Medical-Surgical Nursing Study Guide Questions
Course Introduction
Medical-Surgical Nursing is a foundational course designed to equip students with the essential knowledge and skills required to care for adults experiencing a wide range of medical and surgical conditions. The course emphasizes the assessment, planning, implementation, and evaluation of nursing interventions in diverse healthcare settings. Students learn to manage complex health problems, understand pathophysiological processes, utilize critical thinking in clinical decision-making, and collaborate effectively within interdisciplinary teams. Through the integration of theoretical knowledge and practical application, this course prepares students to deliver safe, evidence-based, and patient-centered care to individuals undergoing medical and surgical treatments.
Recommended Textbook
Calculation of Drug Dosages A Work Text 10th Edition by Sheila J. Ogden RN MSN
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16 Chapters
478 Verified Questions
478 Flashcards
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Page 2
Chapter 1: Fractions
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Sample Questions
Q1) 3/10 + 3/5 + ____________________ Answer: 9/10
Q2) 1 5/6 + 3 1/3 + ____________________ Answer: 5 1/6
Q3) 6 1/2 - 1 3/4 = ____________________ Answer: 4 3/4
Q4) 5 1/2 \(\times\) 1 1/6 = ____________________ Answer: 6 5/12
Q5) 5/6 ÷ 1/2 = ____________________ Answer: 1 3/7
Q6) 3 1/2 ÷ 1 1/3 = ____________________ Answer: 2 5/8
Q7) 1/3 \(\times\) 3/4 = ____________________ Answer: 1/4
Q8) 4 3/10 ÷ 1 3/4 = ____________________ Answer: 2 16/35
Q9) 2 1/2 \(\times\) 2 1/3 = ____________________ Answer: 8 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) 16.75 \(\times\) 4.6 = ____________________ Answer: 12.15
Q2) 354.6 ÷ 1000 = ____________________ Answer: 0.3546
Q3) 110.5 ÷ 7.52 = ____________________ Answer: 14.69414894
Q4) 1.1 + 50.6 + 30.9 + 6.75 = ____________________ Answer: 89.35
Q5) 120.005 \(\times\) 95.88 = ____________________ Answer: 24.125
Q6) 44.7 \(\times\) 17.13 \(\times\) 60 = ____________________ Answer: 45,942.66
Q7) 5.32 \(\times\) 67.9 = _________ Answer: 361.228
Q8) 2.67 + 5.1 + 1.3 + 0.9 = ____________________ Answer: 9.97
Q9) 17.5 \(\times\) 10 = ____________________ Answer: 175
Q10) 258.7 ÷ 100 = ____________________ Answer: 2.587 Page 5
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Chapter 3: Percents
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Sample Questions
Q1) What is 25% of 75? ____________________ Answer: 18.75
Q2) Change 67.9% to a decimal.____________________ Answer: 0.679
Q3) Change 0.77 to a percent.____________________ Answer: 77%
Q4) Change 15% to a decimal.____________________ Answer: 0.15
Q5) What is 15% of 1085.6? _____________________ Answer: 162.84
Q6) Change 7/16 to a percent.____________________ Answer: 43 3/4%
Q7) What percent of 150 is 75? ____________________ Answer: 50%
Q8) What percent of 400 is 125? ____________________ Answer: 31.25%
Q9) Change 1/4 to a percent.____________________ Answer: 25%
Q10) Change 1.57 to a
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Page 8
Chapter 4: Ratios
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Sample Questions
Q1) Change 2/7% to a ratio.____________________
Q2) Change 0.12 to a ratio.____________________
Q3) Change 3/10:2/5 to a fraction.____________________
Q4) Change 25:100 to a fraction.____________________
Q5) Change 27% to a ratio.____________________
Q6) Change 3/8 ÷ 5/12 to a ratio.____________________
Q7) Change 15:75 to a percent.____________________
Q8) Change 35:14 to a decimal number.____________________
Q9) Change 1/7 ÷ 4/21 to a ratio.____________________
Q10) Change 44:88 to a percent.____________________
Q11) Change 1.66 to a ratio.____________________
Q12) Change 7:20 to a decimal number.____________________
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9
Chapter 5: Proportions
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Sample Questions
Q1) x : 0.54 :: 0.6 : 0.8 ____________________
Q2) 16 : x :: 45 : 15____________________
Q3) 125 : 20 :: 300 : x ____________________
Q4) 25 : 40 :: 75.5 : x ____________________
Q5) 30 : 600 :: x : 150 ____________________
Q6) x : 1/4 :: 3/4: 32 ____________________
Q7) 33% : 66 :: x% : 15 ____________________
Q8) 2/3 : x :: 8/9 : 12 ____________________
Q9) 14 : x :: 28 : 7 ____________________
Q10) x : 0.7 :: 21.21 : 3 ____________________
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10
Chapter 6: Metric and Household Measurements
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Sample Questions
Q1) 150,525 mcg = ____________________ g
Q2) 112.2 lb = ____________________ kg
Q3) 18 mg = ________ mcg
Q4) 1 g = ___________ mcg
Q5) 9415 mcg = ____________________ mg
Q6) 90 kg = ____________________ lb
Q7) 3.36 cm = ____________________ mm
Q8) 2.5 L = ____________________ mL
Q9) 750 mL = ____________________ L
Q10) 76 mg = ____________________ mcg
Q11) 17.4 kg = ____________________ g
Q12) 445 mg = _____________________ g
Q13) 3 oz = _____ mL
Q14) 1 mg = _________ g
Q15) 1 g = __________ mg
Q16)
Q17) 1.42 mg = ____________________ mcg
Q18) 15 mg = _________ g
Q19) 12.6 cm = _____________________ mm
Q20) 1 mg = _________ mcg
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Chapter 7: Calculations Used in Patient Assessments
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Sample Questions
Q1) 100 lb = ____________________ kg
Q2) 15 mg = _________ g
Q3) 1 mg = _________ g
Q4) 37.8° C = ____________________° F
Q5) 18 mg = ________ mcg
Q6) 445 mg = _____________________ g
Q7) 1 g = __________ mg
Q8) 900 mg = ________ g
Q9) Calculate the intake.A patient consumes 120 mL of orange juice and 120 mL of milk for breakfast,260 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 intake for the 6 AM to 6 PM shift.
Q10) 37.6° C = ____________________° F
Q11) 150,525 mcg = ____________________ g
Q12) 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.
Page 13
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Page 14
Chapter 8: Oral Dosages
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Sample Questions
Q1) The physician orders ascorbic acid 300 mg oral daily for a patient with anemia.Ascorbic acid is available in 300-mg tablets.How many tablets would the nurse administer with each dose? ___________
Q2) The physician orders oxycodone IR 10 mg oral every 4 hours as needed for pain.Oxycodone IR is available in 20-mg tablets.How many tablets would the nurse administer with each dose? ___________
Q3) Docusate sodium 200 mg twice a day per gastric tube is ordered for a constipated patient.The docusate sodium syrup is supplied in a 10 mg per milliliter concentration.How many milliliters 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 physician orders carvedilol 25 mg oral twice a day for a patient with hypertension.The medication is supplied as carvedilol 25 mg per tablet.How many tablets of carvedilol would the patient receive with each dose? _________
Q6) A patient with GERD has omeprazole 20 mg twice a day ordered.The omeprazole is supplied in 20-mg capsules.How many capsules would the nurse administer with each dose? _________
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Page 15
Chapter 9: Parenteral Dosages
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Sample Questions
Q1) The physician has ordered Dilaudid 0.6 mg IV every 30 minutes prn for pain.The medication is available in 2 mg per 1-mL vials.How many milliliters would the nurse administer with each dose? __________
Q2) The physician orders furosemide 60 mg IV push stat for edema.Available: 10 mg/mL.How many milliliters will the nurse administer? ____________________
Q3) Diphenhydramine 10 mg IV every 6 hours is ordered postoperatively for itching.The medication is available in a 50-mg/2-mL concentration.How many milliliters of diphenhydramine would the nurse administer with each dose? ______
Q4) The physician orders Toradol 45 mg IM for migraine headache.The medication is supplied in 30 mg/mL.How many milliliters will the nurse administer?
Q5) Protonix 20 mg is ordered IV twice a day for a patient.The medication is available in a 40 mg/10 mL concentration.How many milliliters would be given with each dose?
Q6) A patient has fentanyl 100 mcg IV every 2 hours prn for pain after surgery.The medication is available in 0.05 mg per 1-mL vials.How many milliliters would the nurse administer with each dose? __________
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Page 16
Chapter 10: Dosages Measured in Units
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Sample Questions
Q1) 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?
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) 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? ____________________
Q4) 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?
Q5) 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? __________
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Chapter 11: Reconstitution of Medications
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Sample Questions
Q1) The physician orders Vancocin 375 mg po for a staph infection.After reconstitution,the medication is available as 250 mg/5 mL.How many milliliters will the nurse administer?
Q2) 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?
Q3) 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?
Q4) The physician orders Ancef 500 mg IV for a urinary tract infection.After reconstitution,the medication is available as 330 mg/mL.How many milliliters will the nurse administer?
Q5) 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?
Q6) 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?
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Chapter 12: Intravenous Flow Rates
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75 Flashcards
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Sample Questions
Q1) The patient has Levaquin 500 mg ordered once daily.The Levaquin is available in 100 mL of NS and should infuse over 1 hour.Using tubing with a 20 gtt/mL drop factor,how many drops per minute should the Levaquin be infused? ___________
Q2) The physician orders ampicillin 1 g in 100 mL of D<sub>5</sub>W IVPB to infuse over 20 minutes.Tubing drop factor is 15 gtt/mL.Calculate the flow rate in drops per minute.____________________
Q3) The physician orders Kefzol 2 g in 50 mL of NS IVPB to infuse over 30 minutes.Tubing drop factor is 60 gtt/mL.Calculate the flow rate in drops per minute._________
Q4) The patient has vancomycin 750 mg ordered once daily.The vancomycin is available in 250 mL of NS and should infuse over 1 hour.Using tubing with a 10 gtt/mL drop factor,how many drops per minute should the vancomycin be infused?
Q5) TPN 2000 mL is ordered to infuse over 24 hours.Using an IV controller,how many milliliters per hour should be infused? _______
Q6) The physician gives orders to infuse 1000 mL 0.9% NS at 200 mL/h for dehydration.Tubing drop factor is 10 gtt/mL.Calculate the flow rate in drops per minute.____________________
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Page 19
Chapter 13: Intravenous Flow Rates for Dosages Measured
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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 84 kg.Heparin Protocol Bolus: Heparin 70 units/kg Infusion: Heparin 17 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 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)
Q3) 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)
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Chapter 14: Critical Care Intravenous Flow Rates
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Sample Questions
Q1) Round your answer to the nearest tenth.A patient is receiving vasopressin at 12 mL/h.The vasopressin concentration is 4 mg/250 mL.How many micrograms per minute of vasopressin is the patient receiving? ________________
Q2) Round your answer to the nearest whole number.The physician orders procainamide IV drip at 3 mg/min for premature ventricular contractions.The medication is supplied in 2 g/500 mL of NS.Calculate the flow rate in milliliters per hour.____________________
Q3) Round your answer to the nearest whole number.The physician has ordered an Inocor drip at 5 mcg/kg/min for a patient with congestive heart failure.The Inocor concentration is 500 mg/250 mL D<sub>5</sub>W.How many milliliters per hour should the Inocor infuse for a patient weighing 64 kg? ______________
Q4) Round your answer to the nearest whole number.The physician orders dopamine IV drip at 4 mcg/kg/min for low blood pressure.The patient weighs 154 lb.The medication is supplied in 400 mg/250 mL of 0.45% NS.Calculate the flow rate in milliliters per hour.____________________
Q5) Round your answer to the nearest tenth.A patient is receiving nitroglycerin at 10 mL/h.The concentration of nitroglycerin is 50 mg/500 mL of 0.9% NS.Calculate the micrograms per minute the patient is receiving.____________________
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Chapter 15: Pediatric Dosages
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Sample Questions
Q1) The physician orders prednisone 10 mg oral every 12 hours for a child weighing 22
lb.The prednisone syrup is available in a 5 mg/5 mL concentration.The recommended dose is 0.5 to 2 mg/kg/24 h.
a.What is the child's weight in kilograms? _____________
b.How many milligrams per kilogram per 24 hours is the patient receiving?
c.Is the order safe? _______________
d.If yes,how many milliliters are needed for each dose? _________________
Q2) 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.____________________
Q3) A health care provider orders 500 mL of D<sub>5</sub>0.45% NS to infuse at 50 mL/h.The tubing drop factor is 60 gtt/mL.Calculate the rate in drops per minute.____________________
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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 orders an increase in a magnesium sulfate drip to 2 g/h for a patient in labor.The medication has a concentration of 10 g magnesium sulfate in 200 mL of lactated Ringer's solution.The IV pump should be programmed for how many milliliters per hour? ___________
Q2) Round the answer to the nearest whole number.With your initial rounding,you find a Pitocin drip at 15 mL/h.With a Pitocin concentration of 30 units per 500 mL of lactated Ringer's solution,how many milliunits per minute of Pitocin is the patient receiving?
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 20 g magnesium sulfate in 100 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 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? _________
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Page 23