NURS 6500PEDS EXAM 1 QUESTIONS WITH
COMPLETE SOLUTIONS
If you have an infant who is not consolable and you had the
infant to their caregiver and they can not console the child what
makes this a red flag?
That the child is inconsolable and they are likely in pain
Wong-Baker FACES pain rating scale is used for?
children 3+ or nonverbal persons
An Rn is caring for a 6 year old who is postoperative day 1, after
having major surgery. The child states his pain is severe, but is
sitting up in bed reading a book. Choose the best RN response.
Administer pain medication
If a patient has major surgery what do you expect?
pain, expect pain as it is major surgery and the patient is likely
on a PRN medication. So pay attention to what the client is
saying what their situation/background is to guide your choice to
administer medication for pain
A nurse has an order to administer acetaminophen 2 teaspoons
per 3 times per day. How many mLs will the nurse administer
PER DAY?
30 mLs
,The nurse is caring for a child with acute asthma. The child
weight 37.5 lbs. The medication order reads methylprednisolone
20 mg IV twice a day. The pediatric dosage handbook provides
a recommended dose for acute asthma of 1 to 2 mg/kg/day in
two divided doses. Is the ordered dose safe?
To determine if the ordered dose of methylprednisolone is safe
for the child with acute asthma, we need to calculate the
appropriate dose range based on the child's weight and compare
it with the ordered dose.
Step 1: Convert the weight from pounds to kilograms. 37.5 lbs ÷
2.2046 = 17.01 kg (rounded to two decimal places)
Step 2: Calculate the recommended dose range. 1 mg/kg/day ×
17.01 kg = 17.01 mg/day 2 mg/kg/day × 17.01 kg = 34.02
mg/day
Therefore, the recommended dose range for this child with acute
asthma would be between 17.01 mg and 34.02 mg per day.
Comparing the recommended dose range with the ordered dose
of methylprednisolone 20 mg IV twice a day: 20 mg × 2 = 40
mg/day
The ordered dose of 40 mg/day exceeds the upper limit of the
recommended dose range for this child. Therefore, the ordered
dose of methylprednisolone is higher than the recommended
dose range and may not be considered safe.
A child is 22 lbs. Amoxicillin is ordered 40 mg/kg/dose.
Amoxicillin susp. concentration available is 200 mg/5ml. How
much will be given per dose?
, 2 tsp
Seizure precautions
- ensure suction & oxygen is in the room
- ensure there is nothing that can hurt the patient
- bed rails up
Seizure care
- place patient on their side
- observe time & duration
- protect their head
- ease them down to the ground without risking injury to self
- grab suction & oxygen
- depending on duration you may administer an anti-seizure med
Post-ictal care
Patient is likely to be quite fatigued after d/t the foci in the brain
causing the seizure as it is triggering multiple neuron firing so
will be fatigued for upto 30 minutes after.
Patient teaching for seizure
medication use and adherence
auras
A nurse is assessing an infant following a motor vehicle crash.
Which of the following findings should the nurse monitory to
identify increased intracranial pressure?
increased sleeping
COMPLETE SOLUTIONS
If you have an infant who is not consolable and you had the
infant to their caregiver and they can not console the child what
makes this a red flag?
That the child is inconsolable and they are likely in pain
Wong-Baker FACES pain rating scale is used for?
children 3+ or nonverbal persons
An Rn is caring for a 6 year old who is postoperative day 1, after
having major surgery. The child states his pain is severe, but is
sitting up in bed reading a book. Choose the best RN response.
Administer pain medication
If a patient has major surgery what do you expect?
pain, expect pain as it is major surgery and the patient is likely
on a PRN medication. So pay attention to what the client is
saying what their situation/background is to guide your choice to
administer medication for pain
A nurse has an order to administer acetaminophen 2 teaspoons
per 3 times per day. How many mLs will the nurse administer
PER DAY?
30 mLs
,The nurse is caring for a child with acute asthma. The child
weight 37.5 lbs. The medication order reads methylprednisolone
20 mg IV twice a day. The pediatric dosage handbook provides
a recommended dose for acute asthma of 1 to 2 mg/kg/day in
two divided doses. Is the ordered dose safe?
To determine if the ordered dose of methylprednisolone is safe
for the child with acute asthma, we need to calculate the
appropriate dose range based on the child's weight and compare
it with the ordered dose.
Step 1: Convert the weight from pounds to kilograms. 37.5 lbs ÷
2.2046 = 17.01 kg (rounded to two decimal places)
Step 2: Calculate the recommended dose range. 1 mg/kg/day ×
17.01 kg = 17.01 mg/day 2 mg/kg/day × 17.01 kg = 34.02
mg/day
Therefore, the recommended dose range for this child with acute
asthma would be between 17.01 mg and 34.02 mg per day.
Comparing the recommended dose range with the ordered dose
of methylprednisolone 20 mg IV twice a day: 20 mg × 2 = 40
mg/day
The ordered dose of 40 mg/day exceeds the upper limit of the
recommended dose range for this child. Therefore, the ordered
dose of methylprednisolone is higher than the recommended
dose range and may not be considered safe.
A child is 22 lbs. Amoxicillin is ordered 40 mg/kg/dose.
Amoxicillin susp. concentration available is 200 mg/5ml. How
much will be given per dose?
, 2 tsp
Seizure precautions
- ensure suction & oxygen is in the room
- ensure there is nothing that can hurt the patient
- bed rails up
Seizure care
- place patient on their side
- observe time & duration
- protect their head
- ease them down to the ground without risking injury to self
- grab suction & oxygen
- depending on duration you may administer an anti-seizure med
Post-ictal care
Patient is likely to be quite fatigued after d/t the foci in the brain
causing the seizure as it is triggering multiple neuron firing so
will be fatigued for upto 30 minutes after.
Patient teaching for seizure
medication use and adherence
auras
A nurse is assessing an infant following a motor vehicle crash.
Which of the following findings should the nurse monitory to
identify increased intracranial pressure?
increased sleeping
