Medical-Surgical Nursing
Exam Answer Key
Course Introduction
Medical-Surgical Nursing is a comprehensive course that focuses on the care of adult patients experiencing a wide range of medical conditions and surgical interventions. The course emphasizes the application of the nursing process in assessing, planning, implementing, and evaluating patient care, with an in-depth exploration of physiological, psychological, and social aspects affecting patient outcomes. Students will learn critical thinking and clinical reasoning skills essential for managing complex health problems, including preoperative and postoperative care, wound management, pain control, fluid and electrolyte balance, and the management of chronic illnesses. Evidence-based practice, patient safety, interdisciplinary collaboration, and ethical and legal considerations in adult care are also integral components of this course.
Recommended Textbook
Calculate with Confidence 5th Edition by Deborah C. Gray Morris
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25 Chapters
409 Verified Questions
409 Flashcards
Source URL: https://quizplus.com/study-set/3657 Page 2
Chapter 1: Roman Numerals
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) Perform the indicated operation and record the results in lowercase Roman numerals.30 \(\times\) 6 = _____
Answer: xxiv
Q2) Perform the indicated operation and record the result in Roman numerals.(Use lowercase letters.)29 \(\times\) 1 = _____
Answer: xxviii
Q3) Write the following Arabic number as a roman numeral.(Use lowercase letters.)21 =
Answer: xxi
Q4) Perform the indicated operation and record the result in Roman numerals.(Use lowercase letters.)10 + 2 = _____
Answer: xii
Q5) Perform the indicated operation and record the result in Roman numerals.(Use lowercase letters.) 7 \(\times\) 2 = _____
Answer: xiv
Q6) Write the following Arabic number as a Roman numeral.(Use lowercase letters.)18 =
Answer: xviii
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Chapter 2: Fractions
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Perform the indicated operation with fractions.Reduce to lowest terms as indicated.16 5/6 \(\times\) 14 3/8 = ____ Answer: 2 11/24
Q2) Arrange the following fractions from smallest to largest.1/6,1/5,1/8,1/4,1/3:
Answer: 1/8,1/6,1/5,1/4,1/3
Q3) Reduce the following fraction to lowest terms.60/1200 = _____ Answer: 1/20
Q4) Indicate which fraction is the largest.1/100,1/150,1/200: _____ Answer: 1/100
Q5) Reduce the following fraction to lowest terms.54/81 = _____ Answer: 2/3
Q6) Indicate the largest number in the following set.5/6,5/8: _____ Answer: 5/6
Q7) Change the following improper fraction to a whole or mixed number.193/62 = Answer: 3 7/62
Q8) Perform the indicated operation and reduce to lowest terms.3/8 \(\times\) 1/3 = Answer: 1/24
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Chapter 3: Decimals
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Identify the decimal with the largest value in the following set. Answer: 0.86
Q2) Round off the following decimal to the nearest thousandth. Answer: 0.625
Q3) Perform the indicated operation with decimals. Answer: 0.0782
Q4) Perform the indicated operation with decimals. Answer: 0.523
Q5) Round off the following decimal to the nearest thousandth. Answer: 0.333
Q6) Round off the following decimal to the nearest tenth. Answer: 3.5
Q7) Change the following to a decimal.Carry division three places as indicated.Do not round off.5/18 = _____ Answer: 0.277
Q8) Change the following to a decimal. Answer: 0.0125
Q9) Round off the following decimal to the nearest tenth. Answer: 28.7
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Chapter 4: Ratio and Proportion
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) Solve for x.
2.2:1 = x:145
x = _____
Q2) Solve for x in the following.11:121 = 3:x
x = _____
Q3) Solve for x.1/0.05 = x/0.1
x = _____
Q4) Solve for x in the following.4/2.6 = 5/x
x = _____
Q5) Express the following dosage as a ratio.A capsule contains 450 mg of medication: _____
Q6) Express the following dosage as a ratio.An injectable solution contains 500 mg in each 0.7 mL: _____
Q7) Solve for x in the following.500:3 = 350:x
x = _____
Q8) Solve for x.Round to the nearest tenth.1:3.6 = x:170
x = _____
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Chapter 5: Percentages
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) Change the following percentage to a fraction.Reduce to lowest terms.
Q2) Change the following percentage to a ratio and its decimal equivalent.45% = _____; _____
Q3) Find the following percentage.16% of 79 = _____
Q4) Change the following percentage to a fraction. Reduce to lowest terms.
37.5% = _____
Q5) Change the following percentage to a ratio and its decimal equivalent.8% = _____;
Q6) Find the following percentage.8% of 32 = _____
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Chapter 6: Metric System
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) 1 L = _____ mL
Q2) 5.2 kg = _____ g
Q3) 1.57 kg = _____ g
Q4) 0.081 g = _____ mg
Q5) 25.6 mg = _____ g
Q6) 8.3 L = _____ mL
Q7) 0.075 mg = _____ mcg
Q8) 3,550 mL = _____ L
Q9) 1 mg = _____ g
Q10) 7.45 mL = _____ L
Q11) 450 mL = _____ L
Q12) 1 kg = _____ g
Q13) Complete the following sentence with the correct word(s).The units of the metric system are as follows: ____________________ (length),____________________ (volume),and ____________________ (weight).
Q14) 26 mcg = _____ mg Page 8
Q15) 15 mg = _____ mcg
Q16) 54.6 g = _____ kg
Q17) 3,120 mcg = _____ mg
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Page 9
Chapter 7: Apothecary and Household Systems
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) 16 T = _____ mL
Q2) 10 tbs = _____ mL
Q3) 15 mL = _____ oz
Q4) 5 t = _____ mL
Q5) 6 1/4 qt = _____ mL
Q6) 50 mL = _____ qt
Q7) gr 1/15 = _____ mg
Q8) 1 oz is equivalent to:
A) 4 mL
B) 5 mL
C) 15 mL
D) 30 mL
Q9) teaspoon: _____
Q10) 750 mL = _____ pt
Q11) 30 mL = _____ oz
Q12) gr 4 1/4 = _____ mg
Q13) ounce: _____
Q14) 60 mg = gr _____
Q15) drop: _____
Q16) 255 mL = _____ oz
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Chapter 8: Converting Within and Between Systems
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Sample Questions
Q1) A client drinks 300 mL of magnesium citrate.How many ounces did the client consume? _____ ounces
Q2) 1 mg = _____ g
Q3) 0.3 mg = _____ g
Q4) 0.005 g = _____ mg
Q5) A client has an order for Maalox 30 mL p.o.at bedtime.How many tablespoons will the nurse instruct the client to take? _____ tablespoons
Q6) Calculate the client's intake in milliliters.Apple juice 2 ounces
Chicken broth 4 ounces
Gelatin dessert 3 ounces
Hot tea 5 ounces
Total mL = _____
Q7) A client's intake was the following:
3/4 cup of coffee (1 cup = 8 oz)1 can of ginger ale (1 can = 12 oz)1/2 glass of cranberry juice (1 glass = 6 oz)How many milliliters will you record on the intake and output (I&O)sheet? _____ mL
Q8) gr 90 = _____ g
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Q9) A client received 5.4 liters of IV fluid during a surgical procedure.How many mL of IV fluid did the client receive? _____ mL
Chapter 9: Additional Conversions Useful in the Health Care Setting
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) 7.6 kg = _____ lb
Q2) A wound measures 4.2 cm in length.How many mm is this? _____ mm
Q3) 63 kg = _____ lb
Q4) 16 oz = _____ lb
Q5) In traditional time,0518 is:
A) 5:18 AM
B) 5:18 PM
Q6) 27 cm = _____ in
Q7) An IV started at 0550 is to be completed in 5 hr 10 min.Determine the completion time (military time)._____
Q8) 1 cm = _____ mm
Q9) 39S1U1P1\(\circ\)S1S1P0 C = _____ S1U1P1\(\circ\)S1S1P0 F
Q10) In military time,4:08 PM is:
A) 0408 hours
B) 1508 hours
C) 1608 hours
D) 1708 hours
13
Q11) 102S1U1P1\(\circ\)S1S1P0 F = _____ S1U1P1\(\circ\)S1S1P0 C
Q12) 16.2 in = _____ cm
Q13) 9 lb 9 oz = _____ kg
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Page 14
Chapter 10: Medication Administration
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) After administering a medication,the nurse should:
A) Pour the medications for the next administration time.
B) Document medication given prior to administering.
C) Order the next dosage needed from the pharmacy.
D) Document the time of administration.
Q2) A nurse enters a room to administer medications to a client.The order is for Prednisolone 2.5 mg p.o.
b.i.d.The nurse administers prednisone 25 mg p.o.:
Q3) Medication ________________ avoids errors and assists in obtaining accurate medication histories of a client at transition points (admission,transfer,discharge).
Q4) Technological advances have eliminated the occurrence of medication errors._____
A)True
B)False
Q5) A nurse has an order for heparin 5,000 units subcut for a client in room 407 whose name is Henry Jones (initials HJ).The nurse enters room 408 and administers the medication to Horace Jackson (initials HJ): _______________
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Chapter 11: Understanding and Interpreting Medication
Orders
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Sample Questions
Q1) Twice a day: _____
Q2) A p.r.n.order must indicate the minimum time between dosages,such as q4h._____
A)True
B)False
Q3) The use of a computer to order medications:
A) Increases client confidentiality.
B) Lessens the work of checking orders.
C) Helps to identify errors in writing orders.
D) Decreases the problems associated with illegible handwriting.
Q4) Verbal orders should be accepted only in _______________.
Q5) CPOE is an abbreviation for _______________.
Q6) Immediately: _____
Q7) Every hour: _____
Q8) "Administer Colace 100 mg by mouth three times a day" can be written on an order sheet as:
A) Colace 100 mg p.o.t.i.d.
B) Colace 100 mg p.o.
C)i.d.
D) Colace mg 100.0 p.o.q.i.d.
E) Colace MG 100 p.o.t.i.d.
Page 16
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Page 17
Chapter 12: Medication Administration Records and Drug Distribution Systems
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) 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
Q2) Identify the place on the MAR where the stat IV Lasix was charted._______________
Q3) Which medications are ordered to be administered "as necessary"?
Q4) If a medication was not administered,where would the reason for omission be charted? _______________
Q5) What are the scheduled times for administering Colace? _______________
Q6) A client has a gastrostomy tube (GT)in place.The health care provider ordered the medication p.o.What action would be appropriate for the nurse to take?
A) Dilute the p.o.medication with water and administer by GT.
B) Administer the medication p.o.as ordered.
C) Clarify the order with the health care provider who wrote the order.
D) Clarify the order with the charge nurse.
Q7) How many times in a 24-hour period will Colace be administered? Page 18
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Page 19
Chapter 13: Reading Medication Labels
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) 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
Q2) 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
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Chapter 14: Dosage Calculation Using the Ratio and Proportion
Method
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Order: Zofran 7 mg p.o.
b.i.d.
Available: Zofran oral solution labeled 4 mg per 5 mL
Q2) Order: Thorazine 25 mg p.o.t.i.d.Available: Thorazine syrup labeled 10 mg per 5 mL
Q3) Order: Calcijex 1.5 mcg IV daily on Mon.,Wed.,Fri.Available: Calcijex 1 mcg per mL
Q4) Order: Ampicillin 0.375 g IM q6h
Available: Ampicillin 250 mg per mL
Q5) Order: Clindamycin 0.6 g IV q12h
Available: Clindamycin 300 mg per 2 mL
Q6) Order: Raloxifene HCl 60 mg p.o.
b.i.d.
Available: Raloxifene HCl tablets labeled 60 mg per tablet
Q7) Order: Heparin 2,000 units subcut daily
Available: Heparin labeled 5,000 units per mL
Q8) Order: Thorazine 15 mg IM stat
Available: Thorazine 25 mg per mL
Q9) Order: Amoxil 0.5 g p.o.q6h
Available: Amoxil capsules labeled 250 mg per capsule Page 21
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Page 22
Chapter 15: Dosage Calculation Using the Formula Method
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Order: Heparin 2,500 units subcut stat
Available: Heparin labeled 10,000 units per mL (Express answer in hundredths.)
Q2) Order: Compazine 8 mg p.o.stat
Available: Compazine syrup labeled 5 mg per 5 mL
Q3) Order: Ampicillin 0.375 g IM q6h
Available: Ampicillin 250 mg per mL
Q4) Order: Heparin 2,000 units subcut daily
Available: Heparin labeled 5,000 units per mL
Q5) Order: Zofran 7 mg p.o.
b.i.d.
Available: Zofran oral solution labeled 4 mg per 5 mL
Q6) Order: Clindamycin 0.6 g IV q12h
Available: Clindamycin 300 mg per 2 mL
Q7) Order: Thorazine 15 mg IM stat
Available: Thorazine 25 mg per mL
Q8) Order: Calcijex 1.5 mcg IV daily on Mon.,Wed.,Fri.Available: Calcijex 1 mcg per mL
Q9) Order: Raloxifene HCl 60 mg p.o.
b.i.d.
Available: Raloxifene HCl tablets labeled 60 mg per tablet
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Chapter 16: Dosage Calculation Using the Dimensional Analysis
Method
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Order: Thorazine 25 mg p.o.t.i.d.Available: Thorazine syrup labeled 10 mg per 5 mL
Q2) Order: Raloxifene HCl 60 mg p.o.
b.i.d.
Available: Raloxifene HCl tablets labeled 60 mg per tablet
Q3) Order: Heparin 2,000 units subcut daily
Available: Heparin labeled 5,000 units per mL
Q4) Order: Zofran 7 mg p.o.
b.i.d.
Available: Zofran oral solution labeled 4 mg per 5 mL
Q5) Order: Ampicillin 0.375 g IM q6h
Available: Ampicillin 250 mg per mL
Q6) Order: Heparin 2,500 units subcut stat
Available: Heparin labeled 10,000 units per mL (Express answer in hundredths.)
Q7) Order: Calcijex 1.5 mcg IV daily on Mon.,Wed.,Fri.Available: Calcijex 1 mcg per mL
Q8) Order: Clindamycin 0.6 g IV q12h
Available: Clindamycin 300 mg per 2 mL
Q9) Order: Amoxil 0.5 g p.o.q6h
Available: Amoxil capsules labeled 250 mg per capsule Page 24
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Page 25
Chapter 17: Calculation of Oral Medications
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) Order: Pindolol 5 mg p.o.
a.How many tablets will the client need for the first week? _____ tab(s)
b.How many tablets will the client need for the second week? _____ tab(s)
b.i.d.for 1 week; then increase to 10 mg
b.i.d.the second week
Available: Pindolol tablets labeled 5 mg
Q2) Order: Coreg 6.25 mg p.o.
a.How many tablets should the client receive per dosage? _____ tab(s)
b.How many milligrams will the client receive per day? _____ mg
b.i.d.
Available: Coreg tablets labeled 3.125 mg
Q3) Order: Diazepam 4 mg via nasogastric tube t.i.d.Available: Diazepam oral solution 5 mg per 5 mL
a.How many milliliters should the client receive per dosage? _____ mL
b.How many milligrams will the client receive per day? _____ mg
Q4) Sublingual tablets must never be _______________ but placed _______________ the tongue.
Q5) Order: Synthroid 0.15 mg p.o.daily
Available: Synthroid tablets labeled 75 mcg
Dosage: _____ tab(s)
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Chapter 18: Parenteral Medications
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Sample Questions
Q1) The route that is used for diagnostic purposes is called _______________.
Q2) Order: Levothyroxine sodium 0.3 mg IV daily
Available: Levothyroxine sodium 200 mcg per 5 mL
How many milliliters will you add to the IV? _____ mL
Q3) The term used for injectable medications is _______________.
Q4) 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) Order: Furosemide 15 mg IM every day
Available: Furosemide labeled 20 mg per 2 mL
How many milliliters will you administer? _____ mL
Q6) The calibrations on a syringe that indicate the capacity can be found on the _______________.
Q7) Order: Heparin 45,000 units IV in 500 mL D5W
Available: Heparin labeled 10,000 units per mL
How many milliliters will you add to the IV? _____ mL
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Chapter 19: Reconstitution of Solutions
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Sample Questions
Q1) 360 mL of 1/4 strength Ensure percutaneous endoscopic (PEG)tube over 4 hours
Q2) 1/4 strength Ensure 8 oz p.o.q4h for 24 hours
Q3) 800 mL of 3/4 strength Sustacal via gastrostomy over 6 hours
Q4) Prepare irrigant 250 mL 1/2 strength solution:
Q5) a.Total dosage of vial: _____
b.Type of diluents specified: _______________
c.How much diluent must be added to reconstitute the medication? _____
d.What will be the volume of the reconstituted solution? _____
e.Dosage strength of the reconstituted solution: _______________
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28
Chapter 20: Insulin
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Sample Questions
Q1) What is the difference between the calibration of units on the 1-mL insulin syringe and on the Lo-Dose syringe? ______________________________
Q2) U-100 on the label of an insulin vial means:
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Chapter 21: Intravenous Solutions and Equipment
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Sample Questions
Q1) 500 mL 1/2 NS sodium chloride (NaCl): _____
Q2) The name for the main infusion administration set is _______________.
Q3) List the components and percentage strengths of the following IV solutions.
a.D5¼S
b.D5NS 10 mEq KCl
c.D5RL
Q4) An electronic infusion control device used to administer IV fluids is referred to as a _______________.
Q5) _______________ devices allow a client to self-administer pain medication.
Q6) The IV line that can be used to administer medications and solutions and can be connected to a port on the main infusion is called _______________.
Q7) 1,000 mL (1 L)of Lactated Ringer solution every 8 hours
Q8) In IV fluid abbreviations,D5NS identifies what IV fluid? _______________
Q9) 5 L D10W dextrose: _______________
Q10) 1,000 mL (1 L)of 5% dextrose in water to infuse at a rate of 100 mL per hour
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Chapter 22: Intravenous Calculations
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Sample Questions
Q1) Clindamycin 600 mg in 100 mL D5W over 1 1/2 hours: _____
Q2) 60 mL of IV fluid with medication infusing at 50 macrogtt/min.Drop factor is 10 gtt/mL
Calculate the infusion time: _____
Q3) Order: Integrilin 180 mcg/kg IV bolus initially.Infuse over 2 minutes.Client weighs 154
lb.Available: 2 mg/mL
a.How many kilograms does client weigh? _____ kg
b.How many milligrams should the client receive? _____ mg
c.How many milliliters will you infuse per minute? _____ mL/min
Q4) 2,500 mL RL in 12 hr
a.10 gtt/mL _____
b.15 gtt/mL _____
c.20 gtt/mL _____
d.60 gtt/mL _____
Q5) Total parenteral nutrition (TPN)solution of 1,000 mL at 30 mL/hr
Determine the infusion time: _____
Q6) Ampicillin 1.5 g in 100 mL 0.9 % NS over 45 minutes: _____
Q7) The type of administration set that will be selected for an IVPB solution is _______________.
Q8) 500 mL of Intralipid in 6 hours: _____
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Chapter 23: Heparin Calculations
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Sample Questions
Q1) Order: 45,000 units of heparin in 1,000 mL D5 ½/2 NS at 25 mL/hr units/hr = _____
Q2) Order: 25,000 units of heparin in 250 mL D5W to infuse at 8 mL/hr units/hr = _____
Q3) 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? _____
Q4) 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? _____
Q5) Order: 50,000 units of heparin in 1 L D5 0.9% NS to infuse at 40 mL/hr units/hr = _____
Q6) 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? _____
Q7) Which solution of heparin is more concentrated: 1,000 units per mL or 10,000 units per mL? _____
Q8) Order: 40 units/kg/hr heparin IV.The client weighs 50 kg.How many units should the client receive per hour? _____
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Chapter 24: Critical Care Calculations
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Sample Questions
Q1) A client weighing 80 kg has an order for Intropin to infuse at 8 mcg/kg/min.The solution available is 800 mg Intropin in 500 mL D5W.
a.mcg/min: _____
b.mL/hr: _____
Q2) A client is receiving procainamide 1 g in 500 mL D5W at 120 mL/hr
a.mg/hr: _____
b.mg/min: _____
Q3) A client is receiving dopamine 800 mg in 500 mL D5W infusing at a rate of 30 mL/hr
a.mg/hr: _____
b.mcg/min: _____
Q4) 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: _____
Q5) 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: _____
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Chapter 25: Pediatric and Adult Dosage Calculation Based on Weight
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Sample Questions
Q1) 170 cm and 50 kg: _____ m<sup>2</sup>
Q2) The recommended dosage of Paraplatin for ovarian cancer is 360 mg/m<sup>2</sup>.The client's BSA is 1.67 m<sup>2</sup>.What dosage should the client receive? _____
Q3) 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? _____
Q4) Order: Epinephrine 0.25 mg IV stat
Available: Epinephrine 0.1 mg/mL
How many milliliters will you prepare to administer? _____ mL
Q5) 80 cm and 11 kg: _____ m<sup>2</sup>
Q6) An adult who is 67 inches tall and weighs 175 lb: _____ m<sup>2</sup>
Q7) A child who measures 26 inches and weighs 36 lb: _____ m<sup>2</sup>
Q8) 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?
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Q9) An adolescent who measures 157.5 cm and weighs 59.1 kg: _____ m<sup>2</sup>
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