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PRACTICE TEST
B. 9:42 p.m.
C. 10:30 p.m.
D. 11:18 p.m.
27.A doctor has ordered 500 ml of normal saline solution with 20 mEq of
potassium chloride to infuse over 4 hours for a patient with hypokalemia and
cardiomyopathy. The infusion is to run on an I.V. pump with a drip factor of 10
gtt/ml. What should the flow rate be?
A. 8.3 gtt/min
B. 21 gtt/min
C. 64 gtt/min
D. 83 gtt/min
28.If an infant weighs 2,500 g. How many kilograms does he weigh?
A. 0.025 kg
B. 0.25 kg
C. 2.5 kg
D. 25 kg
29.When you weigh an infants wet diapers, you note the total weight is 0.5 kg.
What is the weight of the diapers in grams?
A. 5 g
B. 50 g
C. 500 g
D. 5,000 g
30.A patient with pneumonia complaints of an irritating cough. If he takes tsp
of benzonatate (Tessalon), how many fluidrams is he taking?
A. fluidrams
B. 71/2 fluidrams
C. 75 fluidrams
D. 750 fluidrams
31.A patient is admitted with an acute myocardial infarction and is given a total
of 15 g aspirin during his hospital stay. This is equivalent to how many grains?
A. 125 gr
B. 150 gr
C. 200 gr
D. 225 gr
32.A patient is told by the home health nurse to take 1 Tbsp of potassium
chloride because her potassium level remains below normal. The bottle
contains potassium chloride in a concentration of 40 mEq/30 ml. How many
milliequivalents must she take per dose?
A. 0.2 mEq
B. 2 mEq
C. 4 mEq
D. 20 mEq
33.A doctor orders 300 mg of ranitidine hydrochloride (Zantac) twice a day for a
patient with gastro esophageal reflux disease. How many tablets will the
patient receive at each dose if the tablets are labeled 150 mg/tablet?
A. 1/5 tablet
B. 1 tablet
C. 2 tablets
D. 20 tablets
34.A doctor orders a hypokalemic patient taking digoxin to receive 40 mEq of
potassium chloride. The only tablets available are each marked 10 mEq.
How many tablets should the patient receive?
A. tablet
B. 2 tablets
C. 4 tablets
D. 10 tablets
35.A doctor orders 2 g of ceftazidime in 100 ml of dextrose 5% in water to be
infused over 30 minutes for a patient with pneumonia. What is the infusion
rate?
A. 100 ml/hr
B. 150 ml/hr
C. 200 ml/hr
D. 225 ml/hr
36.A doctor has ordered 2 g of ceftriaxone sodium (Rocephin) in 100 ml of
normal saline solution to infuse over 1 hour for a patient with peritonitis. If
the macro drip infusion set used has a drip factor of 20 gtts/ ml. How many
drops per minute will the patient receive?
A. 33 gtt/min
B. 50 gtt/min
C. 60 gtt/min
D. 83 gtt/min
37.A patient with cirrhosis is receiving an I.V. infusion of dextrose 5% in normal
saline solution at 75 ml/hr. The 500 ml bag was started at 3:00 p.m. What
time will it be finished?
A. 8:00 p.m.
B. 8:35 p.m.
C. 9:40 p.m.
D. 10:05 p.m.
38.A postoperative patient with bacteremia has an order for 1,000 ml of
dextrose 5% in normal saline solution over 8 hours, followed by 1,000 ml of
dextrose 5% in half-normal saline over 12 hours. The tubing drip factor is 15
gtt/ ml. What is the correct flow rate for each of these infusions?
A. 23 gtt/min and 12 gtt/min
B. 26 gtt/min and 21 gtt/min
C. 31 gtt/min and 21 gtt/min
D. 54 gtt/min and 42 gtt/min
Heparin is currently infusing at 13 ml/hr on a patient with a pulmonary embolism.
The concentration is 25,000 U of heparin in 250 ml of dextrose 5% in water. The
patient weighs 86 kg.
Questions 39 to 40 refer to this situation.
39.What dose of heparin, in units per hour, is the patient receiving?
A. 750 U/hr
B. 1,000 U/hr
C. 1,300 U/hr
D. 2,500 U/hr
40.What is the dose of heparin in units per kilograms per hour?
A. 10 U/kg/hr
B. 15 U/kg/hr
C. 18 U/kg/hr
D. 20 U/kg/hr
41.Mrs. Martin receives Motrin 800 mg po three times a day for arthritis pain.
The drug is supplied in 400 mg tablets. How many tablets will the nurse
administer?
A. tab
B. 2 tab
C. 4 tab
D. 6 tab
42.The physician orders lithium carbonate 0.6 g po two times a day. The drug is
supplied in 300-mg scored tablets. How many tablets will the nurse
administer per day?
A. 1 tab
B. 2 tab
C. 3 tab
D. 4 tab
43.The physician orders Gantrisin 4 g po now, then 2 g q6 h. Each tablet of
Gantrisin is available at 0.5 g sulfisoxazole. How many tablets will be given
for the stat dose?
A. 4 tabs
B. 8 tabs
C. 2 tabs
D. 6 tabs
44.The physician orders ampicillin 0.5 g po four times a day. The drug is supplied
in 250-mg capsules. How many capsules will the nurse administer?
A. 1 cap
B. 2 cap
C. 3 cap
D. 4 cap
45.The physician orders aspirin 975 mg po four times a day. Aspirin 325-mg
tablets are available. How many tablets will the nurse administer?
A. 1 tab
B. 2 tab
C. 3 tab
D. 4 tab
46.The physician orders phenobarbital 45 mg po two times a day. Phenobarbital
elixir, 20 mg/5 mL, is available. How many milliliters will the nurse
administer?
A. 11.25 mL
B. 2.2 mL
C. 22.5 mL
D. 4.4 mL
47.The physician orders Thorazine 20 mg po q4 h. The drug is available in 120
mL bottle of Thorazine syrup containing 10 mg/5 mL. How many milliliters will
the nurse administer?
A. 10 mL
B. 20 mL
C. 30 mL
D. 40 mL
48.The order states Kantrex 400 400 mg IM q12 h. The drug is supplied as 0.5
g/2 mL. How many milliliters will the nurse administer?
A. 0.8 mL
B. 1.6 mL
C. 1 mL
D. 2 mL
49.Mrs. Taylor has a long history of seizures. Elixir of phenobarbital 30 mg po
q12 h is ordered. The medication on hand is a 16-oz bottle which contains 20
mg Phenobarbital per 5 mL. How many milliliters will the nurse administer per
dose?
A. 1.5 mL
B. 7.5 mL
C. 5 mL
D. 24 mL
50.Mr. Ceney, admitted for contact dermatitis, receives elixir of Benadryl 10 mL
po q6 h prn for relief of itching. The drug is supplied as 12.5 mg/5 mL. This
dose delivers ______ mg
A. 12.5 mg
B. 6.25 mg
C. 25 mg
D. 18.75 mg
51.The physician orders streptomycin 500 mg IM q12 h for your patient with an
infection. The vial contains 2.5 mL streptomycin with 400 mg/mL
concentration. How many milliliters will you administer?
A. 0.5 mL
B. 0.75 mL
C. 1.25 mL
D. 1.5 mL
52.Your patient with atrial valve repair has Lanoxin 110 mcg IV q12 h ordered.
The ampule contains 0.5 mg Lanoxin in 2 mL. How many milliliters will you
prepare?
A.
B.
C.
D.
2.2 mL
4.4 mL
0.22 mL
0.44 mL
53.The physician orders atropine 0.3 mg IM at 0615. Atropine vial contains 0.4
mg per mL in 20 mL bottle. How many millilitres will the nurse administer?
A. 0.75 mL
B. 15 mL
C. 1.3 mL
D. 26.7 mL
54.The physician orders ranitidine hydrochloride 50 mg IM q6 hr. Each mL of
aquaeous solution contains ranitine 25 mg. How many milliliters will the
nurse administer?
A. 0.5 mL
B. 1 mL
C. 1.5 mL
D. 2 mL
55.Your patient with CHF requires furosemide 30 mg IV stat. The vial contains 40
mg furosemide per 4 mL. How many milliliters will you administer?
A. 0.75 mL
B. 1 mL
C. 2 mL
D. 3 mL
56.The physician orders D5W 1000 mL plus sodium bicarbonate (NaHCO3) 25.8
mEq at 12 mL/hr IV. NaHCO3 is supplied in a 50-ml ampule containing 44.6
mEq. How many milliliters of NaHCO3 will be added to the 1000 mL of D5W?
A. 0.6 mL
B. 86 mL
C. 28.9 mL
D. 29.9 mL
57.Mrs. Carroll requires Apresoline 10 mg IM q6 h for high blood pressure.
Appresoline is supplied in 1-mL ampules containing 20 mg. How many
milliliters will the nurse prepare?
A. 0.5 mL
B. 1 mL
C. 1.5 mL
D. 2 mL
58.The physician orders D5W 250 mL plus NaCL 7.5 mEq at 2 mL IV per hour.
NaCl is supplied in a 40-mL vial containing 2.5 mEq/mL. How many milliliters
of NaCl will be added to the 250 mL of D5W?
A. 1 mL
B. 2 mL
C. 3 mL
D. 120 mL
59.The physician orders ascorbic acid 0.52 g IM daily for your patient admitted
with an alcohol abuse problem. You have ascorbic acid 500 mg/mL. How
many milliliters will you administer?
A. 1 mL
B. 1.1 mL
C. 1.2 mL
D. 1.3 mL
60.The physician orders D5W 250 mL plus calcium gluconate 5 mEq at 2 mL per
hour. Calcium gluconate is supplied in a 10-mL ampule containing 4.8 mEq.
How many mEq of calcium gluconate will be received by the patient per
hour?
A. 0.02 mEq/h
B. 0.04 mEq/h
C. 1 mEq/h
D. 10.4 mEq/h
61.Mrs. Schroeder has orders for Fragmin 5500 IU by subcutaneous injection
twice a day for system anticoagulation. You have Fragmin 10,000 IU/mL. How
many milliliters will you administer?
A. 5 mL
B. 1.8 mL
C. 0.55 mL
D. 1.1 mL
62.In preparation for his upcoming hip replacement surgery, Mr. Stone has
Epogen 36,000 units subcutaneous injection once three weeks before his
surgery. Epogen 40,000 units/mL is available. How many milliliters will the
nurse administer?
A. 0.7 mL
B. 0.8 mL
C. 0.9 mL
D. 1 mL
63.The physician orders penicillin V 300,000 units po four times a day for your
patient with chronic otitis. The drug is supplied in oral solution 200,000
units/5 mL. How many milliliters will you administer?
A. 1.5 mL
B. 7.5 mL
C. 0.67 mL
D. 1.33 mL
64.Your postoperative patient receives heparin 5000 units subcutaneously q12
hr. Heparin 2500 units/mL is available. How many milliliters will you
administer?
A. 1 mL
B. 1.5 mL
C. 2 mL
D. 2.5 mL
65.Miss Garrett has Pfizerpen 400,000 units IV q4h ordered for a severe
streptococcal infection. You add 75 mL of diluent to yield 250,000 u/mL. How
many milliliters will you administer?
A. 0.6 mL
B. 1.6 mL
C. 120 mL
D. 46.9 mL
66.Mr. Sinks has undergone aortic valve repair and has orders for heparin at
1000 units/h. The concentration is heparin 25,000 units in 250 mL of 0.9%
NS. How many milliliters per hour should the IV pump be set for?
A. 10 mL/h
B. 20 mL/h
C. 30 mL/h
D. 40 mL/h
67.You have an order for your patient with diabetes to receive regular insulin IV
at 12 units/h. The concentration is insulin 100 units in 250 mL of 0.9% NS.
How many milliliters per hour should the IV pump be set for?
A. 10 mL/h
B. 20 mL/h
C. 30 mL/h
D. 40 mL/h
68.The insulin order for the patient in the previous problem is reduced to 8
units/h. How many milliliters per hour should the IV pump be set for?
A. 10 mL/h
B. 20 mL/h
C. 30 mL/h
D. 40 mL/h
69.A patient who has undergone mitral valve repair has heparin ordered at 1000
units/h. The concentration is heparin 10,000 units in 500 mL of D5W. How
many milliliters per hour should the IV pump be programmed for?
A. 20 mL/h
B. 30 mL/h
C. 40 mL/h
D. 50 mL/h
70.The physician orders dobutamine at 12 mcg/kg/min for Mrs. White, who
weighs 75 kg. The concentration is dobutamine 1 g in 250 mL of D5W. How
many milliliters per hour should the IV pump be programmed for?
A. 12.5 mL/h
B. 125 mL/h
C. 13.5 mL/h
D. 135 mL/h
71.A postoperative patient has Kefzol 1 g ordered q8 h. The Kefzol is dissolved in
50 mL of D5W and is to be infused over 30 minutes. The tubing drop factor is
60 gtt/mL. How many drops per minute should be given?
A. 33 gtt/min
B. 60 gtt/min
C. 90 gtt/min
D. 100 gtt/min
72.A patient with aplastic anemia has an order for 1 unit of PRBCs (250 mL) to
be infused. The facilitys policy states to infuse the blood over 4 hours. The
tubing drop factor is 20 gtt/mL. How many drops per minute should be given?
A. 20 gtt/min
B. 21 gtt/min
C. 22 gtt/min
D. 23 gtt/min
73.Ms. Tung has an order for 500 mL of 0.9% NS IV over 4 hours for oliguria. The
drop factor is 10 gtt/mL. How many drops per minute should be given?
A. 20 gtt/min
B. 21 gtt/min
C. 22 gtt/min
D. 23 gtt/min
74.A patient with multiple antibiotic allergies has urinary tract infection.
Amikacin 250 mg IVPB q8 h has been ordered over 1 hour. The amikacin is
dissolved in 200 mL of D5W. The drop factor is 20 gtt/mL. How many drops
per minute should be given?
A. 8
B. 48
C. 56
D. 67
75.A malnourished patient has folic acid 1 mg in 50 mL of 0.9 NS ordered to
infuse over 30 minutes. An IV pump is not available. The nurse chooses a
tubing with a 60 gtt/mL drop factor. How many drops per minute should be
given?
A. 33 gtt/min
B. 60 gtt/min
C. 90 gtt/min
D. 100 gtt/min
76.The recommended dose of Retrovir for adults with symptomatic HIV infection
is 1 mg/kg infused over 1 hr q4h. Determine dosage for a client weighing 110
lb.
A. 25 mg
B. 50 mg
C. 25 mL
D. 50 mL
77.Order: Transfuse 1 unit PRBCs (250 mL) over 3 hr. The administration set
delivers 20 gtt/mL. At what rate in gtt/min should the IV infuse?
A. 21 gtt/min
B. 27 gtt/min
C. 28 gtt/min
D. 32 gtt/min
78.Order: Lactated Ringers solution 1000 mL to infuse at 80 mL/hr. The
administration set delivers 15 gtt/mL. At what rate in gtt/min should the IV
infuse?
A. 20 gtt/min
B. 21 gtt/min
C. 28 gtt/min
D. 32 gtt/min
79.A client is receiving 500 mg of Flagyl IVPB q8 h. The Flagyl has been placed in
a 100 mL D5W to infuse over 45 minutes. The administration set delivers 10
gtt/mL. At what rate in gtt/min should the IV infuse?
A. 20 gtt/min
B. 21 gtt/min
C. 22 gtt/min
D. 23 gtt/min
80.A client is to receive 10 mcg/min nitroglycerin IV. The concentration of
solution is 50 mg in 250 mL D5W. What should the flow rate be in mL/hr to
deliver 10 mcg/min?
A. 1 mL/hr
B. 2 mL/hr
C. 3 mL/hr
D. 4 mL/hr
81.The order reads heparin 2000 units sq. The nurse has on hand heparin 2,500
units/ml. How much in mL will the nurse administer?
A. 0.8
B. 0.5
C. 0.6
D. 0.9
82.Heparin 30,000 units in 1000 ml of normal saline is to be administered IV
over 24 hours via microdrip. The nurse should administer how many units of
heparin per hour?
A. 635
B. 1000
C. 1250
D. 125
83.Infuse 2000 ml of lactated Ringers over 12 hours. The drop factor is 15
gtts/ml. The nurse will regulate the IV to how many gtts per minute?
A. 28
B. 42
C. 56
D. 14
D. 5.1 mL
92.You have available lorazepam (Ativan) 0.5 mg tablets, and you need to
administer 1 mg PO. How many tablets will you administer?
A. tab
B. tab
C. 1 tab
D. 2 tab
93.A patient is instructed to take acetaminophen (Tylenol) liquid (elixir) 650 mg
qid. The elixir is 160 mg/5 mL. How many milliliter per dose should the
patient take?
A. 1 mL
B. 4 mL
C. 20 mL
D. 21 mL
94.The physician writes a now order for codeine 45 mg IM for a patient with a
vertebral compression fracture. You have on hand codeine 60 mg/2 mL. How
many milliliters should you give?
A. 0.75 mL
B. 1.3 mL
C. 1.5 mL
D. 2.7 mL
95.A patient with heart failure has a daily order for digoxin 0.25 mg PO. Digoxin
0.125 mg tablets are available. How many tablets should you give?
A. 1 tab
B. 2 tab
C. 3 tab
D. 4 tab
96.A patient on hemodialysis must maintain careful intake and output. For
breakfast he had 1 measured cup of coffee and 3 oz of milk on his cereal. For
lunch he drank 6 oz of lemonade and ate 1 cup of soup. For supper he drank
1 measured cup of coffee. He took his morning and evening pills with 4 oz of
water each time. Has he stayed within his 1000 mL fluid restriction?
A. Yes
B. No, he has exceeded the fluid restriction limit by 230 mL
C. No, he has exceeded the fluid restriction limit by 110 mL
D. No, he has exceeded the fluid restriction limit by 90 mL
97.You have on hand hydromorphone (Dilaudid) 4 mg/mL. You need to
administer 0.015 mg/kg to a patient who weighs 150 pounds. How many
milliliters should you administer?
A. 0.25 mL
B. 0.26 mL
C. 0.27 mL
D. 4 mL
98.You have an order to administer 40 mg of methadone SC for opioid
detoxification. You have on hand 30 mg/mL. How much should you draw into
the syringe?
A. 1.3 mL
B. 2.3 mL
C. 3.3 mL
D. 4.3 mL
99.A patient is placed on methadone maintenance therapy of 15 mg/day PO. It is
supplied as 10 mg in 5 mL oral solution. How many milliliters should you
instruct the patient to take?
A. 3 mL
B. 5 mL
C. 7.5 mL
D. 10 mL
100.
A homebound patient must take 400,000 units of nystatin PO every 4
hours, to swish in the mouth and then swallow. It is available as 100,000
units/5 mL. The patient has only household measuring spoons. How should
the patient be instructed to take the dose?
A. 1 tsp
B. 2 tsp
C. 3 tsp
D. 4 tsp