A child weighs 22.4 kg, and the prescription is for 24 mg/kg of body weight. The medication comes at the strength of 50 mg/mL. How many mL (to one decimal place) of the medication should the child receive?

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Question 1 of 5

A child weighs 22.4 kg, and the prescription is for 24 mg/kg of body weight. The medication comes at the strength of 50 mg/mL. How many mL (to one decimal place) of the medication should the child receive?

Correct Answer: D

Rationale: Dose = 22.4 kg × 24 mg/kg = 537.6 mg. Volume = 537.6 mg ÷ 50 mg/mL = 10.752 mL, rounded to 10.8 mL (one decimal place).

Question 2 of 5

Prescription labels may be altered by:

Correct Answer: D

Rationale: Only pharmacists can alter prescription labels legally. Staff, administrators, or residents altering labels compromises safety and legality.

Question 3 of 5

In order to crush a medication, you must have:

Correct Answer: B

Rationale: A physician's order is required to crush medications to ensure it's safe (e.g., not enteric-coated) and appropriate for the resident.

Question 4 of 5

A 45-year-old patient who reports pain in the foot that moves up along the calf says, 'My right foot feels like it is on fire.' The patient reports that the pain started yesterday, and they have no prior history of injury or falls. Which components of pain assessment has the patient reported?

Correct Answer: D

Rationale: The patient describes location (foot to calf), quality (burning), and duration (started yesterday), key components of pain assessment.

Question 5 of 5

An 85-year-old male patient with a history of prostate cancer and metastasis to the lumbar spine is receiving methadone hydrochloride (Dolophine) 10 mg three times a day. The patient's spouse tells the pain management nurse that the patient exhibits a lack of motivation, loss of appetite, and an inability to get out of bed. The nurse initially focuses on:

Correct Answer: D

Rationale: Symptoms may indicate uncontrolled pain rather than depression; assessing pain first is critical to guide further interventions.

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