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Pediatric Dosage Calculation Practice Problems (with Answers) — 70+ Safe Dose Scenarios | HESI / NCLEX / Clinical Prep

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Build confidence in pediatric medication calculations with this focused practice set containing real-world problems and fully worked answers. Ideal for nursing students, HESI/NCLEX candidates, and clinical staff, this file concentrates on safe pediatric dosing (kg ↔ lb conversions, mg ↔ mL calculations, mcg dosing, safe daily ranges, and unit conversions). What’s included Multiple pediatric dose calculation problems (weight conversions, safe-range checks, dose conversions, and volume to administer) Clear, step-by-step answers for each problem so you can learn the method, not just the result Topics covered: acetaminophen, amoxicillin, ferrous sulfate, digoxin, phenytoin, prednisone, cefaclor, and more Perfect for practicing HESI/NCLEX pharmacology questions and mastering bedside medication calculations Why this helps Reinforces safe dosing practices and error prevention Teaches unit conversions and calculation workflow used in clinical settings Great for timed practice, group study, or using as a quick reference sheet during clinicals

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Practice Problems
CALCULATING SAFE PEDIATRIC DOSAGES:
1. Order: Acetaminophen elixir 10 mg/kg po.
Child weight is 10 pounds.
Available: Acetaminophen elixir 160 mg/ 5ml.


How much Acetaminophen will you administer?



2. Order: Amoxicillin 100 mg po q6 hr.
Child weighs 15 lbs.
Safe range is 25 – 30 mg/kg/24 hr.


a. What is the safe 24-hr range?
b. Is the ordered dose safe for a 24-hr period?
c. How many mg/day is the patient receiving?



3. Order: Ferrous Sulfate 9 mg po tid.
Child weighs 13 lbs. The safe dosage is
3 –6 mg/kg/24 hrs.


a. What is the safe 24-hr range?
b. Is the ordered dose safe for a 24-hr period?



4. Order: Digoxin 18 mcg po bid.
Child weighs 7 lbs. The safe range is
10 – 12 mcg/kg/24 hrs.


a. What is the safe 24-hr range?
b. Is the ordered dose safe for a 24-hr period?
c. If the medication is supplied 50 mcg/ml, how
many ml will you administer per dose



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5. Order: Phenytoin 40 mg po q 8 hr.
Child weighs 27 lb. The safe range is 8–10 mg/kg/24 hr


a. What is the safe 24-hr range?
b. Is the dose safe for a 24-hr period?
c. If the medication is supplied 125 mg/5 ml, how many
ml will you administer per dose?



6. Order: Prednisone 150 mg po bid.
Child weighs 21 lb. The safe range is 0.5-40 mg/kg/24hr


a. What is the safe 24-hr range?
b. Is the dose safe for a 24-hr period?
c. If the medication is supplied 5 mg/ml, how many
ml will be required for a 24 hour period?



7. Order: Cefaclor 180 mg po q 8 hr.
Child weighs 10 lb. The safe dose is 15 mg/kg/dose.


a. What is the safe dose for this child?
b. Is the ordered dose safe?
c. If the medication is supplied 125 mg/ 5 ml, how
many ml will you administer?


Answers:
1. 1.4 ml
2. a. 170 – 204 mg b. no 100 X 4 = 400 mg/day
3. a. 17.7 – 35.4 mg b. yes 9 X 3 = 27 mg
4. a. 32 – 38.4 mcg b. yes 18 X 2 = 36mcg c. 0.36ml
5. a. 98.4 – 123 mg b. yes 40 X 3 =120mg c. 1.6ml
6. a. 4.8 - 380 mg b. yes 150 X 2 = 300mg c. 60 ml
7. a. 67.5 mg b. no c. Don’t administer dose- call MD




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