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Medical-Surgical Nursing is a foundational course that prepares students to care for adult patients with a wide spectrum of medical conditions and surgical interventions. The course emphasizes the integration of theoretical knowledge with clinical practice, focusing on the nursing process, critical thinking, and evidence-based interventions. Students will learn about pathophysiology, pharmacology, diagnostic tests, perioperative care, and the management of acute and chronic illnesses. Through lectures, case studies, and hands-on experiences, students develop skills in patient assessment, care planning, and collaborative teamwork, equipping them to provide safe and compassionate care across diverse healthcare settings.
Recommended Textbook
Calculation of Drug Dosages A Work Text 10th Edition by Ogden
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Sample Questions
Q1) 11/12 - 1/2 = ____________________ Answer: 5/12
Q2) 3 1/2 ÷ 1 1/3 = ____________________ Answer: 2 5/8
Q3) 1 5/6 + 3 1/3 + ____________________ Answer: 5 1/6
Q4) 3/10 + 3/5 + ____________________ Answer: 9/10
Q5) 6 1/2 - 1 3/4 = ____________________ Answer: 4 3/4
Q6) 4 3/10 ÷ 1 3/4 = ____________________ Answer: 2 16/35
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Available Study Resources on Quizplus for this Chatper 12 Verified Questions 12 Flashcards
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Sample Questions
Q1) 44.7 * 17.13 * 60 = ____________________ Answer: 45,942.66
Q2) 4.4 ÷ 0.5 = ____________________ Answer: 8.8
Q3) 16.75 - 4.6 = ____________________ Answer: 12.15
Q4) 354.6 ÷ 1000 = ____________________ Answer: 0.3546
Q5) 258.7 ÷ 100 = ____________________ Answer: 2.587
Q6) 5.32 * 67.9 = _________ Answer: 361.228
Q7) 110.5 ÷ 7.52 = ____________________ Answer: 14.69414894
Q8) 0.662 * 1000 = ____________________ Answer: 662
Q9) 17.5 * 10 = ____________________ Answer: 175
Q10) 2.67 + 5.1 + 1.3 + 0.9 = ____________________ Answer: 9.97 Page 4
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Sample Questions
Q1) What percent of 150 is 75? ____________________ Answer: 50%
Q2) Change 0.77 to a percent. ____________________ Answer: 77%
Q3) Change 1/4 to a percent. ____________________ Answer: 25%
Q4) What is 15% of 1085.6? _____________________ Answer: 162.84
Q5) Change 44% to a proper fraction. ____________________ Answer: 11/25
Q6) Change 16.8% to a proper fraction. ____________________ Answer: 21/125
Q7) What is 25% of 75? ____________________ Answer: 18.75
Q8) Change 7/16 to a percent. ____________________ Answer: 43 3/4%
Q9) Change 1.57 to a percent. ____________________ Answer: 157%
Q10) Change 15% to a decimal. ____________________ Answer: 0.15 Page 6
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Sample Questions
Q1) Change 7:20 to a decimal number. ____________________
Q2) Change 1.66 to a ratio. ____________________
Q3) Change 44:88 to a percent. ____________________
Q4) Change 1/7 ÷ 4/21 to a ratio. ____________________
Q5) Change 2/7% to a ratio. ____________________
Q6) Change 27% to a ratio. ____________________
Q7) Change 0.12 to a ratio. ____________________
Q8) Change 3/10:2/5 to a fraction. ____________________
Q9) Change 25:100 to a fraction. ____________________
Q10) Change 15:75 to a percent. ____________________
Q11) Change 35:14 to a decimal number. ____________________
Q12) Change 3/8 ÷ 5/12 to a ratio. ____________________
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Q1) 30 : 600 :: x : 150 ____________________
Q2) x : 1/4 :: 3/4: 32 ____________________
Q3) 125 : 20 :: 300 : x ____________________
Q4) x : 0.7 :: 21.21 : 3 ____________________
Q5) 25 : 40 :: 75.5 : x ____________________
Q6) 14 : x :: 28 : 7 ____________________
Q7) 33% : 66 :: x% : 15 ____________________
Q8) 2/3 : x :: 8/9 : 12 ____________________
Q9) 16 : x :: 45 : 15____________________
Q10) x : 0.54 :: 0.6 : 0.8 ____________________
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Sample Questions

Q3)
Q4)
Q5)
Q17) 1 mg = _________ g
Q18) 112.2 lb = ____________________ kg
Q19) 76 mg = ____________________ mcg
Q20) 1 g = ___________ mcg
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Sample Questions
Q1) 12.6 cm = _____________________ in
Q2) 1 kg = ______ g
Q3) 123.2 lb = ____________________ kg
Q4) 180 lb = ______ kg
Q5) 4200 g = ______ kg
Q6) 112.2 lb = ____________________ kg
Q7) Calculate the output.
A patient consumes 4 oz of orange juice and 4 oz of milk for breakfast, 12 oz of coffee for lunch, and 3 oz mL of an ice pop and 4 oz mL of ice cream for dinner. The patient voided three times during the shift for 200 mL, 360 mL, and 600 mL. Calculate the intake for the 6 AM to 6 PM shift.
Q8) 3.5 kg = ____________________ lb
Q9) 100 lb = ____________________ kg
Q10) 3 oz = _____ mL
Q11) 1 mg = _________ g
Q12) 17.4 kg = ____________________ g
Q13) 900 mg = ________ g

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Q14) 97.8° F = ____________________° C
Q15) 76 mg = ____________________ mcg
Q16) 750 mL = ____________________ L
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Q1) The physician has ordered torsemide 40 mg oral every morning for a patient with heart failure. The medication is supplied as torsemide 20 mg per tablet. How many tablets of torsemide would the patient receive with each dose? _________
Q2) The patient has diphenhydramine 50 mg oral every 4 hours ordered for itching. The medication is supplied as diphenhydramine 25-mg capsules. How many capsules of diphenhydramine would the patient receive with each dose? _________
Q3) A patient has orders for guaifenesin 200 mg every 6 hours per gastric tube. The guaifenesin syrup is supplied in a 100 mg per 5-mL concentration. How many milliliters would the nurse administer with each dose? ___________
Q4) Pro-Stat 30 mg twice a day per gastric tube is ordered. The Pro-Stat syrup is supplied in a 60-mg per 30-mL concentration. How many milliliters would the nurse administer with each dose? ___________
Q5) The physician orders Lanoxin elixir 80 mcg po daily for a patient with congestive heart failure. Available: 50 mcg/mL. How many milliliters will the nurse administer?

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Sample Questions
Q1) Vistaril 75 mg IM is ordered for anxiety. Available: 50 mg/mL. How many milliliters will the nurse administer? ____________________
Q2) A patient has labetalol 10 mg IV every 2 hours prn for systolic blood pressure more than 180 mm Hg. The medication is available in 5 mg per 1-mL vials. How many milliliters would the nurse administer with each dose? __________
Q3) A patient with anemia has Epogen 5000 units subcutaneous every Monday. The medication is supplied in 10,000 units per 1-mL vials. How many milliliters would the nurse administer with each dose? __________
Q4) The physician orders Stadol 2 mg IM for pain. The medication is supplied in 1 mg/mL. How many milliliters will the nurse administer? ___________________
Q5) Arixtra 5 mg subcutaneous every morning is ordered for deep vein thrombosis prevention. The medication is available in 5 mg per 0.4-mL vials. How many milliliters would the nurse administer with each dose? __________
Q6) Protonix 20 mg is ordered IV twice a day for a patient. The medication is available in a 40 mg/10 mL concentration. How many milliliters would be given with each dose?
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Sample Questions
Q1) A patient has orders for Fragmin 10,000 international units twice a day for deep vein thrombosis prevention. The Fragmin is available in 5000 international units per 0.4 milliliter vials. How many milliliters would the nurse administer with each dose?
Q2) A patient has orders for Fragmin 2500 international units twice a day for deep vein thrombosis prevention. The Fragmin is available in 5000 international units per 0.4 milliliter vials. How many milliliters would the nurse administer with each dose?
Q3) Heparin 10,000 units subcutaneous every 12 hours is ordered for a patient after a stent placement. The heparin is available in 20,000 units per 1-mL concentration. How many milliliters would the nurse administer with each dose? __________
Q4) The physician orders heparin 5000 units subcutaneous every 12 hours for a patient with a deep vein thrombosis. The heparin is available in 20,000 units per 1-mL concentration. How many milliliters would the nurse administer with each dose?
Q5) The physician orders heparin 5500 units subcutaneous for deep vein thrombosis prevention. The medication is supplied in 10,000 units/mL. How many milliliters will the nurse administer? ____________________
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Q1) The physician orders Lorabid 350 mg po for pneumonia. After reconstitution, the medication is available as 200 mg/5 mL. How many milliliters will the nurse administer?
Q2) The physician orders Amoxil 200 mg po for a sinus infection. After the reconstitution, the medication is available as 125 mg/5 mL. How many milliliters will the nurse administer?
Q3) The physician orders penicillin G 350,000 units IM for an infection. After reconstitution, the medication is available as 200,000 units/mL. How many milliliters will the nurse administer?
Q4) The physician orders penicillin G 500,000 units IM for infection. After reconstitution, the medication is available as 1,000,000/mL. How many milliliters will the nurse administer?
Q5) The physician orders Vancocin 375 mg po for a staph infection. After reconstitution, the medication is available as 250 mg/5 mL. How many milliliters will the nurse administer?
Q6) The physician orders Ceclor 175 mg po for an ear infection. After reconstitution, the medication is available as 125 mg/5 mL. How many milliliters will the nurse administer?
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Sample Questions
Q1) TPN 2000 mL is ordered to infuse from 1900 to 0700. Using an IV controller, how many milliliters per hour should be infused? _______
Q2) The patient has vancomycin 750 mg ordered IV once daily for an infection. The vancomycin is available in 250 mL of NS and should infuse over 1 hour. Using tubing with a 20 gtt/mL drop factor, how many drops per minute should the vancomycin be infused?
Q3) The patient has Ferrlecit 125 mg ordered once daily. The Ferrlecit is available in 100 mL of NS and should infuse over 60 minutes. Using an IV pump, how many milliliters per hour should the Ferrlecit be infused? ___________
Q4) The physician gives orders to infuse 1000 mL 0.9% NS at 200 mL/h for dehydration. Tubing drop factor is 10 gtt/mL. Calculate the flow rate in drops per minute.
Q5) The physician orders a continuous IV morphine drip to infuse at 5 mg/h. The medication is supplied in 100 mg/100 mL. Calculate the flow rate in milliliters per hour.
Q6) The physician orders 500 mL of NS to infuse at 175 mL/h for a patient with vomiting. Tubing drop factor is 15 gtt/mL. Calculate the flow rate in drops per minute.
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Sample Questions
Q1) Calculate the milliliters per hour of heparin required for the continuous infusion.
Order: Begin a heparin drip per the facility's protocol. The patient's weight is 80 kg.
Heparin Protocol
Bolus: Heparin 80 units/kg
Infusion: Heparin 18 units/kg/h using a concentration of heparin 25,000 units in 250 mL of NS (100 units/mL)
Q2) Calculate the units of heparin required for the bolus dose. Round the final answer to the nearest hundredth place.
Order: Begin a heparin drip per the facility's protocol. The patient's weight is 76 kg.
Heparin Protocol
Bolus: Heparin 70 units/kg
Infusion: Heparin 17 units/kg/h using a concentration of heparin 25,000 units in 250 mL of NS (100 units/mL)
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Sample Questions
Q1) Round your answer to the nearest whole number. The physician orders procainamide IV drip at 3 mg/min for premature ventricular contractions. The medication is supplied in 2 g/500 mL of NS. Calculate the flow rate in milliliters per hour. ____________________
Q2) Round your answer to the nearest tenth. A patient is receiving dopamine at 20 mL/h. The concentration of dopamine is 800 mg/250 mL of 0.9% NS. The patient's weight is 70 kg. Calculate the micrograms per kilogram per minute the patient is receiving. ____________________
Q3) Round your answer to the nearest tenth.
A patient with supraventricular tachycardia has amiodarone infusing at 16.7 mL/h. The amiodarone concentration is 900 mg/500 mL of D<sub>5</sub>W. At what rate, in milligrams per minute, is the amiodarone infusing? ____________________
Q4) Round your answer to the nearest tenth.
A patient with septic shock has a Neo-Synephrine drip infusing at 20 mL/h. The Neo-Synephrine concentration is 50 mg in 250 mL of NS. How many micrograms per minute is the patient receiving? _________________
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Sample Questions
Q1) The recommended dosage of gentamicin IVPB for a child is 6 mg/kg/day in two equal doses. The child's weight is 44 lb. The tubing drop factor is 60 gtt/mL. The medication is supplied in 60 mg/100 mL to infuse over 90 minutes.
a. What is the child's weight in kilograms? _____________
b. Calculate the dose for this child. ____________________
c. Calculate the rate in milliliters per hour for this IV. ____________________
d. Calculate the drops per minute. ____________________
Q2) The recommended safe dose of rifampin for a child is 5 mg/kg/dose. The child's weight is 11 lb. The medication is supplied in 10 mg/mL.
a. What is the child's weight in kilograms? _____________
b. Calculate the safe dose for this child. ____________________
c. How many milliliters will be administered for each dose? ____________________
Q3) The recommended dose of Lasix for a child is 1 mg/kg/dose. The child's weight is 77 lb. The medication is supplied in 10 mg/mL.
a. What is the child's weight in kilograms? _____________
b. Calculate the safe dose for this child. ____________________
c. How many milliliters will be administered for each dose? ____________________
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Sample Questions
Q1) Round the answer to the nearest whole number.
A physician writes orders for 1 g/h of magnesium sulfate for a patient in labor. The medication comes premixed with 10 g magnesium sulfate in 200 mL of lactated Ringer's solution. The IV pump should be programmed for how many milliliters per hour?
Q2) Round the answer to the nearest whole number.
A physician writes orders to induce labor with a Pitocin drip, beginning with 1 milliunit per minute. Pitocin 30 units is diluted in 500 mL of lactated Ringer's solution. The Pitocin should be infused for how many milliliters per hour? ____________
Q3) Round the answer to the nearest whole number.
During shift report, the nurse states that a patient is receiving a Pitocin drip at 10 milliunits per minute. The Pitocin concentration is 50 units in 500 mL of lactated Ringer's solution. The IV pump should be set for how many milliliters per hour? ____________
Q4) Round the answer to the nearest whole number.
A physician writes orders to induce labor with a Pitocin drip, beginning with 5 milliunits per minute. Pitocin 50 units is diluted in 500 mL of lactated Ringer's solution. How many milliliters per hour should the Pitocin be infused? _________
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