Medical-Surgical Nursing Exam Review
Course Introduction
Medical-Surgical Nursing encompasses the foundational principles and practices essential for caring for adult patients with a wide variety of acute and chronic medical conditions and surgical interventions. This course focuses on the assessment, planning, implementation, and evaluation of patient-centered care, integrating clinical reasoning, nursing process, and evidence-based practice. Students will develop competencies in managing complex health problems, understanding pathophysiology, administering medications, providing perioperative care, and collaborating within multidisciplinary teams to optimize patient outcomes and safety in diverse healthcare settings.
Recommended Textbook
Calculate with Confidence 6th Edition by Morris
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25 Chapters
590 Verified Questions
590 Flashcards
Source URL: https://quizplus.com/study-set/3536
Page 2
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) Perform the indicated operation and record the result in lowercase Roman numerals.
10 + 2 = _____
Answer: xii
Q3) Perform the indicated operation and record the result in lowercase Roman numerals.
30 - 6 = _____
Answer: xxiv
Q4) Perform the indicated operation and record the result in lowercase Roman numerals.
12 \(\div\) 2 = _____ Answer: vi
Q5) Perform the indicated operation and record the result in lowercase Roman numerals.
7 * 2 = _____ Answer: xiv
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Chapter 2: Fractions
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/70227
Sample Questions
Q1) Change the following improper fraction to a whole or mixed number. 193/62 = _____ Answer: 3 7/62
Q2) Perform the indicated operation with fractions.Reduce to lowest terms as indicated. 14 - 5/9 = _____ Answer: 13 4/9
Q3) A client received 2 1/2 ounces (oz)of medication at breakfast and 2 1/3 oz at lunch.How many oz of medication has the client received? _____ Answer: 4 5/6 oz
Q4) Perform the indicated operation with fractions.Reduce to lowest terms as indicated. 8/16 - 1/4 = _____ Answer: 1/4
Q5) Perform the indicated operation with fractions.Reduce to lowest terms as indicated. 6 10/12 * 15/3 = _____ Answer: 34 1/6
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Chapter 3: Decimals
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/70228
Sample Questions
Q1) A medication vial holds 7 milliliters (mL)of medication.If 1.4 mL are withdrawn from the vial,how much medication is left in the vial? ____
Answer: 5.6 mL
Q2) Change the following to a decimal.Carry division three places as indicated.Do not round off.
1/64 = _____
Answer: 0.015
Q3) Change the following to a decimal.
1.25% = _____
Answer: 0.0125
Q4) Perform the indicated operation with decimals.
0.123 + 0.4 = _____
Answer: 0.523
Q5) Identify the decimal with the largest value in the following set.
0.7,0.67,0.86: _____
Answer: 0.86
Q6) Perform the indicated operation with decimals.
9.123 - 6.055 = _____
Answer: 3.068
Page 5
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Chapter 4: Ratio and Proportion
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/70229
Sample Questions
Q1) Solve for x in the following.
11:121 = 3:x
x = _____
Q2) A client must take four tabs per day for 14 days.How many tablets should the pharmacy supply to fill this order? ______
Q3) If 1 ounce (oz)is equal to 30 mL,how many mL are there in 4 3/4 oz? (State answer as a decimal number. )______
Q4) Solve for x.
16 = x
40 55
x = _____
Q5) 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?
Q6) Solve for x.
42: 7 = 48: 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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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70230
Sample Questions
Q1) 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. )
Q2) A client drank 3 ounces (oz)of a glass of apple juice.This was 75% of the full amount.What was the full amount of apple juice?
Q3) A client has a 2,500 mL bag of irrigation solution hanging.750 mL of the solution have infused.What percent of the irrigation solution has infused?
Q4) Change the following percentage to a fraction.Reduce to lowest terms. 37.5% = _____
Q5) Change the following percentage to a ratio.
0.4% = _____
Q6) 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. )
Q7) Find the following percentage. 16% of 79 = _____
Q8) A client was able to drink 85% of a 1,000 milliliter (mL)bottle of an x-ray prep.How many mL did the client drink?
Q9) Convert 42.5% to decimal form.
Page 7
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Chapter 6: Metric System
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) Directions: Write the equivalent indicated. 9.5 mg = ________ mcg
Q2) Directions: Write the equivalent indicated. 21 L = _________ mL
Q3) Directions: Write the equivalent indicated. 54.6 g = _____ kg
Q4) Directions: Write the equivalent indicated. 3,550 mL = _____ L
Q5) Directions: Write the equivalent indicated. 0.081 g = _____ mg
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. 350,000 mcg = ________ mg
Q8) Directions: Apply the guidelines relating to the use of leading and trailing zeros and express the following metric notations correctly.
Q9) Directions: Write the equivalent indicated. 5.2 kg = _____ g Page 8
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Page 9
Chapter 7: Apothecary and Household Systems
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/70232
Sample Questions
Q1) A capital "U" is an acceptable abbreviation for units.
A)True B)False
Q2) Directions: Write the equivalent indicated. 277.5 mL = _________ oz
Q3) The drop is a standardized unit of measure.
A)True B)False
Q4) The household system expresses values using roman numerals and Arabic numbers.
A)True B)False
Q5) Directions: Write the equivalent indicated. 6 1/4 qt = _____ mL
Q6) Directions: Write the equivalent indicated. 2 1/4 cup = _____ mL
10
Q7) Directions: Express the following value correctly. 2.75 OZ
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Chapter 8: Converting Within and Between Systems
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/70233
Sample Questions
Q1) Directions: Write the equivalent indicated. 2,575 mL = _______ L
Q2) Directions: Write the equivalent indicated. 0.005 g = _____ mg
Q3) Calculate the client's intake in mL.
Apple juice 2 oz
Chicken broth 4 oz
Gelatin dessert 3 oz
Hot tea 5 oz
Total mL = _____
Q4) A client has an order for Maalox 30 mL p.o.at bedtime.How many tsb will the nurse instruct the client to take? _____ tsb
Q5) Directions: Write the equivalent indicated. 2 oz = _____ tbs
Q6) Directions: Write the equivalent indicated. 28.3 kg = _____ lb
Q7) A client drinks 4 3/4 cups (cup = 8 oz)of a liquid.How many mL did the client drink? ______ mL
Q8) Directions: Write the equivalent indicated. 1,200 mL = ______ oz
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Chapter 9: Additional Conversions Useful in the Health Care Setting
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) Directions: Convert the following weight as indicated.Round weight to the nearest tenth.
39 3/4 lb = _____ kg
Q2) Directions: Convert the following temperature as indicated.
18S1U1P1\(\circ\)S1S1P0 C = _____ S1U1P1\(\circ\)S1S1P0 F
Q3) Directions: Convert the following weight as indicated.Round weight to the nearest tenth.
8 lb,12.2 oz = _____ kg
Q4) Directions: Convert the following time to international time. 10:19 PM _________________
Q5) In traditional time,0518 is:
A)5:18 AM.
B)5:18 PM.
Q6) A client is to take a medication every 6 hours.The first dose is 6:30 AM.What time will the client take the next two doses?
a.Traditional time _________________
b.International time ________________
Q8) A wound measures 4.2 cm in length.How many mm is this? _____ mm Page 12
Q7) A client's rash measures 5 cm * 4 cm.How much does this measure in inches? _____ in
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Chapter 10: Medication Administration
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70235
Sample Questions
Q1) 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
Q2) 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).
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.
Q4) The nurse can safely administer medications that are prepared by another nurse.
A)True
B)False
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Chapter 11: Understanding and Interpreting Medication
Orders
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) 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.
Q2) Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations,Symbols,and Dose Designations.
Timoptic 0.5% 1 gtt OS bid
Q3) Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations,Symbols,and Dose Designations.
Lasix 40.0 mg po qd
Q4) Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations,Symbols,and Dose Designations.
Doxycycline 100 mg po bid pc
Q5) Directions: For the following medication order indicate what component of the order is missing.
Trental 400 mg po.
Q6) 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 Verified Questions
14 Flashcards
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Sample Questions
Q1) 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.
Q2) Directions: Refer to the portion of the MAR provided below to answer the question.
Q3) Directions: Refer to the portion of the MAR provided below to answer the question.
Q4) A medicine ordered q6h would be given how many times a day? _____
Q5) Directions: Refer to the portion of the MAR provided below to answer the question.
Q6) Directions: Refer to the portion of the MAR provided below to answer the question.
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Page 16
Chapter 13: Reading Medication Labels
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25 Verified Questions
25 Flashcards
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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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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/70239
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: Clindamycin 0.6 g IV q12h
Available: Clindamycin 300 mg per 2 mL
Q2) Directions: Calculate the following dosage using the ratio and proportion 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
Q3) Directions: Calculate the following dosage using the ratio and proportion 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 ratio and proportion 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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Page 18
Chapter 15: Dosage Calculation Using the Formula Method
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13 Verified Questions
13 Flashcards
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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: Thorazine 15 mg IM stat
Available: Thorazine 25 mg per 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: Raloxifene HCl 60 mg p.o. b.i.d.
Available: Raloxifene HCl tablets labeled 60 mg per tablet
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Page 19
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) Directions: Calculate the following dosage using the dimensional analysis 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 dimensional analysis method.Round mL answers to the nearest tenth unless otherwise indicated
Order: Thorazine 15 mg IM stat
Available: Thorazine 25 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: Thorazine 25 mg p.o.t.i.d.
Available: Thorazine syrup labeled 10 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: Raloxifene HCl 60 mg p.o. b.i.d.
Available: Raloxifene HCl tablets labeled 60 mg per tablet
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Page 20
Chapter 17: Oral Medications
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35 Verified Questions
35 Flashcards
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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 solid form of medication that contains granules that delays the release of the medication is referred to as a _______________.
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. An elongated tablet for easy swallowing is referred to as a _______________.
Q5) 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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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) 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
Q2) 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
Q3) Directions: Complete the following statements with the correct word(s)or number(s). The term used for injectable medications is _______________.
Q4) 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 _______________.
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Chapter 19: Reconstitution of Solutions
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) 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.
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: Prepare the following strength solutions.Describe your calculations. 1/4 strength Ensure 8 oz p.o.q4h for 24 hours
Q4) Directions: Prepare the following strength solutions.Describe your calculations. Prepare irrigant 250 mL 1/2 strength solution: ______________________________
Q5) 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
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
Q7) Directions: Prepare the following strength solutions.Describe your calculations. 800 mL of 3/4 strength Sustacal via gastrostomy over 6 hours
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Chapter 20: Insulin
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Directions: Fill in the correct number or word(s). U-100 on the label of an insulin vial means: ______________________________.
Q2) 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? ______________________________
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Chapter 21: Intravenous Solutions and Equipment
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Directions: Fill in the correct number or word(s)to answer the question. _______________ devices allow a client to self-administer pain medication.
Q2) Directions: Calculate the number of grams of NaCl and /or dextrose in the following solutions.
500 mL 1/2 NS sodium chloride (NaCl): _____
Q3) Directions: Calculate the number of grams of NaCl and /or dextrose in the following solutions.
250 mL D5NS _______ g dextrose ________ g NaCl
Q4) Directions: Interpret the following IV orders. 1,000 mL (1 L)of L/R q8h
Q5) Directions: Calculate the number of grams of NaCl and /or dextrose in the following solutions.
5 L D10W dextrose: _______________
Q6) Directions: Calculate the number of grams of NaCl and /or dextrose in the following solutions.
0.5 L D51/4NS ________ g dextrose ________ g NaCl
Q7) Directions: Fill in the correct number or word(s)to answer the question. An IV pump is an example of an ___________ infusion device.
Q8) Directions: Fill in the correct number or word(s)to answer the question. The name for the main infusion administration set is _______________.
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Chapter 22: Intravenous Calculations
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) 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. Total parenteral nutrition (TPN)solution of 1,000 mL at 30 mL/hr
Determine the infusion time: _____
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: 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.
Order: regular Humulin insulin 10 units/hr IV
Available: 40 units of insulin in 100 mL 0.9% NS What rate in mL/hr will infuse 10 units/hr? _____
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Chapter 23: Heparin Calculations
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) 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 ____________________________.
Q2) Directions: Calculate the following hourly dosage of heparin (units/hr).
Order: 50,000 units of heparin in 1 L D5 0.9% NS to infuse at 40 mL/hr units/hr = _____
Q3) 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? _____
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: 10,000 units of heparin in 500 mL 0.9% NS to infuse at 120 mL/hr units/hr = _____
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Chapter 24: Critical Care Calculations
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8 Flashcards
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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. A client is receiving procainamide 1 g in 500 mL D5W at 120 mL/hr.
a.mg/hr: _____
b.mg/min: _____
Q3) Directions: Calculate the dosages as indicated.
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) Directions: Calculate the dosages as indicated. Lidocaine to infuse at 3 mg/min.The solution available is 2 g of lidocaine in 500 mL D5W.Determine the IV flow rate.
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28
Chapter 25: Pediatric and Adult Dosage Calculation Based on Weight
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/70250
Sample Questions
Q1) 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>
Q2) Directions: Calculate the following children's dosages.
Order: Epinephrine 0.25 mg IV stat
Available: Epinephrine 0.1 mg/mL
How many milliliters will you prepare to administer? _____ mL
Q3) Directions: Using the West nomogram or formula when indicated,calculate the following dosages.Express answer to the nearest tenth. The recommended dosage of acyclovir is 250 mg/m<sup>2</sup>.What will be the dosage for a child with a BSA of 0.27 m<sup>2</sup>? _____
Q4) Directions: Use the appropriate formula to determine BSA.Express answer to the nearest hundredth.
An adult who is 67 inches tall and weighs 175 lb: _____ m<sup>2</sup>
Q5) 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>
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