2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!
NURS 232 FINAL QUESTIONS AND
CORRECT ANSWERS | LATEST UPDATE
How do you calculate the maintenance fluid for pts <70kg?
**Per day!
ex: child that's 29 kg
✓ -:- First 10kg x 100ml
✓ Second 10kg x 50 ml
✓ Remaining x 20 ml
Ex: 29 kg
10 x 100
10 x 50
9 x 20 = 1680 ml/day
How do you calculate the ideal of fluid intake/maintenance fluids for pt >70 kg?
**per day!
✓ -:- Body surface area (m2) x 1.5 l/m2/day
1|P a g e | G r a d e A + | 2 0 2 0 2 5
,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!
Ex: BSA 1.3
1.3 x 1.5 = 1.95 L/day or 1950 ml/day
How do you calculate urine output?
ex: child that's 12.5 kg
✓ -:- Weight x 1-2 ml/kg/HOUR; If need per DAY multiply by 24
Ex: Child is 12.5kg
Min 1 x 12.5 =12.5 ml/hr
Max 2 x 12.5 = 25 ml/hr
DAY= 300-600 ml/DAY
How do you calculate potassium requirements?
ex: child that's 32 kg
✓ -:- Weight x 2-3 mEq/kg/DAY
2|P a g e | G r a d e A + | 2 0 2 0 2 5
,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!
*ex: child 32 kg
Min 2 x 32 = 64 mEq/DAY
Max 3 x 32 = 96 mEq/DAY
The mom of an 18 mos old says that she is "frustrated" with child's behavior stating, :she
drives me crazy saying no to everything." The nurse explains that his negativism is normal &
helps the child meet the need for what?
a) industry
b) initiative
c) independence
d) identity
✓ -:- c) independence
Identify the single most important factor to consider when communicating with the
hospitalized child
a) chronological age of the child
b) presence or absence of parent
3|P a g e | G r a d e A + | 2 0 2 0 2 5
, 2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!
c) developmental age of the child
d) diagnosis of the child
✓ -:- c) developmental age of the child
When examining a 2 yr old for a well child check up, how would you proceed?
a) ask the parent to leave the room so the child will behave better
b) start by looking in the ears to get intrusive portion of the exam over with
c) address all of your questions to the child
d) establish rapport with the parents before addressing the child
✓ -:- d) establish rapport with the parents before addressing the child
A child with multiple fractures/trauma sustained in a MVA is experiencing severe pain.
Which is the most appropriate for the nurse to do?
a) give opioid whenever pain is reported
b) plan a preventative schedule of pain meds around the clock
c) increase the dose of opioid until the child is sufficiently sedated
4|P a g e | G r a d e A + | 2 0 2 0 2 5
NURS 232 FINAL QUESTIONS AND
CORRECT ANSWERS | LATEST UPDATE
How do you calculate the maintenance fluid for pts <70kg?
**Per day!
ex: child that's 29 kg
✓ -:- First 10kg x 100ml
✓ Second 10kg x 50 ml
✓ Remaining x 20 ml
Ex: 29 kg
10 x 100
10 x 50
9 x 20 = 1680 ml/day
How do you calculate the ideal of fluid intake/maintenance fluids for pt >70 kg?
**per day!
✓ -:- Body surface area (m2) x 1.5 l/m2/day
1|P a g e | G r a d e A + | 2 0 2 0 2 5
,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!
Ex: BSA 1.3
1.3 x 1.5 = 1.95 L/day or 1950 ml/day
How do you calculate urine output?
ex: child that's 12.5 kg
✓ -:- Weight x 1-2 ml/kg/HOUR; If need per DAY multiply by 24
Ex: Child is 12.5kg
Min 1 x 12.5 =12.5 ml/hr
Max 2 x 12.5 = 25 ml/hr
DAY= 300-600 ml/DAY
How do you calculate potassium requirements?
ex: child that's 32 kg
✓ -:- Weight x 2-3 mEq/kg/DAY
2|P a g e | G r a d e A + | 2 0 2 0 2 5
,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!
*ex: child 32 kg
Min 2 x 32 = 64 mEq/DAY
Max 3 x 32 = 96 mEq/DAY
The mom of an 18 mos old says that she is "frustrated" with child's behavior stating, :she
drives me crazy saying no to everything." The nurse explains that his negativism is normal &
helps the child meet the need for what?
a) industry
b) initiative
c) independence
d) identity
✓ -:- c) independence
Identify the single most important factor to consider when communicating with the
hospitalized child
a) chronological age of the child
b) presence or absence of parent
3|P a g e | G r a d e A + | 2 0 2 0 2 5
, 2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!
c) developmental age of the child
d) diagnosis of the child
✓ -:- c) developmental age of the child
When examining a 2 yr old for a well child check up, how would you proceed?
a) ask the parent to leave the room so the child will behave better
b) start by looking in the ears to get intrusive portion of the exam over with
c) address all of your questions to the child
d) establish rapport with the parents before addressing the child
✓ -:- d) establish rapport with the parents before addressing the child
A child with multiple fractures/trauma sustained in a MVA is experiencing severe pain.
Which is the most appropriate for the nurse to do?
a) give opioid whenever pain is reported
b) plan a preventative schedule of pain meds around the clock
c) increase the dose of opioid until the child is sufficiently sedated
4|P a g e | G r a d e A + | 2 0 2 0 2 5
