Pediatric Nurse Pharmacology and Medication Administration Flashcards
7 cards from real Pediatric Nurse Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pediatric Nurse Pharmacology and Medication Administration flashcards as text
A 3-year-old is prescribed ibuprofen 10 mg/kg/dose. The child weighs 15 kg. The available suspension is 100 mg/5 mL. How many mL should the nurse give?
Answer: 7.5 mL
10 mg/kg × 15 kg = 150 mg; 150 mg ÷ (100 mg/5 mL) = 7.5 mL.
A pediatric patient is on gentamicin therapy. Which laboratory values are most important to monitor?
Answer: BUN, creatinine, and peak/trough drug levels
Gentamicin is nephrotoxic and ototoxic; monitoring renal function and serum drug levels prevents toxicity.
Which of the following is the correct route for administering surfactant (beractant) to a premature neonate?
Answer: Intratracheal instillation
Surfactant is administered directly into the trachea via an endotracheal tube to treat respiratory distress syndrome in premature infants.
A child is prescribed phenobarbital for seizures. Which side effect requires immediate nursing intervention?
Answer: Respiratory depression
Respiratory depression is a life-threatening adverse effect of phenobarbital requiring immediate intervention.
When teaching parents about administering iron supplements to their child, which instruction is most important?
Answer: Give with vitamin C-rich juice to enhance absorption
Vitamin C (ascorbic acid) enhances iron absorption, while milk and calcium inhibit it.
A 7-year-old with ADHD is started on methylphenidate. Which assessment finding warrants contacting the prescriber before administering the next dose?
Answer: Heart rate 122 bpm at rest
Stimulant medications can cause significant tachycardia; a resting heart rate of 122 bpm warrants prescriber notification.
A nurse is preparing to administer a subcutaneous injection of insulin to a 10-year-old. Which needle length is most appropriate?
Answer: 4-6 mm
A 4-6 mm needle is recommended for pediatric subcutaneous insulin injections to avoid inadvertent IM delivery.
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