CPEN Medication Administration 4

Question 1

When using the intranasal (IN) route for medication delivery in a pediatric patient, what device is preferred to atomize the medication?

Accepted Answer

Mucosal Atomization Device (MAD)

Answer

The MAD atomizes the medication into fine particles that maximize mucosal absorption and minimize the risk of the child swallowing the dose.

Question 2

A nurse is about to give IV vancomycin rapidly and the child develops flushing, erythema, and hypotension. What is the most likely cause?

Accepted Answer

Red Man Syndrome from rapid infusion

Answer

Red Man Syndrome is a rate-dependent reaction caused by mast cell degranulation from rapid vancomycin infusion, not a true allergy.

Question 3

Which of the following is a 'high-alert' medication in pediatric emergency nursing that requires a double-check before administration?

Accepted Answer

Concentrated electrolytes (e.g., potassium chloride)

Answer

Concentrated potassium chloride is a high-alert medication because accidental IV bolus administration can cause fatal cardiac arrest.

Question 4

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?

Accepted Answer

10 mL

Answer

Dose = 10 × 20 = 200 mg; volume = (200 ÷ 100) × 5 = 10 mL.

Question 5

A 3-year-old in status epilepticus has no IV access. Which medication and route is the recommended first-line treatment per current guidelines?

Accepted Answer

Midazolam IM or intranasal

Answer

Midazolam given IM or intranasally is the recommended first-line benzodiazepine when IV access is unavailable in pediatric status epilepticus.

CPEN - Certified Pediatric Emergency Nurse Practice Test