. What is the volume of medication that you should administer per dose? - ANSWERA.
1905 mg/day
B. 952.5 mg/dose
C. 9.5 mL/dose
Patient's weight is 12 kg. Order is 50 mg/kg now. The medication comes in 0.2 mg/mL.
What is the volume of medication that you should administer? - ANSWER3 mL
Patient's weight is 11 pounds. Order is 20 mg/kg PO every 12 hours. How much
medication will you administer per dose? - ANSWER100 mg/dose
Patient's weight is 21 pounds. Order is 8 mg every 4 hours. Recommended dosage is 2
- 4 mg/kg/day in divided doses.
A. What is the recommended dose for this patient per day?
B. What is the actual amount per day for this patient?
C. Is the dose safe? - ANSWERA. 19 mg/day - 38 mg/day
,B. 48 mg/day
C. No
Patient's weight is 17 pounds. Order for medication 60 mg/kg every 6 hours. Medication
is supplied in 25 mg/2 mL. Recommended dosage is 5 - 10 mg/kg/day.
A. What is the dose of medication per day?
B. What is the dose of medication per dose?
C. What is the volume of medication you should administer per dose?
D. What is the recommended dose for this patient per day?
E. What is the actual amount per day for this patient?
F. Is the dose safe? - ANSWERA. 1848 mg/day
B. 462 mg/dose
C. 37 mL/dose
D. 38.5 mg/day - 77 mg/day
E. 1848 mg/day
F. No
Patient's weight is 36 pounds. Order for medication is 24 mg/kg/day every 6 hours.
Medication is supplied in 15 mg/3 mL. Recommended dosage is 100 - 250 mg/kg/day.
A. What is the dose of medication per day?
B. What is the dose of medication per dose?
C. What is the volume of medication you should administer per dose?
D. What is the recommended dose for this patient per day?
E. What is the actual amount per day for this patient?
F. Is the dose safe? - ANSWERA. 393.6 mg/day
B. 98.4 mg/dose
C. 19.7 mL
D. 1640 mg/day - 4100 mg/day
E. 393.6 mg/day
F. No
Why are infants more sensitive to medications?
A. Gastric emptying is faster.
B. Protein binding of medications is limited.
C. Liver enzymes are more efficient.
D. Increased rate of excretion in the kidney. - ANSWERB. Protein binding of
medications is limited.
The nurse is preparing to administer an oral medication to a toddler. What technique
would work the best for a medication with a bad taste?
A. Explain to the child that taking the medication quickly will help.
B. Offer the toddler a popsicle prior to and following administering the medication.
C. Have the parent restrain the child while administering the medication.
D. Have the child take a favorite drink following taking the medication. - ANSWERB.
Offer the toddler a popsicle prior to and following administering the medication.
, An infant weighing 8.8 lbs. has an order for Lanoxin 10 mcg/kg/day PO q12h. How
many mcg should this patient receive for a single dose?
A. 88 mcg
B. 44 mcg
C. 40 mcg
D. 20 mcg - ANSWERD. 20 mcg
A child is to receive 240 mg medication IV (available in 500 mg/5 mL). How much
medication would you draw up?
A. 0.48 mL
B. 2.4 mL
C. 24 mL
D. 48 mL - ANSWERB. 2.4 mL
The 240 mg of IV medication needs to be administered in a concentration of 25 mg/mL.
What is the total volume you will administer?
A. 0.1 mL
B. 2.4 mL
C. 9.6 mL
D. 60 mL - ANSWERC. 9.6 mL
A child is to receive 500 mg of medication in 25 mL of NS IV over 30 minutes. What is
the rate (mL/hour)?
A. 16.6 mL/hour
B. 20 mL/hour
C. 25 mL/hour
D. 50 mL/hour - ANSWERD. 50 mL/hour
A child weighing 22.4 lbs. has an order for a 250 mg dose of a medication every 8
hours. According to the reference book, the average (safe) dose range is 40 - 50
mg/kg/day. What dose is safe for this patient per day?
A. 1124 - 1530 mg/day
B. 896 - 1120 mg/day
C. 408 - 510 mg/day
D. 136 - 170 mg/day - ANSWERC. 408 - 510 mg/day
What is the best way to prevent medication errors in pediatrics?
A. Know the medication before administering it.
B. Double-check orders.
C. Minimize distractions during medication administration.
D. Improve communication among clinicians during transitioning and handoffs. -
ANSWERC. Minimize distractions during medication administration.
Samuel has a wooden spoon and uses the wooden spoon to bang on a pot. Then
Samuel uses the wooden spoon to bang on the floor. Finally, Samuel uses the wooden
spoon to bang on his mother's leg. How old would you expect Samuel to be?
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