Pediatric CCRN Exam Pediatric CCRN Pharmacology

Question 1

A 10 kg child requires an epinephrine infusion at 0.1 mcg/kg/min. Using the rule of 6, how many mg of epinephrine should be added to 100 mL of D5W to run at 1 mL/hr?

Accepted Answer

0.6 mg

Answer

6 mg

Answer

0.06 mg

Answer

60 mg

Question 2

Which opioid is CONTRAINDICATED in a child with renal failure requiring pain management in the PICU?

Accepted Answer

Meperidine

Answer

Fentanyl

Answer

Hydromorphone

Answer

Morphine

Question 3

A 5-year-old receives IV vancomycin for MRSA bacteremia. Which monitoring parameter is MOST important to prevent toxicity?

Accepted Answer

AUC/MIC ratio via Bayesian pharmacokinetic monitoring

Answer

Peak and trough serum levels

Answer

Random vancomycin level at 2 hours post-dose

Answer

Daily urinalysis only

Question 4

What is the CORRECT dose of IV atropine to treat symptomatic bradycardia in a 20 kg child?

Accepted Answer

0.02 mg/kg = 0.4 mg

Answer

0.01 mg (minimum dose)

Answer

0.1 mg/kg = 2 mg

Answer

0.5 mg flat dose

Question 5

A child in the PICU receives a continuous midazolam infusion for 5 days. When the infusion is weaned, the child develops agitation, tremors, and diaphoresis. This presentation is MOST consistent with:

Accepted Answer

Benzodiazepine withdrawal syndrome

Answer

Sepsis-associated delirium

Answer

Opioid toxicity

Answer

Thyroid storm

Question 6

Which medication is the antidote for acetaminophen (paracetamol) toxicity in a pediatric patient?

Accepted Answer

N-acetylcysteine (NAC)

Answer

Flumazenil

Answer

Naloxone

Answer

Physostigmine