WorksheetsPediatric Dosage Calculations - RN
Total questions: 26
Worksheet time: 2hrs 10mins
The physician orders furosemide (Lasix) 20 mg IV.
How many mL will the nurse administer?
(a)
A child who weighs 56 lbs is to receive phenytoin (Dilantin) 75 mg PO q12h. The safe dose range is 5–7 mg/kg/day in divided doses q12h.
What is the individual safe dose range for this child? Is this dose safe? Round your answer to the tenth place
SDR = 127.3 mg - 178.2 mg/day
Prescribed = 150 mg/day
Yes. This dose is safe.
SDR = 127.3 mg - 178.2 mg
Prescribed = 75 mg
No, this dose is too low
SDR = 280 mg - 392 mg/day
Prescribed = 150 mg/day
No this, dose is too low
The child is prescribed lanoxin (Digoxin) 75 mcg PO qd. The pharmacy supplies lanoxin (Digoxin) 0.05mg scored tablets. How many tablets will the nurse administer? Record your answer using one decimal place.
0.5 tablets
1 tablet
1.5 tablets
2 tablets
The physician orders the patient a 10-mL/kg normal saline bolus to infuse over 2 hours.
The child weighs 36 kg. Calculate the infusion rate in mL/hr.
36 mL/hour
180 mL/hour
360 mL/hour
200 mL/hour
The child is receiving D10NS with 20 mEq KCL infusing at 100 mL/hr. A new 1,000-mL fluid bag was hung at 0700. At 0800 the IV infiltrated and was restarted at 1000. At 1100 the IV rate was decreased to 50 mL/hr until 1900. Calculate the total IV intake from 0700 to 1900.
(a)
The physician orders vancomycin (Vancocin) 250 mg PO qid for a child weighing 65 lb. The safe dose range is 25–50 mg/kg/day in divided doses q6h.
What is the individual safe dose range for this child?
Is the ordered dose safe?
Record your answer using one decimal place.
SDR = 1,625 mg - 3,250 mg/day divided q6h
The pt is receiving 1,000 mg/day divided q6h
This dose is too low.
SDR = 738.8 mg - 1,477.5 mg/day divided q6h
The pt is receiving 1,000 mg/day divided q6h
This dose is safe.
SDR = 369 mg - 738.8 mg/day
The pt is receiving 1,000 mg/day
This dose is too high.
The physician orders vancomycin (Vancocin) 250 mg PO qid for a child weighing 65 lb. The safe dose range is 25–50 mg/kg/day in divided doses q6h.
What is the individual safe dose range for this child?
Is the ordered dose safe?
Record your answer using one decimal place.
SDR = 1,625 mg - 3,250 mg/day divided q6h
The pt is receiving 1,000 mg/day divided q6h
This dose is too low.
SDR = 738.8 mg - 1,477.5 mg/day divided q6h
The pt is receiving 1,000 mg/day divided q6h
This dose is safe.
SDR = 369 mg - 738.8 mg/day
The pt is receiving 1,000 mg/day
This dose is too high.
The patient is to receive amoxicillin 80 mg oral suspension q6h.
How many mL will the nurse administer? Record your answer using one decimal place.
(a)
The physician orders duramorph (Morphine Sulfate) 2 mg IV q4h prn pain. The safe dose range is 0.1–0.2 mg/kg/dose. The child weighs 43 lb.
What is the individual safe dose range for this child?
Is the ordered dose safe?
Record your answer using one decimal place.
SDR = 4.3 mg - 8.6 mg/dose
This dose is too low.
SDR = 1.9 mg - 3.9 mg
This dose is safe.
SDR = 1.9 mg - 3.9 mg
This dose is too close to the low range, the physician should be called.
The physician orders 300 mL NS IV bolus to infuse over 2 hours. The IV infusion pump is not available. The nurse has microdrip tubing with a drop factor of 20 gtts/mL. Calculate the infusion rate in gtts/min.
(a)
The child has an order for naloxone HCL (Narcan) 300 mcg IV push STAT.
How many mL will the nurse administer? Record your answer using two decimal places.
(a)
The physician ordered Heparin 8,000 units subcutaneous once daily. The pharmacy provides a vial labeled “Heparin 10,000 units per mL.” How many mL will the nurse administer? Record your answer using one decimal place.
(a)
The patient is prescribed piperacillin (Zosyn) 300 mg IV q8h to infuse over 4 hours. The pharmacy provides a bag labeled “piperacillin (Zosyn) 300 mg in 200 mL.” Calculate the infusion rate in mL/hr.
(a)
The child is prescribed acetylsalicylic acid (aspirin) 650 mg PO daily. The pharmacy supplies acetylsalicylic acid (aspirin) 325 mg in scored tablets. How many tablets will the nurse administer?
(a)
The physician orders clindamycin (Cleocin) oral suspension 230 mg PO tid for a child weighing 82 lb. The safe dose range is 12–18 mg/kg/day in 3 divided doses.
What is the individual safe dose range for this child?
Is the ordered dose safe?
Round to the tenth place.
SDR = 984 mg - 1,476 mg/day in 3 divided doses
The patient is receiving 680 mg/day in 3 divided doses
This dose is too low.
SDR = 447.2 mg - 670.9 mg/day in 3 divided dose
The patient is receiving 680 mg/day in 3 divided doses.
The dose is too high.
SDR = 149.1 mg - 223.6 mg/day in 3 divided doses
The patient is receiving 230 mg/day in 3 divided doses
This dose is close enough.
The physician orders ranitidine (Zantac) 150 mg IV q12h to infuse over 15 minutes. The pharmacy supplies a bag labeled “ranitidine (Zantac) 150 mg in 100 mL.”
Calculate the infusion rate in mL/hr.
(a)
Order: Two 250 mL PBRCs to infuse over 4 hours. The infusion pump is unavailable. You have tubing that indicates a drip factor of 15 gtt/mL.
What is the gtt/min rate? Round to the nearest whole number.
31 gtt/min
35 gtt/min
16 gtt/min
500 gtt/min
The child is prescribed omnicef (Cefdinir) 380 mg PO qid. The safe dose range for omnicef (Cefdinir) is 15–30 mg/kg/day in 4 divided doses. The child weighs 105 lb.
Calculate the individual safe dose range for this child.
Is the ordered dose safe?
Record your answer to the nearest tenth place.
SDR = 715 mg - 1,431.9 mg/day in 4 divided doses
The pt is receiving 1,520 mg/day in 4 divided doses.
The dose is too high.
SDR = 1,575 mg - 3,150 mg/day in 4 divided doses.
The pt is receiving 1,520 mg/day in 4 divided doses.
The dose is too low.
SDR = 178.8 mg - 358.5 mg/dose
The pt is receiving 380 mg/dose
This dose can be administered safely.
The physician orders 150 mg hydrocortisone sodium succinate (Solu-Cortef) IV push q6h. The vial reads “hydrocortisone sodium succinate (Solu-Cortef) 250 mg/2 mL.”
How many mL will the nurse administer?
Record your answer to the nearest tenth.
(a)
The child is prescribed fluconazole (Diflucan) 600 mg PO bid. The pharmacy supplies a bottle labeled “fluconazole (Diflucan) 60 mg/mL.”
How many tsp will the nurse administer?
(a)
The physician orders hydromorphone (Diluadid) 2 mg PO q4h prn for pain. The safe dose range for hydromorphone (Diluadid) is 0.03–0.08 mg/kg/dose q4h prn pain. The child weighs 117 lb.
Calculate the individual safe dose range for this child.
Is the ordered dose safe?
Round to the nearest tenth.
SDR = 3.5 mg - 9.36 mg/dose
This dose is too low.
SDR = 1.6 mg - 4.3 mg/dose.
This dose is safe to administer
SDR = 1.6 mg - 4.3 mg/day in 4 divided doses.
This dose is too high.
The physician prescribes famotidine (Pepcid) 25 mg to infuse over 45 minutes. The pharmacy provides a bag labeled “famotidine (Pepcid) 25 mg/150 mL.”
Calculate the infusion rate in mL/hr.
Round to the nearest whole number.
(a)
The child is ordered to receive levetiracetam (Keppra) 250 mg PO qid. The medication available reads “levetiracetam (Keppra) 125 mg/5 mL.”
How many mL will the nurse administer per dose?
(a)
The physician orders voriconazole (Vfend) 325 mg IV q6h to infuse over 45 minutes. The pharmacy supplies a bag labeled “voriconazole (Vfend) 325 mg in 250 mL.”
Calculate the infusion rate in mL/hr.
Record your answer using one decimal place.
(a)
The child is prescribed enalapril (Vasotec) 2 mg PO bid. The safe dose range for enalapril (Vasotec) is 0.08–0.1 mg/kg/day in 2 divided doses. The child weighs 92 lb.
Calculate the individual safe dose range for this child.
Is the ordered dose safe?
Record your answer using one decimal place.
SDR = 3.3 mg - 4.2 mg/day in 2 divided doses
The prescribed dose is 2 mg.
The dose is too low.
SDR = 7.4 mg - 9.2 mg/day in 2 divided doses
The prescribed dose is 4 mg/day
The dose is too low.
SDR = 3.3 mg - 4.2 mg/day in 2 divided doses
The prescribed dose is 4 mg/day
The dose is safe to administer.
The child is ordered methylprednisolone sodium succinate (Solu-Medrol) 750 mcg IV q12h. The medication package is labeled “methylprednisolone (Solu-Medrol) 1 mg/mL.”
How many mL will the nurse administer? Record your answer using two decimal places.
(a)
