Medical-Surgical Nursing Exam
Questions
Course Introduction
Medical-Surgical Nursing is a foundational course designed to equip nursing students with the knowledge and skills necessary to care for adult patients experiencing a wide range of acute and chronic health conditions. This course covers the pathophysiology, assessment, diagnosis, planning, implementation, and evaluation of patient care across various body systems, including cardiovascular, respiratory, gastrointestinal, musculoskeletal, and neurological systems. Emphasis is placed on clinical judgment, evidence-based interventions, patient safety, and holistic care. Students will also explore concepts related to perioperative nursing, pain management, fluid and electrolyte balance, infection control, and the use of technology in patient monitoring and documentation. Through a combination of lectures, case studies, simulations, and clinical practicums, students will develop critical thinking, communication, and technical skills necessary for effective practice in a variety of healthcare settings.
Recommended Textbook
Calculate with Confidence 7th Edition by Morris
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610 Verified Questions
610 Flashcards
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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 result in lowercase Roman numerals.
29 - 1 = _____
Answer: xxviii
Q2) Perform the indicated operation and record the result in lowercase Roman numerals.
12 ÷ 2 = _____
Answer: vi
Q3) Write the following Arabic number as a lowercase Roman numeral.
21 = _____
Answer: xxi
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.
10 + 2 = _____
Answer: xii
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Chapter 2: Fractions
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Sample Questions
Q1) Reduce the following fraction to lowest terms. 54/81 = _____
Answer: 2/3
Q2) Perform the indicated operation with fractions. Reduce to lowest terms as indicated. 6 10/12 * 15/3 = _____ Answer: 34 1/6
Q3) Change the following improper fraction to a whole or mixed number. 325/16 = _____ Answer: 20 5/16
Q4) Perform the indicated operation and reduce to lowest terms. 3/8 - 1/3 = _____ Answer: 1/24
Q5) Perform the indicated operation with fractions. Reduce to lowest terms as indicated. 5 1/3 - 1 7/12 = _____ Answer: 3 3/4
Q6) Perform the indicated operation and reduce to lowest terms. 3/5 ÷ 5 = _____ Answer: 3/25
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Chapter 3: Decimals
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The health care provider ordered 1.5 tablets of a medication to be given to a client four times a day for 21 days. How many tablets were prescribed? ______
Answer: 126 tablets
Q2) Round off the following decimal to the nearest thousandth.
0.6253 = _____
Answer: 0.625
Q3) A client weighed 75.4 kilograms (kg) in February. In March the client gained 1.6 kg. In April the client gained 2.2 kg. How much did the client weigh in April? ______
Answer: 79.2 kg
Q4) Perform the indicated operation with decimals.
0.123 + 0.4 = _____
Answer: 0.523
Q5) Round off the following decimal to the nearest tenth.
0.52 = _____
Answer: 0.5
Q6) Round off the following decimal to the nearest thousandth.
0.3333 = _____
Answer: 0.333
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Chapter 4: Ratio and Proportion
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Sample Questions
Q1) Solve for x. 16/40 = x/55
x = _____
Q2) Express the following dosage as a ratio. An injectable solution contains 500 mg in each 0.7 mL; _____
Q3) 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? ____
Q4) 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? _____
Q5) Solve for x in the following.
0.5/0.125 = x/4
x = _____
Q6) Solve for x.
2:9 = x:27
x = _____
Q7) Solve for x.
2.2:1 = x:145
x = _____
Q8) Solve for x. \(\frac { 0.25 } { 2 } = \frac { x } { 1 / 2 }\) x = _____
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Chapter 5: Percentages
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Sample Questions
Q1) Change the following percentage to a ratio. \(16 \frac { 2 } { 3 } \%\) = _____
Q2) Convert 0.925 to a percent. _____
Q3) A client has received 45% of a 500 mL bag of intravenous (IV) solution. How many mL of IV solution has the client received? _____
Q4) Find the following percentage.
8% of 32 = _____
Q5) Convert 42.5% to decimal form. _____
Q6) Find the following percentage. 16% of 79 = _____
Q7) Change the following percentage to a ratio and its decimal equivalent. 45% = _____; _____
Q8) 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.) _____
Q9) Convert 84.75% to decimal form. _____
Q10) 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? _____
Q11) Change the following percentage to a fraction. Reduce to lowest terms. 37.5% = _____
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Chapter 6: Metric System
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Sample Questions
Q1) Directions: Write the equivalent indicated.
350,000 mcg = ________ mg
Q2) Directions: Apply the guidelines relating to the use of leading and trailing zeros and express the following metric notations correctly.
8.0 L
Q3) Directions: Write the equivalent indicated. 0.081 g = _____ mg
Q4) Eight-tenths of a milliliter:
A) 8/10 ml
B) .8 mL
C) 0.8 mL
D) ml 0.8
Q5) Directions: Write the equivalent indicated.
21 L = _________ mL
Q6) Name the metric units commonly used in medication administration, from smallest to largest. (Use correct abbreviations.)
Volume:
8
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Chapter 7: Apothecary and Household Systems
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Sample Questions
Q1) The household system (Select all that apply.)
A) is more accurate than the metric system.
B) expresses quantities using Arabic numbers and decimals.
C) is primarily used for dosages at home.
D) expresses quantities in fractions and Arabic numbers.
E) is preferred for medication administration.
F) has measures such as tbs and tsp.
Q2) The household system expresses values using roman numerals and Arabic numbers.
A)True
B)False
Q3) Directions: Write the equivalent indicated. 50 mL = _____ qt
Q4) Directions: Express the following value correctly.
2.75 OZ
Q5) Directions: Express the following value correctly.
5.5 Tsp
Q6) Directions: Express the following value correctly.
17 U
Q8) Directions: Write the equivalent indicated. \(6^1 / _4\) qt = _____ mL Page 9
Q7) Directions: Write the equivalent indicated. \(2^1 / _4\) cup = _____ mL
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Page 10
Chapter 8: Converting Within and Between Systems
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Sample Questions
Q1) Directions: Write the equivalent indicated. 28.3 kg = _____ lb
Q2) Directions: Write the equivalent indicated. 125 mL = ________ tsp
Q3) Directions: Write the equivalent indicated. 2,575 mL = _______ L
Q4) Directions: Write the equivalent indicated. 59 lb = _____ kg (Round answer to the nearest tenth.)
Q5) A client received 5.4 liters of IV fluid during a surgical procedure. How many mL of IV fluid did the client receive? _____ mL
Q6) Directions: Write the equivalent indicated. 56 in. = ______ cm
Q7) Directions: Write the equivalent indicated. 0.3 mg = _____ g
Q8) Directions: Write the equivalent indicated. 1,200 mL = ______ oz
Q9) A client drinks 300 mL of magnesium citrate. How many ounces did the client consume? _____ oz
Q10) Directions: Write the equivalent indicated.
0.005 g = _____ mg Page 11
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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 time to international time. 10:19 PM _________________
Q2) Directions: Convert the following weight as indicated. Round weight to the nearest tenth.
63 kg = _____ lb
Q3) Directions: Convert the following weight as indicated. Round weight to the nearest tenth.
20.8 kg = _____ lb
Q4) Directions: Convert the following weight as indicated. Round weight to the nearest tenth.
41 lb, 2 oz = _____ kg
Q5) A wound measures 4.2 cm in length. How many mm is this? _____ mm
Q6) Directions: Convert the following weight as indicated. Round weight to the nearest tenth.
9 lb, 9 oz = _____ kg
Q7) In international time, 4:08 PM is
A) 0408 hr.
B) 1508 hr.
C) 1608 hr.
D) 1708 hr. Page 13
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Page 14
Chapter 10: Medication Administration
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Sample Questions
Q1) A nurse is administering a medication at the bedside. Which of the following actions should be the first priority?
A) Document the administration of the medication.
B) Establish the identity of the client.
C) Recheck the medication label.
D) Obtain orange juice for the client to take with the medication.
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) Medication errors (Select all that apply.)
A) are preventable.
B) are less prevalent in children and elderly.
C) cause an increase in health care cost.
D) can occur when the six rights of medication administration are not adhered to.
E) can result in tragic outcomes including death.
F) occur in the hospital setting only.
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Chapter 11: Understanding and Interpreting Medication
Orders
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Sample Questions
Q1) The abbreviation OD should not be used to indicate right eye in a medication order. A)True
B)False
Q2) The nurse is responsible for determining the times for a medication ordered t.i.d. at an institution.
A)True
B)False
Q3) CPOE is an abbreviation for _______________.
Q4) Directions: Give the abbreviation for the following. Immediately: _____
Q5) Complete the following sentence with the correct word or number. A medication order is written without a frequency. The nurse should ______________________________.
Q6) Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations, Symbols, and Dose Designations. Robitussin 15 cc po q6h prn
Q7) Directions: Give the abbreviation for the following. Every hour: _____
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Chapter 12: Medication Administration Records and Medication
Distribution Systems
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Sample Questions
Q1) What are the scheduled times for administering K-Dur? (State in traditional times.)
Q2) The health care provider writes medication orders at 8 AM on March 10, 2014, for a client and signs the orders. Which order(s) should the nurse question? (Select all that apply.) _____________________________
A) Lasix 20 mg p.o. daily
B) Digoxin 0.125 mg p.o. everyday
C) Ampicillin 250 mg q6h
D) Multivitamin daily
E) Colace 200 mg p.o. t.i.d.
F) Tylenol 650 mg p.r.n. for pain
Q3) By what route will the heparin be administered? _______________
Q4) Which medication is ordered to be administered "as needed"? _______________
Q5) You work from 3 PM to 11 PM on May 3, 2017. Which standing medication will you administer to the client? _______________
Q6) What are the client's medication allergies? ______________
Q7) K-Dur 10 mEq is ordered. What does mEq mean? _______________
Q8) How many hours are between the scheduled times for K-Dur? _______________
Q9) How many times in a 24-hour period will K-Dur be administered? Page 17
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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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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: Ampicillin 0.375 g IM q6h
Available: Ampicillin 250 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: Calcijex 1.5 mcg IV daily on Mon., Wed., Fri.
Available: Calcijex 1 mcg 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: Raloxifene HCl 60 mg p.o.b.i.d.
Available: Raloxifene HCl tablets labeled 60 mg per tablet
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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: Calcijex 1.5 mcg IV daily on Mon., Wed., Fri.
Available: Calcijex 1 mcg per mL
Q2) 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
Q3) Directions: Calculate the following dosage using the formula 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 formula method. Round mL answers to the nearest tenth unless otherwise indicated.
Order: Thorazine 15 mg IM stat
Available: Thorazine 25 mg per 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: Zofran 7 mg p.o.b.i.d.
Available: Zofran oral solution labeled 4 mg per 5 mL
Q2) 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
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: Calcijex 1.5 mcg IV daily on Mon., Wed., Fri.
Available: Calcijex 1 mcg per mL
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Chapter 17: Oral Medications
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Sample Questions
Q1) Directions: Complete with the correct word(s) or number.
Enteric-coated tablets and time-release tablets should never be _______________.
Q2) Directions: Complete with the correct word(s) or number. The most common form of oral medication is the __________.
Q3) 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
Q4) 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)
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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). The term used for injectable medications is _______________.
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) 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
Q4) Directions: Calculate the dosages, use labels where provided, and shade in the dosages on the syringe where provided. Round answers to the nearest tenth unless otherwise indicated.
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
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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. Prepare irrigant 250 mL 1/2 strength solution: ______________________________
Q2) Directions: Prepare the following strength solutions. Describe your calculations. 1/4 strength Ensure 8 oz p.o. q4h for 24 hours
Q3) Directions: Prepare the following strength solutions. Describe your calculations. 360 mL of 1/4 strength Ensure percutaneous endoscopic (PEG) tube over 4 hours
Q4) 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
Q5) Directions: Prepare the following strength solutions. Describe your calculations. 800 mL of 3/4 strength Sustacal via gastrostomy over 6 hours
Q6) 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
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Chapter 20: Insulin
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Sample Questions
Q1) U-100 on the label of an insulin vial me ______________________________.
Q2) 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) 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 _______________.
Q2) Directions: Interpret the following IV orders.
1,000 mL (1 L) D5W to infuse at a rate of 100 mL per hour
Q3) 0.5 L D \(5^1 / _4\) NS ________ g dextrose ________ g NaCl
Q4) List the components and percentage strengths of the following IV solutions.
a. D5
\(^1 / _4\) S
b. D5NS 10 mEq KCl
c. D5RL
Q5) 5 L D10W dextrose: _______________
Q6) The name for the main infusion administration set is _______________.
Q7) An IV pump is an example of an ___________ infusion device.
Q8) In IV fluid abbreviations, D5NS identifies what IV fluid? _______________
Q9) 250 mL D5NS _______ g dextrose ________ g NaCl
Q10) 500 mL \(^1 /_ 2\) NS sodium chloride (NaCl): _____
Q11) Directions: Interpret the following IV orders.
1,000 mL (1 L) of L/R q8h
Q12) _______________ devices allow a client to self-administer pain medication. Page 27
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Chapter 22: Intravenous Calculations
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Sample Questions
Q1) Directions: Determine the following in drops per minute using the drop factor provided.
2,500 mL RL in 12 hr
a. 10 gtt/mL _____
b. 15 gtt/mL _____
c. 20 gtt/mL _____
d. 60 gtt/mL _____
Q2) Directions: Determine the following in drops per minute using the drop factor provided.
250 mL of packed cells in 4 hr
a. mL/hr _____
b. gtt/min (drop factor: 20 gtt/mL): _____
Q3) Directions: Determine the following in drops per minute using the drop factor provided.
D5 \(^1 / _2\) NS is infusing at 28 macrogtt/min. The drop factor is 10 gtt/mL. How much fluid volume will the client receive in 8 hr? _____
Q4) 250 mL 0.9% NS at 30 mL/hr
a. Determine the infusion time: _____
b. The IV was started at 7:00 PM. When will the infusion be complete? _____
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Chapter 23: Heparin Calculations
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Sample Questions
Q1) Order: Heparin 25,000 units in 500 mL D5W to infuse at 15 mL/hr.
Calculate the hourly heparin dosage. _________________ units/hr
Q2) A client weighs 110 lb. The hospital protocol is 18 units/kg/hr. How many units per hour will the client receive? ___________________
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) Which solution of heparin is more concentrated: 1,000 units per mL or 10,000 units per mL? _____
Q5) Order: Heparin bolus dosage of 40 units/kg IV prior to initiating a continuous infusion. The client weighs 132 lb.
Available: Heparin 1,000 units per mL
a. Calculate the bolus dosage ______________________
b. Calculate the number of mL that will be needed to administer the dose.
Q6) Order: Heparin 20,000 units in 500 mL D5W to infuse at 12 mL/hr.
Calculate the hourly heparin dosage. ___________________ units/hr
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Chapter 24: Critical Care Calculations
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Sample Questions
Q1) 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: _____
Q2) 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: ____
Q3) 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 min 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.
Q4) 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) Directions: Determine the normal dosage range to the nearest tenth. State your course of action.
A child weighing 16.4 kg is to receive a medication IV with a dosage range of 100 to 150 mg/kg/day. The order is for 600 mg in 75 mL D5W q6h. Determine whether the dosage ordered is within normal limits. What is your course of action?
Q2) Directions: Round dosage and weight to the nearest tenth as indicated. Use labels where provided.
Phenobarbital 45 mg p.o.
b.i.d.
b.i.d. is ordered for a child with seizures weighing 35 lb. The recommended dosage is 6 to 8 mg/kg/24 hr, given every day or
a. What is the child's weight in kilograms? _____
b. What is the safe 24-hr dosage range for this child? _____
c. Is the dosage ordered safe? (Prove mathematically.) _______________ Explain your action. ______________________________
Q3) 32 inches and 25 lb: _____ m<sup>2</sup>
Q4) An adolescent who measures 157.5 cm and weighs 59.1 kg: _____ m<sup>2</sup>
Q5) 22 inches and 10 lb: _____ m<sup>2</sup>
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