Medication Administration Flashcards
7 cards from real CPEN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Medication Administration flashcards as text
When using the intranasal (IN) route for medication delivery in a pediatric patient, what device is preferred to atomize the medication?
Answer: Mucosal Atomization Device (MAD)
The MAD atomizes the medication into fine particles that maximize mucosal absorption and minimize the risk of the child swallowing the dose.
A nurse is about to give IV vancomycin rapidly and the child develops flushing, erythema, and hypotension. What is the most likely cause?
Answer: Red Man Syndrome from rapid infusion
Red Man Syndrome is a rate-dependent reaction caused by mast cell degranulation from rapid vancomycin infusion, not a true allergy.
Which of the following is a 'high-alert' medication in pediatric emergency nursing that requires a double-check before administration?
Answer: Concentrated electrolytes (e.g., potassium chloride)
Concentrated potassium chloride is a high-alert medication because accidental IV bolus administration can cause fatal cardiac arrest.
A 5-year-old is prescribed ibuprofen 10 mg/kg PO. The child weighs 20 kg and the suspension is 100 mg/5 mL. How many mL should be given?
Answer: 10 mL
Dose = 10 × 20 = 200 mg; volume = (200 ÷ 100) × 5 = 10 mL.
A 3-year-old in status epilepticus has no IV access. Which medication and route is the recommended first-line treatment per current guidelines?
Answer: Midazolam IM or intranasal
Midazolam given IM or intranasally is the recommended first-line benzodiazepine when IV access is unavailable in pediatric status epilepticus.
Which of the following best describes the 'rights' of medication administration that all nurses must follow?
Answer: Right patient, drug, dose, route, time, reason, and documentation
The seven rights of medication administration provide a framework to prevent errors at each step of the administration process.
A nurse receives a verbal order for a medication during a pediatric emergency. What is the safest practice after receiving the verbal order?
Answer: Repeat the order back and confirm with the ordering provider before administering
Read-back confirmation of verbal orders is a Joint Commission-required safety practice that reduces communication errors.