NUR 436 Midterm & Final Exam
Questions With Correct Answers
Steps for determining a safe dose - CORRECT ANSWER✔✔-1) Convert the weight from pounds
to kilograms
2) Calculate the average (or safe) daily dosage range in mg/day
-Formula (low range): weight (kg) x low range (mg/kg/day)
-Formula (high range): weight (kg) x high range (mg/kg/day)
3) Calculate the dosage administered over 24 hours
-Formula: dose ordered (mg/dose) x frequency (hrs/dose) x 1day/24 hours
4) Compare the ordered dose/day with the dosage range to determine if it is a safe dose
What is the safe dose per day of Zinacef for a 6- month-old infant who weighs 8.2 kg for
bacterial meningitis?
(200-240) - CORRECT ANSWER✔✔-Low range: 200mg/kg/day x 8.2 kg = 1640 mg/day
High range: 240mg/kg/day x 8.2 kg = 1968mg/day
If given every 6 hours, what would be the dose range? - CORRECT ANSWER✔✔-1640 mg/day x
6 hours x 1day/24 hours = 410 mg/dose
1968 mg/day x 6 hours 1day/24 hours = 492 mg/dose
,What are some important things to consider for pediatric environmental safety? - CORRECT
ANSWER✔✔-Identification bands are essential, all windows should be secured, electrical
equipment needs to be away from water, small caps and objects put away, sturdy furniture, crib
sides should be up and secured, supine sleeping, assess the safety of toys, no latex balloons,
prevent falls, be conscious of infection control
Assessment of infants <6 months - CORRECT ANSWER✔✔-The parent should be present but it
isn't essential, physical comfort is very important (i.e.: warming up stethoscope), sequence of
the exam should be flexible (based on how they react), delay anything that may be
uncomfortable to the end of the assessment to avoid crying (i.e. shining light in their eyes or
touching their sensitive abdomen)
Assessment of infants >6 months - CORRECT ANSWER✔✔-Parent should really be there because
of stranger anxiety, smile when be soothing when you are talking, distract them (i.e. a pacifier
or bottle), begin with their hands and then move to the trunk, take advantage of sleeping to
auscultate
Assessment of toddlers (1-3 years) - CORRECT ANSWER✔✔-Parents should be present if
possible, have the parent hold the child on their lap because they are now more reliant on the
parent for comfort, approach them from behind, let them have a security item with them,
demonstrate the equipment on the parent first, observe for some of the exam (i.e. seeing them
walk or talk can tell you a lot), begin with their feet and then move up
Assessment of preschoolers (3-5 years) - CORRECT ANSWER✔✔-Need willingness to separate
and may regress to stranger anxiety, leave underpants on until the end if checking genital area,
allow the child to touch and play with the environment, simple explanations, offer them choices
when you can, use distractions (i.e. naming colors or a book), for the sequence you should base
if off their preferences
Assessment of school age (5-12) - CORRECT ANSWER✔✔-Usually very willing to cooperate, ask
if they want their parent to be present, provide modesty, teach them about their body and
,health, head to toe sequence while offering choices/prepare them for each step of what you are
doing
Assessment of adolescents (12-18) - CORRECT ANSWER✔✔-Maintain modesty because their
bodies are changing a lot, try to perform in a private area, head to toe sequence, ask them lots
of open ended questions to encourage discussion, assure them that the changes they are going
through are normal
Infants (1-12 months) vitals - CORRECT ANSWER✔✔-HR while awake: 100-180bpm
HR while asleep: 75-160bpm
Respirations: 30-60
Hypotension: <70 systolic BP
Normal BP: 80--65
Toddlers (1-3 years) vitals - CORRECT ANSWER✔✔-HR while awake: 100-150
HR while asleep: 75-150
Respirations: 24-40
Hypotension <70 systolic + 2x their age in years
Normal BP: 90--70
Preschoolers (3-6 years) vitals - CORRECT ANSWER✔✔-HR while awake: 60-150
HR while asleep: 60-90
, Respirations: 22-34
Hypotension <70 systolic + 2x their age in years
Normal BP: 95--75
School age (6-10 years) vitals - CORRECT ANSWER✔✔-HR while awake: 60-110
HR while asleep: 60-90
Respirations: 18-30
Hypotension <70 systolic + 2x their age in years
Normal BP: 100--75
Preteen/teens (>10yrs) vitals - CORRECT ANSWER✔✔-HR while awake: 50-110
HR while asleep: 50-90
Respirations: 12-16
Hypotension <90 systolic
Normal BP: 110--85
oxygen adjunct numbers - CORRECT ANSWER✔✔-- Nasal cannula - up to 5 L/ m
- Simple mask- 8-10 L/m
- Non rebreather - 10-15 L/m
Questions With Correct Answers
Steps for determining a safe dose - CORRECT ANSWER✔✔-1) Convert the weight from pounds
to kilograms
2) Calculate the average (or safe) daily dosage range in mg/day
-Formula (low range): weight (kg) x low range (mg/kg/day)
-Formula (high range): weight (kg) x high range (mg/kg/day)
3) Calculate the dosage administered over 24 hours
-Formula: dose ordered (mg/dose) x frequency (hrs/dose) x 1day/24 hours
4) Compare the ordered dose/day with the dosage range to determine if it is a safe dose
What is the safe dose per day of Zinacef for a 6- month-old infant who weighs 8.2 kg for
bacterial meningitis?
(200-240) - CORRECT ANSWER✔✔-Low range: 200mg/kg/day x 8.2 kg = 1640 mg/day
High range: 240mg/kg/day x 8.2 kg = 1968mg/day
If given every 6 hours, what would be the dose range? - CORRECT ANSWER✔✔-1640 mg/day x
6 hours x 1day/24 hours = 410 mg/dose
1968 mg/day x 6 hours 1day/24 hours = 492 mg/dose
,What are some important things to consider for pediatric environmental safety? - CORRECT
ANSWER✔✔-Identification bands are essential, all windows should be secured, electrical
equipment needs to be away from water, small caps and objects put away, sturdy furniture, crib
sides should be up and secured, supine sleeping, assess the safety of toys, no latex balloons,
prevent falls, be conscious of infection control
Assessment of infants <6 months - CORRECT ANSWER✔✔-The parent should be present but it
isn't essential, physical comfort is very important (i.e.: warming up stethoscope), sequence of
the exam should be flexible (based on how they react), delay anything that may be
uncomfortable to the end of the assessment to avoid crying (i.e. shining light in their eyes or
touching their sensitive abdomen)
Assessment of infants >6 months - CORRECT ANSWER✔✔-Parent should really be there because
of stranger anxiety, smile when be soothing when you are talking, distract them (i.e. a pacifier
or bottle), begin with their hands and then move to the trunk, take advantage of sleeping to
auscultate
Assessment of toddlers (1-3 years) - CORRECT ANSWER✔✔-Parents should be present if
possible, have the parent hold the child on their lap because they are now more reliant on the
parent for comfort, approach them from behind, let them have a security item with them,
demonstrate the equipment on the parent first, observe for some of the exam (i.e. seeing them
walk or talk can tell you a lot), begin with their feet and then move up
Assessment of preschoolers (3-5 years) - CORRECT ANSWER✔✔-Need willingness to separate
and may regress to stranger anxiety, leave underpants on until the end if checking genital area,
allow the child to touch and play with the environment, simple explanations, offer them choices
when you can, use distractions (i.e. naming colors or a book), for the sequence you should base
if off their preferences
Assessment of school age (5-12) - CORRECT ANSWER✔✔-Usually very willing to cooperate, ask
if they want their parent to be present, provide modesty, teach them about their body and
,health, head to toe sequence while offering choices/prepare them for each step of what you are
doing
Assessment of adolescents (12-18) - CORRECT ANSWER✔✔-Maintain modesty because their
bodies are changing a lot, try to perform in a private area, head to toe sequence, ask them lots
of open ended questions to encourage discussion, assure them that the changes they are going
through are normal
Infants (1-12 months) vitals - CORRECT ANSWER✔✔-HR while awake: 100-180bpm
HR while asleep: 75-160bpm
Respirations: 30-60
Hypotension: <70 systolic BP
Normal BP: 80--65
Toddlers (1-3 years) vitals - CORRECT ANSWER✔✔-HR while awake: 100-150
HR while asleep: 75-150
Respirations: 24-40
Hypotension <70 systolic + 2x their age in years
Normal BP: 90--70
Preschoolers (3-6 years) vitals - CORRECT ANSWER✔✔-HR while awake: 60-150
HR while asleep: 60-90
, Respirations: 22-34
Hypotension <70 systolic + 2x their age in years
Normal BP: 95--75
School age (6-10 years) vitals - CORRECT ANSWER✔✔-HR while awake: 60-110
HR while asleep: 60-90
Respirations: 18-30
Hypotension <70 systolic + 2x their age in years
Normal BP: 100--75
Preteen/teens (>10yrs) vitals - CORRECT ANSWER✔✔-HR while awake: 50-110
HR while asleep: 50-90
Respirations: 12-16
Hypotension <90 systolic
Normal BP: 110--85
oxygen adjunct numbers - CORRECT ANSWER✔✔-- Nasal cannula - up to 5 L/ m
- Simple mask- 8-10 L/m
- Non rebreather - 10-15 L/m
