Mock Pediatric Dosage Exam

For the first 10 kg of body weight=100 mL/kg

For the next 10 kg of body weight=50 mL/kg

For each kg above 20 kg of body weight= 20 mL/kg

 

Danielle weighs 8 kg is hospitalized for vomiting/diarrhea.  What would her daily (24 hour) fluid maintenance needs be in milliliters? 

For the first 10 kg of body weight=100 mL/kg

For the next 10 kg of body weight=50 mL/kg

For each kg above 20 kg of body weight= 20 mL/kg

 

Kim is hospitalized for cholecystitis. She weighs 60 kg. What would her daily (24 hour) IV fluid maintenance needs be in milliliters?

A nurse is caring for a toddler who weighs 13.5 kg. What is the toddler's daily maintenance fluid requirement?

A nurse is caring for a school-age child who weighs 22 kg. what is the child's daily maintenance fluid requirement?

A nurse is preparing to administer dexamethasone 0.3 mg/kg/day PO divided into equal doses every 12 hr to a school-age child who weighs 50 lb. available is dexamethasone oral solution 0.5 mg/5 ml. How many ml should the nurse administer per dose?

A nurse is preparing to administer famotidine 1 mg/kg/day PO divided equally every 12 hr to a child who weighs 41 lbs. Available is famotidine oral suspension 40 mg/5 ml. How many mL should the nurse administer per dose? (round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is reconstituting a 1g vial of Ceftriaxone for IV administration. The order is for 250mg IVP. The vial instructions read to reconstitute with 1.75mL of sterile water to reach a final concentration of 1g/mL. How much ml of water will the nurse add to the vial?

Doctor orders 300 mg of Zmax once a day for a child that weighs 72 lbs. The safe dose range for this medication is 10-12 mg/kg/day. Is this a safe dose within range or not within range for this patient?

Answer explanation

This dose is not within range. A safe dose is 327.3-392.7 mg/day.

Doctor order Cefazolin 350 mg IV every 4 hours. The child weighs 31 lbs. The safe dosage range for this medication is 25-75 mg/kg/day. Is this dose within range or not within range for this patient?

Answer explanation

This dose is not within range. A safe dose would be 58.7-176.1 mg/dose.

Jalen is an 8-month-old infant who weighs 7 kg. He has been ordered acetaminophen 100 mg every 4-6 hours PO for a fever. The recommended dosage range for infants is 10-15 mg/kg/dose. Is the ordered dose within range or not within range?

Answer explanation

Jalen was prescribed 100 mg. It falls within the calculated safe dosage range of 70 – 105 mg, so, yes, the dose is within range for Jalen.