Practical Nursing Exam Preparation Guide
Course Introduction
Practical Nursing is a comprehensive course designed to equip students with the foundational knowledge and hands-on skills required to become effective and compassionate licensed practical nurses (LPNs). The curriculum covers essential aspects of nursing care, including anatomy and physiology, patient assessment, pharmacology, and medical-surgical procedures. Through a combination of classroom instruction, laboratory practice, and supervised clinical placements, students learn to deliver safe and ethical care to patients across the lifespan in a variety of healthcare settings. Emphasis is placed on developing strong communication, critical thinking, and teamwork abilities essential for success in todays dynamic healthcare environment.
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 results in lowercase Roman numerals.6 \(\times\)3 = _____
Answer: xviii
Q2) Perform the indicated operation and record the results in lowercase Roman numerals.30 \(\times\) 6 = _____
Answer: xxiv
Q3) Perform the indicated operation and record the result in Roman numerals.(Use lowercase letters.)29 \(\times\) 1 = _____
Answer: xxviii
Q4) Write the following Arabic number as a Roman numeral.(Use lowercase letters.)18 =
Answer: xviii
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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Available
Chapter 2: Fractions
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Change the following improper fraction to a whole or mixed number.1500/100 = Answer: 15
Q2) Reduce the following fraction to lowest terms.54/81 = _____ Answer: 2/3
Q3) Reduce the following fraction to lowest terms.34/102 = _____ Answer: 1/3
Q4) Perform the indicated operation and reduce to lowest terms.3/5 \(\times\) 5 =
_____ Answer: 3/25
Q5) Perform the indicated operation with fractions.Reduce to lowest terms as indicated.56 \(\times\) 9/20 = _____ Answer: 124 4/9
Q6) Perform the indicated operation with fractions.Reduce to lowest terms as indicated.1/5 + 1/2 + 1/4 = _____ Answer: 19/20
Q7) Change the following improper fraction to a whole or mixed number.325/16 = _____ Answer: 20 5/16
Q8) Change the following mixed number to an improper fraction.6 7/10 = _____ Answer: 67/10
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Chapter 3: Decimals
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Sample Questions
Q1) Perform the indicated operation with decimals. Answer: 1.74
Q2) Round off the following decimal to the nearest thousandth. Answer: 0.333
Q3) Divide the following decimal.Express answer to nearest hundredth. Answer: 0.27
Q4) Indicate the largest number in the following set. Answer: 0.75
Q5) Round off the following decimal to the nearest thousandth. Answer: 0.625
Q6) Round off the following decimal to the nearest tenth. Answer: 1.5
Q7) Perform the indicated operation with decimals. Answer: 64.091
Q8) Indicate the largest number in the following set. Answer: 1.25
Q9) Change the following to a decimal. Answer: 0.0125
Page 5
Q10) Identify the decimal with the largest value in the following set. Answer: 0.86
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Chapter
4: Ratio and Proportion
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11 Flashcards
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Sample Questions
Q1) Solve for x in the following.500:3 = 350:x
x = _____
Q2) Solve for x.Round to the nearest tenth.1:3.6 = x:170
x = _____
Q3) Express the following dosage as a ratio.A capsule contains 450 mg of medication:
Q4) Express the following dosage as a ratio.An injectable solution contains 500 mg in each 0.7 mL: _____
Q5) Solve for x in the following.4/2.6 = 5/x
x = _____
Q6) Solve for x.
2.2:1 = x:145
x = _____
Q7) Solve for x in the following.11:121 = 3:x
x = _____
Q8) Solve for x.1/0.05 = x/0.1
x = _____
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Chapter 5: Percentages
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8 Flashcards
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Sample Questions
Q1) Change the following percentage to a ratio and its decimal equivalent.8% = _____;
Q2) Change the following percentage to a fraction.Reduce to lowest terms.
Q3) Find the following percentage.16% of 79 = _____
Q4) Change the following percentage to a fraction. Reduce to lowest terms. 37.5% = _____
Q5) Change the following percentage to a ratio and its decimal equivalent.45% = _____; _____
Q6) Find the following percentage.8% of 32 = _____
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8
Chapter 6: Metric System
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17 Flashcards
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Sample Questions
Q1) Complete the following sentence with the correct word(s).The units of the metric system are as follows: ____________________ (length),____________________ (volume),and ____________________ (weight).
Q2) 1 mg = _____ g
Q3) 0.081 g = _____ mg
Q4) 3,550 mL = _____ L
Q5) 5.2 kg = _____ g
Q6) 26 mcg = _____ mg
Q7) 25.6 mg = _____ g
Q8) 7.45 mL = _____ L
Q9) 8.3 L = _____ mL
Q10) 1.57 kg = _____ g
Q11) 450 mL = _____ L
Q12) 1 kg = _____ g
Q13) 1 L = _____ mL
Q14) 54.6 g = _____ kg Page 9
Q15) 0.075 mg = _____ mcg
Q16) 15 mg = _____ mcg
Q17) 3,120 mcg = _____ mg
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Page 10
Chapter 7: Apothecary and Household Systems
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) 10 tbs = _____ mL
Q2) 15 mL = _____ oz
Q3) ounce: _____
Q4) gr 4 1/4 = _____ mg
Q5) The correct abbreviation for teaspoon is: A) Tsp
B) tsp
C) Tbs D) tbs
Q6) 30 mL = _____ oz
Q7) gr 1/15 = _____ mg
Q8) 60 mg = gr _____
Q9) 750 mL = _____ pt
Q10) 5 t = _____ mL
Q11) 16 T = _____ mL
Q12) 255 mL = _____ oz
Q13) teaspoon: _____
11
Q14) 2 1/4 cup = _____ mL
Q15) 50 mL = _____ qt
Q16) 6 1/4 qt = _____ mL
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Chapter 8: Converting Within and Between Systems
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Sample Questions
Q1) 0.005 g = _____ mg
Q2) A client drinks 300 mL of magnesium citrate.How many ounces did the client consume? _____ ounces
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) 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 = _____
Q5) 28.2 kg = _____ lb
Q6) gr 90 = _____ g
Q7) 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
Q8) 1 mg = _____ g
Q9) 0.3 mg = _____ g
Q10) 59 lb = _____ kg (Round answer to the nearest tenth)
Q11) 4 1/4 qt = _____ mL
Q12) 4,176 g = _____ kg Page 13
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Page 14
Chapter 9: Additional Conversions Useful in the Health Care Setting
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Sample Questions
Q1) 9 lb 9 oz = _____ kg
Q2) 82 1/2 lb = _____ kg
Q3) 63 kg = _____ lb
Q4) 34 mm = _____ cm
Q5) A client's rash measures 5 cm \(\times\) 4 cm.How much does this measure in inches? _____ in
Q6) A wound measures 4.2 cm in length.How many mm is this? _____ mm
Q7) An IV started at 3:10 AM is to be completed in 12 hr 30 min.Determine the completion time (traditional time)._____
Q8) 102S1U1P1\(\circ\)S1S1P0 F = _____ S1U1P1\(\circ\)S1S1P0 C
Q9) In military time,4:08 PM is:
A) 0408 hours
B) 1508 hours
C) 1608 hours
D) 1708 hours
Q10) 41 lb 2 oz = _____ kg
Q11) 7.6 kg = _____ lb
Page 15
Q12) 134 lb = _____ kg
Q13) 1 inch = _____ cm
Q14) 20.8 kg = _____ lb
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Page 16
Chapter 10: Medication Administration
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Sample Questions
Q1) A nurse who administers a medication that is unsafe is liable for the error._____
A)True
B)False
Q2) A nurse has an order for heparin 5,000 units subcut for a client in room 407 whose name is Henry Jones (initials HJ).The nurse enters room 408 and administers the medication to Horace Jackson (initials HJ): _______________
Q3) 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.:
Q4) Medication ________________ avoids errors and assists in obtaining accurate medication histories of a client at transition points (admission,transfer,discharge).
Q5) Technological advances have eliminated the occurrence of medication errors._____
A)True
B)False
Q6) A nurse charts medications that she administered at 10 AM on October 1st for 10 AM on October 2nd: _______________
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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) Twice a day: _____
Q3) CPOE is an abbreviation for _______________.
Q4) "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.
Q5) Complete the following sentence with the correct word or number.A medication order is written without a frequency.The nurse should
Q6) Immediately: _____
Q7) A p.r.n.order must indicate the minimum time between dosages,such as q4h._____
A)True
B)False
Q8) Every four hours: _____ Page 18
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Chapter 12: Medication Administration Records and Drug Distribution Systems
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) When is the next dose of Tylenol for pain available on 1/16/09 for the client if needed?
Q2) Identify the place on the MAR where the stat IV Lasix was charted._______________
Q3) Which medications have an assessment indicated prior to administration and what is the assessment? _______________
Q4) 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.
Q5) K-Dur 20 mEq is ordered.What does mEq mean? _______________
Q6) A medicine ordered q6h would be given how many times a day? _____
A) 4
B) 6
C) 8
D) 12
20
Q7) What are the scheduled times for administering Colace? _______________
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Chapter 13: Reading Medication Labels
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14 Flashcards
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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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12 Verified Questions
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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: Heparin 2,500 units subcut stat
Available: Heparin labeled 10,000 units per mL (Express answer in hundredths.)
Q3) Order: Zofran 7 mg p.o.
b.i.d.
Available: Zofran oral solution labeled 4 mg per 5 mL
Q4) Order: Ampicillin 0.375 g IM q6h
Available: Ampicillin 250 mg per mL
Q5) Order: Calcijex 1.5 mcg IV daily on Mon.,Wed.,Fri.Available: Calcijex 1 mcg per mL
Q6) Order: Clindamycin 0.6 g IV q12h
Available: Clindamycin 300 mg per 2 mL
Q7) Order: Ketorolac 16 mg IV q6h p.r.n.for pain
Available: Ketorolac 30 mg per mL
Q8) Order: Heparin 2,000 units subcut daily
Available: Heparin labeled 5,000 units per mL
Q9) Order: Raloxifene HCl 60 mg p.o.
b.i.d.
Available: Raloxifene HCl tablets labeled 60 mg per tablet Page 22
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Page 23
Chapter 15: Dosage Calculation Using the Formula Method
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Order: Heparin 2,000 units subcut daily
Available: Heparin labeled 5,000 units per mL
Q2) Order: Thorazine 15 mg IM stat
Available: Thorazine 25 mg per mL
Q3) Order: Calcijex 1.5 mcg IV daily on Mon.,Wed.,Fri.Available: Calcijex 1 mcg per mL
Q4) Order: Zofran 7 mg p.o.
b.i.d.
Available: Zofran oral solution labeled 4 mg per 5 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: Thorazine 25 mg p.o.t.i.d.Available: Thorazine syrup labeled 10 mg per 5 mL
Q8) Order: Raloxifene HCl 60 mg p.o.
b.i.d.
Available: Raloxifene HCl tablets labeled 60 mg per tablet
Q9) Order: Ketorolac 16 mg IV q6h p.r.n.for pain
Available: Ketorolac 30 mg per mL
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Chapter 16: Dosage Calculation Using the Dimensional
Analysis Method
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12 Verified Questions
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Sample Questions
Q1) Order: Ketorolac 16 mg IV q6h p.r.n.for pain
Available: Ketorolac 30 mg per mL
Q2) Order: Raloxifene HCl 60 mg p.o. b.i.d.
Available: Raloxifene HCl tablets labeled 60 mg per tablet
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: Thorazine 25 mg p.o.t.i.d.Available: Thorazine syrup labeled 10 mg per 5 mL
Q6) Order: Thorazine 15 mg IM stat
Available: Thorazine 25 mg per mL
Q7) Order: Clindamycin 0.6 g IV q12h
Available: Clindamycin 300 mg per 2 mL
Q8) Order: Calcijex 1.5 mcg IV daily on Mon.,Wed.,Fri.Available: Calcijex 1 mcg per mL
Q9) Order: Heparin 2,500 units subcut stat
Available: Heparin labeled 10,000 units per mL (Express answer in hundredths.) 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) Enteric-coated tablets and time-release tablets should never be _______________.
Q3) Sublingual tablets must never be _______________ but placed _______________ the tongue.
Q4) Order: Synthroid 0.15 mg p.o.daily
Available: Synthroid tablets labeled 75 mcg
Dosage: _____ tab(s)
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) 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)
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Q7) An elongated tablet for easy swallowing is referred to as a _______________.
Chapter 18: Parenteral Medications
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Sample Questions
Q1) Order: Furosemide 15 mg IM every day
Available: Furosemide labeled 20 mg per 2 mL
How many milliliters will you administer? _____ mL
Q2) 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
Q3) 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
Q4) The calibrations on a syringe that indicate the capacity can be found on the _______________.
Q5) The term used for injectable medications is _______________.
Q6) The route that is used for diagnostic purposes is called _______________.
Q7) 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?
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Page 28
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) 500 mL 1/2 NS sodium chloride (NaCl): _____
Q2) The name for the main infusion administration set is _______________.
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) In IV fluid abbreviations,D5NS identifies what IV fluid? _______________
Q6) 1,000 mL (1 L)of Lactated Ringer solution every 8 hours
Q7) 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) 5 L D10W dextrose: _______________
Q9) List the components and percentage strengths of the following IV solutions.
a.D5¼S
b.D5NS 10 mEq KCl
c.D5RL
Q10) _______________ devices allow a client to self-administer pain medication.
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Chapter 22: Intravenous Calculations
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Sample Questions
Q1) Ringer lactate is infusing at 45 microgtt/min.The drop factor is 60 gtt/mL.How much fluid volume will the client receive in 5 hours? _____
Q2) 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? _____
Q3) 40 units of Regular Humulin insulin in 100 mL 0.9% NS to infuse at 10 mL/hr.How many units per hour will be delivered? _____
Q4) 1,000 mL D5W infusing at 90 mL/hr
a.Determine the infusion time: _____
b.The IV was started at 2:00 AM.When will the infusion be complete? _____
Q5) 2,500 mL RL in 12 hr
a.10 gtt/mL _____
b.15 gtt/mL _____
c.20 gtt/mL _____
d.60 gtt/mL _____
Q6) 500 mL of Intralipid in 6 hours: _____
Q7) Ampicillin 1.5 g in 100 mL 0.9 % NS over 45 minutes: _____
Q8) 150 mL D5W 1/2 NS at 40 mL/hr infusing at 20 macrogtt/min.Drop factor: 15 gtt/mL.Calculate the infusion time: _____
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Chapter 23: Heparin Calculations
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Sample Questions
Q1) 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) Which solution of heparin is more concentrated: 1,000 units per mL or 10,000 units per mL? _____
Q3) Order: 45,000 units of heparin in 1,000 mL D5 ½/2 NS at 25 mL/hr units/hr = _____
Q4) 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? _____
Q5) Order: 25,000 units heparin IV in 250 mL 0.9% NS to infuse at 20 units/kg/hr.The client weighs 165 lb.
a.Weight in kilograms: _____
b.How many units will the client receive per hour? _____
Q6) Order: Infuse heparin at 2,000 units/hr IV from a solution containing 20,000 units of heparin in 500 mL D5W.How many milliliters will infuse per hour? _____ mL
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33
Chapter 24: Critical Care Calculations
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Sample Questions
Q1) 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: _____
Q2) 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: _____
Q3) A client is receiving procainamide 1 g in 500 mL D5W at 120 mL/hr
a.mg/hr: _____
b.mg/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) 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: _____
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Chapter 25: Pediatric and Adult Dosage Calculation Based on Weight
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Sample Questions
Q1) The recommended dosage of Zovirax for a child who is immunosuppressed and has a varicella-zoster infection is 500 mg/m<sup>2</sup>.The child weighs 26.5 lb and is 58 inches tall.
a.What is the child's BSA? _____
b.What is the recommended dosage? _____
Q2) 80 cm and 11 kg: _____ m<sup>2</sup>
Q3) Order: Epinephrine 0.25 mg IV stat
Available: Epinephrine 0.1 mg/mL
How many milliliters will you prepare to administer? _____ mL
Q4) An adult who is 67 inches tall and weighs 175 lb: _____ m<sup>2</sup>
Q5) 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: _____
Q6) 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? _____
Q7) 170 cm and 50 kg: _____ m<sup>2</sup>
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