Practice Math Questions

NUR 434
Practicum in Nursing of Children
Directions: Read all questions carefully. Be sure to answer the question that is asked.
Use this as your study guide for the math test, which will take place on the first day of class.
1. A child is to receive 450 mg of Ceftriaxone IV. The maximum concentration is
25 mg/ml. How much diluent is required for this dose of medication?
_____________________
2. A child who weighs 66 pounds 8 ounces has an order for 600 mg of
acetaminophen by mouth every 4 hours. The drug guide states that the safe
range of acetaminophen for a pediatric patient is 10-15 mg/kg/dose. (round
weight to nearest kg) _______
What is the safe range for this patient? _______________
Is the dose safe?
_________

3. The same child from question 2 is to receive 1 Gram of Ceftriaxone IV every 12

hours. The drug guide states the usual dose is 25-50 mg/kg/day divided every
12 hours for children.
What is the safe range per day?
____________________ per dose?___________________
Is this a safe dose?
_____

4. The drug guide states that the maximum concentration for administration of
Ceftriaxone is 25mg/ml. How many mls of diluent will you add to administer a
dose of 1 Gram? ____________

5. Mikes orders state that he should receive IV fluid consisting of D5/0.45% NaCl
with 40meq of KCL per liter to infuse at 50 ml per hour. The dosage for
potassium chloride is not to exceed 40meq/day.
a. What is the dosage of KCL per hour? __________________________
b. What is the dosage of KCL per day? ___________________________
c. Is this a safe dose of KCL? ___________________________________

6. Carbamazepine 125 mg by mouth twice a day is ordered for a 5 year old child
who weighs 40 pounds. The recommended dosage for children <6 years of age
is 10-20 mg/kg/day in 2-4 divided doses per day, not to exceed 400mg/day.
(round weight to nearest tenth)
a. What is the safe range, per dose, for this child?
__________________________________
b. Is the ordered dose safe? _________
7. Calculate the following intake and output

Enfamil with iron 6 ounces

Apple juice cup
Soup 10 tablespoons
Jell-O 5 teaspoons
TOTAL INTAKE

_________
_________
_________
_________
_________

Diaper 3 ounces
Vomit liter
NG drainage 1 cup
Stool output cup
TOTAL OUTPUT

___________
___________
___________
___________
___________

8. The safe dose of Diphenhydramine is 5 mg/kg/day p.o. or IM. Is a dose of 25 mg

p.o. every 6 hours safe for a child who weighs 35 pounds 3 ounces? (round
weight to nearest kg)
a. Is this a safe dose? ________________

9. Jonathan weighs 32 pounds. What is his minimum daily fluid requirement for 24
hours? (round kg weight to nearest tenth) _____
NOTE: You Must Know This:
MDFR: < 10kg: 100ml/kg
10-20kg: 1000ml + 50ml/kg for each kg between 10-20kg
> 20kg: 1500ml + 20ml/kg for each additional kg over 20kg
a. Jonathans MDFR = ______________ml

10.You add 100 units of regular insulin to 1000ml of 0.9% NaCl and infuse the
solution at 28 ml per hour. How many units of insulin will the child receive in 1
hour? (round to tenths)__________units

11.Liz has an IV running at 68 ml/hr. You administer 1 med to her that requires 100
ml of fluid plus a 15 ml flush to be run over one hour. How much fluid will be
infused during your 8 hour shift?
_________________________ml

12.IV fluid order: Give 1 Liter of 0.9% NaCl over 8 hours, run the first 300 ml as a
bolus over the first hour. What rate must the IV pump be set to deliver the
remaining volume after the bolus? __________ml/hr

13.Drug ordered: Nafcillin 750 mg to be diluted to a concentration of 40 mg/ml.

How many ml of fluid should the medication be diluted in?
____________________________ml

14.Phenergan 35 mg IM every 8 hours as needed for severe nausea is ordered for

your patient. Your drug on hand is Phenergan 50 mg/ml. How much volume of
Phenergan will you administer for one IM dose? ____________ml

15. Savannah has an IV running at 55ml/hour. You administer 1 medication to her

that requires 25ml of fluid plus a 15ml flush to run over half an hour (30
minutes) Note: your primary IV is not infusing while the medication and flush
are infusing. At what rate (ml/hr) will you set the IV pump for the med + flush
to infuse over half an hour? _________
How much total fluid will be infused during your 8 hour shift? _________