Exam Review
- A nurse is preparing to administer Cefazolin 300 mg diluted in 200 mL IV to be infused over 2 hours. After calculating the appropriate flow rate, what mL/hr should the nurse set on the infusion pump to ensure safe and accurate delivery?A)100 mL/hrB)50 mL/hrC)150 mL/hrD)300 mL/hr
- A nurse is preparing to administer Diphenhydramine 50 mg intramuscularly. The available concentration is 100 mg/mL. Calculate the volume in milliliters the nurse should draw up and administer. Round your answer to the nearest tenth.A)0.5 mLB)mLC)0.05 mLD)0.4 mL
- A nurse is caring for a child who weighs 10 kg and needs maintenance IV fluids. Using the standard pediatric maintenance fluid calculation, what is the appropriate total daily fluid volume in milliliters that the nurse should plan to administer?A)1000 mL/dayB)1000 mL/kg/dayC)2000 mL/dayD)1500 mL/day
- A nurse is preparing to administer acetaminophen to a 6-month-old infant weighing 18 lbs who has a fever. The physician orders acetaminophen 12 mg/kg/dose PO every 6 hours as needed for fever. The available acetaminophen concentration is 160 mg/5 mL. How many milliliters should the nurse administer per dose? (Round to the nearest tenth.)A)5.0 mLB)2.4 mLC)1.5 mLD)3.1 mL
Exam Review
- A nurse is preparing to administer lactated Ringer's (LR) 1 liter IV to a school-age child to infuse over 24 hours. After calculating the hourly infusion rate, the nurse realizes that the infusion pump only displays rates in whole numbers. What is the most appropriate rate (in mL/hr) to set on the pump, and why?A)24 mL/hrB)40 mL/hrC)50 mL/hrD)42 mL/hr
- A nurse needs to convert a child's weight from kilograms to pounds to calculate medication dosage accurately. The child weighs 14 kg. Using the conversion factor 1 kg = 2.2 lb, what is the child's weight in pounds rounded to the nearest tenth?A)33.2 poundsB)15.4 poundsC)6.4 poundsD)30.8 pounds
- A nurse is preparing to administer dexamethasone 0.4 mg/kg/day IV every 8 hours to a child who weighs 32 lbs. The medication is available as 2 mg/mL. How many milliliters should the nurse administer per dose? Round to the nearest whole number.A)2.0 mL/doseB)3.0 mL/doseC)4.0 mL/doseD)1.0 mL/dose
- A 23-kg child requires maintenance IV fluids. Based on the maintenance fluid calculation guidelines, what is the appropriate total daily fluid volume (in mL) the nurse should plan to administer?A)1,960 mL/dayB)1,940 mL/dayC)1,500 mL/dayD)1,560 mL/day
Exam Review
- A nurse is preparing to administer D5W at a rate of 75 mL/hr to a 10-year-old patient. After 12 hours of infusion, how much total fluid will the patient have received, and what clinical consideration is most important when evaluating this volume for a pediatric patient? Please round to the nearest whole number.A)The patient will receive 1800 mL; fluid bolus protocols should be applied to avoid rapid volume overload.B)The patient will receive 75 mL; discontinue IV after 12 hours to prevent dehydration.C)The patient will receive 150 mL; ensure hydration status is maintained but no concern for overload at this volume.D)The patient will receive 900 mL; closely monitor for signs of fluid overload and pulmonary congestion due to pediatric fluid sensitivity.
- A child weighing 12 kg is prescribed amoxicillin 25 mg/kg/day, to be given orally every 8 hours. How many milligrams should the nurse administer per dose? (Round to the nearest whole number.)A)100 mgB)150 mgC)75 mgD)200 mg
- What is the first step in calculating the amount of Ampicillin to administer to a child who weighs 45lbs 4oz according to a doctor's order of 125mg/kg/day PO divided in doses every 8 hours?A)Determine the weight in kilograms.B)Divide the total daily dosage by the number of doses per day.C)Verify the strength of the medication available.D)Multiply the weight by the prescribed dosage per kg.
- A nurse is preparing to administer cefaclor to a toddler who weighs 33 pounds. The prescribed dosage is 20 mg/kg/day PO, divided into two doses every 12 hours. The available cefaclor oral suspension contains 125 mg per 5 mL. How many milliliters should the nurse administer per dose? (Round to the nearest whole number.)A)6 mLB)10 mLC)12 mLD)3 mL
Exam Review
- A nurse is preparing to administer acetaminophen to a child weighing 7 lbs 3 oz. The provider orders Tylenol 12 mg/kg/dose PO every 6 hours as needed for pain. The pharmacy supplies acetaminophen 160 mg/5 mL. How many milliliters should the nurse administer per dose?A)2.5 mLB)3.0 mLC)1.5 mLD)1.2 mL
- A provider orders Ferrous Sulfate 2 mg/kg/day IV to be given every 8 hours for a child weighing 28 lbs. How many milligrams should the nurse administer per dose? Round your answer to the nearest tenth.A)25.5 mgB)7.7 mgC)8.5 mgD)16.3 mg
- A newborn weighs 7 lbs 2 oz at birth. How should the nurse accurately convert this weight to kilograms for documentation in the newborn's medical record? Round to the nearest tenth.A)Multiply 7 lbs by 16 to convert to ounces, then convert to kilograms.B)Add 7 lbs and 2 oz directly as 9 lbs, then divide by 2.2 to convert to kilograms.C)Convert 7 lbs directly to 3.2 kg ignoring the ounces since they are negligible.D)Convert 2 oz to 0.125 lb, add to 7 lb for a total of 7.125 lb, then divide by 2.2 to get 3.2 kg.
- A nurse is preparing to administer Valproic Acid intravenously to a client weighing 118 lbs 12 oz. The provider orders a dosage of 25 mg/kg/day to be given every 12 hours. The pharmacy provides Valproic Acid at a concentration of 250 mg/5 mL. How many milliliters should the nurse administer per dose? Round to the nearest tenth.A)6.8 mL/doseB)11.2 mL/doseC)13.5 mL/doseD)5.4 mL/dose
Exam Review
- A nurse is calculating the daily maintenance fluid requirement for a child who weighs 40 kg. Using the pediatric maintenance fluid formula, what is the total daily fluid requirement in milliliters for this child?A)2500 mLB)2200 mLC)1900 mLD)1600 mL
- A nurse receives an order to administer Tylenol 650 mg orally stat. The Pyxis contains Tylenol tablets of 325 mg each. After calculating the dosage, how many tablets should the nurse administer, and what reasoning supports this decision?A)Administer 2 tablets because each tablet contains 325 mg, and two tablets provide the ordered 650 mg dose.B)Administer 1 tablet because it is better to give a lower dose initially and monitor the patient's response.C)Administer half a tablet to avoid giving too much medication at once.D)Administer 3 tablets to ensure the patient receives slightly more than the ordered dose for effectiveness.
- A provider orders an intravenous infusion of 35 mL/kg over 4 hours for a child who weighs 12 kg. As the nurse, how many milliliters per hour should you set the infusion pump to administer? Round your answer to the nearest whole number.A)35 mL/hrB)110 mL/hrC)140 mL/hrD)105 mL/hr
- A healthcare provider prescribes Ampicillin 125 mg/kg/day PO divided into doses every 8 hours for a child weighing 50lbs 8 oz. The pharmacy has Ampicillin suspension available as 250 mg/5mL. Using the safe dosing range and accurate conversions, what is the correct volume (in mL) of Ampicillin to administer per dose? Round to the nearest tenth.A)19.1 mLB)10.2 mLC)15.3 mLD)7.5 mL
Exam Review
- A nurse is preparing to administer Cefoxitin to a 60 kg client with a prescription of 100 mg/kg/day IV divided every 6 hours. How many milligrams should the nurse administer per dose?A)600 mgB)400 mgC)1500 mgD)2400 mg
- A nurse is preparing to administer an Intramuscular injection to a newborn. Considering the newborn's unique anatomy and safest practices, which site should the nurse prioritize for the injection?A)Gluteus Maximus MuscleB)Ventrogluteal MuscleC)Vastus lateralis MuscleD)Deltoid Muscle
- A provider orders ampicillin 80 mg/kg/day IV divided every 6 hours for a child weighing 4.2 kg. The pharmacy stock is ampicillin 150 mg per 3 mL. What volume in milliliters should the nurse administer per dose? Round your answer to the nearest tenth.A)1 mLB)0.7 mLC)1.7 mLD)3.4 mL
- A nurse is preparing to administer 0.9% Sodium Chloride IV to a child weighing 40 kg, with an order to infuse 10 mL/kg over 6 hours. At what rate should the nurse set the IV pump in mL/hour to ensure accurate and safe delivery of fluids? Round to the nearest whole numberA)400 mL/hourB)240 mL/hourC)96 mL/minD)67 mL/hour