Medical-Surgical Nursing Exam
Solutions
Course Introduction
Medical-Surgical Nursing is a foundational course designed to equip students with the knowledge and clinical skills required to care for adult patients experiencing a wide range of acute and chronic health conditions. The course emphasizes the application of the nursing process in medical and surgical settings, integrating pathophysiology, pharmacology, and evidence-based practices. Students learn to assess patient needs, develop and implement care plans, and evaluate outcomes while prioritizing patient safety, effective communication, and ethical considerations. The course also addresses the roles and responsibilities of the nurse in multidisciplinary teams, infection control, preoperative and postoperative care, wound management, and patient education, preparing students for professional practice in diverse healthcare environments.
Recommended Textbook
Calculation of Drug Dosages A Work Text 10th Edition by Sheila J. Ogden RN MSN
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Page 2
Chapter 1: Fractions
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Sample Questions
Q1) 6 1/2 - 1 3/4 = ____________________ Answer: 4 3/4
Q2) 4 3/10 ÷ 1 3/4 = ____________________ Answer: 2 16/35
Q3) 3 1/2 ÷ 1 1/3 = ____________________ Answer: 2 5/8
Q4) 1/3 \(\times\) 3/4 = ____________________ Answer: 1/4
Q5) 5 1/2 \(\times\) 1 1/6 = ____________________ Answer: 6 5/12
Q6) 3/10 + 3/5 + ____________________ Answer: 9/10
Q7) 5/6 ÷ 1/2 = ____________________ Answer: 1 3/7
Q8) 2 1/2 \(\times\) 2 1/3 = ____________________ Answer: 8 1/6
Q9) 1 5/6 + 3 1/3 + ____________________ Answer: 5 1/6
Q10) 11/12 - 1/2 = ____________________ Answer: 5/12 Page 3
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Page 4
Chapter 2: Decimals
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Sample Questions
Q1) 2.67 + 5.1 + 1.3 + 0.9 = ____________________ Answer: 9.97
Q2) 4.4 ÷ 0.5 = ____________________ Answer: 8.8
Q3) 1.1 + 50.6 + 30.9 + 6.75 = ____________________ Answer: 89.35
Q4) 354.6 ÷ 1000 = ____________________ Answer: 0.3546
Q5) 110.5 ÷ 7.52 = ____________________ Answer: 14.69414894
Q6) 17.5 \(\times\) 10 = ____________________ Answer: 175
Q7) 120.005 \(\times\) 95.88 = ____________________ Answer: 24.125
Q8) 258.7 ÷ 100 = ____________________ Answer: 2.587
Q9) 16.75 \(\times\) 4.6 = ____________________ Answer: 12.15
Q10) 0.662 \(\times\) 1000 = ____________________ Answer: 662 Page 5
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Chapter 3: Percents
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Sample Questions
Q1) Change 0.77 to a percent.____________________ Answer: 77%
Q2) What is 15% of 1085.6? _____________________ Answer: 162.84
Q3) What percent of 400 is 125? ____________________ Answer: 31.25%
Q4) Change 44% to a proper fraction.____________________ Answer: 11/25
Q5) Change 1.57 to a percent.____________________ Answer: 157%
Q6) Change 7/16 to a percent.____________________ Answer: 43 3/4%
Q7) What is 25% of 75? ____________________ Answer: 18.75
Q8) Change 67.9% to a decimal.____________________ Answer: 0.679
Q9) Change 15% to a decimal.____________________ Answer: 0.15
Q10) Change 16.8% to a proper fraction.____________________ Answer: 21/125 Page 7
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Page 8
Chapter 4: Ratios
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Sample Questions
Q1) Change 7:20 to a decimal number.____________________
Q2) Change 15:75 to a percent.____________________
Q3) Change 27% to a ratio.____________________
Q4) Change 44:88 to a percent.____________________
Q5) Change 0.12 to a ratio.____________________
Q6) Change 1.66 to a ratio.____________________
Q7) Change 3/8 ÷ 5/12 to a ratio.____________________
Q8) Change 35:14 to a decimal number.____________________
Q9) Change 25:100 to a fraction.____________________
Q10) Change 1/7 ÷ 4/21 to a ratio.____________________
Q11) Change 3/10:2/5 to a fraction.____________________
Q12) Change 2/7% to a ratio.____________________
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9
Chapter 5: Proportions
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Sample Questions
Q1) x : 1/4 :: 3/4: 32 ____________________
Q2) x : 0.54 :: 0.6 : 0.8 ____________________
Q3) 125 : 20 :: 300 : x ____________________
Q4) 16 : x :: 45 : 15____________________
Q5) x : 0.7 :: 21.21 : 3 ____________________
Q6) 30 : 600 :: x : 150 ____________________
Q7) 25 : 40 :: 75.5 : x ____________________
Q8) 33% : 66 :: x% : 15 ____________________
Q9) 14 : x :: 28 : 7 ____________________
Q10) 2/3 : x :: 8/9 : 12 ____________________
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10
Chapter 6: Metric and Household Measurements
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Sample Questions
Q1) 1 g = ___________ mcg
Q2)
Q3)
Q5)
Q17) 1 g = __________ mg
Q18) 1 mg = _________ g
Q19) 15 mg = _________ g
Q20) 9415 mcg = ____________________ mg
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12
Chapter 7: Calculations Used in Patient Assessments
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Sample Questions
Q1) 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 240 mL,500 mL,and 400 mL.Calculate the output for the 6 AM to 6 PM shift.
Q2) 76 mg = ____________________ mcg
Q3) 3/4 cup = ____________________ fl oz
Q4) 1.42 mg = ____________________ mcg
Q5) Calculate the output.A patient consumes 120 mL of orange juice and 120 mL of milk for breakfast,360 mL of coffee for lunch,and 90 mL of an ice pop and 120 mL of ice cream for dinner.The patient voided three times during the shift for 240 mL,500 mL,and 400 mL.Calculate the output for the 6 AM to 6 PM shift.
Q6) 220 lb = ______ kg
Q7) 445 mg = _____________________ g
Q8) 1 kg = ______ g
Q9) 9415 mcg = ____________________ mg
Q10) 1 mg = _________ mcg
Page 13
Q11) 37.6° C = ____________________° F
Q12) 900 mg = ________ g
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Page 14
Chapter 8: Oral Dosages
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Sample Questions
Q1) Vitamin B<sub>12</sub> 500 mg oral every day is ordered.The vitamin B<sub>12</sub> is supplied in 250-mg tablets.How many tablets would the nurse administer with each dose? ___________
Q2) 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? ___________
Q3) The physician orders zolpidem tartrate 15 mg oral at hs for a patient.Zolpidem tartrate is available in 5-mg tablets.How many tablets would the nurse administer with each dose? ______
Q4) Pyridoxine 150 mg oral every day is ordered.The pyridoxine is supplied in 50-mg tablets.How many tablets would the nurse administer with each dose? ___________
Q5) The patient has diphenhydramine 25 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? _________
Q6) A patient with GERD has Reglan 5 mg every 6 hours per gastric tube ordered.The Reglan syrup is supplied in a 10 mg per 10-mL concentration.How many milliliters would the nurse administer with each dose? ___________
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Page 15
Chapter 9: Parenteral Dosages
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Sample Questions
Q1) 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? __________
Q2) Zofran 8 mg IV every 6 hours as needed for nausea is ordered.The medication is available in a 2-mg/mL concentration.How many milliliters would the nurse administer with each dose? ________
Q3) A patient with fluid volume overload has Bumex 2 mg intravenous injection ordered.The medication is available in a 0.25-mg per milliliter concentration.How many milliliters should the nurse administer with each dose? _________
Q4) The physician has ordered Haldol 0.5 mg IV every 2 hours prn for agitation.The Haldol is available in 5 mg per 1-mL vials.How many milliliters would the nurse administer with each dose? __________
Q5) The physician has ordered Haldol 2 mg IV every 2 hours prn for agitation.The medication is available in 5 mg per 1-mL vials.How many milliliters would the nurse administer with each dose? __________
Q6) The physician orders Neupogen 400 mcg subcutaneous daily for neutropenia.The medication is supplied in 300 mcg/mL.How many milliliters will the nurse administer?
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Chapter 10: Dosages Measured in Units
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Sample Questions
Q1) 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? ____________________
Q2) 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?
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) 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?
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Chapter 11: Reconstitution of Medications
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Sample Questions
Q1) 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?
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 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?
Q4) 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?
Q5) The physician orders Keflex 250 mg po for strep throat.After reconstitution,the medication is available as 125 mg/5 mL.How many milliliters will the nurse administer?
Q6) The physician orders Ampicillin 150 mg IM for a systemic infection.After reconstitution,the medication is available as 125 mg/mL.How many milliliters will the nurse administer?
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Chapter 12: Intravenous Flow Rates
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Sample Questions
Q1) An end-of-life patient has an order for fentanyl IV at 100 mcg/hr.The fentanyl concentration is 10 mcg/mL.Using an IV controller,how many milliliters per hour should the fentanyl be infused? ___________
Q2) Zosyn 4.5 g IV every 6 hours is ordered for a patient.The Zosyn is dissolved in 50 mL of NS and should infuse over 1 hour.Using tubing with a drop factor of 60 gtt/mL,how many drops per minute should the Zosyn be infused? ___________
Q3) D<sub>5</sub>W 1000 mL is to infuse over 10 hours.Using tubing with a 60 gtt/mL drop factor,how many drops per minute should the IV fluids be infused?
Q4) The physician orders 40 mEq of potassium chloride in 100 mL 0.9% NS to infuse over 2 hours.Calculate the flow rate in milliliters per hour.____________________
Q5) The patient has vancomycin 1250 mg ordered once daily.The vancomycin is available in 250 mL of NS and should infuse over 1 hour.Using an IV pump,how many milliliters per hour should the vancomycin be infused? ___________
Q6) The patient has Levaquin 500 mg ordered once daily.The Levaquin is available in 100 mL of NS and should infuse over 60 minutes.Using an IV pump,how many milliliters per hour should the Levaquin be infused? ___________
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Page 19
Chapter 13: Intravenous Flow Rates for Dosages Measured
in Units
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Sample Questions
Q1) 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 96 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 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)
Q3) 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 66 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)
Q4) 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 96 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)
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Page 20
Chapter 14: Critical Care Intravenous Flow Rates
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Sample Questions
Q1) Round your answer to the nearest tenth.A patient with an admitting blood pressure of 230/140 mm Hg is receiving nitroprusside at 50 mL/h.The patient's weight is 70 kg.The nitroprusside concentration is 50 mg/250 mL of D<sub>5</sub>W.How many micrograms per kilograms per minute of nitroprusside are infusing? _____________
Q2) Round your answer to the nearest whole number.During your morning assessment,you note that a patient with ventricular tachycardia has a lidocaine drip infusing at 45 mL/h.With a concentration of lidocaine 2 g/250 mL D<sub>5</sub>W,how many milligrams per minute is the patient 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 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.____________________
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21
Chapter 15: Pediatric Dosages
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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 dosage of erythromycin for a child is 20 mg/kg/day in four equal doses.The child's weight is 33 lb.The medication is supplied in 125 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 dosage of oxacillin for a child is 50 mg/kg/day in four equal doses.The child's weight is 66 lb.The medication is supplied in 250 mg/5 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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22
Chapter 16: Obstetric Dosages
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Sample Questions
Q1) 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? _________
Q2) Round the answer to the nearest tenth.A physician writes orders for 1 g/h of magnesium sulfate for a patient in labor.The medication comes premixed with 40 g magnesium sulfate in 500 mL of lactated Ringer's solution.The IV pump should be programmed for how many milliliters per hour? ________
Q3) Round the answer to the nearest whole number.A physician writes orders to increase a magnesium sulfate drip to 2 g/h for a patient in labor.The medication has a concentration of 40 g magnesium sulfate in 500 mL of lactated Ringer's solution.The IV pump should be programmed for how many milliliters per hour? ____________
Q4) Round the answer to the nearest whole number.A physician writes orders to increase a magnesium sulfate drip to 2 g/h for a patient in labor.The medication has a concentration of 20 g magnesium sulfate in 100 mL of lactated Ringer's solution.The IV pump should be programmed for how many milliliters per hour? ________
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Page 23