1. Describe the difference between tonic clonic, absence, and myoclonic seizures.
2. Your patient in status epilepticus has been prescribed a loading dose of phenobarbital. They weigh 30.8lb. The dose ordered is 15mg/kg. Show your work.
a. What is the patient’s dose?
b. The concentration is 65mg/mL. How much would you draw up in your
syringe? Round to the nearest 10th.
c. The order is to infuse over 30 minutes, what would you set your pump rate to?
d. Your patient is now on the pediatric floor and has been ordered a phenobarbital twice
daily. Your ordered dose is 8mg/kg/day. Calculate the dose you would administer.
e. Your concentration is 20mg/5mL, how
much would you draw up in your syringe. Round to the nearest 10th.
3. You are caring for a child with pertussis. They will most likely be treated with what antibiotic?
What are 3 education topics that you can cover with the caregivers about transmission,
antibiotic use and caring for their child while acutely ill. Be specific.
4. A nurse is administering iron dextran IM to a 4 year old who has iron deficiency anemia. Name 3
nursing actions that are important when giving this medication IM. Be specific to this medication.
5. Design a sample meal for a child with cystic fibrosis. Provide a rationale for why you chose the
a. What are 3 nursing considerations before giving the child their meal tray. Be specific to CF.
6. You are teaching a group of parents about salmonella. Give 5 examples of information you would provide them with. Provide rationales for each.
7. You are providing education to a caregiver of a child that is starting on a 10 day course of prednisolone. Give 5 examples of what you would include in the education with rationales.
8. You have a patient that is being started on Oral Nystatin for a fungal infection.
a. What is the drug class?
b. In pediatrics, what is this medication used most for?
9. You have a 46.2lb child that is prescribed ibuprofen orally for fever of greater than 38 degrees
Celsius. Show all work.
a. What is your dose? (must look up appropriate dosing of mg/kg, not standard dose).
b. Using the standard concentration for CHILDREN’s ibuprofen, how much would you draw up in your syringe.
10. You have a patient who has acetaminophen ordered for mild pain after a surgical procedure.
Your patient weighs 26.4lb. The range is 10-15mg/dose.
a. What is the patient’s dose range?
b. The concentration is 130mg/5mL. What is the range for how much you would draw up in your syringe.
11. How would you evaluate the effectiveness of Sodium Polystyrene Sulfonate?
12. What is the medication of choice for hypopituitarism?
a. What route for this medication?
b. What are 3 client education topics on hypopituitarism and/or the medication should be provided. Give rationales.
13. What labs results need to be monitored if patient is on an antiretroviral? What are you monitoring and why?
14. Give 5 nursing actions for a patient on corticosteroids.
15. You have a triage call for a child who has pediculosis capitis.
a. What manifestations would be expected?
b. What nursing 3 interventions, including medications, would you discuss with caregiver?
16. You have a patient that is on 2L non rebreather, what is your priority nursing action and why?
17. Your patient has just been prescribed an MDI for the first time.
a. How would you instruct them to use the MDI?
b. What are 2 examples of improper MDI use and how would they affect the dose the patient receives?
18. You have a child on digoxin because of a congenital heart defect.
a. Why would the patient be on this medication.
b. Describe 4 nursing actions for this patient.
c. What is the antidote? How is it given?
d. You patient is 48.4lb. They are prescribed 35mcg/kg/dose IV. What is their dose?
e. The concentration is 100mcg/mL. How many mL would you draw up in your syringe?
19. Your patient has tunneled central venous access device. What are 3 nursing actions when giving an IV medication?
20. What IM site in contraindicated in a child?
21. What are 2 ways that you can tell if your patient’s topical lidocaine is effective?
22. You have a patient that has been diagnosed with ADHD.
a. What are 5 expected findings?
b. What are 3 classroom strategies that the teacher can use?
c. What are 3 parenting strategies the parent can use?
d. This patient has been prescribed methylphenidate. What medication interacts with methylphenidate?
e. Why should patients taper off this medication?
f. What are 2 nursing actions for a patient on methylphenidate? And why?
23. What is the expected pharmacological action of mannitol?
24. Give 2 educational topics you should cover with parents of a child with type 1 diabetes on a sick day. Give rationales.
25. List the 4 types of insulin a patient with Type 1 diabetes may use. Please include type, onset, peak, and duration.
26. Give 8 educational topics for the patient and caregivers of someone with diabetes.
27. You have a patient in the Emergency Department with gastroenteritis. Their weight is 39.6lb.
a. They are prescribed a bolus of 20mL/kg. How many mL is their bolus?
b. The order states the bolus is to be given over 30 minutes. What is your pump rate?
c. What clinical indications or patient assessment findings would indicate the bolus was effective?
d. The same patient has now been ordered ondansetron. Their dose is 0.15mg/kg/dose. Calculate how many mg they will receive.
e. The concentration of ondansetron is 2mg/mL. How much medication would you draw up in the syringe?
f. How would you evaluate the effectiveness of the ondansetron?
28. Choose 2 vaccinations. Provide the minimum age it is given, number of doses, schedule, 1-2 considerations, 3 adverse effects, and any contraindications or precautions.
29. Why would a patient be on amitriptyline after a below the knee amputation from osteosarcoma?
30. Name one chemotherapy medication that treats rhabdosarcoma.
a. Give 3 complications of this medication.
b. Give 3 nursing interventions.
c. How is the medication given? Approximately how long will the child receive the chemotherapeutic agent?
d. Give 3 patient education topics for the medication.
31. You have an infant on gentamycin. What should be monitored while the patient is on this medication and why?
32. You have a patient that is coming in with a burn.
a. If it is a partial-thickness burn, what are the percentages that grade the burn as minor, moderate, or severe?
b. Outline 7 nursing care actions for minor burns.
c. Give 7 nursing care actions for major burns.
d. What is a topical agent that may be used for a burn and why?
e. Why may midazolam be prescribed to a burn patient?
f. Why may nitrous oxide/oxygen mixture be prescribed to a patient with a burn?
g. What is one complication of a burn and what nursing actions should be done?
h. What type of diet should a major burn patient be educated on?
33. You have a patient with an engorged tick. They do not know how long it has been attached.
a. What medication would you expect to be prescribed according to age? (There are 2 different medications depending on age)
b. What signs should you look for in the first 30 days that indicate Lyme disease?
34. Your patient is diagnosed with Spastic cerebral palsy.
a. The patient has been prescribed baclofen. What are 2 nursing actions that should be taken?
b. What are 2 client education topics that should be covered?
c. Why would this patient be prescribed botulinum toxin A?
35. You have a patient that has been diagnosed with Juvenile idiopathic arthritis.
a. What are 3 expected findings?
b. What lab tests would you most likely see ordered? What would the labs show?
c. Give 5 nurse care that actions.
d. Why is this patient prescribed methotrexate? What labs need to be monitored? What are 2 client education topics that need to be covered?