Medical-Surgical Nursing Pre-Test Questions
Course Introduction
Medical-Surgical Nursing is a foundational course that prepares students to provide comprehensive care to adult patients experiencing a variety of medical and surgical conditions. This course covers essential principles of nursing practice, including patient assessment, clinical decision-making, wound care, fluid and electrolyte balance, preoperative and postoperative care, pain management, and the management of chronic and acute illnesses. Emphasis is placed on critical thinking, evidence-based interventions, interdisciplinary collaboration, patient safety, and effective communication to ensure high-quality patient outcomes in diverse healthcare settings.
Recommended Textbook
Calculate with Confidence 5th Edition by Deborah C. Gray Morris
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25 Chapters
409 Verified Questions
409 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 Roman numerals.(Use lowercase letters.)29 \(\times\) 1 = _____
Answer: xxviii
Q2) Perform the indicated operation and record the results in lowercase Roman numerals.12 \(\times\) 2 = _____
Answer: vi
Q3) Perform the indicated operation and record the results in lowercase Roman numerals.13 + 7 = _____
Answer: xx
Q4) Perform the indicated operation and record the result in Roman numerals.(Use lowercase letters.)10 + 2 = _____
Answer: xii
Q5) Perform the indicated operation and record the results in lowercase Roman numerals.6 \(\times\)3 = _____
Answer: xviii
Q6) Perform the indicated operation and record the result in Roman numerals.(Use lowercase letters.) 7 \(\times\) 2 = _____
Answer: xiv
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Available
Chapter 2: Fractions
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Reduce the following fraction to lowest terms.105/135 = _____ Answer: 7/9
Q2) Change the following mixed number to an improper fraction.9 1/9 = _____ Answer: 82/9
Q3) Change the following mixed number to an improper fraction.29 2/3 = _____ Answer: 89/3
Q4) Perform the indicated operation with fractions.Reduce to lowest terms as indicated.6 10/12 \(\times\) 15/3 = _____ Answer: 34 1/6
Q5) Change the following improper fraction to a whole or mixed number.325/16 = _____ Answer: 20 5/16
Q6) Indicate the largest number in the following set.1/30,1/4,1/150: _____ Answer: 1/4
Q7) Reduce the following fraction to lowest terms.54/81 = _____ Answer: 2/3
Q8) Indicate which fraction is the largest.1/100,1/150,1/200: _____ Answer: 1/100
Q9) Reduce the following fraction to lowest terms.39/65 = _____ Answer: 3/5 Page 4
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Page 5
Chapter 3: Decimals
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Sample Questions
Q1) Change the following to a decimal.Carry division three places as indicated.Do not round off.5/18 = _____ Answer: 0.277
Q2) Perform the indicated operation with decimals. Answer: 1.74
Q3) Change the following to a decimal. Answer: 0.0125
Q4) Round off the following decimal to the nearest tenth. Answer: 28.7
Q5) Indicate the largest number in the following set. Answer: 1.25
Q6) Perform the indicated operation with decimals. Answer: 64.091
Q7) Divide the following decimal.Express answer to nearest hundredth. Answer: 0.27
Q8) Change the following to a decimal.Carry division three places as indicated.Do not round off.1/64 = _____ Answer: 0.015
6
Q9) Perform the indicated operation with decimals. Answer: 0.0782
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Page 7
Chapter 4: Ratio and Proportion
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Sample Questions
Q1) Solve for x.
2.2:1 = x:145
x = _____
Q2) Solve for x.1/0.05 = x/0.1
x = _____
Q3) Solve for x in the following.11:121 = 3:x
x = _____
Q4) Solve for x in the following.500:3 = 350:x
x = _____
Q5) Solve for x.Round to the nearest tenth.1:3.6 = x:170
x = _____
Q6) Solve for x in the following.4/2.6 = 5/x
x = _____
Q7) Express the following dosage as a ratio.An injectable solution contains 500 mg in each 0.7 mL: _____
Q8) Express the following dosage as a ratio.A capsule contains 450 mg of medication: _____
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Chapter 5: Percentages
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Sample Questions
Q1) Find the following percentage.16% of 79 = _____
Q2) Change the following percentage to a ratio and its decimal equivalent.8% = _____; _____
Q3) Change the following percentage to a fraction.Reduce to lowest terms.
Q4) Find the following percentage.8% of 32 = _____
Q5) Change the following percentage to a fraction. Reduce to lowest terms. 37.5% = _____
Q6) Change the following percentage to a ratio and its decimal equivalent.45% = _____; _____
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Chapter 6: Metric System
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Sample Questions
Q1) 0.081 g = _____ mg
Q2) 3,550 mL = _____ L
Q3) 8.3 L = _____ mL
Q4) 1 mg = _____ g
Q5) 7.45 mL = _____ L
Q6) 1 kg = _____ g
Q7) 25.6 mg = _____ g
Q8) 26 mcg = _____ mg
Q9) 1.57 kg = _____ g
Q10) 0.075 mg = _____ mcg
Q11) Complete the following sentence with the correct word(s).The units of the metric system are as follows: ____________________ (length),____________________ (volume),and ____________________ (weight).
Q12) 15 mg = _____ mcg
Q13) 3,120 mcg = _____ mg
Q14) 5.2 kg = _____ g Page 10
Q15) 450 mL = _____ L
Q16) 1 L = _____ mL
Q17) 54.6 g = _____ kg
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Chapter 7: Apothecary and Household Systems
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) 1 oz is equivalent to:
A) 4 mL
B) 5 mL
C) 15 mL
D) 30 mL
Q2) 750 mL = _____ pt
Q3) 6 1/4 qt = _____ mL
Q4) gr 4 1/4 = _____ mg
Q5) 16 T = _____ mL
Q6) 60 mg = gr _____
Q7) 5 t = _____ mL
Q8) 50 mL = _____ qt
Q9) 30 mL = _____ oz
Q10) The correct abbreviation for teaspoon is:
A) Tsp
B) tsp
C) Tbs
D) tbs
Q11) gr 1/15 = _____ mg
12
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Chapter 8: Converting Within and Between Systems
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Sample Questions
Q1) A client drinks 300 mL of magnesium citrate.How many ounces did the client consume? _____ ounces
Q2) 4 1/4 qt = _____ mL
Q3) A client received 5.4 liters of IV fluid during a surgical procedure.How many mL of IV fluid did the client receive? _____ mL
Q4) A client has an order for Maalox 30 mL p.o.at bedtime.How many tablespoons will the nurse instruct the client to take? _____ tablespoons
Q5) 28.2 kg = _____ lb
Q6) 1 mg = _____ g
Q7) 0.005 g = _____ mg
Q8) 0.3 mg = _____ g
Q9) Calculate the client's intake in milliliters.Apple juice 2 ounces
Chicken broth 4 ounces
Gelatin dessert 3 ounces
Hot tea 5 ounces
Total mL = _____
Q10) 4,176 g = _____ kg
Q11) gr 90 = _____ g
Q12) 630 mg = gr _____
14
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Page 15
Chapter 9: Additional Conversions Useful in the Health Care Setting
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Sample Questions
Q1) 8 lb 12.2 oz = _____ kg
Q2) 1 cm = _____ mm
Q3) 134 lb = _____ kg
Q4) 27 cm = _____ in
Q5) An IV started at 0550 is to be completed in 5 hr 10 min.Determine the completion time (military time)._____
Q6) 16 oz = _____ lb
Q7) 39S1U1P1\(\circ\)S1S1P0 C = _____ S1U1P1\(\circ\)S1S1P0 F
Q8) 39 3/4 lb = _____ kg
Q9) 41 lb 2 oz = _____ kg
Q10) 63 kg = _____ lb
Q11) 82 1/2 lb = _____ kg
Q12) A wound measures 4.2 cm in length.How many mm is this? _____ mm
Q13) 43.5 kg = _____ lb
Q14) A client's rash measures 5 cm \(\times\) 4 cm.How much does this measure in Page 16
inches? _____ in
Q15) 1 kg = _____ lb
Q16) 6.4 lb = _____ kg
Q17) 18 lb 12 oz = _____ kg
Q18) 1 inch = _____ cm
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Chapter 10: Medication Administration
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Sample Questions
Q1) A nurse charts medications that she administered at 10 AM on October 1st for 10 AM on October 2nd: _______________
Q2) After administering a medication,the nurse should:
A) Pour the medications for the next administration time.
B) Document medication given prior to administering.
C) Order the next dosage needed from the pharmacy.
D) Document the time of administration.
Q3) A nurse who administers a medication that is unsafe is liable for the error._____
A)True
B)False
Q4) The "six rights" of medication administration are the right:
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
Q5) Medication ________________ avoids errors and assists in obtaining accurate medication histories of a client at transition points (admission,transfer,discharge).
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Chapter 11: Understanding and Interpreting Medication
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Sample Questions
Q1) Complete the following sentence with the correct word or number.To ensure accuracy and prevent misinterpretation,place a _____ before the decimal point.
Q2) Every hour: _____
Q3) Verbal orders should be accepted only in _______________.
Q4) A p.r.n.order must indicate the minimum time between dosages,such as q4h._____
A)True
B)False
Q5) 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.
Q6) "Administer Colace 100 mg by mouth three times a day" can be written on an order sheet as:
A) Colace 100 mg p.o.t.i.d.
B) Colace 100 mg p.o.
C)i.d.
D) Colace mg 100.0 p.o.q.i.d.
E) Colace MG 100 p.o.t.i.d.
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Chapter 12: Medication Administration Records and Drug Distribution Systems
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Sample Questions
Q1) K-Dur 20 mEq is ordered.What does mEq mean? _______________
Q2) What are the scheduled times for administering Colace? _______________
Q3) How many times in a 24-hour period will Colace be administered? _______________
Q4) A medicine ordered q6h would be given how many times a day? _____
A) 4
B) 6
C) 8
D) 12
Q5) If a medication was not administered,where would the reason for omission be charted? _______________
Q6) What would be the appropriate interpretation for the following order? Demerol 50 mg IM stat? Administer:_______________
A) Demerol 50 mg IM when needed
B) Demerol 50 mg IM as desired
C) Demerol 50 mg IM on call to OR
D) Demerol 50 mg IM immediately
Q8) Which medications are ordered to be administered "as necessary"? Page 20
Q7) If the digoxin was last administered on 1/16/09 at 9 AM,what is the next date and time it will be administered? _______________
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Chapter 13: Reading Medication Labels
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14 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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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Order: Thorazine 25 mg p.o.t.i.d.Available: Thorazine syrup labeled 10 mg per 5 mL
Q2) Order: Raloxifene HCl 60 mg p.o. b.i.d.
Available: Raloxifene HCl tablets labeled 60 mg per tablet
Q3) Order: Thorazine 15 mg IM stat
Available: Thorazine 25 mg per mL
Q4) Order: Ampicillin 0.375 g IM q6h
Available: Ampicillin 250 mg per mL
Q5) Order: Clindamycin 0.6 g IV q12h
Available: Clindamycin 300 mg per 2 mL
Q6) Order: Amoxil 0.5 g p.o.q6h
Available: Amoxil capsules labeled 250 mg per capsule
Q7) Order: Calcijex 1.5 mcg IV daily on Mon.,Wed.,Fri.Available: Calcijex 1 mcg per mL
Q8) Order: Ketorolac 16 mg IV q6h p.r.n.for pain
Available: Ketorolac 30 mg per mL
Q9) Order: Heparin 2,500 units subcut stat
Available: Heparin labeled 10,000 units per mL (Express answer in hundredths.)
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Chapter 15: Dosage Calculation Using the Formula Method
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12 Verified Questions
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Sample Questions
Q1) Order: Heparin 2,000 units subcut daily
Available: Heparin labeled 5,000 units per mL
Q2) Order: Compazine 8 mg p.o.stat
Available: Compazine syrup labeled 5 mg per 5 mL
Q3) Order: Amoxil 0.5 g p.o.q6h
Available: Amoxil capsules labeled 250 mg per capsule
Q4) Order: Zofran 7 mg p.o.
b.i.d.
Available: Zofran oral solution labeled 4 mg per 5 mL
Q5) Order: Calcijex 1.5 mcg IV daily on Mon.,Wed.,Fri.Available: Calcijex 1 mcg per mL
Q6) Order: Ampicillin 0.375 g IM q6h
Available: Ampicillin 250 mg per mL
Q7) Order: Thorazine 15 mg IM stat
Available: Thorazine 25 mg per mL
Q8) Order: Raloxifene HCl 60 mg p.o.
b.i.d.
Available: Raloxifene HCl tablets labeled 60 mg per tablet
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Q9) Order: Thorazine 25 mg p.o.t.i.d.Available: Thorazine syrup labeled 10 mg per 5 mL
Chapter 16: Dosage Calculation Using the Dimensional Analysis Method
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12 Verified Questions
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Sample Questions
Q1) Order: Calcijex 1.5 mcg IV daily on Mon.,Wed.,Fri.Available: Calcijex 1 mcg per mL
Q2) Order: Compazine 8 mg p.o.stat
Available: Compazine syrup labeled 5 mg per 5 mL
Q3) Order: Amoxil 0.5 g p.o.q6h
Available: Amoxil capsules labeled 250 mg per capsule
Q4) Order: Thorazine 15 mg IM stat
Available: Thorazine 25 mg per mL
Q5) Order: Heparin 2,500 units subcut stat
Available: Heparin labeled 10,000 units per mL (Express answer in hundredths.)
Q6) Order: Ketorolac 16 mg IV q6h p.r.n.for pain
Available: Ketorolac 30 mg per mL
Q7) Order: Zofran 7 mg p.o. b.i.d.
Available: Zofran oral solution labeled 4 mg per 5 mL
Q8) Order: Clindamycin 0.6 g IV q12h
Available: Clindamycin 300 mg per 2 mL
Q9) Order: Heparin 2,000 units subcut daily
Available: Heparin labeled 5,000 units per mL Page 25
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Chapter 17: Calculation of Oral Medications
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Sample Questions
Q1) Order: Pindolol 5 mg p.o.
a.How many tablets will the client need for the first week? _____ tab(s)
b.How many tablets will the client need for the second week? _____ tab(s)
b.i.d.for 1 week; then increase to 10 mg
b.i.d.the second week
Available: Pindolol tablets labeled 5 mg
Q2) Order: Synthroid 0.15 mg p.o.daily
Available: Synthroid tablets labeled 75 mcg
Dosage: _____ tab(s)
Q3) Order: Ampicillin 1 g p.o.as an initial dosage and then 500 mg p.o.q.i.d.\(\times\) 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)
Q4) An elongated tablet for easy swallowing is referred to as a _______________.
Q5) Order: Potassium chloride 40 mEq p.o.every day
Available: Potassium chloride 20 mEq per 15 mL
How many milliliters would the client receive? _____ mL
Q6) Enteric-coated tablets and time-release tablets should never be
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Chapter 18: Parenteral Medications
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Sample Questions
Q1) 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) The term used for injectable medications is _______________.
Q3) Order: Heparin 45,000 units IV in 500 mL D5W
Available: Heparin labeled 10,000 units per mL
How many milliliters will you add to the IV? _____ mL
Q4) Order: Furosemide 15 mg IM every day
Available: Furosemide labeled 20 mg per 2 mL
How many milliliters will you administer? _____ mL
Q5) 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?
Q6) The route that is used for diagnostic purposes is called _______________.
Q7) 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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Sample Questions
Q1) 360 mL of 1/4 strength Ensure percutaneous endoscopic (PEG)tube over 4 hours
Q2) Prepare irrigant 250 mL 1/2 strength solution:
Q3) 800 mL of 3/4 strength Sustacal via gastrostomy over 6 hours
Q4) a.Total dosage of vial: _____
b.Type of diluents specified: _______________
c.How much diluent must be added to reconstitute the medication? _____
d.What will be the volume of the reconstituted solution? _____
e.Dosage strength of the reconstituted solution: _______________
Q5) 1/4 strength Ensure 8 oz p.o.q4h for 24 hours
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Chapter 20: Insulin
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Sample Questions
Q1) U-100 on the label of an insulin vial means:
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) _______________ devices allow a client to self-administer pain medication.
Q2) 500 mL 1/2 NS sodium chloride (NaCl): _____
Q3) 1,000 mL (1 L)of 5% dextrose in water to infuse at a rate of 100 mL per hour
Q4) An electronic infusion control device used to administer IV fluids is referred to as a _______________.
Q5) 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 _______________.
Q6) 1,000 mL (1 L)of Lactated Ringer solution every 8 hours
Q7) 5 L D10W dextrose: _______________
Q8) In IV fluid abbreviations,D5NS identifies what IV fluid? _______________
Q9) The name for the main infusion administration set is _______________.
Q10) List the components and percentage strengths of the following IV solutions.
a.D5¼S
b.D5NS 10 mEq KCl
c.D5RL
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Chapter 22: Intravenous Calculations
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Sample Questions
Q1) Order: Digoxin 0.25 mg IV push.Infuse slowly over 5 minutes.Available: Digoxin 0.5 mg/2 mL
How many milliliters should be infused per minute? _____
Q2) 250 mL of packed cells in 4 hours
a.mL/hr _____
b.gtt/min (drop factor: 20 gtt/mL): _____
Q3) Clindamycin 600 mg in 100 mL D5W over 1 1/2 hours: _____
Q4) Order: Cardizem 0.25 mg/kg IV bolus.Infuse over 2 minutes.Client weighs 50
kg.Available: Cardizem 25 mg (5 mg/mL)
a.How many milligrams should the client receive? _____ mg
b.How many milliliters will you give? _____ mL
c.How many milliliters will you infuse per minute? _____ mL/min
Q5) 0.45% NS at 30 mL/hr
a.10 gtt/mL _____
b.15 gtt/mL _____
c.20 gtt/mL _____
d.60 gtt/mL _____
Q6) 60 mL of IV fluid with medication infusing at 50 macrogtt/min.Drop factor is 10 gtt/mL
Calculate the infusion time: _____
Page 32
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Chapter 23: Heparin Calculations
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Sample Questions
Q1) Order: 25,000 units of heparin in 250 mL D5W to infuse at 8 mL/hr units/hr = _____
Q2) 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 ____________________________.
Q3) A client weighs 220 lb.The hospital protocol for IV heparin drip is 14 units/kg/hr.How many units per hour should the client receive? _____
Q4) Order: 40 units/kg/hr heparin IV.The client weighs 116 lb.How many units should the client receive per hour? _____
Q5) 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? _____
Q6) Order: 40 units/kg/hr heparin IV.The client weighs 50 kg.How many units should the client receive per hour? _____
Q7) Order: Infuse heparin at 800 units/hr IV from a solution containing 40,000 units in 1,000 mL D5W.How many milliliters will infuse per hour? _____ mL
Q8) Which solution of heparin is more concentrated: 1,000 units per mL or 10,000 units per mL? _____
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Chapter 24: Critical Care Calculations
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Sample Questions
Q1) 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: _____
Q2) A client is receiving procainamide 1 g in 500 mL D5W at 120 mL/hr
a.mg/hr: _____
b.mg/min: _____
Q3) 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) 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: _____
Q5) 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: _____
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Chapter 25: Pediatric and Adult Dosage Calculation Based on Weight
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Sample Questions
Q1) An adolescent who measures 157.5 cm and weighs 59.1 kg: _____ m<sup>2</sup>
Q2) An IV medication of 50 mcg in 200 mL is ordered to infuse over 2 hours.The normal dosage range is 1.5 to 3 mcg/kg/hr.The child weighs 5.7 kg.Determine the dosage range per hour.Determine whether the dosage ordered is within normal limits.State your course of action: ______________________________
Q3) A medication of 1 g in 4 mL is to be diluted to 60 mL and infused over 90 minutes.
a.Dilution volume: _____
b.gtt/min: _____
c.mL/hr: _____
Q4) The recommended dosage of Paraplatin for ovarian cancer is 360 mg/m<sup>2</sup>.The client's BSA is 1.67 m<sup>2</sup>.What dosage should the client receive? _____
Q5) 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?
Q6) An adult who is 67 inches tall and weighs 175 lb: _____ m<sup>2</sup>
Q7) 22 inches and 10 lb: _____ m<sup>2</sup>
Q8) 170 cm and 50 kg: _____ m<sup>2</sup>
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