Pediatric Medication Safety Quiz for Nurses

1. A 5-year-old weighing 20 kg requires ampicillin 50 mg/kg/dose. What is the correct dose?

500 mg

750 mg

1,000 mg

1,500 mg

2. Which nursing action is essential before administering any pediatric medication?

Verify dose calculation using weight and age

Ask the child's preference

Administer with food

Check parent's medication knowledge

3. A 4-year-old weighing 16 kg is prescribed vancomycin 15 mg/kg/dose. What is the correct dose?

150 mg

200 mg

240 mg

320 mg

4. True or False: Body surface area (BSA) is a more accurate dosing parameter than weight alone for pediatric chemotherapy.

True

False

5. A 2-year-old is prescribed phenytoin. What is the primary pediatric medication safety concern?

Narrow therapeutic window and variable metabolism

Excessive protein binding

Rapid renal clearance only

Increased gastric pH

6. Which medication requires therapeutic drug monitoring in pediatric patients due to narrow therapeutic range?

Digoxin

Amoxicillin

Ibuprofen

Cetirizine

7. A 9-year-old weighing 30 kg needs ibuprofen 10 mg/kg/dose. Calculate the dose.

150 mg

200 mg

300 mg

450 mg

8. True or False: Infants have higher total body water percentage than older children, affecting drug distribution.

True

False

9. A 7-year-old is prescribed metformin. Why must renal function be assessed first?

Metformin can cause lactic acidosis in renal impairment

Metformin increases glucose absorption

Metformin requires liver metabolism

Metformin causes hyperkalemia

10. Which organ system immaturity most significantly affects pediatric medication metabolism?

Immature hepatic enzymes

Immature cardiac output

Immature immune response

Immature nervous system

11. A 4-year-old child weighing 18 kg is prescribed amoxicillin 25 mg/kg/dose. How many milligrams should the nurse administer per dose?

200 mg

350 mg

450 mg

550 mg

12. True or False: Pediatric medication dosing based on age alone is safe and accurate.

True

False

13. A 3-year-old is prescribed dicloxacillin. Which route is most appropriate for this age?

Intramuscular injection

Oral suspension

Intravenous bolus

Transdermal patch

14. Which age group has the greatest risk for medication errors due to immature organ function?

School-age children (6–12 years)

Infants and toddlers (0–3 years)

Adolescents (13–18 years)

All pediatric ages equally

15. True or False: Pediatric patients metabolize most drugs at the same rate as adults.

True

False

16. An 8-year-old weighing 25 kg is prescribed cephalexin 25 mg/kg/dose four times daily. Calculate the total daily dose.

625 mg

1,250 mg

2,500 mg

3,750 mg

17. A 6-year-old child requires gentamicin dosing. Why is renal function assessment critical before administration?

Gentamicin is nephrotoxic and renally cleared

Children have immature liver function

Gentamicin causes hyperkalemia in all children

Renal assessment is routine for all medications

18. Which medication is contraindicated in children under 12 years due to risk of Reye syndrome?

Ibuprofen

Aspirin

Acetaminophen

Naproxen

19. A 2-year-old is ordered acetaminophen 15 mg/kg every 4 hours. The child weighs 14 kg. What is the correct dose?

150 mg

210 mg

280 mg

350 mg

20. Which factor is most important when calculating pediatric medication doses?

Child's age only

Child's weight and body surface area

Parent's medication history

Hospital admission date

Peds Med Quiz: Can You Dose a Child Safely?

1. A 5-year-old weighing 20 kg requires ampicillin 50 mg/kg/dose. What is the correct dose?

2.

What first name or nickname would you like us to use?

2. Which nursing action is essential before administering any pediatric medication?

3. A 4-year-old weighing 16 kg is prescribed vancomycin 15 mg/kg/dose. What is the correct dose?

4. True or False: Body surface area (BSA) is a more accurate dosing parameter than weight alone for pediatric chemotherapy.

5. A 2-year-old is prescribed phenytoin. What is the primary pediatric medication safety concern?

6. Which medication requires therapeutic drug monitoring in pediatric patients due to narrow therapeutic range?

7. A 9-year-old weighing 30 kg needs ibuprofen 10 mg/kg/dose. Calculate the dose.

8. True or False: Infants have higher total body water percentage than older children, affecting drug distribution.

9. A 7-year-old is prescribed metformin. Why must renal function be assessed first?

10. Which organ system immaturity most significantly affects pediatric medication metabolism?

11. A 4-year-old child weighing 18 kg is prescribed amoxicillin 25 mg/kg/dose. How many milligrams should the nurse administer per dose?

12. True or False: Pediatric medication dosing based on age alone is safe and accurate.

13. A 3-year-old is prescribed dicloxacillin. Which route is most appropriate for this age?

14. Which age group has the greatest risk for medication errors due to immature organ function?

15. True or False: Pediatric patients metabolize most drugs at the same rate as adults.

16. An 8-year-old weighing 25 kg is prescribed cephalexin 25 mg/kg/dose four times daily. Calculate the total daily dose.

17. A 6-year-old child requires gentamicin dosing. Why is renal function assessment critical before administration?

18. Which medication is contraindicated in children under 12 years due to risk of Reye syndrome?

19. A 2-year-old is ordered acetaminophen 15 mg/kg every 4 hours. The child weighs 14 kg. What is the correct dose?

20. Which factor is most important when calculating pediatric medication doses?