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RTRMF-COLLEGE OF NURSING
PHARMACOLOGY
ENHANCEMENT EXAM 2017

NAME: ________________________________________ SCORE: _____________

DIRECTION: WRITE THE LETTER BEFORE EACH NUMBER. NO ERASURES AND SUPERIMPOSITION.

1. Give Biaxin for a child whose BSA is 0.55 m2. The usual adult dose is 500 mg. Biaxin is available in an oral suspension. The
100ml bottle is labeled 50 mg/ml. How many ml would the nurse give per dose?
a. 3.2 ml
b. 1.6 ml
c. 1.2 ml
d. 5 ml

2. Give Tridil 15 mcg/min. Tridil is mixed 50 mg in 500 ml D5W. What rate on the infusion pump will deliver the correct dose?
a. 15 ml/hr
b. 9 ml/hr
c. 90 ml/hr
d. 150 ml/hr

3. The patients heparin drip is infusing at 11 ml/hr on an infusion pump. The bag of fluid is mixed 25,000 units of Heparin in
250 ml D5W. What hourly dose of Heparin is the patient receiving?
a. 1,100 units/hr
b. 2,000 units/hr
c. 2,500 units/hr
d. 1,000 units/hr

4. Give Phenergan for a child whose BSA is 1.2 m2 . The usual adult dose is 25 mg. How many milligrams would the nurse
administer for the dose?
a. 25 mg
b. 20.8 mg
c. 12 mg
d. 17.6 mg

5. One liter NS to infuse over 24 hours using a micro drip (gravity flow). Calculate the flow rate.
a. 10 gtt/min
b. 12 gtt/min
c. 28 gtt/min
d. 42 gtt/min

6. Give Fortaz mg/kg/day p.o. 50 mg/kg p.o. t.i.d. to a child who weighs 25.5 kg. Fortaz is available in an oral suspension
labeled 100 mg/ml. How many ml would the nurse administer per dose?
a. 12.8 ml
b. 10.8 ml
c. 0.8 ml
d. 0.5 ml
7. Doctors order: Amoxicillin 0.25 g p.o. every 8 hours; Available: Amoxicillin 125 mg tablets. How many tablets will the nurse
give per dose?
a. 2 tabs
b. 1.5 tabs
c. 1 tab
d. 0.5 tab

8. Doctors order: Morphine gr 1/10; Available: Morphine 10 mg/ml. How many ml will the nurse give?
a. 10 ml
b. 6 ml
c. 1 ml
d. 0.6 ml

9. Give Ceclor 45 mg/kg/day p.o. in 3 divided doses for a patient who weighs 66 pounds. A 75 ml stock medication is labeled
Ceclor 125 mg/ml. How many ml would the nurse administer per dose?
a. 0.5 ml
b. 0.8 ml
c. 3.6 ml
d. 9 ml
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10. At the change of shift you notice 200 ml left to count in the I.V. bag. The I.V. is infusing at 80 ml/hr. How much longer will
the I.V. run?
a. 2 hrs and 30 mins
b. 1 hr and 30 mins
c. 1 hr
d. 2 hrs

11. The physician writes an order for Heparin 900 units/hour. The label on the I.V. bag reads: Heparin 10,000 units in 500 ml
D5W. How many ml/hr will deliver the correct dose?
a. 55 ml/hr
b. 11 ml/hr
c. 50 ml/hr
d. 45 ml/hr

12. Give Nitroprusside 5 mcg/kg/minute via continuous infusion for a patient weighing 205 lbs. Nitroprusside is available in a
solution of 200 mg in 250 ml D5W. What rate on the infusion pump will deliver the correct dose?
a. 25 ml/hr
b. 45 ml/hr
c. 50 ml/hr
d. 35 ml/hr

13. LR 125 ml/hr via gravity flow using tubing calibrated at 15 gtt/ml. Calculate the flow rate.
a. 25 gtt/min
b. 15 gtt/min
c. 31 gtt/min
d. 8 gtt/min

14. Keflin 2 g in 100 ml D5W IVPB over 20 minutes. The I.V. tubing is 15 gtt/ml. Calculate the flow rate.
a. 76 gtt/min
b. 75 gtt/min
c. 150 gtt/min
d. 100 gtt/min

15. The patients Heparin is infusing at 28 ml/hr on an infusion pump. The bag of fluid is mixed 20,000 units of Heparin in 500
ml D5W. What hourly dose of heparin is the patient receiving?
a. 1,210 units/hr
b. 2,210 units/hr
c. 2,120 units/hr
d. 1,120 units/hr

16. Administer Heparin 1,000 units/hr from an I.V. bag mixed 40,000 units in 1 L D5W. How many ml/hr will deliver the correct
amount of Heparin?
a. 15 ml/hr
b. 40 ml/hr
c. 30 ml/hr
d. 25 ml/hr

17. Give Regular insulin by continuous I.V. infusion at 20 units/hr. The solution is 250 ml NS with 100 units of Regular insulin.
What rate on the infusion pump will deliver the correct dose?
a. 100 ml/hr
b. 5 ml/hr
c. 8 ml/hr
d. 50 ml/hr

18. Tridil is infusing at 15 ml/hr on an infusion pump. The drug is mixed 50 mg in 500 ml D5W. How many mcg/minute is the
patient receiving?
a. 35 mcg/min
b. 25 mcg/min
c. 50 mcg/min
d. 45 mcg/min
19. A lidocaine drip is infusing at 30 ml/hr on an infusion device. The drug is mixed 2 g in 500 ml D5W. How many mg/minute is
the patient receiving?
a. 4 mg/min
b. 5 mg/min
c. 3 mg/min
d. 2 mg/min
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20. Administer a Theophylline drip at 40 mg/hr The solution is 250 ml D5W + Theophylline 500 mg. What rate on the infusion
pump will deliver the correct dose?
a. 20 ml/hr
b. 100 ml/hr
c. 80 ml/hr
d. 40 ml/hr

21. Aminophylline is infusing at 30 ml/hr. The drug is mixed 250 mg in 500 ml D5W. How many mg/hr is the patient receiving?
a. 25 mg/hr
b. 20 mg/hr
c. 30 mg/hr
d. 15 mg/hr

22. Give propofol 10 mcg/kg/minute. The infusion is mixed propofol 250 mg in 250 ml D5W. The patient weighs 168 pounds.
What rate on the infusion pump will deliver the correct dose?
a. 26 ml/hr
b. 10 ml/hr
c. 50 ml/hr
d. 46 ml/hr

23. Doctors order: Zofran 8 mg p.o. t.i.d.; Available: Zofran in a 100 ml bottle labeled 4 mg/tsp.; How many ml will the nurse
administer for each dose?
a. 6.25 ml
b. 10 ml
c. 1.25 ml
d. 8 ml

24. Your order reads penicillin 1.2 million units IM daily. You have penicillin 500,000 units/mL. How should you prepare the
correct dose?
a. 2.4 mL
b. 0.4 mL
c. 3 mL
d. 4 mL

25. A safe maintenance dose of aminophylline is 0.36 mg/kg/hour. It is supplied as 100 mg/100 mL. Your patient is 130 pounds
and is receiving 20 mL/hour. Is the dose safe?
a. patient is receiving 40 mg/hour; yes, dose is safe
b. patient is receiving 20 mg/hour; yes, dose is safe
c. patient is receiving 20 mg/hour; yes, dose is not safe
d. patient is receiving 40 mg/hour; yes, dose is not safe

26. A patient has an IV piggyback of ceftriaxone (Rocephin) 500 mg in 50 mL D5W to run over 20 minutes. If you use an IV
infusion controller, how many milliliters per hour will you set?
a. 50 mL/hour
b. 17 mL/hour
c. 150 mL/hour
d. 200 mL/hour

27. A patient has an IV piggyback of ceftriaxone (Rocephin) 500 mg in 50 mL D5W to run over 20 minutes. The tubing has a drip
factor of 10. How many drops per minute should be administered?
a. 4 gtts/min
b. 20 gtts/min
c. 10 gtts/min
d. 25 gtts/min

28. Your patient is to receive metoprolol tartrate (Lopressor) 25 mg/day PO. The pharmacist dispenses 50 mg scored tablets.
How many tablets should your patient take each day?
a. 1/2 tab
b. 2 1/2 tabs
c. 1 tab
d. 2 tabs

29. Your order reads Zosyn 4.5 g in 100 mL D5W IV over 1 hour. You have microdrip tubing. What drip rate will you set?
a. 60 gtts/min
b. 28 gtts/min
c. 8 gtts/min
d. 100 gtts/min
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30. Your order reads cortisone 15 mg PO every morning. You have on hand cortisone 10 mg tablets. How should you prepare
the correct dose?
a. 2 tablets
b. 1.5 tablets
c. 3 tablets
d. 1 tablet

II. COMPUTE THE FOLLOWING. SHOW YOUR FORMULA AND SOLUTION. WRITE YOUR FINAL ANSWER BEFORE EACH NUMBER.

________________1. Order: 50 mL of PLR to infuse in 30 min; use macroset. Calculate the flow.

SOLUTION:

________________2. A pt has an IV of 1000 ml of PLR. The rate of flow is 32 gtts/min. If the DF is 10gtt/mL, how many hours will
it take for this infusion to finish?

Solution:
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ANSWER KEY:
1. A
2. B
3. A
4. D
5. D
6. A
7. A
8. D
9. C
10. A
11. D
12. D
13. C
14. B
15. D
16. D
17. D
18. B
19. D
20. A
21. D
22. D
23. B
24. A
25. B
26. C
27. D
28. A
29. D
30. B
31. 25 gtts/ml
32. 5 hours and 12 mins (5.2 hrs)