CPEN Medication Administration 2

Question 1

A 4-year-old (18 kg) requires IV morphine for pain. The standard pediatric dose is 0.1 mg/kg. What is the correct dose?

Accepted Answer

1.8 mg

Answer

0.1 mg/kg × 18 kg = 1.8 mg is the correct weight-based dose.

Question 2

Which route of administration provides the most rapid onset of action for a pediatric patient in anaphylaxis?

Accepted Answer

Intramuscular (IM)

Answer

IM epinephrine, given in the anterolateral thigh, provides rapid absorption and is the preferred route in anaphylaxis.

Question 3

A nurse is preparing to administer adenosine 0.1 mg/kg IV to a 20 kg child for SVT. What dose should be prepared?

Accepted Answer

2 mg

Answer

0.1 mg/kg × 20 kg = 2 mg; adenosine must be followed by a rapid saline flush due to its extremely short half-life.

Question 4

When administering IV push medications through a peripheral IV in a pediatric patient, what is the most important step before injection?

Accepted Answer

Verify patency by flushing with normal saline

Answer

Confirming IV patency with a saline flush prevents extravasation and ensures the medication reaches systemic circulation.

Question 5

A 6-year-old receives a medication that causes acute dystonia. Which drug is most commonly associated with this reaction in pediatric emergency patients?

Accepted Answer

Metoclopramide (Reglan)

Answer

Metoclopramide is a dopamine antagonist and is the most common cause of drug-induced acute dystonia in children.

CPEN - Certified Pediatric Emergency Nurse Practice Test

CPEN - Certified Pediatric Emergency Nurse Practice Test

CPEN Medication Administration 2