INTERMEDIATE MATH FOR NURSES NAME__________________

WORKBOOK

Sample exam directions: PLEASE read each question carefully. Show all work either on
this paper or on a separate piece of paper. No work; no credit. Your work must
logically lead to your answer to receive credit. You must round according to the BC
rounding rules and adhere to the JCAHO Do Not Use list. For example, leading zeros are
required before a decimal point and no trailing zeros are allowable. Clearly identify your
answers on the exam form (this paper). Blanks and unlabeled answers will be scored as
incorrect. The exam booklet is only to be used for the taking and reviewing of the test. It
is not to be taken out of the classroom. Any other use or removal from the classroom
constitutes unauthorized possession of an examination and will be considered a violation
of academic honesty.

1 Mrs. Solomon is allergic to penicillin but needs to have an antibiotic prophylactically

prior to a dental cleaning. Erythromycin 1 gram is ordered. Her pharmacy gives her 500
mg capsules. You instruct her to take ____.

2 You receive an order for 0.2 g of Tigan on your post C-section patient. The floor stock is
a 5 ml vial labeled 100 mg / ml. How many ml should you give? ____

3 The order reads gr iiss and you have on hand tablets labeled 300 mg. Each. The dose of
gr iiss is how many mg.? ______

4 The patient is to receive gr 1/4. You have a 10 mL vial labeled 30 mg / ml. The patient
should receive _____?

5 Ordered: Aquachloral 15 gr po
Have: Aquachloral 0.5 g caps
How many capsules will you give? _____

6 Dr. Samet has ordered Lanoxin 0.75 mg IV push as an initial dose for Mr. Sanzabrino.
You have Lanoxin 0.25 mg / ml on hand. Give: ______

7 Ordered: Prostaphalin 350 mg q 4 h IV

Have: Prostaphalin for IV use
Add 5.7 mL diluent to vial. This yields 250 mg / 1.5 mL. Give _______?

8 Mr. Powers is back from surgery and in complaining of operative pain. You check the
post-op orders and find that gr 1/6 Morphine Sulfate is ordered. You have on hand:
Morphine Sulfate gr 1/8 mL. How many mL will you give? ________

Brickman RVSD 3-09 1

9 Aluminum Hydroxide 30 ml is ordered po before meals and at bedtime for Mrs. Patrick
at home. How many tablespoons should she take for each dose? ________

10 Jennifer is going to have surgery for an exploratory laparotomy. The physician orders
atropine gr 1/150 to be given preop on call. Atropine comes in an ampule containing 1
mg/mL. How many mL would you give? ______

11 Dr. Valteck has ordered Heparin 6,500 units sc to be given every 8 hours for the
prevention of DVT following a major abdominal procedure. You have Heparin 10,000
units / mL on hand. Give ________

12 Ordered: Streptokinase 1.5 million units IV drip

Supply: Streptokinase 500,000 units / 2 mL
Give ____________

13 A physician orders 500,000 units IM of Penicillin. The vial label reads: Add 8.2 ml of
NS to this vial to yield 300,000 units / mL. How many ml will you give? ______

14 Ordered: PCN 1 million units IM daily X 3 days

Supply: PCN 1 g vial. Directions on vial read: Add 1.8 mL NS to yield 500,000 units /
2 mL.
Give ________

15 Mrs. Sherlock had a nephrectomy. Dr. Smith orders 6,000 UNITS Heparin SubQ q6h
prophylactically. The pharmacy sends a vial labeled 10,000 UNITS Heparin in 1 mL.
You will give __ each dose.

16 The doctor ordered 0.0005 mg intradermally. The medication is labeled “each 1 mL

contains 0.005 mg. You would give _____.

17 The doctor ordered 0.0025 mg of a medication. On hand are tablets of 0.005 mg each.
You would give _____

18 The doctor has ordered 75 mg of a medication. You have one grain tablets on hand.
You would give _____

20 The doctor ordered gr 1/300 to be given as an IM injection every four hours. On hand
you have medication labeled gr 1/100 per mL. You would give _____ for each dose.

21 To give gr 1/6 from a 2 mL vial labeled “20 mg/ml”, you would give ______ .

Brickman RVSD 3-09 2

22 Ordered: RBCs (250 mL) to infuse in 2 hours. Drop factor: 10 gtts / 1 mL. How many
gtts / min?_______

23 At 2 pm an IV was started with 1,000 mL in the bag. The IV is to be completed by 12

midnight. Drop factor: 30 gtts / mL. At what rate would you set this IV? _______

24 An infant needs IV fluids. The physician orders 300 mL of fluid every 8 hours. The IV
set delivers 60 gtts/mL. How many gtt/min?

25 9 % NS is to run at 175 mL / h. Drop factor: 10 gtts = l mL. The IV bag has 750
mL remaining. How many gtts / minute will you set the set to deliver?______________

26 Ordered: Aminophylline 75 mg in 20 mL D5W IV q 6 h. Administer over 20 minutes.

Microdrip delivers 60 gtts / mL. How many gtts/min?__________

27
500 mg is mixed in 100 mL D5W. Label reads to infuse over 2/3 h. 10 gtts / 1 mL.
How many drops per minute? _______

28 Solumedrol 1 G is ordered to be added to 100 mL D5W. Run this over 2/3 h. 1 mL = 12

gtts. How many gtts/min? _________

29 Zenophell 650 mg is mixed in 250 mL of NS. Orders instruct that the drug should be
delivered over 50 minutes. Drop factor is 15. How many drops per minute will you
regulate the IV set to deliver? ________

30 Ampicillin 1 g in 100 mL D5W is to infuse over 45 min via pump. At what rate do you
set the pump in mL/hr? ________

31 A Heparin solution of 25,000 units in 500 mL of NS is infusing into your patient at a rate
of 10 ml/hr. How many units of Heparin is the patient receiving each hour? ______

32 The IV has 250 mL of NS with 1 gram Aminophylline that is infusing at 15 mL/hr. How
many mg/hr is the patient receiving? _____

33 A patient should be given 2 grams of Magnesium Sulfate via IV per hour. The IV bottle
has 20 grams in 1,000 mL. How many mL per hour will the patient receive? ______

34 The physician orders Heparin continuous drip to be started at 800 units/hr. The
pharmacy sends up Heparin 25,000 units in 500 mL D5W. How many mL/hr would
you set the pump to deliver? ______

Brickman RVSD 3-09 3

35 A premixed solution of Heparin 25,000 units in 500 mL of NS is infusing into your
patient at a rate of 10 mL/hr. How many units of Heparin is the patient receiving each
hour? ________

36 A Lidocaine drip is ordered for a patient. The pharmacy adds 2 grams of Lidocaine to
250 mL D5W. The drop factor is 60. The drug is to be administered at 2 mg/minute.
How many gtts/minute will you set the IV? _______

37 Aminophylline 750 mg in 250 mL D5W is ordered to infuse at 16 mL/hr. Drop factor

is 20. How many mg/hr is this patient to receive? How many gtts/min would you set
the IV at? _______________

38 30,000 units of Heparin is added to 150 mL of NS. The order is to infuse at 1,400
units/hr. Drop factor is 60. How many gtts/minute? _______________

39 50,000 units of Heparin is added to 250 mL of NS. The physician order reads to infuse
at 1,600 units/h. 60 gtts = 1 mL. How many gtts/min will you set the IV set? ______

40 Mr. Jones is to receive 625 units of Heparin per hour for the next 8 hours. Pharmacy
supplied Heparin 5000 units in 1000 mL D5W. The drop factor of the set is 60 gtts/mL.
Hourly rate is _________mL/hr
Flow rate is ___________gtts/min

41 An infant weighing 6.6 lb. is receiving 80 ml. per kilogram of body weight per day via
IV. Drop factor is 60. Give how many gtts/min? _______________

42 An infant weighing 9 pounds is receiving 80 ml per Kilogram of body weight per day via
IV. How many drops per minute is needed? The drop factor is 60. ______________

43 Mr. Smith, a 150 pound male, is in shock. Dextran 40 is ordered to be given at 1g / kg/
24 hours. The infusion contains 10g / 100 ml. The drop factor is 15. What amount is
infused per hour? _____

44 Dr. Palsey ordered 1000 D5 ½ NS with 30 meq of KCL to infuse @ 100cc / hr. You are
to add the KCL to the liter. The pharmacy supplies 20 meq in 10 ml. The drop factor is
15 gtts/ml. How many mL of KCL do you add?_____ How many gtts / min? ___

45 The physician orders KCL 60 mEq per 1,000 mL NS. You have 550 mL left to count in
the remaining bag of NS. How many mEq would you add to this amount of IV
fluid?___

46 Tagamet 25 mg is ordered to infuse via IVPB. Available is Tagamet 300 mg/2cc. How
many mL of the medication will you add to the IV bag? ______

Brickman RVSD 3-09 4

47 Mr. Jones is on a fluid restricted treatment plan. The doctor has ordered ten million units
of Penicillin G in 500 mL D5W to run over the next 16 hours. The Penicillin G is
available as 250,000 units per ml and is to be added to the IV. The drop factor is 15. Set
the IV at ____ gtts per minute.

48 LEFT INTENTIONALLY BLANK

49 Dr. Kline has ordered 500 mg of a drug to be added to 100 ml of D5W and administered
over 45 minutes. The drug is available as 250 mg / 20 ml. The drop factor is 12 gtts/mL.
You set the IV for ____ gtts / min.

50 LEFT INTENTIONALLY BLANK

51 John is to receive 15 mg/Kg/day of a drug which is labeled gr 1 / 10 mL. (gr one in ten
mL). John weight 35# and is 30” tall. The drug is given qid. How much is given per
day? __________

52 If the dosage regimen for bleomycin sulfate is 0.25 to 0.50 units/kg IM, what is the
minimum dosage for a patient weighing 145 lb? ______ What is the maximum
dosage?_______

53 A 16 # 3 oz. Child is to receive IV fluids at the rate of 100 ml/Kg/day. (drop factor of
60)
How many ml per hour? ________
What is the flow rate? ___________

54 Ordered: Ampicillin bid for a child weighing 15 kg. PDR recommends

75 mg / kg / day. How many mg in a single dose? __________

55 Ordered: Carbenicillin sodium 100 mg / kg / day IM in equally divided doses qid. The
child weighs 11 kg. How much do you give a 9 a.m.? _______

56 Nitride is ordered for a child weighing 15.4 kg. The recommended dose for this drug is
30 mg / kg / day. This is to be given in equally divided doses q 8 hours around-the-
clock.
The 9 am dose should contain

57 A 5 year old child is to receive gr 1/10 kg (grain one-tenth) of a drug. The child weighs
44
#.
The bottle reads gr 1 per 5 ml. He should receive __________

Brickman RVSD 3-09 5

58 Bretylium tosylate undiluted 5 mg / kg by rapid injection IV is ordered for an individual
weighing 60 kg. Vials containing 50 mg/ml are available. Amount to give in ml? _____

59 Ordered: Digoxin. PDR instructions: 0.0045 mg / kg / daily.

Child's weight: 52 lb.
Give ________________daily.

60 Panadol 10 mg / kg IM q4h prn for pain is ordered for a 70.4 lb child. The drug is
available as 160 mg / 1 mL. How many mL do you give in a single dose? _______

61 The child weighs 20 lbs. Calculate the correct range for a medication to be given at 1.4
to 3.0 mg/kg/day. _______ daily

62 The child weighs 40 lbs. Calculate the correct range for a medication to be given at 10 to
12 mg/kg/day. _______ daily

63 The child weighs 14 kg. Calculate the correct range for a medication to be given at 1.0
to 2.0 mg/kg/day. _______ daily

64 Zinacef 400 mg tid is ordered for a 43 lb child. The literature states the safe dose is 200
mg/kg/day. Is the dose safe? Yes or no.

65 Timmy, age 3 ½ years, weighs 42 pounds. His doctor has ordered Prednisone 2.5 mg
q8h. The recommended dos for the drug is 0.5 mg. to 1.0 mg/kg/day. What’s the single
dose range? Is the ordered dose therapeutic? Yes or no.

66 LEFT INTENTIONALLY BLAN K

67 Sammy is receiving Claforan 700 mg every 8 hours. He weights 27 kg. The safe dose
for Claforan is 50 mg/kg/day. What is the highest safe amount Sammy should receive in
a 24 hour period?_____ Is Sammy’s current dose safe?________________

Brickman RVSD 3-09 6

 Form
ADVANCED
1 2 caps 21 0.5 mL 41 10 gtts 56 154 mg
2 2 mL 22 21 gtts 42 14 gtts 57 10 mL
3 150 mg 23 50 gtts 43 28.4 mL 58 6 mL
4 0.5 mL 24 38 gtts 44 15mL/25gtts 59 0.106 mg
5 2 caps 25 29 gtts 45 33 mEq 60 2 mL
6 3 mL 26 60 gtts 46 0.17 mL 61 12.7-27.3 mg
7 2.1 mL 27 25 gtts 47 8 gtts 62 182-218.4 mg
8 1.3 mL 28 30 gtts 48 63 14-28 mg
9 2 tbsp 29 75 gtts 49 37 gtts 64 YES
10 0.4 mL 30 133.3 mL 50 65 3.2-6.4 mg /NO
11 0.65 mL 31 500 units 51 40 mL 66
12 6 mL 32 60mg 52 16units/33 units 67 1350 mg / NO
13 1.7 mL 33 100 mL 53 30.8 mL/31 gtts
14 4 mL 34 16 mL 54 562.5 mg
15 0.6 mL 35 500 units 55 275 mg
16 0.1 mL 36 15 gtts
17 0.5 tabs 37 48/5 gtts
18 1.25 tabs 38 7 gtts
19 1 mL 39 8 gtts
20 0.33 mL 40 125 mL/125 gtts

rvsd 9/5/2005

Brickman RVSD 3-09 7