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
An 8-year-old (30 kg) requires epinephrine 0.01 mg/kg IV for refractory anaphylaxis. The concentration available is 1:10,000 (0.1 mg/mL). What volume should be given?
Answer: 3 mL
Dose = 0.01 × 30 = 0.3 mg; volume = 0.3 mg ÷ 0.1 mg/mL = 3 mL.
A neonate requires phenobarbital for seizures. Which potential side effect requires the nurse to have resuscitation equipment at the bedside?
Answer: Respiratory depression and apnea
Phenobarbital can cause significant respiratory depression, especially in neonates and when combined with other CNS depressants.
Which statement is TRUE regarding the use of weight-based dosing in obese pediatric patients?
Answer: Some medications should be dosed on ideal body weight (IBW) to avoid toxicity
Lipophilic drugs and some antibiotics must be adjusted to ideal or adjusted body weight in obese pediatric patients to prevent toxicity.
A 10 kg infant receives an IV antibiotic that requires infusion over 30 minutes. The total dose is 100 mg diluted in 20 mL NS. At what rate should the pump be set?
Answer: 40 mL/hr
Rate = volume ÷ time = 20 mL ÷ 0.5 hr = 40 mL/hr.
When administering medications through an intraosseous (IO) route, which of the following is the most important consideration?
Answer: Flush forcefully with saline before each medication to confirm placement and ensure delivery
IO placement must be confirmed with a saline flush to ensure patency; medications reach systemic circulation at rates comparable to central IV access.
A pediatric patient is receiving a continuous heparin infusion. Which laboratory value is used to monitor the therapeutic effect of heparin?
Answer: Activated Partial Thromboplastin Time (aPTT)
The aPTT is the standard monitoring parameter for unfractionated heparin therapy, with a therapeutic range typically 60–100 seconds.
A nurse discovers a medication error after administering the wrong dose to a pediatric patient. What is the priority action?
Answer: Assess the patient for adverse effects and notify the physician immediately
Patient safety is the first priority — immediate assessment and physician notification allows for prompt intervention if harm has occurred.