Pediatric Nurse Exam Pediatric Nurse Pharmacology and Medication Administration 3

Question 1

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?

Accepted Answer

7.5 mL

Answer

10 mg/kg × 15 kg = 150 mg; 150 mg ÷ (100 mg/5 mL) = 7.5 mL.

Question 2

A pediatric patient is on gentamicin therapy. Which laboratory values are most important to monitor?

Accepted Answer

BUN, creatinine, and peak/trough drug levels

Answer

Gentamicin is nephrotoxic and ototoxic; monitoring renal function and serum drug levels prevents toxicity.

Question 3

Which of the following is the correct route for administering surfactant (beractant) to a premature neonate?

Accepted Answer

Intratracheal instillation

Answer

Surfactant is administered directly into the trachea via an endotracheal tube to treat respiratory distress syndrome in premature infants.

Question 4

A child is prescribed phenobarbital for seizures. Which side effect requires immediate nursing intervention?

Accepted Answer

Respiratory depression

Answer

Respiratory depression is a life-threatening adverse effect of phenobarbital requiring immediate intervention.

Question 5

When teaching parents about administering iron supplements to their child, which instruction is most important?

Accepted Answer

Give with vitamin C-rich juice to enhance absorption

Answer

Vitamin C (ascorbic acid) enhances iron absorption, while milk and calcium inhibit it.

Pediatric Nurse Exam Practice Test

Pediatric Nurse Exam Practice Test

Pediatric Nurse Exam Pediatric Nurse Pharmacology and Medication Administration 3