Medical-Surgical Nursing Practice Questions
Course Introduction
Medical-Surgical Nursing is a comprehensive course that focuses on the principles and practices needed to care for adult patients with various medical and surgical conditions. The course covers the physiological, psychological, and social aspects of patient care, emphasizing the nursing process, critical thinking, and clinical decision-making.
Students learn to assess, plan, implement, and evaluate care for patients experiencing acute and chronic health problems, including disorders of major body systems. In addition to patient-centered care, the course explores topics such as pain management, perioperative nursing, infection control, and evidence-based interventions, preparing students for roles in 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) 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 \(\div\) 2 = _____
Answer: vi
Q3) Perform the indicated operation and record the result in lowercase Roman numerals.
13 + 7 = _____
Answer: xx
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.
7 * 2 = _____
Answer: xiv
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Chapter 2: Fractions
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) Indicate the largest number in the following set. 1/30,1/4,1/150: _____
Answer: 1/4
Q2) Perform the indicated operation and reduce to lowest terms. 3/8 - 1/3 = _____
Answer: 1/24
Q3) Perform the indicated operation and reduce to lowest terms. 1/12 * 1/15 = _____
Answer: 1/180
Q4) Perform the indicated operation with fractions.Reduce to lowest terms as indicated. 56 \(\div\) 9/20 = _____
Answer: 124 4/9
Q5) Perform the indicated operation with fractions.Reduce to lowest terms as indicated. 6 1/4 - 2 5/8 = ____
Answer: 3 5/8
Q6) Perform the indicated operation and reduce to lowest terms. 1/12 + 6/12 + 5/12 = ____
Answer: 1
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Chapter 3: Decimals
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35 Verified Questions
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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. 0.3333 = _____
Answer: 0.333
Q3) Change the following to a decimal. 1.25% = _____
Answer: 0.0125
Q4) Round off the following decimal to the nearest tenth. 0.52 = _____
Answer: 0.5
Q5) 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
Q6) Perform the indicated operation with decimals.
0.46 * 0.17 = ______
Answer: 0.0782
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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) 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?
Q2) Solve for x.
42: 7 = 48: x
x = ______
Q3) Two tabs contain a total of 50 mg of a medication.How many mg of medication are present in 15 tabs ? _______
Q4) Express the following dosage as a ratio. A capsule contains 450 mg of medication: _____
Q5) Solve for x in the following.
0.5/0.125 = x/4
x = _____
Q6) Solve for x in the following.
4/2.6 = 5/x
x = _____
Q7) A client must take four tabs per day for 14 days.How many tablets should the pharmacy supply to fill this order? ______
Q8) Express the following dosage as a ratio. An injectable solution contains 500 mg in each 0.7 mL: _____
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Chapter 5: Percentages
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Convert 84.75% to decimal form.
Q2) 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?
Q3) Find the following percentage.
8% of 32 = _____
Q4) Convert 0.925 to a percent.
Q5) Change the following percentage to a fraction.Reduce to lowest terms. 37.5% = _____
Q6) A client has received 45% of a 500 mL bag of intravenous (IV)solution.How many mL of IV solution has the client received?
Q7) Convert 2.96 to a percent.
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) A client consumed 30% of a bowl of broth.The bowl held 360 mL.How many mL of the broth did the client consume?
Q10) 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. )
Page 7
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Chapter 6: Metric System
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Sample Questions
Q1) Directions: Write the equivalent indicated. 25.6 mg = _____ g
Q2) Directions: Write the equivalent indicated. 21 L = _________ mL
Q3) Directions: Apply the guidelines relating to the use of leading and trailing zeros and express the following metric notations correctly.
Q4) Directions: Write the equivalent indicated. 9.5 mg = ________ mcg
Q5) Directions: Apply the guidelines relating to the use of leading and trailing zeros and express the following metric notations correctly.
Q6) Directions: Write the equivalent indicated. 1 L = _____ mL
Q7) The metric prefix for 0.001 is:
A)micro.
B)centi.
C)kilo.
D)milli.
Q8) Directions: Write the equivalent indicated. 7.45 mL = _____ L
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Chapter 7: Apothecary and Household Systems
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31 Verified Questions
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Sample Questions
Q1) Directions: Write the equivalent indicated.
2 1/4 cup = _____ mL
Q2) The drop is a standardized unit of measure.
A)True
B)False
Q3) Directions: Write the equivalent indicated.
277.5 mL = _________ oz
Q4) Milliequivalent is a unit used to measure the ionic activity of a medication.
A)True
B)False
Q5) Directions: Write the equivalent indicated.
5 1/4 pt = ______ mL
Q6) Directions: Write the equivalent indicated. 16 T = _____ mL
Q7) Directions: Express the following value correctly.
20 MEQ
Q8) Directions: Write the abbreviation for the term. drop: _____
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Chapter 8: Converting Within and Between Systems
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Sample Questions
Q1) A client needs to drink 1 1/2 oz of an elixir per day.How many tsp would this be equivalent to? ________ tsp
Q2) 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 = _____
Q3) 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
Q4) Directions: Write the equivalent indicated.
56 in = ______ cm
Q5) A client's intake was the following:
1/8 qt of milk
1 1/4 cup of coffee (1 cup = 6 oz)
3 oz water
2 oz of chicken broth
a.Intake: ________ mL
b.Intake: ________ L
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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 weight as indicated.Round weight to the nearest tenth.
39 3/4 lb = _____ kg
Q2) 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 ________________
Q3) Directions: Convert the following temperature as indicated.
82.8° F = ______ ° C
Q4) Directions: Convert the following weight as indicated.Round weight to the nearest tenth.
7.6 kg = _____ lb
Q5) A wound measures 4.2 cm in length.How many mm is this? _____ mm
Q6) Directions: Write the equivalent indicated. 1 kg = _____ lb
Q7) Directions: Convert the following temperature as indicated. 212S1U1P1\(\circ\)S1S1P0 F = _____ S1U1P1\(\circ\)S1S1P0 C
Page 11
Q8) Directions: Write the equivalent indicated. 1 cm = _____ 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. The use of mixed case or enlarged,bolded lettering to differentiate medications with look-alike names is called __________ lettering.
Q2) 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.
Q3) Directions: Complete the following sentence with the correct word or number. The use of posters and brochures to encourage clients to use strategies to avoid medication errors is called the _____________ .
Q4) A nurse who administers a medication that is unsafe is liable for the error.
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Chapter 11: Understanding and Interpreting Medication
Orders
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Sample Questions
Q1) Directions: For the following medication order indicate what component of the order is missing.
Trental 400 mg po.
Q2) Complete the following sentence with the correct word or number.To ensure accuracy and prevent misinterpretation,place a _____ before the decimal point.
Q3) Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations,Symbols,and Dose Designations.
Heparin 5,000 units subcut daily
Q4) CPOE is an abbreviation for _______________.
Q5) "Administer Colace 100 mg by mouth three times a day." Which of the following correctly indicates the order?
A)Colace 100 mg p.o.t.i.d.
B)Colace 100 mg p.o. b.i.d.
C)Colace mg 100.0 p.o.q.i.d.
D)Colace MG 100 p.o.t.i.d.
Q6) Directions: Give the abbreviation for the following. Immediately: _____
Q7) Verbal orders should be accepted only in _______________.
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Chapter 12: Medication Administration Records and Medication
Distribution Systems
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Sample Questions
Q1) Directions: Refer to the portion of the MAR provided below to answer the question.
Q2) 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.
Q3) 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?
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) Directions: Refer to the portion of the MAR provided below to answer the question.
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) 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
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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: 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 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
Q3) 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
Q4) 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
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Chapter 15: Dosage Calculation Using the Formula Method
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13 Verified Questions
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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: Ampicillin 0.375 g IM q6h
Available: Ampicillin 250 mg per mL
Q4) 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
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Page 18
Chapter 16: Dosage Calculation Using the Dimensional Analysis Method
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12 Verified Questions
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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: Calcijex 1.5 mcg IV daily on Mon. ,Wed. ,Fri.
Available: Calcijex 1 mcg per mL
Q3) 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
Q4) 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
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Chapter 17: Oral Medications
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Sample Questions
Q1) Directions: Complete with the correct word(s)or number. The most common form of oral medication is the __________.
Q2) Directions: Complete with the correct word(s)or number. An elongated tablet for easy swallowing is referred to as a _______________.
Q3) Directions: Complete with the correct word(s)or number. Enteric-coated tablets and time-release tablets should never be _______________.
Q4) 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 _______________.
Q5) Directions: Complete with the correct word(s)or number. Sublingual tablets must never be _______________ but placed _______________ the tongue.
Q6) 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.
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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 calibrations on a syringe that indicate the capacity can be found on the _______________.
Q2) 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?
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. 800 mL of 3/4 strength Sustacal via gastrostomy over 6 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: 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: Prepare the following strength solutions.Describe your calculations. 360 mL of 1/4 strength Ensure percutaneous endoscopic (PEG)tube over 4 hours
Q7) Directions: Prepare the following strength solutions.Describe your calculations. Prepare irrigant 250 mL 1/2 strength solution: ______________________________
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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: Fill in the correct number or word(s)to answer the question. In IV fluid abbreviations,D5NS identifies what IV fluid? _______________
Q2) Directions: Interpret the following IV orders. 1,000 mL (1 L)of L/R q8h
Q3) Directions: Fill in the correct number or word(s)to answer the question. _______________ devices allow a client to self-administer pain medication.
Q4) Directions: Calculate the number of grams of NaCl and /or dextrose in the following solutions.
0.5 L D51/4NS ________ g dextrose ________ g NaCl
Q5) Directions: Fill in the correct number or word(s)to answer the question. An IV pump is an example of an ___________ infusion device.
Q6) Directions: Calculate the number of grams of NaCl and /or dextrose in the following solutions.
5 L D10W dextrose: _______________
Q7) Directions: Fill in the correct number or word(s)to answer the question. 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 _______________.
Q8) Directions: Interpret the following IV orders. 1,000 mL (1 L)D5W to infuse at a rate of 100 mL per hour
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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.
2,000 mL of 0.9% NS were to infuse in 12 hours at 28 macrogtt/min. The drop factor is 10 gtt/mL.After 8 hours,900 mL remain.
a.Recalculated rate: _____
b.Percentage of change: _____
c.Course of action: _____
Q2) Directions: Determine the flow rate for the following IV being administered by infusion pump.
Ampicillin 1.5 g in 100 mL 0.9 % NS over 45 minutes: _____
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 hours? _____
Q4) Directions: Determine the flow rate for the following IV being administered by infusion pump.
Clindamycin 600 mg in 100 mL D5W over 1 1/2 hours: _____
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Chapter 23: Heparin Calculations
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Sample Questions
Q1) Directions: Calculate the following hourly dosage of heparin (units/hr).
A client weighs 88 kg.Order: Bolus with heparin at 80 units/kg;initiate drip at 18 units/kg/hr.Heparin infusion 25,000 units in 500 mL 0.9 % sodium chloride.
a.Calculate the heparin bolus dosage: _____
b.Calculate the infusion rate for the IV dosage: _____
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).
Order: 25,000 units of heparin in 250 mL D5W to infuse at 8 mL/hr units/hr = _____
Q4) 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 ____________________________.
Q5) Directions: Calculate the following hourly dosage of heparin (units/hr).
Order: 40 units/kg/hr heparin IV.The client weighs 50 kg. How many units should the client receive per hour? _____
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26
Chapter 24: Critical Care Calculations
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Sample Questions
Q1) Directions: Calculate the dosages as indicated. 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 minutes 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.
Q2) Directions: Calculate the dosages as indicated. A client weighing 80 kg has an order for Intropin to infuse at 8 mcg/kg/min.The solution available is 800 mg Intropin in 500 mL D5W.
a.mcg/min: _____
b.mL/hr: _____
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: _____
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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Chapter 25: Pediatric and Adult Dosage Calculation Based on Weight
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Sample Questions
Q1) Directions: Using the West nomogram,determine the body surface area (BSA)for a child with the height and weight given.
170 cm and 50 kg: _____ m<sup>2</sup>
Q2) 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>
Q3) 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>
Q4) Directions: Using the West nomogram,determine the body surface area (BSA)for a child with the height and weight given. 22 inches and 10 lb: _____ m<sup>2</sup>
Q5) Directions: Determine the normal dosage range to the nearest tenth.State your course of action.
A child weighs 10 kg and is to receive 0.5 g of nafcillin in 100 mL D5W q6h.The dosage range is 100 to 200 mg/kg/day.What is your course of action?
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