Clinical Nursing Skills
Textbook Exam Questions
Course Introduction
Clinical Nursing Skills is designed to provide students with a comprehensive foundation in the essential practical skills required for professional nursing practice. The course covers fundamental techniques such as patient assessment, infection control, medication administration, wound care, basic life support, and the safe handling of medical equipment. Through a combination of classroom instruction, laboratory simulations, and clinical experiences, students gain hands-on proficiency and develop critical thinking, communication, and decision-making abilities necessary for delivering high-quality, patient-centered care in a variety of healthcare settings.
Recommended Textbook
Currens Math for Meds Dosages and Solutions 11th Edition by Anna M. Curren
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Chapter 1: Relative Value, Addition and Subtraction of Decimals
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Sample Questions
Q1) Determine how many tablets are needed to give the following dose: A dosage of 3 mg is ordered. Tablets are labeled 1.5 mg.
Answer: 2 tabs
2
1.5 mg + 1.5 mg = 3 mg
Therefore, 2 tabs are needed.
Q2) Subtract the decimals manually:
4.75 - 2.19 = __________
Answer: 2.56 11ea825f_1270_aebb_9591_1b9e15e85fac_TB3411_00
Q3) Subtract the decimals manually:
6.41 - 5.09 = __________
Answer: 1.32 11ea825f_126f_7637_9591_77d64dc248c0_TB3411_00
Q4) Add the decimals manually:
5.2 + 4.69 = __________
Answer: 9.89 11ea825f_126f_4f26_9591_492b7f5f7c0f_TB3411_00
Q5) Add the decimals manually:
7.66 + 3.44 = __________
Answer: 11.10 11ea825f_126f_0104_9591_67ef2b14a892_TB3411_00
Page 3
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Chapter 5: Unit, Percentage, Milliequivalent, Ratio, and Household Measures
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Sample Questions
Q1) Express the dosage using the official symbol/abbreviation. one hundred milliequivalents
Q2) Express the dosage using the official symbol/abbreviation. forty-four percent
Q3) Express the dosage using the official symbol/abbreviation. 1 part drug to 100 parts solution
Q4) Express the dosage using the official symbol/abbreviation. 1 part drug to 25 parts solution
Q5) Identify the household measure. 10 gtt
Q6) Express the dosage using the official symbol/abbreviation. three hundred twenty-five milliequivalents
Q7) Express the dosage using the official symbol/abbreviation. twenty units
Q8) Express the dosage using the official symbol/abbreviation. thirty thousand units
Q9) Identify the household measure. 5 gtt Page 4
Q10) Express the dosage using the official symbol/abbreviation. fifty-five milliequivalents
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Page 5
Chapter 6: Oral Medication Labels and Dosage Calculation
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Sample Questions
Q1) How much medication must be administered for the following order?
Order: potassium chloride 10 mEq
Q2) A medication label contains the following information: cefaclor for oral suspension USP
187 mg/5 mL
Shake well before use
What is the dosage strength of the medication?
Q3) Indicate the number of tablets or capsules required to administer the ordered dose. Assume all tablets are scored.
The medication label contains the following information: Synthroid®
levothyroxine sodium tablets, USP
100 mcg (0.1 mg)
100 tablets
Order: Synthroid 0.1 mg
Q4) What is the trade name of this medication?
Q5) How much medication must be administered for the following order?
Order: Flagyl 750 mg
Dosage Strength: Flagyl 500 mg tablets
Q6) What is the generic name of this medication?
6
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Chapter 7: Safe Medication Administration
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Sample Questions
Q1) What is the correct conversion of 1730 (military time) to standard time?
Q2) What is the correct conversion of 0020 (military time) to standard time?
Q3) What is the correct conversion of 11:00 a.m. (standard time) to military time?
Q4) Find the error in the following order
Digoxin .125 mg PO daily 0900
Q5) Find the error in the following order.
Lasix 25 mg PO QD 0800
Q6) How is a medication administered when it is ordered by the sublingual route?
Q7) What is an MAR?
Q8) What is the correct conversion of 6:00 p.m. (standard time) to military time?
Q9) What is the correct conversion of 2300 (military time) to standard time?
Q10) Name the six rights of medication administration.
Q11) Name three precautions that should be considered when using a transdermal patch.
Q13) What is the correct conversion of 5:10 a.m. (standard time) to military time? Page 7
Q12) What is the correct conversion of 0930 (military time) to standard time?
Q14) What is the first step of action to take when a medication error has occurred?
Q15) What is the correct conversion of 0700 (military time) to standard time?
Q16) What is the correct conversion of 1500 (military time) to standard time?
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Chapter 9: Parenteral Medication Labels and Dosage
Calculation
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Sample Questions
Q1) What are the two routes of administration of this medication?
Q2) What is the total quantity of solution in this vial?
Q3) How many doses of 25 mg could be administered using the total quantity from this vial?
Q4) What is the name of the manufacturer of this medication?
Q5) A medication label contains the following information:
Calcium Gluconate Injection, USP
0.465 mEq/mL
10 mL Single Dose Vial
Calculate the amount needed for the dose.
Order:
Calcium Gluconate 0.465 mEq slowly IV
Give:
Q6) What is the total quantity of solution in this vial?
Q7) How should this medication be stored?
Page 9
Q8) What is the expiration date of this medication?
Q9) How many mL are needed for a 20 mg dose?
Q10) How should this medication be stored?
Q11) What is the method of administration for this medication?
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Chapter 10: Reconstitution of Powdered Drugs
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Sample Questions
Q1) You have reconstituted this medication at 7 a.m. on October 15. When will it need to be discarded?
Q2) If a 375 mg dose is required, what volume will you draw up?
Q3) What volume will you draw up for a dose of 800 mg?
Q4) How many vials will be needed for the usual adult dosage of 1 gram?
Q5) What is the total volume of this vial if reconstituted per instructions?
Q6) What diluent is recommended?
Q7) You have just reconstituted the cytarabine. It is now 1645 on 10/30. When will this need to be discarded?
Q8) Can this medication be given by intramuscular injection?
Q9) What is the usual adult dosage of nafcillin?
Q10) If reconstituted with bacteriostatic water for injection with benzyl alcohol, can this be used for intrathecal injection?
Q11) What volume is needed for a dose of 140 mg?
Q12) How long will the reconstituted Velosef retain its potency if refrigerated?
Q13) If 11.5 mL of diluent is added to the vial, what volume will you draw up for a dose of 5 million units? Page 11
Q14) If the Solu-Medrol is reconstituted at 0200 on March 6, when will the vial expire?
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Page 12
Chapter 12: Ratio and Proportion
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Sample Questions
Q1) The vial is labeled 1000 mcg/mL. Prepare a 1.2 mg dose. Express your answer to the nearest tenth.
Q2) The strength available is 2 g in 4.8 mL. Prepare a 900 mg dose. Express your answer to the nearest tenth.
Q3) The order is for 48,000 units. The available strength is 25,000 units per 8 mL. Calculate the dosage volume. Express your answer to the nearest tenth.
Q4) The available strength is 900,000 units per 5 mL. Prepare a 750,000 unit dose. Express your answer to the nearest tenth.
Q5) The drug label reads 40 mEq per 15 mL. The order is for 55 mEq. Calculate the dosage volume. Express your answer to the nearest tenth.
Q6) The drug label reads 1 mg per 3 mL. Prepare a dose of 700 mcg. Express your answer to the nearest tenth.
Q7) Prepare a 200 mcg dose from a supply of 150 mcg per 3 mL. Express your answer to the nearest tenth.
Q8) The dosage available is 60 mEq per 50 mL. Prepare a dose of 35 mEq. Express your answer to the nearest tenth.
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Chapter 13: Dimensional Analysisunits Conversion
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Sample Questions
Q1) Prepare a 1000 unit dose from a 5000 units/1 mL solution.
Q2) The strength available is 250 mg/5 mL. Prepare a 0.2 g dose.
Q3) A dosage of 30 mg has been ordered. Solution available is 15 mg/mL. Calculate the dosage volume.
Q4) The ordered dose is 3 mg. Solution available is 25 mg/5 mL. Calculate the dosage volume.
Q5) The ordered dose is 0.25 g. Solution available is 250 mg/mL. Calculate the dosage volume.
Q6) The available strength is 5000 units/mL. Prepare a dose of 2500 units.
Q7) The ordered dose is 0.25 g. Solution available is 250 mg/mL. Calculate the dosage volume.
Q8) A dosage of 0.75 g is ordered. Solution available is 500 mg/mL. Calculate the dosage volume.
Q9) The dosage ordered is 6 mg. Solution available is 4 mg/mL. Calculate the dosage volume.
Q10) Prepare a 0.5 mg dose from an available strength of 300 mcg/mL. Express your answer to the nearest tenth.
Q11) The dosage strength is 25 mg/5 mL. Prepare a 75 mg dose.
Q12) The strength available is 500 mcg/mL. Prepare a 0.6 mg dose. Page 14
Q13) The drug label reads 4 mg/mL. Prepare a 4000 mcg dose.
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Chapter 14: Formula Method
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Sample Questions
Q1) The strength available is 60 mEq in 6 mL. Prepare 15 mEq.
Q2) A dosage of 65 units is ordered. The strength available is 100 units in 5 mL.
Q3) The drug is labeled 10,000 units in 1 mL. The order is for 6000 units.
Q4) You have available 0.2 g in 2 mL. Draw up a dosage of 100 mg.
Q5) Prepare a 3.4 mg dosage from an ampule labeled 10 mg in 10 mL.
Q6) The order is for 6 mg. The drug is labeled 20 mg in 25 mL.
Q7) Prepare for IV use a dose of 75 mg from an available supply of 0.1 g in 5 mL.
Q8) A dosage of 50 mEq has been ordered. The available container is labeled 90 mEq in 4 mL.
Q9) The drug is labeled 80 mg in 4 mL. The order is for 120 mg.
Q10) You are to prepare 45 mEq for addition to an IV solution. The solution available is 10 mEq in 25 mL.
Q11) Draw up 14 units from a vial labeled 20 units in 5 mL.
Q12) An order is written for an addition of 70 mEq to an IV solution. The available vial is labeled 40 mEq in 10 mL.
Q14) Prepare a dose of 475 mg from an available supply of 0.3 g in 2 mL. Page 16
Q13) An order is written to administer 400 mcg. The available dosage is 1 mg in 2 mL.
Q15) Prepare a dose of 0.1
g. Available strength is 250 mg in 5 mL.
Q16) 165 mcg is ordered and you have 0.6 mg in 5 mL available.
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Chapter 15: Adult and Pediatric Dosages Based on Body Weight
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Sample Questions
Q1) A 7-year-old child weighs 28 kg. What is the recommended 24-hour dosage for this child?
Q2) What is the highest total dosage for the drug administration period for this patient?
Q3) What would the higher per dose dosage in mcg be for a 93 lb client?
Q4) The order for this child is to give 6000 mg every 6 hours. Is this an acceptable and safe dose?
Q5) An adult weighs 160 lbs. What is the recommended per dose dosage for this patient?
Q6) What is the higher single dosage?
Q7) The prescriber orders "8 mg every 8 hours" for a patient weighing 154 lb. Is this within the recommended range?
Q8) What is this patient's lower per dose dosage?
Q9) What is the lowest total dosage for the drug administration period for this patient?
Q10) An infant weighs 14.3 lbs. What is the lower per dose dosage for this infant?
Page 18
Q11) What would be the total daily dosage if this medication were to be given every 6 hours?
Q12) What would be the total daily dosage if this medication were to be given every 4 hours?
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Page 19
Chapter 16: Adult and Pediatric Dosages Based on Body Surface
Area
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Sample Questions
Q1) A 7-year-old child weighs 39 lb and is 3 ft tall.
Q2) A patient with advanced ovarian cancer who has not received prior chemotherapy is to receive carboplatin and cyclophosphamide. Her weight is 70 kg and height is 175 cm. Calculate the carboplatin and cyclophosphamide dosages.
Q3) A 60-year-old client weighs 110 kg and is 191 cm tall.
Q4) The client weighs 78 kg, is 5 feet 5 inches tall, and has been diagnosed with squamous cell carcinoma. What is the dosage range for this client?
Q5) The adult client is 181 cm tall and weighs 174 lb. Calculate the adult's first dose.
Q6) What will the single dose range be for a patient with a BSA of 1.64 m<sup>2</sup>?
Q7) Calculate a child's second dose. The child weighs 46 lb and is 40 in tall.
Q8) Calculate the highest recommended dose for a patient with testicular cancer whose BSA is 1.7 m<sup>2</sup>.
Q9) Calculate the carboplatin and cyclophosphamide dosages for a client whose weight is 138 lb and height is 61 in.
Q10) What is the lower dose for a client weighing 95 kg and measuring 182 cm?
Q11) What is the higher dose for a client weighing 95 kg and measuring 182 cm?
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Chapter 17: Introduction to Iv Therapy
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Sample Questions
Q1) A patient is ordered an IV of 1000 mL NS to infuse at 100 mL/hr. What clamp will you use to regulate/set this flow rate?
Q2) Parenteral nutrition solutions generally are not used for longer than ____________________ hours due to the risk of bacterial growth.
Q3) Lines attached to a primary line at an injection port, generally used to infuse medications, are called _________________________ or _________________________.
Q4) You receive an order to administer an IV medication diluted in 25 mL. The patient has a burette chamber hanging. Can this be used to administer this medication?
Q5) What is the average height that the IV bag is hung above the level of the patient's heart?
Q6) A patient is admitted following surgery and has significant pain. You might expect an order for what type of medication delivery device?
Q7) What is the abbreviation for 12.5% dextrose in 0.9% sodium chloride?
Q8) What are the components of 1/4NS 10 mEq KCl?
Q9) What is the benefit of a patient-controlled analgesia device?
Q10) What is a volumetric pump?
Q11) Describe the irrigation routine for a saline lock.
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Chapter 18: Iv Flow Rate Calculation
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Sample Questions
Q1) Administer 125 mL in 45 minutes using a microdrip set. Calculate the gtt/min to the nearest whole number.
Q2) Set calibration is 20 gtt/mL. Administer 72 mL in 53 minutes. Calculate the gtt/min to the nearest whole number.
Q3) An IV of 750 mL was to infuse in 4 hours. After 1 hour, 300 mL has infused. Recalculate the gtt/min rate to complete the infusion on time (to the nearest whole number). A 15 gtt/mL set is being used.
Q4) Infuse 75 mL over 23 minutes using a 20 gtt/mL set. Calculate the gtt/min to the nearest whole number.
Q5) A volume of 2100 mL is to infuse over 18 hours. Calculate the flow rate (to the nearest whole number) using a 20 gtt/mL set.
Q6) The order is for 3300 mL to infuse in 17 hours using a 10 gtt/mL set. Calculate the gtt/min to the nearest whole number.
Q7) Calculate the rate (to the nearest whole number) for an infusion of 2300 mL to run over 20 hours using a 10 gtt/mL set.
Q8) Infuse 43 mL in 8 minutes using 20 gtt/mL set. Calculate the gtt/min to the nearest whole number.
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Chapter 19: Calculating Iv Infusion and Completion Times
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Sample Questions
Q1) An IV medication in a volume of 125 mL is to run at 125 mL/hr. It is now 11:30 am. Calculate the infusion time and the completion time.
Q2) An infusion of 2500 mL is started at 8:00 am to run at 275 mL/hr. Calculate the infusion time and the completion time.
Q3) A volume of 390 mL is started at 7:09 am at a rate of 35 mL/hr. Calculate the infusion time and the completion time.
Q4) A medication is set at 1414 to infuse at a rate of 55 mL/hr. The volume of the medication is 140 mL. Calculate the infusion time and the completion time.
Q5) A total of 375 mL remains in an IV bag. The flow rate is 75 mL/hr. It is now 12:15 pm. Calculate the infusion time and the completion time.
Q6) An IV of 1020 mL is to infuse at 90 mL/hr. It is now 8:19 pm. Calculate the infusion time and the completion time.
Q7) It is 1524 and an IV of 630 mL is to infuse at a rate of 50 mL/hr. Calculate the infusion time and the completion time.
Q8) A volume of 800 mL is to infuse at 90 mL/hr. It is now 1730. Calculate the infusion time and the completion time.
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Chapter 20: IV Medication and Titration Calculations
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Sample Questions
Q1) The order is to infuse 90 mcg/kg/min to a patient weighing 81.7 kg. The solution strength is 3 g in 250 mL. Calculate dosage (in mcg/min) to the nearest tenth and flow rate (in mL/hr) to the nearest whole number.
Q2) A 35 mg/hr dosage is ordered and a 250 mg in 250 mL solution is available. Calculate the flow rate in mL/hr.
Q3) A solution of 600 mg/500 mL is infusing at 60 mL/hr. Calculate the dose currently infusing in mcg/min to the nearest whole number.
Q4) A solution of 100 mg/250 mL is infusing at 25 mL/hr. Calculate the dose currently infusing in mcg/min to the nearest whole number.
Q5) The available solution strength is 500 mg in 500 mL. The order is to titrate the dosage from 2-5 mg/kg/hr for a patient weighing 60 kg. Calculate dosage range in mg/hr and flow rate range in mL/hr.
Q6) An adult weighing 71.8 kg has an order to titrate between 3.5 and 6 mg/kg/hr. The solution available contains 500 mg in 250 mL. Calculate dosage range in mg/hr and flow rate range in mL/hr.
Q7) A 250 mL solution with 2 mg of a drug is to be infused at 7 mcg/min. Calculate the flow rate in mL/hr.
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Chapter 21: Heparin Infusion Calculations
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Sample Questions
Q1) A solution of 10,000 units heparin in 500 mL D5W is to infuse via volumetric pump at 400 units/hr. Calculate the flow rate in mL/hr.
Q2) An IV of 500 mL D5W with 1000 units of heparin is to infuse at 50 units/hr. Calculate the flow rate in mL/hr.
Q3) 250 mL NS with 15,000 units of heparin is to infuse via pump at 330 units/hr. Calculate the flow rate in mL/hr.
Q4) An infusion pump is to be used to administer 1550 units/hr of heparin from a solution of 500 mL D5W with 35,000 units. Calculate the flow rate in mL/hr.
Q5) The order is to infuse 650 units/hr of heparin from a solution of 10,000 units in 250 mL D5W. Calculate the flow rate in mL/hr.
Q6) The order is to infuse 1L D5W with 45,000 units of heparin at 1450 units/hr. Calculate the flow rate in mL/hr.
Q7) The order is to infuse 500 mL NS with 25,000 units heparin at 950 units/hr. Calculate the flow rate in mL/hr.
Q8) Heparin 2000 units/hr is to infuse utilizing an available solution of 50,000 units in 500 mL. Calculate the flow rate in mL/hr.
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Chapter 22: Pediatric Oral and Parenteral Medications
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Sample Questions
Q1) Prepare a 300 mg dose from an oral suspension with a 300 mg/5 mL dosage strength.
Q2) Prepare a 300 mg dose from a dosage supply of 600 mg tabs.
Q3) Prepare a 50 mg dose from a medication supplied in 100 mg tabs.
Q4) Prepare a 100 mg dose from a dosage strength of 100 mg/mL.
Q5) Prepare a 5 mg dose from a medication dosage strength of 10 mg/mL.
Q6) Prepare an 80 mg dose from an oral medication with the supply dose of 100 mg/5 mL.
Q7) Prepare a 0.3 mg dose from a supply dosage of 100 mcg/mL.
Q8) Prepare a 12.5 mg dose. The dosage supply is 6.25 mg/mL.
Q9) Prepare a 10 mEq dose from a label reading 10 mEq tabs.
Q10) Prepare a 25 mg dose of medication with a dosage strength of 100 mg/5 mL.
Q11) Prepare a 200 mg dose of an oral medication with a concentration of 125 mg/5 mL.
Q12) Prepare a 200 mg dose from a supply dosage of 100 mg/mL.
Q13) Prepare a 0.2 mg dose from a medication dosage strength of 0.25 mg/mL.
Q14) Prepare a 250 mg dose from a dosage strength of 500 mg/15 mL.
Q15) Prepare an 8 mg dose from a supply dosage of 25 mg/mL. Page 26
Q16) Prepare a 2 mg dose from an elixir with a dosage strength of 0.5 mg/mL.
Q17) Prepare a 50 mg dose. The supply dosage is 250 mg/5 mL.
Q18) Prepare a 100 mg dose from a medication with the dosage strength of 80 mg/mL.
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Chapter 23: Pediatric Intravenous Medications
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Sample Questions
Q1) Make an assessment of the order.
Q2) A volume of 175 mL is to infuse in 3 hours. Calculate the flow rate in gtt/min using a microdrip calibrated at 60 gtt/mL.
Q3) Calculate the dosage infusing per day.
Q4) A child weighing 20.4 kg is to receive 0.3-0.5 mcg/kg/dose. Each dose is to infuse over 30 minutes. The supply is labeled 2 mcg/2 mL. Calculate the normal dosage ranges to the nearest tenth and the flow rate ranges in gtt/min using a set calibrated to 60 gtt/mL.
Q5) Calculate the dosage infusing per hour.
Q6) A child weighing 21 lbs is to receive 100 mL/kg/day. Calculate the 24-hour fluid requirement and the EID setting in mL/hr for the 24-hour period.
Q7) Calculate the dosage infusing per hour.
Q8) Make an assessment of the order.
Q9) Calculate the dosage infusing per day.
Q10) An infant weighing 4.8 kg is to receive 80 mL/kg/day. Calculate the 24-hour fluid requirement and the EID setting in mL/hr for the 24-hour period.
Page 28
Q11) Calculate the dosage infusing per hour.
Q12) Make an assessment of the order.
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