Name:__________________________________ Date:

____________

Practice Test: NUR 251 Lab Practicum: Pediatric

Calculations
Please read each problem carefully.
Show all your work, round to the hundredths, and label all answers.
1.

Calculate the 24 hour maintenance fluid for a child who weighs 32.7 lbs.
_______________________________

2. Calculate the 24 hour maintenance fluid for an infant weighing 5.35kg

_______________________________
3. Order: D5W0.45ml Normal Saline with 20 mEq of KCL 20ml/kg/12hours.
The patient weighs 14kg and their height is 130cm.
What will the nurse set the infusion pump at? ____________________________

4.

Order: Digoxin elixir 0.034mg every 8 hours.

The elixir concentration is 40mcg/ml
How many milliliters should the nurse administer?__________________________

5. Order: Ketorolac 7.5mg IV as every 6 hours as needed

SDR: 0.2-0.75mg/kg/dose given every 6-8 hours
Vial concentration is 30mg/ml
Max concentration is 12mg/ml
The childs weight is 32.45kg.
How much diluent is needed to give this medication safely at the maximum
concentration?
__________________________________
6. Order: Cefoxitin 1g IV every 12 hours
SDR: 80-100mg/kg/day
Max concentration: 45mg/ml
Pharmacy sent the medication in 20ml.
Childs weight: 23.7kg
Is this medication safe to administer to the patient? _________________
Show your work and give the rationale for your answer.
7. Order: Cefazolin 215mg IV every 6 hours
SDR: 6.25-12.5mg/kg/dose given every 6-12 hours
Max concentration is 20mg/ml
Pharmacy sent the medication in 12ml.
Childs weight: 30.5kg
Is the medication safe to administer to the patient?_________________
Show your work and give the rationale for your answer.
8. Order: Ketorolac (Toradol) 16.5mg IV every 6 hours
The SDR is 0.5mg/kg/dose given every 6 hours
The maximum concentration is 30mg/ml
The vial concentration is 15mg/ml

The childs weight is 33kg

Does this medicine need to be diluted before administration?______________
State the rationale for your decision.

Use the following information to solve problems 8 & 9

Food Bolus:

Carbohydrates in grams = units of Novolog

Carbohydrate Ratio

Blood Glucose Correction:

units of Novolog

Current blood glucose - target blood glucose =

Insulin Sensitivity Factor

Rounding Insulin:
0.01 to 0.3 units round down to the nearest whole number
0.31 to 0.7 units round to the nearest unit
0.71 to 0.99 units round up to the nearest whole number
9. Child A
Carbohydrate Ratio is 27g
The childs lunch is 55g of Carbohydrates
Insulin Sensitivity Factor is 40mg/dl
Target Blood Glucose is 130mg/dl
The childs blood glucose is 192mg/dl
What is the amount of Novolog Insulin this child should receive?
______________________

10.

Child B
Carbohydrate Ratio 35g
Insulin Sensitivity Factor is 54mg/dl
Target Blood Glucose is 175mg/dl
The childs breakfast is 45g of Carbohydrates
The childs blood glucose is 250mg/dl
What is the amount of Novolog Insulin this child should receive?
_____________________

10. The patient is to receive ciprofloxacin hydrochloride 1.5g PO. On hand are
tablets of the medication labeled 250mg per tablet. The nurse should administer
__________tablet(s)
11. The patient is to receive penicillin G potassium 750,000 units IM. The
medication vial concentration is 100,000units per ml. The nurse should administer
___________ml for IM injection.

Conversions #12-16

12. 225mg = ___________g

13. 5lbs 2 oz = ____________kg
14. 5 teaspoons = __________ml.
15.

60 mcg = ____________mg.

16. 4.25g = ______________mg