Practical Nursing Exam Questions
Course Introduction
Practical Nursing is a comprehensive course designed to equip students with the foundational knowledge and essential hands-on skills required for a career as a licensed practical nurse (LPN). The curriculum covers fundamental nursing concepts, patient care techniques, medical terminology, pharmacology, and anatomy, as well as effective communication and ethical practices in healthcare settings. Through a combination of classroom instruction, laboratory simulations, and supervised clinical placements, students learn to provide compassionate, safe, and competent care to patients across the lifespan. This course prepares graduates to meet the licensure requirements and transition smoothly into professional nursing environments such as hospitals, long-term care facilities, and community health organizations.
Recommended Textbook
Calculate with Confidence 7th Edition by Morris
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Chapter 1: Roman Numerals
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Sample Questions
Q1) Perform the indicated operation and record the result in lowercase Roman numerals.
6 * 3 = _____
Answer: xviii
Q2) Write the following Arabic number as a lowercase Roman numeral.
18 = _____
Answer: xviii
Q3) Perform the indicated operation and record the result in lowercase Roman numerals.
13 + 7 = _____
Answer: xx
Q4) Write the following Arabic number as a lowercase Roman numeral. \(11 ^ { 1 } / _2\) = _____
Answer: xiss
Q5) Perform the indicated operation and record the result in lowercase Roman numerals.
29 - 1 = _____
Answer: xxviii
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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 improper fraction to a whole or mixed number. 1,500/100 = _____ Answer: 15
Q3) Perform the indicated operation with fractions. Reduce to lowest terms as indicated. 3 1/5 + 3 2/3 + 2 1/2 = _____ Answer: 12 11/30
Q4) Change the following mixed number to an improper fraction. 29 2/3 = _____ Answer: 89/3
Q5) Indicate which fraction is the largest. 1/100, 1/150, 1/200: _____ Answer: 1/100
Q6) A client drank 2/3 of a 12 ounce (oz) can of seltzer water. How many ounces of seltzer water did the client drink? ______ Answer: 8 oz
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Chapter 3: Decimals
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Sample Questions
Q1) Perform the indicated operation with decimals.
66.66 * 3.33 = _____
Answer: 221.9778
Q2) Identify the decimal with the largest value in the following set.
0.6, 0.128 = _____
Answer: 0.6
Q3) One dose of vaccine is 1.25 mL. How much vaccine is needed to vaccinate 55 clients in a clinic? (Round answer to the nearest tenth.) _____
Answer: 68.8 mL
Q4) Perform the indicated operation with decimals.
60 ÷ 0.012 = _____
Answer: 5,000
Q5) 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
Q6) Perform the indicated operation with decimals.
9.123 - 6.055 = _____
Answer: 3.068
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Chapter 4: Ratio and Proportion
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Sample Questions
Q1) Solve for x.
42:7 = 48:x x = ______
Q2) Solve for x. \(\frac { 0.25 } { 2 } = \frac { x } { 1 / 2 }\) x = _____
Q3) A low-fat cheese has 40 calories (cal) per oz. A client eats 2 1/2 oz of the low-fat cheese. How many cal has the client eaten? _____
Q4) If three tablets (tabs) contain 60 mg, how many tabs would need to be given for 80 mg? ______
Q5) If there are 2.5 centimeters (cm) to an inch, if a client is 70 inches (in.) tall, how tall is the client in cm? ____
Q6) If one glass of milk contains 300 milligrams (mg) of calcium, how many mg of calcium are in \(3 ^ { 1 } / _2\) glasses of milk? ______
Q7) Express the following dosage as a ratio. A capsule contains 450 mg of medication; _____
Q8) If 5oz of a solution contains 4 1/2 oz of water, how many oz of water are in 20 oz of solution? _______
Q9) If 1 ounce (oz) is equal to 30 mL, how many mL are there in \(4 ^ { 3 } / _4\) oz? (State answer as a decimal number.) ______
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Chapter 5: Percentages
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Sample Questions
Q1) Convert 42.5% to decimal form. _____
Q2) Convert 84.75% to decimal form. _____
Q3) A client consumed 30% of a bowl of broth. The bowl held 360 mL. How many mL of the broth did the client consume? _____
Q4) Find the following percentage. 8% of 32 = _____
Q5) A client drank 3 ounces (oz) of a glass of apple juice. This was 75% of the full amount. What was the full amount of apple juice? _____
Q6) Find the following percentage. \(\frac { 9 } { 10 } \%\) of 2,000 = _____
Q7) 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? _____
Q8) Change the following percentage to a ratio and its decimal equivalent. 45% = _____; _____
Q9) Change the following percentage to a ratio. \(16 \frac { 2 } { 3 } \%\) = _____
Q10) Following exercise, a client's pulse rate increased from 80 to 95. What is the percent of increase in the client's pulse rate? (State answer to the nearest tenth.) _____
Q11) Convert 0.925 to a percent. _____
Q12) Convert 2.96 to a percent. _____ Page 7
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Chapter 6: Metric System
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Sample Questions
Q1) Directions: Write the equivalent indicated.
0.008 L = _______ mL
Q2) Directions: Write the equivalent indicated.
9.5 mg = ________ mcg
Q3) Eight-tenths of a milliliter:
A) 8/10 ml
B) .8 mL
C) 0.8 mL
D) ml 0.8
Q4) Directions: Apply the guidelines relating to the use of leading and trailing zeros and express the following metric notations correctly.
02.05 kg
Q5) Directions: Write the equivalent indicated.
1 L = _____ mL
Q6) Directions: Write the equivalent indicated.
8.3 L = _____ mL
Q7) Directions: Write the equivalent indicated. 1 mg = _____ g
Q8) Directions: Write the equivalent indicated. 20 mg = ________ g
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Chapter 7: Apothecary and Household Systems
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Sample Questions
Q1) Directions: Write the equivalent indicated. \(5^1 /_ 4\) pt = ______ mL
Q2) Directions: Write the equivalent indicated. 13 t = _______ mL
Q3) Directions: Express the following value correctly. 20 MEQ
Q4) Directions: Write the equivalent indicated. 10 1/3 tbs = _______ mL
Q5) Directions: Write the equivalent indicated. 255 mL = _____ oz
Q6) Directions: Write the equivalent indicated. 10 tbs = _____ mL
Q7) Directions: Express the following value correctly. 18.0 Tbs
Q8) Directions: Write the equivalent indicated. 50 mL = _____ qt
Q9) The correct abbreviation for teaspoon is A) Tsp.
B) tsp.
C) tbs.
D) Tbs. Page 10
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Chapter 8: Converting Within and Between Systems
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Sample Questions
Q1) Directions: Write the equivalent indicated. 0.005 g = _____ mg
Q2) A client has an order for Maalox 30 mL p.o. at bedtime. How many tsb will the nurse instruct the client to take? _____ tsb
Q3) A client drinks 300 mL of magnesium citrate. How many ounces did the client consume? _____ oz
Q4) Directions: Write the equivalent indicated. 28.3 kg = _____ lb
Q5) A client drinks \(4 ^ { 3 } / _4\) cups (cup = 8 oz) of a liquid. How many mL did the client drink? ______ mL
Q6) Directions: Write the equivalent indicated. 1 mg = _____ g
Q7) 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
Q8) Directions: Write the equivalent indicated. 125 mL = ________ tsp
Q9) Directions: Write the equivalent indicated. 56 in. = ______ cm
12
Q10) Directions: Write the equivalent indicated. \(4^1 /_4\) qt = _____ mL
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Chapter 9: Additional Conversions Useful in the Health Care Setting
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Sample Questions
Q1) Directions: Convert as indicated. 16.2 in. = _____ cm
Q2) Directions: Convert the following weight as indicated. Round weight to the nearest tenth.
9 lb, 9 oz = _____ kg
Q3) Directions: Write the equivalent indicated. 1 in. = _____ cm
Q4) Directions: Convert the following temperature as indicated. 212° F = _____° C
Q5) Directions: Convert the following temperature as indicated. 82.8° F = ______° C
Q6) An IV started at 3:10 AM is to be completed in 12 hr 30 min. Determine the completion time (traditional time). _____
Q7) Directions: Convert the following temperature as indicated. 12.8° C = _____° F
Q8) Directions: Convert the following weight as indicated. Round weight to the nearest tenth.
8 lb, 12.2 oz = _____ kg
Q9) Directions: Write the equivalent indicated. Page 13
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Chapter 10: Medication Administration
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Sample Questions
Q1) Directions: For the following scenario, identify which of the "six rights" of medication administration has been violated. 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): _______________.
Q2) Technological advances have eliminated the occurrence of medication errors. A)True B)False
Q3) Directions: Complete the following sentence with the correct word or number. Administration of medications within 30 minutes of the scheduled time is referred to as the _____________.
Q4) Directions: For the following scenario, identify which of the "six rights" of medication administration has been violated.
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.: _______________,
Q5) The nurse can safely administer medications that are prepared by another nurse. A)True B)False
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Chapter 11: Understanding and Interpreting Medication
Orders
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Sample Questions
Q1) CPOE is an abbreviation for _______________.
Q2) Directions: For the following medication order indicate what component of the order is missing.
Demerol 75 mg IM prn.
Q3) Directions: For the following medication order indicate what component of the order is missing.
Trental 400 mg po.
Q4) Trailing zeros are necessary to avoid misinterpretation of a value.
A)True
B)False
Q5) Directions: Correct the following medication order using the ISMP list of Error-Prone
Abbreviations, Symbols, and Dose Designations.
Doxycycline 100 mg po bid pc
Q6) To indicate a medication is to be administered every day, the recommended abbreviation is qd.
A)True
B)False
Q7) Directions: Give the abbreviation for the following. Every hour: _____
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Chapter 12: Medication Administration Records and Medication
Distribution
Systems
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Sample Questions
Q1) The health care provider writes medication orders at 8 AM on March 10, 2014, for a client and signs the orders. Which order(s) should the nurse question? (Select all that apply.) _____________________________
A) Lasix 20 mg p.o. daily
B) Digoxin 0.125 mg p.o. everyday
C) Ampicillin 250 mg q6h
D) Multivitamin daily
E) Colace 200 mg p.o. t.i.d.
F) Tylenol 650 mg p.r.n. for pain
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) You work from 3 PM to 11 PM on May 3, 2017. Which standing medication will you administer to the client? _______________
Q4) How many times in a 24-hour period will K-Dur be administered?
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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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: Ampicillin 0.375 g IM q6h
Available: Ampicillin 250 mg per mL
Q2) Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated.
Order: Clindamycin 0.6 g IV q12h
Available: Clindamycin 300 mg per 2 mL
Q3) 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
Q4) 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
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Chapter 15: Dosage Calculation Using the Formula Method
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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: Compazine 8 mg p.o. stat
Available: Compazine syrup labeled 5 mg per 5 mL
Q2) 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
Q3) Directions: Calculate the following dosage using the formula 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
Q4) Directions: Calculate the following dosage using the formula 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
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Chapter 16: Dosage Calculation Using the Dimensional Analysis Method
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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: Calcijex 1.5 mcg IV daily on Mon., Wed., Fri.
Available: Calcijex 1 mcg per mL
Q2) 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
Q3) Directions: Calculate the following dosage using the dimensional analysis 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 dimensional analysis 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 17: Oral Medications
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Sample Questions
Q1) Directions: Complete with the correct word(s) or number.
Enteric-coated tablets and time-release tablets should never be _______________.
Q2) Directions: Complete with the correct word(s) or number.
The most common form of oral medication is the __________.
Q3) Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to the nearest tenth as indicated.
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
Q4) Directions: Complete with the correct word(s) or number. An elongated tablet for easy swallowing is referred to as a _______________.
Q5) 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 _______________.
Q6) Directions: Complete with the correct word(s) or number.
Sublingual tablets must never be _______________ but placed _______________ the tongue.
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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) 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
Q3) 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?
Q4) Directions: Complete the following statements with the correct word(s) or number(s).
The route that is used for diagnostic purposes is called _______________.
Q5) Directions: Complete the following statements with the correct word(s) or number(s).
The term used for injectable medications is _______________.
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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. Prepare irrigant 250 mL 1/2 strength solution: ______________________________
Q2) Directions: Prepare the following strength solutions. Describe your calculations. 360 mL of 1/4 strength Ensure percutaneous endoscopic (PEG) tube over 4 hours
Q3) Directions: Prepare the following strength solutions. Describe your calculations. 800 mL of 3/4 strength Sustacal via gastrostomy over 6 hours
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: Prepare the following strength solutions. Describe your calculations. 1/4 strength Ensure 8 oz p.o. q4h for 24 hours
Q6) 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
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Chapter 20: Insulin
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Sample Questions
Q1) What is the difference between the calibration of units on the 1-mL insulin syringe and on the Lo-Dose syringe? ______________________________
Q2) U-100 on the label of an insulin vial me ______________________________.
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Chapter 21: Intravenous Solutions and Equipment
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Sample Questions
Q1) 5 L D10W dextrose: _______________
Q2) Directions: Interpret the following IV orders.
1,000 mL (1 L) D5W to infuse at a rate of 100 mL per hour
Q3) Directions: Interpret the following IV orders.
1,000 mL (1 L) of L/R q8h
Q4) The name for the main infusion administration set is _______________.
Q5) 250 mL D5NS _______ g dextrose ________ g NaCl
Q6) 500 mL \(^1 /_ 2\) NS sodium chloride (NaCl): _____
Q7) List the components and percentage strengths of the following IV solutions.
a. D5
\(^1 / _4\) S
b. D5NS 10 mEq KCl
c. D5RL
Q8) _______________ devices allow a client to self-administer pain medication.
Q9) 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 _______________.
Q10) In IV fluid abbreviations, D5NS identifies what IV fluid? _______________
Q11) An IV pump is an example of an ___________ infusion device.
Q12) 0.5 L D \(5^1 / _4\) NS ________ g dextrose ________ g NaCl Page 26
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Chapter 22: Intravenous Calculations
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Sample Questions
Q1) Directions: Determine the following in drops per minute using the drop factor provided.
250 mL of packed cells in 4 hr a. mL/hr _____
b. gtt/min (drop factor: 20 gtt/mL): _____
Q2) 100 mL D5 \(^1 / _2\) /2NS at 40 mL/hr
a. Determine the infusion time: _____
b. The IV was started at noon. When will the infusion be complete? _____
Q3) Directions: Determine the following in drops per minute using the drop factor provided.
Lactated Ringer solution is infusing at 45 microgtt/min. The drop factor is 60 gtt/mL. How much fluid volume will the client receive in 5 hr? _____
Q4) Order: Digoxin 0.25 mg IV push. Infuse slowly over 5 min.
Available: Digoxin 0.5 mg/2 mL
How many milliliters should be infused per minute? _____
Q5) 250 mL 0.9% NS at 30 mL/hr
a. Determine the infusion time: _____
b. The IV was started at 7:00 PM. When will the infusion be complete? _____
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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) Order: Heparin bolus dosage of 40 units/kg IV prior to initiating a continuous infusion. The client weighs 132 lb.
Available: Heparin 1,000 units per mL
a. Calculate the bolus dosage ______________________
b. Calculate the number of mL that will be needed to administer the dose.
Q3) Order: 10,000 units of heparin in 500 mL 0.9% NS to infuse at 120 mL/hr units/hr = _____
Q4) Order: 40 units/kg/hr heparin IV. The client weighs 116 lb. How many units should the client receive per hour? _____
Q5) Order: Heparin 25,000 units in 500 mL D5W to infuse at 15 mL/hr. Calculate the hourly heparin dosage. _________________ units/hr
Q6) 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? _____
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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) 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 min 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.
Q3) Lidocaine to infuse at 3 mg/min. The solution available is 2 g of lidocaine in 500 mL D5W. Determine the IV flow rate. ____
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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Page 30
Chapter 25: Pediatric and Adult Dosage Calculation Based on Weight
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Sample Questions
Q1) Directions: Round dosage and weight to the nearest tenth as indicated. Use labels where provided.
The recommended dosage of Ticar for an adult with a complicated urinary tract infection is 150 to 200 mg/kg/day IV in divided dosages every 4 or 6 hrs. The adult weighs 194 lb.
a. What is the 24-hr dosage range for the 194-lb adult in milligrams? _____
b. What is the dosage range in grams? _____
c. The prescriber ordered 4 g IV q6h. Is the dosage ordered safe? _____ Explain:
Q2) Directions: Using the West nomogram or formula when indicated, calculate the following dosages. Express answer to the nearest tenth.
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? _____
Q3) 22 inches and 10 lb: _____ m<sup>2</sup>
Q4) An adult who is 67 inches tall and weighs 175 lb: _____ m<sup>2</sup>
Q5) 170 cm and 50 kg: _____ m<sup>2</sup>
Q6) A child who measures 26 inches and weighs 36 lb: _____ m<sup>2</sup>
Q7) An adult who measures 175 cm and weighs 85 kg: _____ m<sup>2</sup>
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