1. 1. Question A nurse was instructed by a physician to give clarithromycin (Biaxin) for a child whose BSA is 0.55 m2. The usual adult dose is 500 mg. Biaxin is available in an oral suspension. The 100ml bottle is labeled 50 mg/ml. How many ml would the nurse give per dose? Fill in the blanks. Record your answer using one decimal place. o Answer: (3.2) mL. Correct answer: o 3.2 mL. Formula: BS A Formula: BSA Formula: Rationale: o Use the BSA formula first then the standard formula as shown above. o To get the child’s dose, multiply 0.55m2(child’s BSA) to 500 mg (usual adult dose) to get 275. o Divide 275 with 1.7 m2to get 161.76 mg. o Use the standard formula above. o Divide 161.76 mg (desired pedia dose) with 50 mg (drug on hand) and multiply by 1 ml (vehicle) to get 3.2 ml. Computation:  2. Question A 28-year-old male has been found wandering around in a confusing pattern. The male is sweaty and pale. Which of the following tests is most likely to be performed first? o A. Blood sugar check o B. CT scan o C. Blood cultures o D. Arterial blood gases Correct Answer: A. Blood sugar check With a history of diabetes, the first response should be to check blood sugar levels. o Option B: Performing a CT scan at this stage of assessment is unnecessary. A computerized tomography (CT) scan combines a series of X-ray images taken from different angles around the body and uses computer processing to create crosssectional images (slices) of the bones, blood vessels, and soft tissues inside the body. CT scan images provide more detailed information than plain X-rays do. o Option C: A blood culture test helps the doctor figure out if the client has a kind of infection that is in the bloodstream and can affect the entire body. Doctors call this a systemic infection. The test checks a sample of the blood for bacteria or yeast that might be causing the infection. o Option D: An arterial blood gas (ABG) test measures oxygen and carbon dioxide levels in the blood. It also measures the body’s acid-base (pH) level, which is usually in balance when healthy.  3. Question A mother is inquiring about her child’s ability to potty train. Which of the following factors is the most important aspect of toilet training? o A. The age of the child o B. The child's ability to understand instruction o C. The overall mental and physical abilities of the child o D. Frequent attempts with positive reinforcement Correct Answer: C. The overall mental and physical abilities of the child. Age is not the greatest factor in potty training. The overall mental and physical abilities of the child are the most important factor. o Option A: Readiness for toilet training varies with every age of the child. o Option B: A child who can follow simple instructions may start toilet training. However, it is not considered the most important factor. o Option D: Positive reinforcement is a great tool for toilet training, yet, it may not be the most important one.  4. Question A parent calls the pediatric clinic and is frantic about the bottle of cleaning fluid her child drank for 20 minutes. Which of the following is the most important instruction the nurse can give the parent? o A. This too shall pass o B. Take the child immediately to the ER o C. Contact the Poison Control Center quickly o D. Give the child syrup of ipecac