Clinical Nursing Skills Midterm Exam - 590 Verified Questions

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Clinical Nursing Skills

Midterm Exam

Course Introduction

Clinical Nursing Skills is a comprehensive course designed to equip students with the foundational competencies necessary for safe and effective patient care in various healthcare settings. Emphasizing both theoretical knowledge and hands-on practice, the course covers essential nursing procedures such as vital signs assessment, medication administration, wound care, infection control, and patient mobility techniques. Through simulated clinical experiences and practical lab sessions, students develop critical thinking, communication, and technical skills that are integral to delivering high-quality care. This course prepares learners to perform confidently and competently as members of interdisciplinary healthcare teams, ensuring patient safety and promoting optimal health outcomes.

Recommended Textbook

Calculate with Confidence 6th Edition by Morris

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590 Verified Questions

590 Flashcards

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Chapter 1: Roman Numerals

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Sample Questions

Q1) Perform the indicated operation and record the result in lowercase Roman numerals.

29 - 1 = _____

Answer: xxviii

Q2) Write the following Arabic number as a lowercase Roman numeral.

18 = _____

Answer: xviii

Q3) Perform the indicated operation and record the result in lowercase Roman numerals.

6 * 3 = _____

Answer: xviii

Q4) Perform the indicated operation and record the result in lowercase Roman numerals.

30 - 6 = _____

Answer: xxiv

Q5) Perform the indicated operation and record the result in lowercase Roman numerals.

7 * 2 = _____ Answer: xiv

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Chapter 2: Fractions

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Sample Questions

Q1) Perform the indicated operation with fractions.Reduce to lowest terms as indicated. 6 5/16 + 5 3/16 = _____ Answer: 11 1/2

Q2) Reduce the following fraction to lowest terms. 105/135 = _____ Answer: 7/9

Q3) Perform the indicated operation with fractions.Reduce to lowest terms as indicated. 6 10/12 * 15/3 = _____ Answer: 34 1/6

Q4) Change the following improper fraction to a whole or mixed number. 1,500/100 = _____

Answer: 15

Q5) Perform the indicated operation and reduce to lowest terms. 1/12 + 6/12 + 5/12 = ____ Answer: 1

Q6) Reduce the following fraction to lowest terms. 34/102 = _____ Answer: 1/3

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Chapter 3: Decimals

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Sample Questions

Q1) Perform the indicated operation with decimals.

64.1 - 0.009 = _____

Answer: 64.091

Q2) Divide the following decimal.Express answer to nearest hundredth. 0.1 \(\div\) 0.375 = _____

Answer: 0.27

Q3) A client is brought into the emergency department with a body temperature of 95.2° F.If the normal body temperature is 98.6° F,how far below normal was the client's temperature? _____

Answer: 3.4° F

Q4) Perform the indicated operation with decimals.

9.123 - 6.055 = _____

Answer: 3.068

Q5) Round off the following decimal to the nearest tenth. 1.45 = _____

Answer: 1.5

Q6) Change the following decimal to a fraction.Reduce to lowest terms if indicated.

7.025 = _____

Answer: 7 1/40

Page 5

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Chapter 4: Ratio and Proportion

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Sample Questions

Q1) Solve for x.

1/0.05 = x/0.1

x = _____

Q2) Solve for x.

16 = x

40 55 x = _____

Q3) If 100 grams (g)of ice cream contains 20 g of fat,how many g of fat are there in 300 g of ice-cream? ______

Q4) Solve for x in the following.

500:3 = 350:x

x = _____

Q5) Solve for x in the following.

11:121 = 3:x

x = _____

Q6) Solve for x in the following.

4/2.6 = 5/x

x = _____

Q7) Two tabs contain a total of 50 mg of a medication.How many mg of medication are present in 15 tabs ? _______

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Chapter 5: Percentages

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Sample Questions

Q1) A client has received 45% of a 500 mL bag of intravenous (IV)solution.How many mL of IV solution has the client received?

Q2) Change the following percentage to a ratio and its decimal equivalent. 45% = _____;_____

Q3) Find the following percentage. 8% of 32 = _____

Q4) Change the following percentage to a ratio and its decimal equivalent. 8% = _____;_____

Q5) Convert 42.5% to decimal form.

Q6) A client has a 2,500 mL bag of irrigation solution hanging.750 mL of the solution have infused.What percent of the irrigation solution has infused?

Q7) Convert 2.96 to a percent.

Q8) Change the following percentage to a ratio. 0.4% = _____

Q9) Convert 84.75% to decimal form.

Q10) Following exercise,a client's pulse rate increased from 80 to 95.What is the percent of increase in the client's pulse rate? (State answer to the nearest tenth. )

Page 7

Q11) Convert 0.925 to a percent.

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Chapter 6: Metric System

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Sample Questions

Q1) The metric prefix for 0.001 is:

A)micro.

B)centi.

C)kilo.

D)milli.

Q2) Directions: Write the equivalent indicated. 1 kg = _____ g

Q3) Complete the following sentence with the correct word(s). The units of the metric system are as follows: ____________________ (length),____________________ (volume),and ____________________ (weight).

Q4) One hundred forty-five micrograms

A)145 mg

B)0.145 mcg

C)145.0 mg

D)145 mcg

Q5) Directions: Write the equivalent indicated. 1 mg = _____ g

Q6) Directions: Write the equivalent indicated. 0.007 kg = _______ g

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Chapter 7: Apothecary and Household Systems

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Sample Questions

Q1) Directions: Write the equivalent indicated. 13 t = _______ mL

Q2) A capital "U" is an acceptable abbreviation for units.

A)True B)False

Q3) The correct abbreviation for teaspoon is:

A)Tsp.

B)tsp.

C)tbs.

D)Tbs.

Q4) Directions: Express the following value correctly.

2.75 OZ

Q5) Directions: Write the equivalent indicated. 195 mL = ________ oz

Q6) Directions: Express the following value correctly. 17 U

Q7) Directions: Write the equivalent indicated. 5 1/4 pt = ______ mL

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Chapter 8: Converting Within and Between Systems

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Sample Questions

Q1) Directions: Write the equivalent indicated. 59 lb = _____ kg (Round answer to the nearest tenth)

Q2) A client had a physical a year ago and weighed 85 kg.The client tells you he lost 11 lb.What is the client's current weight in kg? _______ kg

Q3) A client received 5.4 liters of IV fluid during a surgical procedure.How many mL of IV fluid did the client receive? _____ mL

Q4) Directions: Write the equivalent indicated. 0.3 mg = _____ g

Q5) Directions: Write the equivalent indicated. 11 1/2 oz = ________ mL

Q6) Calculate the client's intake in mL.

Apple juice 2 oz

Chicken broth 4 oz

Gelatin dessert 3 oz

Hot tea 5 oz

Total mL = _____

Q7) A client drinks 300 mL of magnesium citrate.How many ounces did the client consume? _____ oz

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Chapter 9: Additional Conversions Useful in the Health Care Setting

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Sample Questions

Q1) Directions: Convert the following weight as indicated.Round weight to the nearest tenth.

63 kg = _____ lb

Q2) Directions: Convert the following temperature as indicated.

39S1U1P1\(\circ\)S1S1P0 C = _____ S1U1P1\(\circ\)S1S1P0 F

Q3) Directions: Convert the following time to international time. 2:35 AM _________________

Q4) Directions: Write the equivalent indicated. 1 kg = _____ lb

Q5) Directions: Convert the following weight as indicated.Round weight to the nearest tenth.

20.8 kg = _____ lb

Q6) Directions: Convert the following weight as indicated.Round weight to the nearest tenth.

14 lb,4 oz = _____ kg

Q7) In traditional time,0518 is:

A)5:18 AM.

B)5:18 PM.

Q8) A client's rash measures 5 cm * 4 cm.How much does this measure in inches? _____ in Page 11

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Chapter 10: Medication Administration

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Sample Questions

Q1) Technological advances have eliminated the occurrence of medication errors.

A)True

B)False

Q2) The "six rights" of medication administration are:

A)medication,dosage,route,time,client,documentation.

B)medication,solution,doctor,shift,time,documentation.

C)medication,order,signature,time,route,documentation.

D)medication,client,signature,time,hospital,documentation

Q3) Directions: For the following scenario,identify which of the "six rights" of medication administration has been violated.

A nurse enters a room to administer medications to a client.The order is for Prednisolone

Q4) Directions: Complete the following sentence with the correct word or number. The use of posters and brochures to encourage clients to use strategies to avoid medication errors is called the _____________ .

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Chapter 11: Understanding and Interpreting Medication

Orders

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Sample Questions

Q1) Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations,Symbols,and Dose Designations.

Motrin 400 mg po q6h prn for back pain

Q2) Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations,Symbols,and Dose Designations.

Lasix 40.0 mg po qd

Q3) Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations,Symbols,and Dose Designations.

Ambien 5 mg po hs prn

Q4) To indicate a medication is to be administered every day,the recommended abbreviation is qd. A)True B)False

Q5) Trailing zeros are necessary to avoid misinterpretation of a value.

A)True B)False

Q6) CPOE is an abbreviation for _______________.

Page 14

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Chapter 12: Medication Administration Records and Medication

Distribution

Systems

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Sample Questions

Q1) Directions: Refer to the portion of the MAR provided below to answer the question.

Q2) Directions: Refer to the portion of the MAR provided below to answer the question.

Q3) Directions: Refer to the portion of the MAR provided below to answer the question.

Q4) Directions: Refer to the portion of the MAR provided below to answer the question.

Q5) What would be the appropriate interpretation for the following order? Demerol 50 mg IM stat? Administer:_______________

A)Demerol 50 mg IM when needed

B)Demerol 50 mg IM as desired

C)Demerol 50 mg IM on call to OR

D)Demerol 50 mg IM immediately

Q6) Directions: Refer to the portion of the MAR provided below to answer the question.

Q7) The prescriber orders a medication q8h.The nurse enters the following times on the medication administration record (MAR): 12 AM- 6 AM- 12 PM- 6 PM.What error has occurred?

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Page 15

Chapter 13: Reading Medication Labels

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Sample Questions

Q1) A medication label reads "Calan SR (verapamil hydrochloride)240 mg sustained release caplets." The form is:

A)caplets.

B)sustained-release caplets.

C)240 mg.

D)verapamil hydrochloride.

Q2) If a medication label reads "Ambien (zolpidem tartrate)5 mg tablets,Searle," the medication's generic name is:

A)Ambien.

B)Searle.

C)zolpidem tartrate.

D)tablets.

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16

Chapter 14: Dosage Calculation Using the Ratio and Proportion Method

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Sample Questions

Q1) Directions: Calculate the following dosage using the ratio and proportion method.Round mL answers to the nearest tenth unless otherwise indicated.

Order: Thorazine 15 mg IM stat

Available: Thorazine 25 mg per mL

Q2) Directions: Calculate the following dosage using the ratio and proportion method.Round mL answers to the nearest tenth unless otherwise indicated.

Order: Ampicillin 0.375 g IM q6h

Available: Ampicillin 250 mg per mL

Q3) Directions: Calculate the following dosage using the ratio and proportion method.Round mL answers to the nearest tenth unless otherwise indicated.

Order: Clindamycin 0.6 g IV q12h

Available: Clindamycin 300 mg per 2 mL

Q4) Directions: Calculate the following dosage using the ratio and proportion method.Round mL answers to the nearest tenth unless otherwise indicated.

Order: Thorazine 25 mg p.o.t.i.d.

Available: Thorazine syrup labeled 10 mg per 5 mL

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Chapter 15: Dosage Calculation Using the Formula Method

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Sample Questions

Q1) Directions: Calculate the following dosage using the formula method.Round mL answers to the nearest tenth unless otherwise indicated.

Order: Amoxil 0.5 g p.o.q6h

Available: Amoxil capsules labeled 250 mg per capsule

Q2) Directions: Calculate the following dosage using the formula method.Round mL answers to the nearest tenth unless otherwise indicated.

Order: Calcijex 1.5 mcg IV daily on Mon. ,Wed. ,Fri.

Available: Calcijex 1 mcg per mL

Q3) Directions: Calculate the following dosage using the formula method.Round mL answers to the nearest tenth unless otherwise indicated.

Order: Thorazine 15 mg IM stat

Available: Thorazine 25 mg per mL

Q4) Directions: Calculate the following dosage using the formula method.Round mL answers to the nearest tenth unless otherwise indicated.

Order: Zofran 7 mg p.o. b.i.d.

Available: Zofran oral solution labeled 4 mg per 5 mL

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Page 18

Chapter 16: Dosage Calculation Using the Dimensional Analysis Method

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Sample Questions

Q1) Directions: Calculate the following dosage using the dimensional analysis method.Round mL answers to the nearest tenth unless otherwise indicated

Order: Ampicillin 0.375 g IM q6h

Available: Ampicillin 250 mg per mL

Q2) Directions: Calculate the following dosage using the dimensional analysis method.Round mL answers to the nearest tenth unless otherwise indicated

Order: Zofran 7 mg p.o. b.i.d.

Available: Zofran oral solution labeled 4 mg per 5 mL

Q3) Directions: Calculate the following dosage using the dimensional analysis method.Round mL answers to the nearest tenth unless otherwise indicated

Order: Amoxil 0.5 g p.o.q6h

Available: Amoxil capsules labeled 250 mg per capsule

Q4) Directions: Calculate the following dosage using the dimensional analysis method.Round mL answers to the nearest tenth unless otherwise indicated

Order: Raloxifene HCl 60 mg p.o. b.i.d.

Available: Raloxifene HCl tablets labeled 60 mg per tablet

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Chapter 17: Oral Medications

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Sample Questions

Q1) Directions: Complete with the correct word(s)or number. Sublingual tablets must never be _______________ but placed _______________ the tongue.

Q2) Directions: Calculate the following dosage.Use labels where provided.Round oral liquids to the nearest tenth as indicated.

Order: Ampicillin 1 g p.o.as an initial dosage and then 500 mg p.o.q.i.d.for 7 days thereafter

Available: Ampicillin capsules labeled 500 mg

a.How many capsules will you administer for the initial dosage? _____ cap(s)

b.What is the total number of capsules needed for the subsequent dosages for 7 days? _____ cap(s)

Q3) Directions: Complete with the correct word(s)or number. The nurse should question and check any calculation that indicates you should administer more than ________ tablets or capsules to achieve a single dose.

Q4) Directions: Complete with the correct word(s)or number. The most common form of oral medication is the __________.

Q5) Directions: Complete with the correct word(s)or number. An elongated tablet for easy swallowing is referred to as a _______________.

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Chapter 18: Parenteral Medications

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Sample Questions

Q1) A 3-mL syringe is calibrated in which of the following increments?

A)0.01 mL

B)0.1 mL

C)0.2 mL

D)1 mL

Q2) Directions: Complete the following statements with the correct word(s)or number(s). The route that is used for diagnostic purposes is called _______________.

Q3) Directions: Complete the following statements with the correct word(s)or number(s). The term used for injectable medications is _______________.

Q4) Directions: Complete the following statements with the correct word(s)or number(s). If a nurse calculates a dosage of 3.39 mL of medication,which size syringe should the nurse select? _____ What would be the nearest measurable dose on the syringe?

Q5) Directions: Complete the following statements with the correct word(s)or number(s). The calibrations on a syringe that indicate the capacity can be found on the

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21

Chapter 19: Reconstitution of Solutions

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Sample Questions

Q1) Directions: Prepare the following strength solutions.Describe your calculations. 800 mL of 3/4 strength Sustacal via gastrostomy over 6 hours

Q2) Directions: Prepare the following strength solutions.Describe your calculations. 360 mL of 1/4 strength Ensure percutaneous endoscopic (PEG)tube over 4 hours

Q3) Directions: Prepare the following strength solutions.Describe your calculations. Prepare irrigant 250 mL 1/2 strength solution: ______________________________

Q4) Directions: Indicate how you would prepare each of the following using full-strength hydrogen peroxide (solute)and normal saline (solvent).

0.24 L of 1/3 strength for wound care

Q5) Directions: Indicate how you would prepare each of the following using full-strength hydrogen peroxide (solute)and normal saline (solvent).

300 mL of 3/4 strength for skeletal pin care

Q6) Directions: Indicate how you would prepare each of the following using full-strength hydrogen peroxide (solute)and normal saline (solvent).

8 oz of 1/2 strength for wound care.

Q7) Directions: Prepare the following strength solutions.Describe your calculations. 1/4 strength Ensure 8 oz p.o.q4h for 24 hours

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Chapter 20: Insulin

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Sample Questions

Q1) Directions: Fill in the correct number or word(s). U-100 on the label of an insulin vial means: ______________________________.

Q2) Directions: Fill in the correct number or word(s). What is the difference between the calibration of units on the 1-mL insulin syringe and on the Lo-Dose syringe? ______________________________

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Chapter 21: Intravenous Solutions and Equipment

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Sample Questions

Q1) Directions: Calculate the number of grams of NaCl and /or dextrose in the following solutions.

250 mL D5NS _______ g dextrose ________ g NaCl

Q2) Directions: Fill in the correct number or word(s)to answer the question. The name for the main infusion administration set is _______________.

Q3) Directions: Fill in the correct number or word(s)to answer the question. An IV pump is an example of an ___________ infusion device.

Q4) Directions: Interpret the following IV orders.

1,000 mL (1 L)D5W to infuse at a rate of 100 mL per hour

Q5) Directions: Calculate the number of grams of NaCl and /or dextrose in the following solutions.

5 L D10W dextrose: _______________

Q6) Directions: Calculate the number of grams of NaCl and /or dextrose in the following solutions.

500 mL 1/2 NS sodium chloride (NaCl): _____

Q7) Directions: Calculate the number of grams of NaCl and /or dextrose in the following solutions.

0.5 L D51/4NS ________ g dextrose ________ g NaCl

Q8) Directions: Interpret the following IV orders.

1,000 mL (1 L)of L/R q8h

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Chapter 22: Intravenous Calculations

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Sample Questions

Q1) Directions: Recalculate the IV flow rate.Determine the percentage of change and state the course of action.Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable.

500 mL of D5 0.45% NS were to infuse in 5 hours at 33 macrott/min.The drop factor is 20 gtt/mL.After 2 hours,you notice 250 mL remaining.

a.Recalculated rate: _____

b.Percentage of change: _____

c.Course of action: _____

Q2) Directions: Determine the following in drops per minute using the drop factor provided.

An IV of 1,000 mL 0.9 % NS is infusing at 18 macrogtt/min.The drop factor is 15 gtt/mL.How long will it take for the IV to infuse? (Express time in hours and minutes. ): _____

Q3) Directions: Determine the following in drops per minute using the drop factor provided.

Lactated Ringer solution is infusing at 45 microgtt/min.The drop factor is 60 gtt/mL.How much fluid volume will the client receive in 5 hours? _____

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Chapter 23: Heparin Calculations

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Sample Questions

Q1) Directions: Calculate the following hourly dosage of heparin (units/hr).

Order: 25,000 units heparin IV in 250 mL 0.9% NS to infuse at 20 units/kg/hr.The client weighs 165 lb.

a.Weight in kilograms: _____

b.How many units will the client receive per hour? _____

Q2) Directions: Calculate the following hourly dosage of heparin (units/hr).

A client weighs 220 lb.The hospital protocol for IV heparin drip is 14 units/kg/hr.How many units per hour should the client receive? _____

Q3) Directions: Calculate the following hourly dosage of heparin (units/hr).

Order: Infuse heparin at 800 units/hr IV from a solution containing 40,000 units in 1,000 mL D5W.

How many milliliters will infuse per hour? _____ mL

Q4) Directions: Calculate the following hourly dosage of heparin (units/hr).

A client weighs 165 lb.Order: Administer a bolus of heparin sodium IV.The hospital protocol is 80 units/kg.How many units will you administer? _____

Q5) Directions: Calculate the following hourly dosage of heparin (units/hr).

Order: 10,000 units of heparin in 500 mL 0.9% NS to infuse at 120 mL/hr units/hr = _____

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Chapter 24: Critical Care Calculations

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Sample Questions

Q1) Directions: Calculate the dosages as indicated.

Esmolol is ordered for a client.The solution available is 2.5 g in 250 mL D5W.The order is to infuse 32 mL/hr.

a.mg/hr: _____

b.mg/min: _____

Q2) Directions: Calculate the dosages as indicated.

Nitroglycerine has been ordered to titrate at 10 mcg/min to 30 mcg/min,and the rate should be increased by 5 mcg/min every 3-5 minutes for chest pain.The solution contains 50 mg nitroglycerin in 250 mL D5W.Develop a titration table in 5 mcg increments.The pump delivers in tenths of a milliliter.

Q3) Directions: Calculate the dosages as indicated.

Order: Dobutamine 2.5 mcg/kg/min for a client who weighs 193 lb

Available: Dobutamine 250 mg in 250 mL D5W

a.What is the client's weight in kilograms? _____ (to the nearest tenth)

b.Calculate the rate in mL/hr required to infuse 2 mcg/kg/min: _____

Q4) Directions: Calculate the dosages as indicated. Lidocaine to infuse at 3 mg/min.The solution available is 2 g of lidocaine in 500 mL D5W.Determine the IV flow rate.

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Chapter 25: Pediatric and Adult Dosage Calculation Based on Weight

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Sample Questions

Q1) Directions: Determine the normal dosage range to the nearest tenth.State your course of action.

A child weighs 10 kg and is to receive 0.5 g of nafcillin in 100 mL D5W q6h.The dosage range is 100 to 200 mg/kg/day.What is your course of action?

Q2) Directions: Round dosage and weight to the nearest tenth as indicated.Use labels where provided.

The recommended dosage of Mezlin for an adult with a serious infection is 200 to 300 mg/kg/day given in four to six divided dosages.The adult weighs 175 lb.

a.What is the adult's weight in kilograms? _____

b.What is the 24-hour dosage range for the 175-lb adult in milligrams? _____

c.What is the dosage range in grams? _____

Q3) Directions: Calculate the following children's dosages.

Order: Epinephrine 0.25 mg IV stat

Available: Epinephrine 0.1 mg/mL

How many milliliters will you prepare to administer? _____ mL

Q4) Directions: Use the appropriate formula to determine BSA.Express answer to the nearest hundredth.

An adult who measures 175 cm and weighs 85 kg: _____ m<sup>2</sup>

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