CPEN Medication Administration 5

Question 1

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?

Accepted Answer

3 mL

Answer

Dose = 0.01 × 30 = 0.3 mg; volume = 0.3 mg ÷ 0.1 mg/mL = 3 mL.

Question 2

A neonate requires phenobarbital for seizures. Which potential side effect requires the nurse to have resuscitation equipment at the bedside?

Accepted Answer

Respiratory depression and apnea

Answer

Phenobarbital can cause significant respiratory depression, especially in neonates and when combined with other CNS depressants.

Question 3

Which statement is TRUE regarding the use of weight-based dosing in obese pediatric patients?

Accepted Answer

Some medications should be dosed on ideal body weight (IBW) to avoid toxicity

Answer

Lipophilic drugs and some antibiotics must be adjusted to ideal or adjusted body weight in obese pediatric patients to prevent toxicity.

Question 4

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?

Accepted Answer

40 mL/hr

Answer

Rate = volume ÷ time = 20 mL ÷ 0.5 hr = 40 mL/hr.

Question 5

When administering medications through an intraosseous (IO) route, which of the following is the most important consideration?

Accepted Answer

Flush forcefully with saline before each medication to confirm placement and ensure delivery

Answer

IO placement must be confirmed with a saline flush to ensure patency; medications reach systemic circulation at rates comparable to central IV access.

CPEN - Certified Pediatric Emergency Nurse Practice Test

CPEN - Certified Pediatric Emergency Nurse Practice Test

CPEN Medication Administration 5