Medication Administration Final Exam
Course Introduction
Medication Administration is a fundamental course designed to provide students with the knowledge and practical skills required for the safe and effective administration of medications within healthcare settings. The course covers essential topics such as pharmacological principles, dosage calculations, medication routes, legal and ethical considerations, and patient safety protocols. Through theoretical learning and hands-on practice, students gain proficiency in preparing, administering, documenting, and monitoring various types of medications while prioritizing patient-centered care and minimizing the risk of medication errors. The course also emphasizes effective communication with patients and other healthcare professionals to ensure optimal therapeutic outcomes.
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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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.30 \(\times\) 6 = _____
Answer: xxiv
Q4) Perform the indicated operation and record the result in Roman numerals.(Use lowercase letters.)10 + 2 = _____
Answer: xii
Q5) Write the following Arabic number as a Roman numeral.(Use lowercase letters.)11 1/2 = _____
Answer: xiss
Q6) Perform the indicated operation and record the results in lowercase Roman numerals.13 + 7 = _____
Answer: xx
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Chapter 2: Fractions
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Sample Questions
Q1) Change the following mixed number to an improper fraction.12 1/8 = _____
Answer: 97/8
Q2) Change the following mixed number to an improper fraction.29 2/3 = _____
Answer: 89/3
Q3) Perform the indicated operation and reduce to lowest terms.1/12 \(\times\) 1/15 =
Answer: 1/180
Q4) Perform the indicated operation and reduce to lowest terms.3/5 \(\times\) 5 =
_____
Answer: 3/25
Q5) Perform the indicated operation and reduce to lowest terms.3/8 \(\times\) 1/3 =
Answer: 1/24
Q6) Express the following improper fraction as a mixed number.Reduce to lowest terms.24/18 = _____
Answer: 1 1/3
Q7) Arrange the following fractions from smallest to largest.1/6,1/5,1/8,1/4,1/3:
Answer: 1/8,1/6,1/5,1/4,1/3
Page 4
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Chapter 3: Decimals
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Sample Questions
Q1) Identify the decimal with the largest value in the following set. Answer: 0.86
Q2) Indicate the largest number in the following set. Answer: 1.25
Q3) Change the following to a decimal. Answer: 0.0125
Q4) Perform the indicated operation with decimals. Answer: 0.523
Q5) Divide the following decimal.Express answer to nearest hundredth. Answer: 0.27
Q6) Round off the following decimal to the nearest thousandth. Answer: 0.333
Q7) Round off the following decimal to the nearest tenth. Answer: 3.5
Q8) Indicate the largest number in the following set. Answer: 0.75
Q9) Round off the following decimal to the nearest tenth. Answer: 28.7
Q10) Round off the following decimal to the nearest thousandth. Answer: 0.625 Page 5
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Chapter 4: Ratio and Proportion
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Sample Questions
Q1) Solve for x in the following.500:3 = 350:x
x = _____
Q2) Solve for x in the following.4/2.6 = 5/x
x = _____
Q3) Solve for x.
2.2:1 = x:145
x = _____
Q4) Express the following dosage as a ratio.An injectable solution contains 500 mg in each 0.7 mL: _____
Q5) Solve for x.1/0.05 = x/0.1
x = _____
Q6) Express the following dosage as a ratio.A capsule contains 450 mg of medication: _____
Q7) Solve for x.Round to the nearest tenth.1:3.6 = x:170
x = _____
Q8) Solve for x in the following.11:121 = 3:x
x = _____
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Chapter 5: Percentages
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Sample Questions
Q1) Find the following percentage.8% of 32 = _____
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. 37.5% = _____
Q4) Change the following percentage to a fraction.Reduce to lowest terms.
Q5) Find the following percentage.16% of 79 = _____
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) 7.45 mL = _____ L
Q3) 5.2 kg = _____ g
Q4) 54.6 g = _____ kg
Q5) 1.57 kg = _____ g
Q6) 1 mg = _____ g
Q7) 26 mcg = _____ mg
Q8) 3,550 mL = _____ L
Q9) 8.3 L = _____ mL
Q10) 0.075 mg = _____ mcg
Q11) 1 kg = _____ g
Q12) 15 mg = _____ mcg
Q13) 450 mL = _____ L
Q14) 25.6 mg = _____ g
Q15) 1 L = _____ mL
Q16) Complete the following sentence with the correct word(s).The units of the metric Page 9
system are as follows: ____________________ (length),____________________ (volume),and ____________________ (weight).
Q17) 3,120 mcg = _____ mg
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Chapter 7: Apothecary and Household Systems
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Sample Questions
Q1) gr 1/15 = _____ mg
Q2) drop: _____
Q3) 50 mL = _____ qt
Q4) 10 tbs = _____ mL
Q5) 6 1/4 qt = _____ mL
Q6) teaspoon: _____
Q7) 2 1/4 cup = _____ mL
Q8) 16 T = _____ mL
Q9) 5 t = _____ mL
Q10) 750 mL = _____ pt
Q11) 30 mL = _____ oz
Q12) gr 4 1/4 = _____ mg
Q13) 1 oz is equivalent to:
A) 4 mL
B) 5 mL
C) 15 mL
D) 30 mL
11
Q14) 60 mg = gr _____
Q15) ounce: _____
Q16) 255 mL = _____ oz
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Chapter 8: Converting Within and Between Systems
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Sample Questions
Q1) 0.005 g = _____ mg
Q2) 1 mg = _____ g
Q3) 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 = _____
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) gr 90 = _____ g
Q6) A client's intake was the following:
3/4 cup of coffee (1 cup = 8 oz)1 can of ginger ale (1 can = 12 oz)1/2 glass of cranberry juice (1 glass = 6 oz)How many milliliters will you record on the intake and output (I&O)sheet? _____ mL
Q7) 4 1/4 qt = _____ mL
Q8) 0.3 mg = _____ g
Q9) A client received 5.4 liters of IV fluid during a surgical procedure.How many mL of IV fluid did the client receive? _____ mL
Q10) 4,176 g = _____ kg
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Chapter 9: Additional Conversions Useful in the Health Care Setting
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Sample Questions
Q1) 39S1U1P1\(\circ\)S1S1P0 C = _____ S1U1P1\(\circ\)S1S1P0 F
Q2) 27 cm = _____ in
Q3) 7.6 kg = _____ lb
Q4) 16 oz = _____ lb
Q5) In military time,4:08 PM is:
A) 0408 hours
B) 1508 hours
C) 1608 hours
D) 1708 hours
Q6) 134 lb = _____ kg
Q7) 6.4 lb = _____ kg
Q8) 34 mm = _____ cm
Q9) 1 cm = _____ mm
Q10) An IV started at 0550 is to be completed in 5 hr 10 min.Determine the completion time (military time)._____
Q11) 1 kg = _____ lb
Q12) 8 lb 12.2 oz = _____ kg Page 14
Q13) 18 lb 12 oz = _____ kg
Q14) A client's rash measures 5 cm \(\times\) 4 cm.How much does this measure in inches? _____ in
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Chapter 10: Medication Administration
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Sample Questions
Q1) A nurse enters a room to administer medications to a client.The order is for Prednisolone 2.5 mg p.o.
b.i.d.The nurse administers prednisone 25 mg p.o.:
Q2) Medication errors can result in prolonged hospitalization for a client._____
A)True
B)False
Q3) 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.
Q4) Technological advances have eliminated the occurrence of medication errors._____
A)True B)False
Q5) A nurse charts medications that she administered at 10 AM on October 1st for 10 AM on October 2nd: _______________
Q6) Medication ________________ avoids errors and assists in obtaining accurate medication histories of a client at transition points (admission,transfer,discharge).
Page 16
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Chapter 11: Understanding and Interpreting Medication
Orders
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Sample Questions
Q1) Verbal orders should be accepted only in _______________.
Q2) Complete the following sentence with the correct word or number.A medication order is written without a frequency.The nurse should ______________________________.
Q3) Complete the following sentence with the correct word or number.To ensure accuracy and prevent misinterpretation,place a _____ before the decimal point.
Q4) Immediately: _____
Q5) Every hour: _____
Q6) 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.
Q7) CPOE is an abbreviation for _______________.
Q8) The nurse is responsible for determining the times for a medication ordered t.i.d.at an institution._____
A)True
B)False
Q9) Twice a day: _____ Page 17
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Chapter 12: Medication Administration Records and Drug Distribution Systems
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Sample Questions
Q1) What are the client's medication allergies? ______________
Q2) When is the next dose of Tylenol for pain available on 1/16/09 for the client if needed?
Q3) K-Dur 20 mEq is ordered.What does mEq mean? _______________
Q4) What are the scheduled times for administering Colace? _______________
Q5) Identify the place on the MAR where the stat IV Lasix was charted._______________
Q6) 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.
Q7) Which medications are ordered to be administered "as necessary"?
Q8) If the digoxin was last administered on 1/16/09 at 9 AM,what is the next date and time it will be administered? _______________
Q9) How many times in a 24-hour period will Colace be administered? Page 19
Q10) How many times a day is Lasix administered? _______________
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Chapter 13: Reading Medication Labels
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Sample Questions
Q1) 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
Q2) 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
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Chapter 14: Dosage Calculation Using the Ratio and Proportion
Method
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Sample Questions
Q1) Order: Heparin 2,000 units subcut daily
Available: Heparin labeled 5,000 units per mL
Q2) Order: Ampicillin 0.375 g IM q6h
Available: Ampicillin 250 mg per mL
Q3) Order: Clindamycin 0.6 g IV q12h
Available: Clindamycin 300 mg per 2 mL
Q4) Order: Thorazine 25 mg p.o.t.i.d.Available: Thorazine syrup labeled 10 mg per 5 mL
Q5) Order: Thorazine 15 mg IM stat
Available: Thorazine 25 mg per mL
Q6) Order: Raloxifene HCl 60 mg p.o.
b.i.d.
Available: Raloxifene HCl tablets labeled 60 mg per tablet
Q7) Order: Heparin 2,500 units subcut stat
Available: Heparin labeled 10,000 units per mL (Express answer in hundredths.)
Q8) Order: Zofran 7 mg p.o.
b.i.d.
Available: Zofran oral solution labeled 4 mg per 5 mL
Q9) Order: Amoxil 0.5 g p.o.q6h
Available: Amoxil capsules labeled 250 mg per capsule Page 22
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Chapter 15: Dosage Calculation Using the Formula Method
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Sample Questions
Q1) Order: Raloxifene HCl 60 mg p.o.
b.i.d.
Available: Raloxifene HCl tablets labeled 60 mg per tablet
Q2) Order: Ketorolac 16 mg IV q6h p.r.n.for pain
Available: Ketorolac 30 mg per mL
Q3) Order: Clindamycin 0.6 g IV q12h
Available: Clindamycin 300 mg per 2 mL
Q4) Order: Ampicillin 0.375 g IM q6h
Available: Ampicillin 250 mg per mL
Q5) Order: Zofran 7 mg p.o.
b.i.d.
Available: Zofran oral solution labeled 4 mg per 5 mL
Q6) Order: Heparin 2,500 units subcut stat
Available: Heparin labeled 10,000 units per mL (Express answer in hundredths.)
Q7) Order: Thorazine 15 mg IM stat
Available: Thorazine 25 mg per mL
Q8) Order: Calcijex 1.5 mcg IV daily on Mon.,Wed.,Fri.Available: Calcijex 1 mcg per mL
Q9) Order: Heparin 2,000 units subcut daily
Available: Heparin labeled 5,000 units per mL
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Chapter 16: Dosage Calculation Using the Dimensional Analysis Method
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Sample Questions
Q1) Order: Heparin 2,000 units subcut daily
Available: Heparin labeled 5,000 units per mL
Q2) Order: Clindamycin 0.6 g IV q12h
Available: Clindamycin 300 mg per 2 mL
Q3) Order: Heparin 2,500 units subcut stat
Available: Heparin labeled 10,000 units per mL (Express answer in hundredths.)
Q4) Order: Calcijex 1.5 mcg IV daily on Mon.,Wed.,Fri.Available: Calcijex 1 mcg per mL
Q5) Order: Zofran 7 mg p.o.
b.i.d.
Available: Zofran oral solution labeled 4 mg per 5 mL
Q6) Order: Thorazine 15 mg IM stat
Available: Thorazine 25 mg per mL
Q7) Order: Ampicillin 0.375 g IM q6h
Available: Ampicillin 250 mg per mL
Q8) Order: Thorazine 25 mg p.o.t.i.d.Available: Thorazine syrup labeled 10 mg per 5 mL
Q9) Order: Amoxil 0.5 g p.o.q6h
Available: Amoxil capsules labeled 250 mg per capsule
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Chapter 17: Calculation of Oral Medications
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Sample Questions
Q1) Sublingual tablets must never be _______________ but placed _______________ the tongue.
Q2) Order: Synthroid 0.15 mg p.o.daily
Available: Synthroid tablets labeled 75 mcg
Dosage: _____ tab(s)
Q3) Order: Estrace 2 mg p.o.daily
Available: Scored tablets labeled 0.5 mg and 1 mg
a.Which dosage strength would be appropriate to use and why? _______________
b.How many tablets will you administer? _____ tab(s)
Q4) Order: Diazepam 4 mg via nasogastric tube t.i.d.Available: Diazepam oral solution 5 mg per 5 mL
a.How many milliliters should the client receive per dosage? _____ mL
b.How many milligrams will the client receive per day? _____ mg
Q5) Order: Coreg 6.25 mg p.o.
a.How many tablets should the client receive per dosage? _____ tab(s)
b.How many milligrams will the client receive per day? _____ mg
b.i.d.
Available: Coreg tablets labeled 3.125 mg
Q6) Enteric-coated tablets and time-release tablets should never be
26
Q7) An elongated tablet for easy swallowing is referred to as a _______________.
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Chapter 18: Parenteral Medications
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Sample Questions
Q1) 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
Q2) 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
Q3) The calibrations on a syringe that indicate the capacity can be found on the _______________.
Q4) The route that is used for diagnostic purposes is called _______________.
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 term used for injectable medications is _______________.
Q7) Order: Furosemide 15 mg IM every day
Available: Furosemide labeled 20 mg per 2 mL
How many milliliters will you administer? _____ mL
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Chapter 19: Reconstitution of Solutions
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Sample Questions
Q1) 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: _______________
Q2) 360 mL of 1/4 strength Ensure percutaneous endoscopic (PEG)tube over 4 hours
Q3) Prepare irrigant 250 mL 1/2 strength solution:
Q4) 800 mL of 3/4 strength Sustacal via gastrostomy over 6 hours
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) 1,000 mL (1 L)of Lactated Ringer solution every 8 hours
Q2) List the components and percentage strengths of the following IV solutions. a.D5¼S
b.D5NS 10 mEq KCl
c.D5RL
Q3) _______________ devices allow a client to self-administer pain medication.
Q4) In IV fluid abbreviations,D5NS identifies what IV fluid? _______________
Q5) 500 mL 1/2 NS sodium chloride (NaCl): _____
Q6) 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 _______________.
Q7) An electronic infusion control device used to administer IV fluids is referred to as a _______________.
Q8) 1,000 mL (1 L)of 5% dextrose in water to infuse at a rate of 100 mL per hour
Q9) 5 L D10W dextrose: _______________
Q10) The name for the main infusion administration set is _______________.
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Chapter 22: Intravenous Calculations
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Sample Questions
Q1) 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? _____
Q2) Clindamycin 600 mg in 100 mL D5W over 1 1/2 hours: _____
Q3) Drop factor of 15 on the package of a continuous IV administration set indicates what? ______________________________
Q4) 3,000 mL D5W at 125 mL/hr
a.10 gtt/mL _____
b.15 gtt/mL _____
c.20 gtt/mL _____
d.60 gtt/mL _____
Q5) 100 mL D5 ½/2 NS at 40 mL/hr
a.Determine the infusion time: _____
b.The IV was started at noon.When will the infusion be complete? _____
Q6) When an IV medication is injected directly into a vein,the procedure is referred to as ________________.
Q7) Zosyn 2 g in 100 mL D5W over 40 minutes: _____
Q8) An IV of 1,000 mL 0.9 % NS is infusing at 18 macrogtt/min.The drop factor is 15 gtt/mL.How long will it take for the IV to infuse? (Express time in hours and minutes.):
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Chapter 23: Heparin Calculations
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Sample Questions
Q1) Order: 40 units/kg/hr heparin IV.The client weighs 50 kg.How many units should the client receive per hour? _____
Q2) Which solution of heparin is more concentrated: 1,000 units per mL or 10,000 units per mL? _____
Q3) 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: _____
Q4) Order: 50,000 units of heparin in 1 L D5 0.9% NS to infuse at 40 mL/hr units/hr = _____
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: 25,000 units of heparin in 250 mL D5W to infuse at 8 mL/hr units/hr = _____
Q7) Order: 30,000 units of heparin in 500 mL D5W to infuse at 15 mL/hr units/hr = _____
Q8) 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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Sample Questions
Q1) A client is receiving procainamide 1 g in 500 mL D5W at 120 mL/hr
a.mg/hr: _____
b.mg/min: _____
Q2) 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: _____
Q3) 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) 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: _____
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) 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?
Q2) The recommended dosage of Mezlin for an adult with a serious infection is 200 to 300 mg/kg/day given in four to six divided dosages.The adult weighs 175 lb.
a.What is the adult's weight in kilograms? _____
b.What is the 24-hour dosage range for the 175-lb adult in milligrams? _____
c.What is the dosage range in grams? _____
Q3) An adolescent who measures 157.5 cm and weighs 59.1 kg: _____ m<sup>2</sup>
Q4) 170 cm and 50 kg: _____ m<sup>2</sup>
Q5) The recommended dosage of methotrexate is 25 to 75 mg/m<sup>2</sup>/wk.The child's height is 30 inches and the weight is 25 lb.
a.What is the child's BSA? _____
b.What is the recommended dosage range? _____
Q6) 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? _____
Page 34
Q7) A child who measures 26 inches and weighs 36 lb: _____ m<sup>2</sup>
Q8) An adult who is 67 inches tall and weighs 175 lb: _____ m<sup>2</sup>
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