PEDIATRIC MEDICATIONS, DOSAGE & SAFETY
NUR 272
Pediatric Medications,
Dosage & Priority Care
Care of Childbearing / Childrearing Family
Medgar Evers College, CUNY
100 original pediatric questions combining weight-based calculations, liquid and IV
medication math, safe administration, common drug effects, high-alert precautions, adverse
reactions, and priority nursing decisions.
100 A-D 100
Practice questions Single best answer Explained answers
CALCULATE / VERIFY / MONITOR
Answers and explanations after every question
Focused practice. Clear reasoning. Confident review.
, NUR 272 | PEDIATRIC MEDS, DOSAGE & SAFETY PASSPOINT PRO
Your practice guide
Work through 100 original pediatric medication questions. Each item is followed by its answer and explanation so you can
connect the arithmetic with the clinical safety check, patient assessment, or priority response that makes the calculation
meaningful.
Use kilograms for weight-based medication calculations.
Carry units through each step and check decimal placement carefully.
For calculations, verify dose, concentration, route, frequency, and any stated maximum.
For clinical items, prioritize airway, breathing, circulation, severe reactions, and high-alert medication errors.
Topic map and review tracker
SET FOCUS ITEMS SCORE
01 Weight-based dosage calculations 1-20 ___ / 20
02 Administration safety & error prevention 21-40 ___ / 20
03 Common pediatric medications 41-60 ___ / 20
04 IV fluids, electrolytes & emergency medication math 61-80 ___ / 20
05 Priority care, adverse effects & family teaching 81-100 ___ / 20
Total correct: _____ / 100 Questions to revisit: __________________
PassPoint Pro | Original practice questions
, NUR 272 | PEDIATRIC MEDS, DOSAGE & SAFETY PASSPOINT PRO
01 Weight-based dosage calculations
WEIGHT CONVERSION
1
A child weighs 44 lb. Using 2.2 lb = 1 kg, what weight should the nurse use for medication calculations?
A 20 kg
B 24 kg
C 18 kg
D 22 kg
Answer: A. 20 kg
Explanation: Pediatric medication calculations should use kilograms unless the prescription specifically states otherwise.
Divide pounds by 2.2: .2 = 20 kg. Using pounds directly in a mg/kg calculation can cause a major dosing error.
ORAL DOSE
2
A 20-kg child is prescribed acetaminophen 15 mg/kg by mouth. The liquid available is 160 mg/5 mL. How
many mL should the nurse administer?
A 4.7 mL
B 12.5 mL
C 18.8 mL
D 9.4 mL
Answer: D. 9.4 mL
Explanation: First calculate the dose: 20 kg x 15 mg/kg = 300 mg. The concentration is 160 mg in 5 mL, so 300 x =
9.375 mL, rounded to 9.4 mL. The nurse should use an oral syringe or other calibrated device for accuracy.
DIVIDED DOSE
3
A 30-kg child is prescribed amoxicillin 45 mg/kg/day divided into two equal doses. How many milligrams
should the nurse give per dose?
A 337.5 mg
B 2,025 mg
C 1,350 mg
D 675 mg
Answer: D. 675 mg
Explanation: The total daily amount is 30 kg x 45 mg/kg/day = 1,350 mg/day. Dividing the daily amount into two equal doses
gives 675 mg per dose. When a prescription is written per day, the nurse must divide by the ordered number of daily doses.
LIQUID MED
4
A prescription is for 250 mg of an oral medication. The bottle is labeled 125 mg/5 mL. How many mL should
the nurse administer?
A 2.5 mL
B 10 mL
C 20 mL
D 5 mL
Answer: B. 10 mL
Explanation: Use desired over have times volume: 250 mg / 125 mg x 5 mL = 10 mL. The dose calculation should be
independently rechecked when the result seems unusually large or small for the child.
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