Medical-Surgical Nursing Exam Preparation Guide
Course Introduction
Medical-Surgical Nursing is a comprehensive course that focuses on the foundational principles and practices of caring for adult patients experiencing a variety of medical and surgical conditions. The course emphasizes the integration of critical thinking, clinical judgment, and evidence-based practice in managing the nursing care of individuals with complex health problems. Students will learn about pathophysiology, assessment techniques, pharmacological interventions, perioperative care, and the promotion of patient safety. Throughout the course, there is a strong focus on patient-centered care, interprofessional collaboration, and the development of skills necessary to manage acute and chronic conditions across diverse healthcare settings.
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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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/70226
Sample Questions
Q1) Write the following Arabic number as a lowercase Roman numeral.
21 = _____
Answer: xxi
Q2) Write the following Arabic number as a lowercase Roman numeral.
11 1/2 = _____
Answer: xiss
Q3) Perform the indicated operation and record the result in lowercase Roman numerals.
29 - 1 = _____
Answer: xxviii
Q4) Perform the indicated operation and record the result in lowercase Roman numerals.
6 * 3 = _____
Answer: xviii
Q5) Perform the indicated operation and record the result in lowercase Roman numerals.
30 - 6 = _____
Answer: xxiv
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Chapter 2: Fractions
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) Perform the indicated operation and reduce to lowest terms. 1/100 \(\div\) 1/200 = _____
Answer: 2
Q2) Perform the indicated operation with fractions.Reduce to lowest terms as indicated. 8/16 - 1/4 = _____
Answer: 1/4
Q3) Perform the indicated operation with fractions.Reduce to lowest terms as indicated. 14 - 5/9 = _____
Answer: 13 4/9
Q4) Indicate which fraction is the largest. 1/100,1/150,1/200: _____
Answer: 1/100
Q5) Change the following improper fraction to a whole or mixed number. 1,500/100 = _____ Answer: 15
Q6) Perform the indicated operation and reduce to lowest terms. 1/12 * 1/15 = _____
Answer: 1/180
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Chapter 3: Decimals
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35 Flashcards
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Sample Questions
Q1) Round off the following decimal to the nearest thousandth. 0.3333 = _____
Answer: 0.333
Q2) Change the following decimal to a fraction.Reduce to lowest terms if indicated. 0.010 = _____
Answer: 1/100
Q3) Change the following decimal to a fraction.Reduce to lowest terms if indicated. 0.006 = _____
Answer: 3/500
Q4) Identify the decimal with the largest value in the following set.
0.6,0.128 = _____
Answer: 0.6
Q5) Perform the indicated operation with decimals.
9.123 - 6.055 = _____ Answer: 3.068
Q6) Round off the following decimal to the nearest tenth. 0.52 = _____
Answer: 0.5
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Chapter 4: Ratio and Proportion
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) If there are 2.5 centimeters (cm)to an inch,if a client is 70 inches (in)tall,how tall is the client in cm? ____
Q2) Express the following dosage as a ratio. An injectable solution contains 500 mg in each 0.7 mL: _____
Q3) Solve for x.
42: 7 = 48: x
x = ______
Q4) The nurse is instructed to administer 500 mL of a solution every 8 hours (hrs).How many hrs will be needed to administer 1,500 mL of solution?
Q5) Solve for x in the following.
0.5/0.125 = x/4
x = _____
Q6) Solve for x in the following.
11:121 = 3:x
x = _____
Q7) A nurse counts a client's pulse,which is regular for 15 seconds (sec)and gets 19 beats.If the nurse counts the pulse for 60 sec,how many beats should there be? _____
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Chapter 5: Percentages
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Sample Questions
Q1) Change the following percentage to a ratio and its decimal equivalent. 8% = _____;_____
Q2) A client has received 45% of a 500 mL bag of intravenous (IV)solution.How many mL of IV solution has the client received?
Q3) A client who weighed 210 pounds (lb)lost 30 lb.What was the percent of decrease in the client's weight? (State answer to the nearest whole percent. )
Q4) Change the following percentage to a ratio and its decimal equivalent. 45% = _____;_____
Q5) Change the following percentage to a fraction.Reduce to lowest terms. 37.5% = _____
Q6) Convert 42.5% to decimal form.
Q7) A client is responsible for 30% of his doctor bills due to insurance.The client sees a specialist and the bill is $240.00.How much will the client be responsible for?
Q8) A client consumed 30% of a bowl of broth.The bowl held 360 mL.How many mL of the broth did the client consume?
Q9) Find the following percentage. 16% of 79 = _____
Q10) Convert 2.96 to a percent.
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Chapter 6: Metric System
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Sample Questions
Q1) Directions: Apply the guidelines relating to the use of leading and trailing zeros and express the following metric notations correctly.
Q2) Directions: Write the equivalent indicated. 25.6 mg = _____ g
Q3) Directions: Write the equivalent indicated. 9.5 mg = ________ mcg
Q4) Directions: Write the equivalent indicated. 6,724 g = _______ kg
Q5) Directions: Write the equivalent indicated. 1 kg = _____ g
Q6) Complete the following sentence with the correct word(s). The units of the metric system are as follows: ____________________ (length),____________________ (volume),and ____________________ (weight).
Q7) Directions: Write the equivalent indicated. 20 mg = ________ g
Q8) Directions: Write the equivalent indicated. 450 mL = _____ L
Q9) Directions: Write the equivalent indicated. 1.57 kg = _____ g
8
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Chapter 7: Apothecary and Household Systems
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Directions: Write the abbreviation for the term. ounce: _____
Q2) Use of the apothecary system has been identified as a source of error in medication administration.
A)True B)False
Q3) Directions: Write the equivalent indicated. 16 T = _____ mL
Q4) Directions: Write the equivalent indicated.
6 1/4 qt = _____ mL
Q5) Directions: Write the abbreviation for the term. teaspoon: _____
Q6) Directions: Write the equivalent indicated. 5 t = _____ mL
Q7) The drop is a standardized unit of measure.
A)True B)False
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Chapter 8: Converting Within and Between Systems
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Sample Questions
Q1) Directions: Write the equivalent indicated. 0.005 g = _____ mg
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) Directions: Write the equivalent indicated. 28.3 kg = _____ lb
Q4) Directions: Write the equivalent indicated. 59 lb = _____ kg (Round answer to the nearest tenth)
Q5) Directions: Write the equivalent indicated. 1 mg = _____ g
Q6) 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 mL will you record on the intake and output (I&O)sheet? _____ mL
Q7) Directions: Write the equivalent indicated. 125 mL = ________ tsp
Q8) A client received 5.4 liters of IV fluid during a surgical procedure.How many mL of IV fluid did the client receive? _____ mL
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Chapter 9: Additional Conversions Useful in the Health Care Setting
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Sample Questions
Q1) In international time,4:08 PM is:
A)0408 hours.
B)1508 hours.
C)1608 hours.
D)1708 hours.
Q2) Directions: Write the equivalent indicated. 16 oz = _____ lb
Q3) Directions: Convert the following temperature as indicated.
18S1U1P1\(\circ\)S1S1P0 C = _____ S1U1P1\(\circ\)S1S1P0 F
Q4) An IV started at 3:10 AM is to be completed in 12 hr 30 min.Determine the completion time (traditional time)._____
Q5) Directions: Convert the following weight as indicated.Round weight to the nearest tenth.
134 lb = _____ kg
Q6) Directions: Convert the following weight as indicated.Round weight to the nearest tenth.
39 3/4 lb = _____ kg
Page 12
Q7) A client's rash measures 5 cm * 4 cm.How much does this measure in inches? _____ in
Q8) A wound measures 4.2 cm in length.How many mm is this? _____ mm
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Chapter 10: Medication Administration
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Sample Questions
Q1) Directions: Complete the following sentence with the correct word or number. Administration of medications within 30 minutes of the scheduled time is referred to as the _____________ .
Q2) Directions: Complete the following sentence with the correct word or number. The use of mixed case or enlarged,bolded lettering to differentiate medications with look-alike names is called __________ lettering.
Q3) Directions: For the following scenario,identify which of the "six rights" of medication administration has been violated.
Medication ________________ avoids errors and assists in obtaining accurate medication histories of a client at transition points (admission,transfer,discharge).
Q4) Directions: For the following scenario,identify which of the "six rights" of medication administration has been violated.
A nurse charts medications that she administered at 10 AM on October 1st for 10 AM on October 2nd: _______________.
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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.
Heparin 5,000 units subcut daily
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) Complete the following sentence with the correct word or number.To ensure accuracy and prevent misinterpretation,place a _____ before the decimal point.
Q4) Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations,Symbols,and Dose Designations.
Robitussin 15 cc po q6h prn
Q5) 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
Q6) Directions: Give the abbreviation for the following. Every hour: _____
Q7) Verbal orders should be accepted only in _______________.
Page 15
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Chapter 12: Medication Administration Records and Medication Distribution Systems
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14 Flashcards
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Sample Questions
Q1) Directions: Refer to the portion of the MAR provided below to answer the question.
Q2) A client refuses a p.o.medication and provides the nurse with a reason for refusing the medication.What should the nurse's action be?
A)Inform the client they cannot refuse a medication.
B)Report it to the nurse manager.
C)Administer the medication by an injectable route.
D)Document the refusal and inform the prescriber.
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) Directions: Refer to the portion of the MAR provided below to answer the question.
Q6) 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?
Q7) Directions: Refer to the portion of the MAR provided below to answer the question.
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Chapter 13: Reading Medication Labels
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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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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 25 mg p.o.t.i.d.
Available: Thorazine syrup labeled 10 mg per 5 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: Thorazine 15 mg IM stat
Available: Thorazine 25 mg per mL
Q4) 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
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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: Raloxifene HCl 60 mg p.o. b.i.d.
Available: Raloxifene HCl tablets labeled 60 mg per tablet
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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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: Raloxifene HCl 60 mg p.o. b.i.d.
Available: Raloxifene HCl tablets labeled 60 mg per tablet
Q2) Directions: Calculate the following dosage using the dimensional analysis 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
Q3) Directions: Calculate the following dosage using the dimensional analysis method.Round mL answers to the nearest tenth unless otherwise indicated
Order: Compazine 8 mg p.o.stat
Available: Compazine syrup labeled 5 mg per 5 mL
Q4) 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
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Chapter 17: Oral Medications
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Sample Questions
Q1) Directions: Calculate the following dosage.Use labels where provided.Round oral liquids to the nearest tenth as indicated.
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
Q2) Directions: Complete with the correct word(s)or number.
Enteric-coated tablets and time-release tablets should never be _______________.
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.
Sublingual tablets must never be _______________ but placed _______________ the tongue.
Q5) Directions: Complete with the correct word(s)or number. An elongated tablet for easy swallowing is referred to as a _______________.
Q6) Directions: Complete with the correct word(s)or number. The most common form of oral medication is the __________.
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Chapter 18: Parenteral Medications
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Sample Questions
Q1) 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?
Q2) 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
Q3) 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
Q4) If the dose calculated is 0.78 mL,and a 1-mL syringe is used,how many milliliters will the nurse administer?
A)0.75 mL
B)0.78 mL
C)0.8 mL
D)0.85 mL
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Chapter 19: Reconstitution of Solutions
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Sample Questions
Q1) Directions: Prepare the following strength solutions.Describe your calculations. 1/4 strength Ensure 8 oz p.o.q4h for 24 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: 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
Q4) 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.
Q5) Directions: Prepare the following strength solutions.Describe your calculations. 800 mL of 3/4 strength Sustacal via gastrostomy over 6 hours
Q6) Directions: Prepare the following strength solutions.Describe your calculations. Prepare irrigant 250 mL 1/2 strength solution: ______________________________
Q7) 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
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Chapter 20: Insulin
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Sample Questions
Q1) 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? ______________________________
Q2) Directions: Fill in the correct number or word(s). 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) Directions: Calculate the number of grams of NaCl and /or dextrose in the following solutions.
500 mL 1/2 NS sodium chloride (NaCl): _____
Q2) Directions: Interpret the following IV orders. 1,000 mL (1 L)D5W to infuse at a rate of 100 mL per hour
Q3) Directions: Calculate the number of grams of NaCl and /or dextrose in the following solutions.
0.5 L D51/4NS ________ g dextrose ________ g NaCl
Q4) Directions: Fill in the correct number or word(s)to answer the question. The name for the main infusion administration set is _______________.
Q5) Directions: Calculate the number of grams of NaCl and /or dextrose in the following solutions.
5 L D10W dextrose: _______________
Q6) Directions: Fill in the correct number or word(s)to answer the question. An IV pump is an example of an ___________ infusion device.
Q7) Directions: Fill in the correct number or word(s)to answer the question. _______________ devices allow a client to self-administer pain medication.
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.
100 units of regular Humulin insulin in 250 mL 0.9% NS were to infuse at 4 mL/hr.How many units per hour will be delivered? _____
Q2) Directions: Determine the infusion time for the following IV.State time in both traditional and military time.Round minutes to the nearest whole number of minutes. 60 mL of IV fluid with medication infusing at 50 macrogtt/min.Drop factor is 10 gtt/mL
Calculate the infusion time: _____
Q3) Directions: Determine the flow rate for the following IV being administered by infusion pump.
500 mL of Intralipid in 6 hours: _____
Q4) Directions: Determine the following in drops per minute using the drop factor provided.
250 mL of packed cells in 4 hours
a.mL/hr _____
b.gtt/min (drop factor: 20 gtt/mL): _____
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26
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 165 lb.Order: Administer a bolus of heparin sodium IV.The hospital protocol is 80 units/kg.How many units will you administer? _____
Q3) Directions: Calculate the following hourly dosage of heparin (units/hr).
If a U for units was misread as a zero by the nurse for a heparin dose,the consequences to the client receiving the heparin could be ____________________________.
Q4) Directions: Calculate the following hourly dosage of heparin (units/hr).
Order: Infuse heparin at 2,000 units/hr IV from a solution containing 20,000 units of heparin in 500 mL D5W. How many milliliters will infuse per hour? _____ mL
Q5) Directions: Calculate the following hourly dosage of heparin (units/hr).
Order: 30,000 units of heparin in 500 mL D5W to infuse at 15 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.
Dopamine 4 mcg/kg/min is ordered for a client who weighs 165 lb.The solution available is 400 mg of Dopamine in 250 mL D5W.To infuse by infusion pump that delivers in tenths of a milliliter.
a.mg/min: ____
b.mg/hr: _____
c.mL/hr: ____
Q2) 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: _____
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: _____
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28
Chapter 25: Pediatric and Adult Dosage Calculation Based on Weight
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Sample Questions
Q1) 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>
Q2) Directions: Using the West nomogram or formula when indicated,calculate the following dosages.Express answer to the nearest tenth.
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) Directions: Use the appropriate formula to determine BSA.Express answer to the nearest hundredth.
A child who measures 26 inches and weighs 36 lb: _____ m<sup>2</sup>
Q4) Directions: Using the West nomogram,determine the body surface area (BSA)for a child with the height and weight given. 32 inches and 25 lb: _____ m<sup>2</sup>
Q5) Directions: Use the appropriate formula to determine BSA.Express answer to the nearest hundredth.
An adolescent who measures 157.5 cm and weighs 59.1 kg: _____ m<sup>2</sup>
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