Test Bank Calculate with Confidence 7th Edition by Deborah C. Morris Chapter 1-25

TEST BANK FOR

Calculate with Confidence 7th Edition

by Deborah C. Morris

Table of Contents

Chapter 01: Roman Numerals Chapter 02: Fractions Chapter 03: Decimals Chapter 04: Ratio and Proportion Chapter 05: Percentages Chapter 06: Metric System Chapter 07: Apothecary and Household Systems Chapter 08: Converting Within and Between Systems Chapter 09: Additional Conversions Useful in the Health Care Setting Chapter 10: Medication Administration Chapter 11: Understanding and Interpreting Medication Orders Chapter 12: Medication Administration Records and Medication Distribution Systems Chapter 13: Reading Medication Labels Chapter 14: Dosage Calculation Using the Ratio and Proportion Method Chapter 15: Dosage Calculation Using the Formula Method Chapter 16: Dosage Calculation Using the Dimensional Analysis Method Chapter 17: Oral Medications Chapter 18: Parenteral Medications Chapter 19: Reconstitution of Solutions Chapter 20: Insulin Chapter 21: Intravenous Solutions and Equipment Chapter 22: Intravenous Calculations Chapter 23: Heparin Calculations Chapter 24: Critical Care Calculations Chapter 25: Pediatric and Adult Dosage Calculation Based on Weight

Chapter 01: Roman Numerals Gray Morris: Calculate with Confidence, 7th Edition COMPLETION 1. Perform the indicated operation and record the result in lowercase Roman numerals.

7  2 = _____ ANS: xiv PTS: 1

MSC: Practice Problems

2. Perform the indicated operation and record the result in lowercase Roman numerals.

29 – 1 = _____ ANS: xxviii PTS: 1

MSC: Practice Problems

3. Perform the indicated operation and record the result in lowercase Roman numerals.

3  10 = _____ ANS: xxx PTS: 1

MSC: Practice Problems

4. Perform the indicated operation and record the result in lowercase Roman numerals.

10 + 2 = _____ ANS: xii PTS: 1

MSC: Practice Problems

5. Write the following Arabic number as a lowercase Roman numeral.

18 = _____ ANS: xviii PTS: 1

MSC: Practice Problems

6. Write the following Arabic number as a lowercase Roman numeral.

21 = _____ ANS: xxi PTS: 1

MSC: Practice Problems

7. Write the following Arabic number as a lowercase Roman numeral.

= _____ ANS: xiss PTS: 1

MSC: Practice Problems

8. Perform the indicated operation and record the result in lowercase Roman numerals.

6  3 = _____ ANS: xviii PTS: 1

MSC: Practice Problems

9. Perform the indicated operation and record the result in lowercase Roman numerals.

30 – 6 = _____ ANS: xxiv PTS: 1

MSC: Practice Problems

10. Perform the indicated operation and record the result in lowercase Roman numerals.

12 ÷ 2 = _____ ANS: vi PTS: 1

MSC: Practice Problems

11. Perform the indicated operation and record the result in lowercase Roman numerals.

13 + 7 = _____ ANS: xx PTS: 1

MSC: Practice Problems

Chapter 02: Fractions Gray Morris: Calculate with Confidence, 7th Edition COMPLETION 1. Reduce the following fraction to lowest terms.

54/81 = _____ ANS: 2/3 PTS: 1

MSC: Practice Problems

2. Reduce the following fraction to lowest terms.

105/135 = _____ ANS: 7/9 PTS: 1

MSC: Practice Problems

3. Reduce the following fraction to lowest terms.

39/65 = _____ ANS: 3/5 PTS: 1

MSC: Practice Problems

4. Change the following improper fraction to a whole or mixed number.

325/16 = _____ ANS: 20 5/16 PTS: 1

MSC: Practice Problems

5. Change the following improper fraction to a whole or mixed number.

1,500/100 = _____ ANS: 15 PTS: 1

MSC: Practice Problems

6. Change the following improper fraction to a whole or mixed number.

193/62 = _____ ANS: 3 7/62 PTS: 1

MSC: Practice Problems

7. Change the following mixed number to an improper fraction.

12 1/8 = _____ ANS: 97/8 PTS: 1

MSC: Practice Problems

8. Change the following mixed number to an improper fraction.

29 2/3 = _____ ANS: 89/3 PTS: 1

MSC: Practice Problems

9. Perform the indicated operation and reduce to lowest terms.

1/12 + 6/12 + 5/12 = ____ ANS: 1 PTS: 1

MSC: Practice Problems

10. Perform the indicated operation and reduce to lowest terms.

3/8 – 1/3 = _____ ANS: 1/24 PTS: 1

MSC: Practice Problems

11. Perform the indicated operation and reduce to lowest terms.

4/5  5/16 = _____ ANS: 1/4 PTS: 1

MSC: Practice Problems

12. Perform the indicated operation and reduce to lowest terms.

1/12  1/15 = _____ ANS: 1/180 PTS: 1

MSC: Practice Problems

13. Perform the indicated operation and reduce to lowest terms.

3/5 ÷ 5 = _____ ANS: 3/25 PTS: 1

MSC: Practice Problems

14. Perform the indicated operation and reduce to lowest terms.

1/100 ÷ 1/200 = _____ ANS: 2 PTS: 1

MSC: Practice Problems

15. Indicate which fraction is the largest.

1/100, 1/150, 1/200: _____ ANS: 1/100 PTS: 1

MSC: Practice Problems

16. Arrange the following fractions from smallest to largest.

1/6, 1/5, 1/8, 1/4, 1/3: _______________ ANS: 1/8, 1/6, 1/5, 1/4, 1/3 PTS: 1

MSC: Practice Problems

17. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

1/5 + 1/2 + 1/4 = _____ ANS: 19/20 PTS: 1

MSC: Practice Problems

18. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

16 5/6 – 14 3/8 = ____ ANS: 2 11/24 PTS: 1

MSC: Practice Problems

19. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

6 10/12  15/3 = _____ ANS: 34 1/6 PTS: 1

MSC: Practice Problems

20. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

56 ÷ 9/20 = _____ ANS: 124 4/9 PTS: 1

MSC: Practice Problems

21. Indicate the largest number in the following set.

5/6, 5/8: _____ ANS: 5/6 PTS: 1

MSC: Practice Problems

22. Indicate the largest number in the following set.

1/30, 1/4, 1/150: _____ ANS: 1/4 PTS: 1

MSC: Practice Problems

23. Reduce the following fraction to lowest terms.

34/102 = _____ ANS: 1/3 PTS: 1

MSC: Practice Problems

24. Reduce the following fraction to lowest terms.

60/1200 = _____ ANS: 1/20 PTS: 1

MSC: Practice Problems

25. Express the following improper fraction as a mixed number. Reduce to lowest terms.

24/18 = _____ ANS: 1 1/3 PTS: 1

MSC: Practice Problems

26. Express the following improper fraction as a mixed number. Reduce to lowest terms.

15/13 = _____ ANS: 1 2/13 PTS: 1

MSC: Practice Problems

27. Change the following mixed number to an improper fraction.

9 1/9 = _____ ANS: 82/9 PTS: 1

MSC: Practice Problems

28. Change the following mixed number to an improper fraction.

6 7/10 = _____ ANS: 67/10 PTS: 1

MSC: Practice Problems

29. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

6 5/16 + 5 3/16 = _____ ANS: 11 1/2 PTS: 1

MSC: Practice Problems

30. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

4 3/10 + 2 2/10 = _____ ANS: 6 1/2 PTS: 1

MSC: Practice Problems

31. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

3 1/5 + 3 2/3 + 2 1/2 = _____ ANS: 12 11/30 PTS: 1

MSC: Practice Problems

32. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

1 2/4 + 3 1/3 = _____ ANS: 4 5/6 PTS: 1

MSC: Practice Problems

33. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

15/21 – 10/21 = _____ ANS: 5/21 PTS: 1

MSC: Practice Problems

34. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

8/16 – 1/4 = _____ ANS: 1/4 PTS: 1

MSC: Practice Problems

35. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

14 – 5/9 = _____ ANS: 13 4/9 PTS: 1

MSC: Practice Problems

36. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

6 1/4 – 2 5/8 = ____ ANS: 3 5/8 PTS: 1

MSC: Practice Problems

37. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

5 1/3 – 1 7/12 = _____ ANS: 3 3/4 PTS: 1

MSC: Practice Problems

38. A client received 2 1/2 ounces (oz) of medication at breakfast and 2 1/3 oz at lunch. How many

oz of medication has the client received? _____ ANS: 4 5/6 oz PTS: 1

MSC: Practice Problems

39. A client weighed 147 1/2 pounds (lb), lost 6 3/4 lb due to illness. How many pounds does the

client now weigh? ____ ANS: 140 3/4 lb PTS: 1

MSC: Practice Problems

40. A client drank 2/3 of a 12 ounce (oz) can of seltzer water. How many ounces of seltzer water did

the client drink? ______ ANS: 8 oz PTS: 1

MSC: Practice Problems

41. A client is supposed to drink a 10 ounce (oz) bottle of magnesium citrate before an X-ray study.

The client was able to drink 4 oz. How much of the magnesium citrate remains? (Express answer as a fraction reduced to lowest terms.) ______ ANS: 2/5 bottle PTS: 1

MSC: Practice Problems

42. The nurse is instructed to give a client 2/3 of a cup of solution. If 1 cup = 240 milliliters (mL),

how many mL should the nurse administer? _____ ANS: 160 mL PTS: 1

MSC: Practice Problems

Chapter 03: Decimals Gray Morris: Calculate with Confidence, 7th Edition COMPLETION

1. Change the following to a decimal. Carry division three places as indicated. Do not round off.

1/64 = _____ ANS: 0.015 PTS: 1

MSC: Practice Problems

2. Change the following to a decimal. Carry division three places as indicated. Do not round off.

5/18 = _____ ANS: 0.277 PTS: 1

MSC: Practice Problems

3. Change the following decimal to a fraction. Reduce to lowest terms if indicated.

7.025 = _____ ANS: 7 1/40 PTS: 1

MSC: Practice Problems

4. Change the following decimal to a fraction. Reduce to lowest terms if indicated.

0.0001 = _____ ANS: 1/10,000 PTS: 1

MSC: Practice Problems

5. Identify the decimal with the largest value in the following set.

0.6, 0.128 = _____ ANS: 0.6 PTS: 1

MSC: Practice Problems

6. Identify the decimal with the largest value in the following set.

0.7, 0.67, 0.86: _____ ANS: 0.86 PTS: 1

MSC: Practice Problems

7. Round off the following decimal to the nearest tenth.

3.539 = _____ ANS: 3.5 PTS: 1

MSC: Practice Problems

8. Round off the following decimal to the nearest thousandth.

0.6253 = _____ ANS: 0.625 PTS: 1

MSC: Practice Problems

9. Perform the indicated operation with decimals.

64.1– 0.009 = _____ ANS: 64.091 PTS: 1

MSC: Practice Problems

10. Perform the indicated operation with decimals.

0.123 + 0.4 = _____ ANS: 0.523 PTS: 1

MSC: Practice Problems

11. Perform the indicated operation with decimals.

0.46  0.17 = ______ ANS: 0.0782 PTS: 1

MSC: Practice Problems

12. Divide the following decimal. Express answer to nearest hundredth.

0.1 ÷ 0.375 = _____ ANS: 0.27 PTS: 1

MSC: Practice Problems

13. Change the following to a decimal.

1.25% = _____ ANS: 0.0125 PTS: 1

MSC: Practice Problems

14. Indicate the largest number in the following set.

0.75, 0.749: _____ ANS: 0.75 PTS: 1

MSC: Practice Problems

15. Indicate the largest number in the following set.

0.001, 1.25, 1.09: _____ ANS: 1.25 PTS: 1

MSC: Practice Problems

16. Perform the indicated operation with decimals.

0.98 + 0.76 = _____ ANS: 1.74 PTS: 1

MSC: Practice Problems

17. Perform the indicated operation with decimals.

9.123 – 6.055 = _____ ANS: 3.068 PTS: 1

MSC: Practice Problems

18. Perform the indicated operation with decimals.

60 ÷ 0.012 = _____ ANS: 5,000 PTS: 1

MSC: Practice Problems

19. Perform the indicated operation with decimals.

66.66  3.33 = _____ ANS: 221.9778 PTS: 1

MSC: Practice Problems

20. Change the following decimal to a fraction. Reduce to lowest terms if indicated.

0.010 = _____ ANS: 1/100 PTS: 1

MSC: Practice Problems

21. Change the following decimal to a fraction. Reduce to lowest terms if indicated.

0.006 = _____ ANS: 3/500 PTS: 1

MSC: Practice Problems

22. Round off the following decimal to the nearest tenth.

0.52 = _____ ANS: 0.5 PTS: 1

MSC: Practice Problems

23. Round off the following decimal to the nearest hundredth.

2.457 = _____ ANS: 2.46 PTS: 1

MSC: Practice Problems

24. Round off the following decimal to the nearest tenth.

28.66 = _____ ANS: 28.7 PTS: 1

MSC: Practice Problems

25. Round off the following decimal to the nearest tenth.

1.45 = _____ ANS: 1.5 PTS: 1

MSC: Practice Problems

26. Round off the following decimal to the nearest thousandth.

0.3333 = _____ ANS: 0.333 PTS: 1

MSC: Practice Problems

27. A client weighed 75.4 kilograms (kg) in February. In March the client gained 1.6 kg. In April the

client gained 2.2 kg. How much did the client weigh in April? ______ ANS: 79.2 kg PTS: 1

MSC: Practice Problems

28. A client weighed 165.4 pounds (lb) before getting ill. After a lengthy recovery the client weighed

148.6 lb. How much weight did the client lose? _____ ANS: 16.8 lb PTS: 1

MSC: Practice Problems

29. A medication vial holds 7 milliliters (mL) of medication. If 1.4 mL are withdrawn from the vial,

how much medication is left in the vial? ____ ANS: 5.6 mL PTS: 1

MSC: Practice Problems

30. A client is brought into the emergency department with a body temperature of 95.2 F. If the

normal body temperature is 98.6 F, how far below normal was the client’s temperature? _____ ANS: 3.4 F PTS: 1

MSC: Practice Problems

31. A client received 25.2 milligrams (mg) of medication in tablet form. Each tablet contained 4.2

mg of medication. How many tablets (tabs) were given to the client? ____ ANS: 6 tabs PTS: 1

MSC: Practice Problems

32. A client received 0.375 mg of a medication for two days, 0.125 mg for three days, and 0.0625

mg for four days. What is the total amount of medication taken? ______ ANS: 1.375 mg PTS: 1

MSC: Practice Problems

33. 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? ______ ANS: 126 tablets PTS: 1

MSC: Practice Problems

34. 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.) _____ ANS: 68.8 mL PTS: 1

MSC: Practice Problems

35. The health care provider has ordered a 2,200 calorie (cal) diet for a client. If the calories are

spread evenly among three meals, how many calories will the client be allowed to have at each meal? (Round answer to the nearest whole calorie.) ______ ANS: 733 cal PTS: 1

MSC: Practice Problems

Chapter 04: Ratio and Proportion Gray Morris: Calculate with Confidence, 7th Edition COMPLETION 1. Solve for x in the following.

11:121 = 3:x x = _____ ANS: 33 PTS: 1

MSC: Practice Problems

2. Solve for x in the following.

4/2.6 = 5/x x = _____

ANS: 3.25

PTS: 1

MSC: Practice Problems

3. Solve for x in the following.

0.5/0.125 = x/4 x = _____ ANS: 16 PTS: 1

MSC: Practice Problems

4. Solve for x in the following.

500:3 = 350:x x = _____ ANS: 2.1 PTS: 1

MSC: Practice Problems

5. Express the following dosage as a ratio.

A capsule contains 450 mg of medication; _____ ANS: 1 cap/450 mg OR 450 mg/1 cap; 1 cap:450 mg PTS: 1

MSC: Practice Problems

6. Express the following dosage as a ratio.

An injectable solution contains 500 mg in each 0.7 mL; _____ ANS: 500 mg/0.7 mL OR 0.7 mL/500 mg; 500 mg:0.7 mL PTS: 1

MSC: Practice Problems

7. Solve for x.

2.2:1 = x:145 x = _____ ANS: 319 PTS: 1

MSC: Practice Problems

8. Solve for x.

x = _____ ANS: 0.0625 PTS: 1

MSC: Practice Problems

9. Solve for x. Round to the nearest tenth.

1:3.6 = x:170 x = _____ ANS: 47.2 PTS: 1

MSC: Practice Problems

10. Solve for x.

:2 = x:3 x = _____ ANS: 2 1/4 PTS: 1

MSC: Practice Problems

11. Solve for x.

1/0.05 = x/0.1 x = _____ ANS: 2 PTS: 1

MSC: Practice Problems

12. Solve for x.

42:7 = 48:x x = ______ ANS: 8 PTS: 1

MSC: Practice Problems

13. Solve for x.

16/40 = x/55 x = _____ ANS: 22 PTS: 1

MSC: Practice Problems

14. Solve for x.

2:9 = x:27 x = _____ ANS: 6 PTS: 1

MSC: Practice Problems

15. If one glass of milk contains 300 milligrams (mg) of calcium, how many mg of calcium are in

glasses of milk? ______ ANS: 1,050 mg PTS: 1

MSC: Practice Problems

16. A nurse counts a client’s pulse, which is regular for 15 seconds (sec) and gets 19 beats. If the

nurse counts the pulse for 60 sec, how many beats should there be? _____ ANS: 76 beats PTS: 1

MSC: Practice Problems

17. If three tablets (tabs) contain 60 mg, how many tabs would need to be given for 80 mg? ______ ANS: 4 tabs PTS: 1

MSC: Practice Problems

18. 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? ____

ANS: 175 cm PTS: 1

MSC: Practice Problems

19. If 1 ounce (oz) is equal to 30 mL, how many mL are there in

number.) ______

oz? (State answer as a decimal

ANS: 142.5 mL PTS: 1

MSC: Practice Problems

20. If 5oz of a solution contains 4 1/2 oz of water, how many oz of water are in 20 oz of solution?

_______

ANS: 18 oz water PTS: 1

MSC: Practice Problems

21. If 100 grams (g) of ice cream contains 20 g of fat, how many g of fat are there in 300 g of ice

cream? ______ ANS: 60 g fat PTS: 1

MSC: Practice Problems

22. 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? _____ ANS: 100 cal PTS: 1

MSC: Practice Problems

23. Two tabs contain a total of 50 mg of a medication. How many mg of medication are present in

15 tabs? _______ ANS: 375 mg PTS: 1

MSC: Practice Problems

24. A client must take four tabs per day for 14 days. How many tablets should the pharmacy supply

to fill this order? ______ ANS: 56 tabs PTS: 1

MSC: Practice Problems

25. The nurse is instructed to administer 500 mL of a solution every 8 hours (hrs). How many hrs

will be needed to administer 1,500 mL of solution? _____ ANS: 24 hrs PTS: 1

MSC: Practice Problems

Chapter 05: Percentages Gray Morris: Calculate with Confidence, 7th Edition COMPLETION 1. Change the following percentage to a fraction. Reduce to lowest terms.

37.5% = _____ ANS: 3/8 PTS: 1

MSC: Practice Problems

2. Find the following percentage.

of 2,000 = _____ ANS: 18 PTS: 1

MSC: Practice Problems

3. Find the following percentage.

16% of 79 = _____ ANS: 12.64 PTS: 1

MSC: Practice Problems

4. Find the following percentage.

8% of 32 = _____ ANS: 2.56 PTS: 1

MSC: Practice Problems

5. Change the following percentage to a ratio and its decimal equivalent.

8% = _____; _____ ANS: 2:25; 0.08 PTS: 1

MSC: Practice Problems

6. Change the following percentage to a ratio and its decimal equivalent.

45% = _____; _____ ANS: 45:100, 0.45 PTS: 1

MSC: Practice Problems

7. Change the following percentage to a ratio.

= _____ ANS: 1:6 PTS: 1

MSC: Practice Problems

8. Change the following percentage to a ratio.

0.4% = _____ ANS: 1:250 PTS: 1

MSC: Practice Problems

9. Convert 84.75% to decimal form. _____ ANS: 0.8475

PTS: 1

MSC: Practice Problems

10. Convert 42.5% to decimal form. _____ ANS: 0.425 PTS: 1

MSC: Practice Problems

11. Convert 2.96 to a percent. _____ ANS: 296% PTS: 1

MSC: Practice Problems

12. Convert 0.925 to a percent. _____ ANS: 92.5% PTS: 1

MSC: Practice Problems

13. 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? _____ ANS: 4 oz PTS: 1

MSC: Practice Problems

14. A client is responsible for 30% of his doctor bills due to insurance. The client sees a specialist

and the bill is $240.00. How much will the client be responsible for? _____ ANS: $72.00 PTS: 1

MSC: Practice Problems

15. 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? _____ ANS: 850 mL PTS: 1

MSC: Practice Problems

16. A client has a 2,500 mL bag of irrigation solution hanging. 750 mL of the solution have infused.

What percent of the irrigation solution has infused? _____ ANS: 30% PTS: 1

MSC: Practice Problems

17. A client consumed 30% of a bowl of broth. The bowl held 360 mL. How many mL of the broth

did the client consume? _____ ANS: 108 mL PTS: 1

MSC: Practice Problems

18. A client who weighed 210 pounds (lb) lost 30 lb. What was the percent of decrease in the client’s

weight? (State answer to the nearest whole percent.) _____ ANS: 14% PTS: 1

MSC: Practice Problems

19. 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.) _____ ANS: 18.8% PTS: 1

MSC: Practice Problems

20. A client has received 45% of a 500 mL bag of intravenous (IV) solution. How many mL of IV

solution has the client received? _____ ANS: 225 mL PTS: 1

MSC: Practice Problems

Chapter 06: Metric System Gray Morris: Calculate with Confidence, 7th Edition MULTIPLE CHOICE 1. 0.6 mg is equivalent to a. 600 mcg. b. 6 mcg. c. 60 mcg. d. 0.0006 mcg.

ANS: A

PTS: 1

MSC: General

2. The metric prefix for 0.001 is a. micro. b. centi. c. kilo. d. milli.

ANS: D

PTS: 1

MSC: General

3. 60 mg is equivalent to a. 6 g. b. 0.6 g. c. 0.06 g. d. 0.0006 g.

ANS: C

PTS: 1

MSC: General

4. Three and one half kilograms: a. 3.5 kg b. 3.05 kg c.

kg

d. 3.5 kg ANS: D

PTS: 1

MSC: General

5. Eight-tenths of a milliliter: a. 8/10 ml b. .8 mL c. 0.8 mL d. ml 0.8 ANS: C

PTS: 1

MSC: General

PTS: 1

MSC: General

6. Six-tenths of a liter: a. 0.6 L b. 6/10 L c. 0.60 L d. 0.60 l ANS: A

7. One hundred forty-five micrograms: a. 145 mg b. 0.145 mcg c. 145.0 mg d. 145 mcg ANS: D

PTS: 1

MSC: General

MULTIPLE RESPONSE 1. The metric system (Select all that apply.) a. is also called the fractional system. b. is used most often in medication administration. c. has units of measure such as grain and drop. d. is based on the decimal system. e. is gradually replacing the apothecary and household systems.

f.

expresses quantities using Arabic numbers and decimals.

ANS: B, D, E

PTS: 1

MSC: General

2. The liter is (Select all that apply.) a. a unit of volume in the metric system. b. smaller than a milliliter. c. equivalent to 1,000 milliliters. d. abbreviated using a small case l. e. abbreviated with a capital L. f. the basic unit for weight.

ANS: A, C, E

PTS: 1

MSC: General

COMPLETION 1. Directions: Write the equivalent indicated.

1 L = _____ mL ANS: 1,000 PTS: 1

MSC: General

2. Directions: Write the equivalent indicated.

1 kg = _____ g ANS: 1,000 PTS: 1

MSC: General

3. Directions: Write the equivalent indicated.

3,120 mcg = _____ mg ANS: 3.12 PTS: 1

MSC: General

4. Directions: Write the equivalent indicated.

1 mg = _____ g ANS: 0.001 PTS: 1

MSC: General

5. Directions: Write the equivalent indicated.

5.2 kg = _____ g ANS: 5,200

PTS: 1

MSC: General

6. Directions: Write the equivalent indicated.

3,550 mL = _____ L ANS: 3.55 PTS: 1

MSC: General

7. Directions: Write the equivalent indicated.

15 mg = _____ mcg ANS: 15,000 PTS: 1

MSC: General

8. Directions: Write the equivalent indicated.

25.6 mg = _____ g ANS: 0.0256 PTS: 1

MSC: General

9. Directions: Write the equivalent indicated.

0.075 mg = _____ mcg ANS: 75 PTS: 1

MSC: General

10. Directions: Write the equivalent indicated.

7.45 mL = _____ L ANS: 0.00745 PTS: 1

MSC: General

11. Directions: Write the equivalent indicated.

1.57 kg = _____ g ANS: 1,570 PTS: 1

MSC: General

12. Directions: Write the equivalent indicated.

26 mcg = _____ mg

ANS: 0.026 PTS: 1

MSC: General

13. Directions: Write the equivalent indicated.

8.3 L = _____ mL ANS: 8,300 PTS: 1

MSC: General

14. Directions: Write the equivalent indicated.

54.6 g = _____ kg ANS: 0.0546 PTS: 1

MSC: General

15. Directions: Write the equivalent indicated.

450 mL = _____ L ANS: 0.45 PTS: 1

MSC: General

16. Directions: Write the equivalent indicated.

0.081 g = _____ mg ANS: 81 PTS: 1

MSC: General

17. Directions: Write the equivalent indicated.

44 mL = ______ L ANS: 0.044 PTS: 1

MSC: General

18. Directions: Write the equivalent indicated.

0.008 L = _______ mL ANS: 8 PTS: 1

MSC: General

19. Directions: Write the equivalent indicated.

25.5 mcg = _______ mg

ANS: 0.0255 PTS: 1

MSC: General

20. Directions: Write the equivalent indicated.

3.5 g = _______ mg ANS: 3,500 PTS: 1

MSC: General

21. Directions: Write the equivalent indicated.

9.5 mg = ________ mcg ANS: 9,500 PTS: 1

MSC: General

22. Directions: Write the equivalent indicated.

20 mg = ________ g ANS: 0.02 PTS: 1

MSC: General

23. Directions: Write the equivalent indicated.

6,724 g = _______ kg ANS: 6.724 PTS: 1

MSC: General

24. Directions: Write the equivalent indicated.

0.007 kg = _______ g ANS: 7 PTS: 1

MSC: General

25. Directions: Write the equivalent indicated.

21 L = _________ mL ANS: 21,000 PTS: 1

MSC: General

26. Directions: Write the equivalent indicated.

350,000 mcg = ________ mg

ANS: 350 PTS: 1

MSC: General

27. Directions: Write the equivalent indicated.

48.5 mcg = _________ mg ANS: 0.0485 PTS: 1

MSC: General

28. Directions: Write the equivalent indicated.

873 mL = _________ L ANS: 0.873 PTS: 1

MSC: General

SHORT ANSWER 1. Directions: Apply the guidelines relating to the use of leading and trailing zeros and express the

following metric notations correctly.

02.05 kg ANS:

2.05 kg PTS: 1

MSC: General

2. Directions: Apply the guidelines relating to the use of leading and trailing zeros and express the

following metric notations correctly. .65 mL ANS:

0.65 mL PTS: 1

MSC: General

3. Directions: Apply the guidelines relating to the use of leading and trailing zeros and express the

following metric notations correctly.

8.0 L ANS:

8L

PTS: 1

MSC: General

4. Complete the following sentence with the correct word(s).

The units of the metric system are as follows: ____________________ (length), ____________________ (volume), and ____________________ (weight).

ANS:

meter; liter; gram PTS: 1

MSC: General

5. Name the metric units commonly used in medication administration, from smallest to largest.

(Use correct abbreviations.)

Volume: a. ____________________; b. ____________________ Weight: a. ____________________; b. ____________________; c. ____________________; d. ____________________ ANS:

Volume: a. mL; b. L Weight: a. mcg; b. mg; c. g; d. kg PTS: 1

MSC: General

TRUE/FALSE 1. Trailing zeros should be placed on quantities to avoid misinterpretation of a value.

ANS: F

PTS: 1

MSC: General

2. Gram is the basic unit of weight in the metric system.

ANS: T

PTS: 1

MSC: General

PTS: 1

MSC: General

Chapter 07: Apothecary and Household Systems Gray Morris: Calculate with Confidence, 7th Edition MULTIPLE CHOICE 1. 1 oz is equivalent to a. 4 mL. b. 5 mL. c. 15 mL. d. 30 mL. ANS: D

2. The correct abbreviation for teaspoon is a. Tsp. b. tsp. c. tbs. d. Tbs.

ANS: B

PTS: 1

MSC: General

MULTIPLE RESPONSE 1. The household system (Select all that apply.) a. is more accurate than the metric system. b. expresses quantities using Arabic numbers and decimals. c. is primarily used for dosages at home. d. expresses quantities in fractions and Arabic numbers. e. is preferred for medication administration. f. has measures such as tbs and tsp.

ANS: C, D, F

PTS: 1

MSC: General

COMPLETION 1. Directions: Write the abbreviation for the term.

drop: _____ ANS: gtt PTS: 1

MSC: General

2. Directions: Write the abbreviation for the term.

teaspoon: _____ ANS: tsp PTS: 1

MSC: General

3. Directions: Write the abbreviation for the term.

ounce: _____ ANS: oz PTS: 1

MSC: General

4. Directions: Write the equivalent indicated.

30 mL = _____ oz ANS: 1 PTS: 1

MSC: General

5. Directions: Write the equivalent indicated.

13 t = _______ mL

ANS: 65 PTS: 1

MSC: General

6. Directions: Write the equivalent indicated.

15 mL = _____ oz ANS: 1/2 PTS: 1

MSC: General

7. Directions: Write the equivalent indicated.

C = ______ mL ANS: 660 PTS: 1

MSC: General

8. Directions: Write the equivalent indicated.

10 tbs = _____ mL ANS: 150 PTS: 1

MSC: General

9. Directions: Write the equivalent indicated.

50 mL = _____ qt ANS: 1/20 PTS: 1

MSC: General

10. Directions: Write the equivalent indicated.

5 t = _____ mL ANS: 25 PTS: 1

MSC: General

11. Directions: Write the equivalent indicated.

255 mL = _____ oz ANS: 8 1/2 PTS: 1

MSC: General

12. Directions: Write the equivalent indicated.

qt = _____ mL

ANS: 6,250 PTS: 1

MSC: General

13. Directions: Write the equivalent indicated.

pt = ______ mL ANS: 2,625 PTS: 1

MSC: General

14. Directions: Write the equivalent indicated.

16 T = _____ mL ANS: 240 PTS: 1

MSC: General

15. Directions: Write the equivalent indicated.

750 mL = _____ pt ANS: 1 1/2 pt PTS: 1

MSC: General

16. Directions: Write the equivalent indicated.

cup = _____ mL ANS: 540 PTS: 1

MSC: General

17. Directions: Write the equivalent indicated.

195 mL = ________ oz ANS: 6 1/2 PTS: 1

MSC: General

18. Directions: Write the equivalent indicated.

10 1/3 tbs = _______ mL ANS: 155 PTS: 1

MSC: General

19. Directions: Write the equivalent indicated.

277.5 mL = _________ oz ANS: 9 1/4 PTS: 1

MSC: General

20. Directions: Write the equivalent indicated.

43.75 mL = ________ tsp ANS: 8 3/4 PTS: 1

MSC: General

SHORT ANSWER 1. Directions: Express the following value correctly.

5.5 Tsp ANS:

tsp or tsp PTS: 1

MSC: General

2. Directions: Express the following value correctly.

20 MEQ ANS:

20 mEq PTS: 1

MSC: General

3. Directions: Express the following value correctly.

2.75 OZ ANS:

oz or oz PTS: 1

MSC: General

4. Directions: Express the following value correctly.

17 U

ANS:

17 units

PTS: 1

MSC: General

5. Directions: Express the following value correctly.

18.0 Tbs ANS:

18 tbs or tbs 18 PTS: 1

MSC: General

TRUE/FALSE 1. The drop is a standardized unit of measure.

ANS: F

PTS: 1

MSC: General

2. Use of the apothecary system has been identified as a source of error in medication

administration.

ANS: T

PTS: 1

MSC: General

3. A capital “U” is an acceptable abbreviation for units.

ANS: F

PTS: 1

MSC: General

4. Milliequivalent is a unit used to measure the ionic activity of a medication.

ANS: T

PTS: 1

MSC: General

5. The household system expresses values using roman numerals and Arabic numbers.

ANS: F

PTS: 1

MSC: General

Chapter 08: Converting Within and Between Systems Gray Morris: Calculate with Confidence, 7th Edition COMPLETION 1. A client’s intake was the following:

cup of coffee (1 cup = 8 oz) 1 can of ginger ale (1 can = 12 oz) glass of cranberry juice (1 glass = 6 oz) How many mL will you record on the intake and output (I&O) sheet? _____ mL ANS: 630 PTS: 1

MSC: General

2. Directions: Write the equivalent indicated.

1 mg = _____ g ANS: 0.001 PTS: 1

MSC: General

3. Directions: Write the equivalent indicated.

1,200 mL = ______ oz ANS: 40 PTS: 1

MSC: General

4. Directions: Write the equivalent indicated.

qt = _____ mL ANS: 4,250 PTS: 1

MSC: General

5. Directions: Write the equivalent indicated.

oz = ________ mL ANS: 345 PTS: 1

MSC: General

6. Directions: Write the equivalent indicated.

28.3 kg = _____ lb ANS: 62.04 lb PTS: 1

MSC: General

7. Directions: Write the equivalent indicated.

4,176 g = _____ kg ANS: 4.176 kg PTS: 1

MSC: General

8. Directions: Write the equivalent indicated.

59 lb = _____ kg (Round answer to the nearest tenth.)

ANS: 26.8 kg

PTS: 1

MSC: General

9. Directions: Write the equivalent indicated.

0.005 g = _____ mg ANS: 5 PTS: 1

MSC: General

10. Directions: Write the equivalent indicated.

0.3 mg = _____ g ANS: 0.0003 g PTS: 1

MSC: General

11. Directions: Write the equivalent indicated.

2 oz = _____ tbs ANS: 4 PTS: 1

MSC: General

12. Directions: Write the equivalent indicated.

45 kg = _______ lb ANS: 99 PTS: 1

MSC: General

13. Directions: Write the equivalent indicated.

56 in. = ______ cm ANS: 140 PTS: 1

MSC: General

14. Directions: Write the equivalent indicated.

2,575 mL = _______ L ANS: 2.575 PTS: 1

MSC: General

15. Directions: Write the equivalent indicated.

125 mL = ________ tsp ANS: 25

PTS: 1

MSC: General

16. Calculate the client’s intake in mL.

Apple juice 2 oz Chicken broth 4 oz Gelatin dessert 3 oz Hot tea 5 oz Total mL = _____ ANS: 420 PTS: 1

MSC: General

17. A client drinks 300 mL of magnesium citrate. How many ounces did the client consume? _____

oz

ANS: 10 PTS: 1

MSC: General

18. 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 ANS: 2 PTS: 1

MSC: General

19. A client received 5.4 liters of IV fluid during a surgical procedure. How many mL of IV fluid did

the client receive? _____ mL ANS: 5,400 PTS: 1

20. A client drinks

mL

MSC: General

cups (cup = 8 oz) of a liquid. How many mL did the client drink? ______

ANS: 1,140 PTS: 1

MSC: General

21. 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 ANS: 80 PTS: 1

MSC: General

22. A client reports drinking 48 oz of water on a visit to the clinic. How many mL did the client

drink? _________ mL ANS: 1,440 PTS: 1

MSC: General

23. A client needs to drink

________ tsp

oz of an elixir per day. How many tsp would this be equivalent to?

ANS: 9 PTS: 1

MSC: General

Directions for the following questions: Convert the following to the equivalent measures indicated.

24. 10 mL = ____________ oz ANS:

oz oz PTS: 1

MSC: General

oz = _____________ T

25.

ANS:

19 T T 19

PTS: 1

MSC: General

26. 6.653 g = ____________ mg ANS: 6,653 PTS: 1

MSC: General

27. 4 g = ______________ mg ANS: 4,000 PTS: 1

MSC: General

28. 36 mg = ____________ g ANS: 0.036 PTS: 1

MSC: General

SHORT ANSWER 1. A client’s intake was the following:

cup of coffee (1 cup = 8 oz) 4 oz cranberry juice bowls of chicken broth (1 bowl = 6 oz) glasses of water (1 glass = 6 oz) The client voided urine as follows: 260 mL, 180 mL, 500 mL, and 425 mL. Calculate the client’s I&O in mL. a. Intake: _____ mL; b. Output: _____ mL ANS:

a. 1,320; b. 1,365 PTS: 1

MSC: General

2. A client’s intake was the following:

1/8 qt of milk

cup of coffee (1 cup = 6 oz) 3 oz water 2 oz of chicken broth a. Intake: ________ mL; b. Intake: ________ L ANS:

a. 500; b. 0.5 PTS: 1

MSC: General

3. A client had the following during a 12-hour shift:

1.5 L of IV fluid Breakfast

cup of coffee (cup = 8 oz) 2 oz apple juice

Lunch

can ginger ale (1 can = 12 oz) 3 oz jello 2 cups of tea (1 cup = 8 oz) 4 oz gelatin dessert

Dinner

At the end of the shift, the Foley catheter is emptied of 1,650 mL of urine, and a surgical drain is emptied of 200 mL. Calculate the I&O for the 12-hour shift in milliliters. a. Intake ________________ mL; b. Output _______________ mL ANS:

a. 2,850; b. 1,850 PTS: 1

MSC: General

4. A client’s intake and output was the following for 8 hours (8 AM to 4 PM):

The client has intravenous fluid infusing at 125 mL/hr at 8 AM. The IV fluids are held for 1 hr from 2 PM to 3 PM while 100 mL of IV fluids infuse with an antibiotic.

The client consumed the following: (Use the following equivalents: 1 cup = 8 oz, 1 glass = 6 oz) 

cups coffee



glasses juice

 glasses water 3 oz juice The client voided five times: 325 mL, 450 mL, 500 mL, 300 mL, and 600 mL of urine.

Calculate the I&O in milliliters. a. Total intake _____________ mL; b. Total output _______________ mL ANS:

a. 3,090; b. 2,175 PTS: 1

MSC: General

Chapter 09: Additional Conversions Useful in the Health Care Setting Gray Morris: Calculate with Confidence, 7th Edition MULTIPLE CHOICE 1. In international time, 4:08 PM is a. 0408 hr. b. 1508 hr. c. 1608 hr. d. 1708 hr.

ANS: C

PTS: 1

MSC: General

2. In traditional time, 0518 is a. 5:18 AM. b. 5:18 PM. ANS: A

PTS: 1

MSC: General

COMPLETION 1. Directions: Write the equivalent indicated.

1 kg = _____ lb ANS: 2.2 PTS: 1

MSC: General

2. Directions: Write the equivalent indicated.

1 cm = _____ mm ANS: 10 PTS: 1

MSC: General

3. Directions: Write the equivalent indicated.

1 in. = _____ cm ANS: 2.5 PTS: 1

MSC: General

4. Directions: Write the equivalent indicated.

16 oz = _____ lb ANS: 1 PTS: 1

MSC: General

5. Directions: Write the equivalent indicated.

40.5 cm ______ mm ANS: 405 mm PTS: 1

MSC: General

6. Directions: Convert the following temperature as indicated.

18° C = _____° F ANS: 64.4 PTS: 1

MSC: General

7. Directions: Convert the following temperature as indicated.

39° C = _____° F

ANS: 102.2 PTS: 1

MSC: General

8. Directions: Convert the following temperature as indicated.

102° F = _____° C ANS: 38.9 PTS: 1

MSC: General

9. Directions: Convert the following temperature as indicated.

212° F = _____° C ANS: 100 PTS: 1

MSC: General

10. Directions: Convert the following temperature as indicated.

Store medication within a temperature range of 36° F and 41° F. ______° C ANS: 2.2° C and 5° C PTS: 1

MSC: General

11. Directions: Convert the following temperature as indicated.

12.8° C = _____° F ANS: 55 PTS: 1

MSC: General

12. Directions: Convert the following temperature as indicated.

82.8° F = ______° C ANS: 28.2 PTS: 1

MSC: General

13. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

8 lb, 12.2 oz = _____ kg ANS: 4 PTS: 1

MSC: General

14. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

9 lb, 9 oz = _____ kg

ANS: 4.4 PTS: 1

MSC: General

15. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

134 lb = _____ kg ANS: 60.9 PTS: 1

MSC: General

16. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

6.4 lb = _____ kg ANS: 2.9 PTS: 1

MSC: General

17. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

7.6 kg = _____ lb ANS: 16.7 PTS: 1

MSC: General

18. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

63 kg = _____ lb ANS: 138.6 PTS: 1

MSC: General

19. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

18 lb, 12 oz = _____ kg ANS: 8.5 PTS: 1

MSC: General

20. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

41 lb, 2 oz = _____ kg ANS: 18.7 PTS: 1

MSC: General

21. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

14 lb, 4 oz = _____ kg

ANS: 6.5 PTS: 1

MSC: General

22. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

lb = _____ kg ANS: 18.1 PTS: 1

MSC: General

23. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

lb = _____ kg ANS: 37.5 PTS: 1

MSC: General

24. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

20.8 kg = _____ lb ANS: 45.8 PTS: 1

MSC: General

25. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

43.5 kg = _____ lb ANS: 95.7 PTS: 1

MSC: General

26. Directions: Convert as indicated.

34 mm = _____ cm ANS: 3.4 PTS: 1

MSC: General

27. Directions: Convert as indicated.

16.2 in. = _____ cm ANS: 40.5 PTS: 1

MSC: General

28. Directions: Convert as indicated.

27 cm = _____ in.

ANS: 10.8 PTS: 1

MSC: General

29. A client’s rash measures 5 cm  4 cm. How much does this measure in inches? _____ in.

ANS: 2  1.6 PTS: 1

MSC: General

30. A wound measures 4.2 cm in length. How many mm is this? _____ mm ANS: 42 PTS: 1

MSC: General

31. An IV started at 3:10 AM is to be completed in 12 hr 30 min. Determine the completion time

(traditional time). _____ ANS: 3:40 PM PTS: 1

MSC: General

32. An IV started at 0550 is to be completed in 5 hr 10 min. Determine the completion time

(international time). _____ ANS: 1100 PTS: 1

MSC: General

33. Directions: Convert the following time to international time.

2:35 AM _________________ ANS: 0235 PTS: 1

MSC: General

34. Directions: Convert the following time to international time.

10:19 PM _________________ ANS: 2219 PTS: 1

MSC: General

35. Directions: Convert the following time to international time.

12:19 AM ________________ ANS: 0019

PTS: 1

MSC: General

36. Directions: Convert the following time to traditional time.

2146 ___________ ANS: 9:46 PM PTS: 1

MSC: General

37. Directions: Convert the following time to traditional time.

2359 _____________ ANS: 11:59 PM PTS: 1

MSC: General

SHORT ANSWER 1. A client is to take a medication every 6 hr. The first dose is 6:30 AM. What time will the client

take the next two doses? a. Traditional time _________________; b. International time ________________ ANS:

a. 12:30 PM, 6:30 PM; b. 1230, 1830 PTS: 1

MSC: General

Chapter 10: Medication Administration Gray Morris: Calculate with Confidence, 7th Edition MULTIPLE CHOICE 1. The “six rights” of medication administration are a. medication, dosage, route, time, client, documentation. b. medication, solution, doctor, shift, time, documentation. c. medication, order, signature, time, route, documentation. d. medication, client, signature, time, hospital, documentation ANS: A

PTS: 1

MSC: General

2. After administering a medication, the nurse should a. pour the medications for the next administration time. b. document medication given prior to administering. c. order the next dosage needed from the pharmacy. d. document the time of administration.

ANS: D

PTS: 1

MSC: General

3. A nurse is administering a medication at the bedside. Which of the following actions should be

the first priority? a. Document the administration of the medication. b. Establish the identity of the client. c. Recheck the medication label. d. Obtain orange juice for the client to take with the medication.

ANS: B

PTS: 1

MSC: General

MULTIPLE RESPONSE 1. Medication errors (Select all that apply.) a. are preventable. b. are less prevalent in children and elderly. c. cause an increase in health care cost. d. can occur when the six rights of medication administration are not adhered to. e. can result in tragic outcomes including death. f. occur in the hospital setting only.

ANS: A, C, D, E

PTS: 1

MSC: General

2. Which of the following are considered unique identifiers in addition to the full name of a client

when establishing the identification of a client? (Select all that apply.) a. Room number of the client. b. Client’s medical record number. c. Initials of the client’s name. d. Client’s date of birth. e. Name of the client’s medication.

ANS: B, D

PTS: 1

MSC: General

COMPLETION 1. Directions: For the following scenario, identify which of the "six rights" of medication

administration has been violated.

A nurse charts medications that she administered at 10 AM on October 1st for 10 AM on October 2nd: _______________.

ANS: documentation PTS: 1

MSC: General

2. 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): _______________.

ANS: client PTS: 1

MSC: General

3. Directions: For the following scenario, identify which of the “six rights” of medication

administration has been violated.

Medication ________________ avoids errors and assists in obtaining accurate medication histories of a client at transition points (admission, transfer, discharge).

ANS: reconciliation PTS: 1

MSC: General

4. Directions: Complete the following sentence with the correct word or number.

The use of mixed case or enlarged, bolded lettering to differentiate medications with look-alike names is called __________ lettering.

ANS: Tall Man PTS: 1

MSC: General

5. Directions: Complete the following sentence with the correct word or number.

The use of posters and brochures to encourage clients to use strategies to avoid medication errors is called the _____________.

ANS: Speak Up Campaign PTS: 1

MSC: General

6. 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 _____________.

ANS: 30-min rule PTS: 1

MSC: General

SHORT ANSWER 1. 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.: _______________, _______________.

ANS:

medication, dosage

PTS: 1

MSC: General

2. Directions: Complete the following sentence with the correct word or number.

When a verbal order is received by an authorized individual, the individual must do the following: (Write in the correct sequence.) _______, _______, _______.

ANS:

write it down, read it back, get confirmation PTS: 1

MSC: General

TRUE/FALSE 1. Medication errors can result in prolonged hospitalization for a client.

ANS: T

PTS: 1

MSC: General

2. Technological advances have eliminated the occurrence of medication errors.

ANS: F

PTS: 1

MSC: General

3. A nurse who administers a medication that is unsafe is liable for the error.

ANS: T

PTS: 1

MSC: General

4. The nurse can safely administer medications that are prepared by another nurse.

ANS: F

PTS: 1

MSC: General

5. A dropper is safe to use when administering medications when it is used for the specific

medication it is calibrated to.

ANS: T

PTS: 1

MSC: General

Chapter 11: Understanding and Interpreting Medication Orders Gray Morris: Calculate with Confidence, 7th Edition MULTIPLE CHOICE 1. The use of a computer to order medications a. increases client confidentiality. b. lessens the work of checking orders. c. helps to identify errors in writing orders. d. decreases the problems associated with illegible handwriting.

ANS: D

PTS: 1

MSC: General

2. “Administer Colace 100 mg by mouth three times a day.” Which of the following correctly

indicates the order? a. Colace 100 mg p.o. t.i.d. b. Colace 100 mg p.o. b.i.d. c. Colace mg 100.0 p.o. q.i.d. d. Colace MG 100 p.o. t.i.d.

ANS: A

PTS: 1

MSC: General

COMPLETION 1. Directions: Give the abbreviation for the following.

Twice a day: _____ ANS: b.i.d.

PTS: 1

MSC: General

2. Directions: Give the abbreviation for the following.

Every hour: _____ ANS: qh PTS: 1

MSC: General

3. Directions: Give the abbreviation for the following.

Every four hours: _____ ANS: q4h PTS: 1

MSC: General

4. Directions: Give the abbreviation for the following.

Immediately: _____ ANS: stat PTS: 1

MSC: General

5. Complete the following sentence with the correct word or number. To ensure accuracy and

prevent misinterpretation, place a _____ before the decimal point.

ANS: leading zero PTS: 1

MSC: General

6. Directions: For the following medication order indicate what component of the order is missing.

Demerol 75 mg IM prn.

ANS: Frequency PTS: 1

MSC: General

7. Directions: For the following medication order indicate what component of the order is missing.

Solu-Medrol 50 mg.

ANS:

Route, frequency frequency, route Route frequency frequency route PTS: 1

MSC: General

8. Directions: For the following medication order indicate what component of the order is missing.

Trental 400 mg po.

ANS: Frequency PTS: 1

MSC: General

9. Directions: Correct the following medication order using the ISMP list of Error-Prone

Abbreviations, Symbols, and Dose Designations.

Robitussin 15 cc po q6h prn ANS: Robitussin 15 mL po q6h prn.

PTS: 1

MSC: General

10. Directions: Correct the following medication order using the ISMP list of Error-Prone

Abbreviations, Symbols, and Dose Designations.

Lasix 40.0 mg po qd ANS:

Lasix 40 mg po daily Lasix 40 mg po every day PTS: 1

MSC: General

SHORT ANSWER 1. Complete the following sentence with the correct word or number. A medication order is written

without a frequency. The nurse should ______________________________.

ANS:

call the prescriber for clarification.

PTS: 1

MSC: General

2. Verbal orders should be accepted only in _______________.

ANS:

emergency situations PTS: 1

MSC: General

3. CPOE is an abbreviation for _______________.

ANS:

computerized physician order entry PTS: 1

MSC: General

4. Directions: Correct the following medication order using the ISMP list of Error-Prone

Abbreviations, Symbols, and Dose Designations.

Timoptic 0.5% 1 gtt OS bid ANS:

Timoptic 0.5% 1 gtt in the left eye twice daily PTS: 1

MSC: General

5. Directions: Correct the following medication order using the ISMP list of Error-Prone

Abbreviations, Symbols, and Dose Designations.

Ambien 5 mg po hs prn ANS:

Ambien 5 mg po at bedtime prn; or Ambien 5 mg po hours of sleep prn.

PTS: 1

MSC: General

6. Directions: Correct the following medication order using the ISMP list of Error-Prone

Abbreviations, Symbols, and Dose Designations.

Doxycycline 100 mg po bid pc ANS:

Doxycycline 100 milligrams by mouth two times a day after meals; OR Doxycycline 100 milligrams orally two times a day after meals PTS: 1

MSC: General

7. Directions: Correct the following medication order using the ISMP list of Error-Prone

Abbreviations, Symbols, and Dose Designations.

Motrin 400 mg po q6h prn for back pain

ANS:

Motrin 400 milligrams by mouth every 6 hours when necessary for back pain; OR Motrin 400 milligrams orally every 6 hours when required for back pain.

PTS: 1

MSC: General

8. Directions: Correct the following medication order using the ISMP list of Error-Prone

Abbreviations, Symbols, and Dose Designations.

Heparin 5,000 units subcut daily ANS:

Heparin 5,000 units by subcutaneous injection daily PTS: 1

MSC: General

TRUE/FALSE 1. A p.r.n. order must indicate the minimum time between dosages such as q4h.

ANS: T

PTS: 1

MSC: General

2. The nurse is responsible for determining the times for a medication ordered t.i.d. at an institution.

ANS: F

PTS: 1

MSC: General

3. Trailing zeros are necessary to avoid misinterpretation of a value.

ANS: F

PTS: 1

MSC: General

4. The abbreviation OD should not be used to indicate right eye in a medication order.

ANS: T

PTS: 1

MSC: General

5. To indicate a medication is to be administered every day, the recommended abbreviation is qd.

ANS: F

PTS: 1

MSC: General

Chapter 12: Medication Administration Records and Medication Distribution Systems Gray Morris: Calculate with Confidence, 7th Edition MULTIPLE CHOICE 1. What would be the appropriate interpretation for the following order? Demerol 50 mg IM stat?

Administer _______________ a. Demerol 50 mg IM when needed. b. Demerol 50 mg IM as desired. c. Demerol 50 mg IM on call to OR. d. Demerol 50 mg IM immediately.

ANS: D

PTS: 1

MSC: General

2. A medicine ordered q6h would be given how many times a day? _____ a. 4 b. 6 c. 8 d. 12 ANS: A

PTS: 1

MSC: General

3. 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.

ANS: C

PTS: 1

MSC: General

4. A client refuses a p.o. medication and provides the nurse with a reason for refusing the

medication. What should the nurse’s action be? a. Inform the client they cannot refuse a medication. b. Report it to the nurse manager. c. Administer the medication by an injectable route. d. Document the refusal and inform the prescriber.

ANS: D

PTS: 1

MSC: General

MULTIPLE RESPONSE 1. 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 ANS: C, D, F

PTS: 1

MSC: General

SHORT ANSWER 1. Directions: Refer to the portion of the MAR provided below to answer the question.

Name**, MEDICATION ADMINISTRATION RECORD Room Number

Date of Birth Medical Record Number Diagnosis: ALLERGIES: Penicillin, Codeine Date: 5/2/2014

What are the client’s medication allergies? ______________ ANS:

Penicillin, Codeine PTS: 1

MSC: General

2. Directions: Refer to the portion of the MAR provided below to answer the question.

Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis:

ALLERGIES: Penicillin, Codeine Date: 5/2/2014

Which medication is ordered to be administered “as needed”? _______________ ANS:

Percocet PTS: 1

MSC: General

3. Directions: Refer to the portion of the MAR provided below to answer the question.

Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGIES: Penicillin, Codeine Date: 5/2/2014

If the client receives the Percocet at 10 PM on 5/2/2014, what date and time can the next dose be given? (State the time in traditional and international time.) _______________ ANS:

5/3/2014 at 4:00 AM, 0400 PTS: 1

MSC: General

4. Directions: Refer to the portion of the MAR provided below to answer the question.

Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGIES: Penicillin, Codeine Date: 5/2/2014

How many hours are between the scheduled times for K-Dur? _______________ ANS:

8 hours PTS: 1

MSC: General

5. Directions: Refer to the portion of the MAR provided below to answer the question.

Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGIES: Penicillin, Codeine Date: 5/2/2014

By what route will the heparin be administered? _______________ ANS:

Subcutaneous injection PTS: 1

MSC: General

6. Directions: Refer to the portion of the MAR provided below to answer the question.

Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGIES: Penicillin, Codeine Date: 5/2/2014

What dose of heparin is to be administered? _______________ ANS:

5,000 units PTS: 1

MSC: General

7. Directions: Refer to the portion of the MAR provided below to answer the question.

Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGIES: Penicillin, Codeine Date: 5/2/2014

K-Dur 10 mEq is ordered. What does mEq mean? _______________ ANS:

Milliequivalent PTS: 1

MSC: General

8. Directions: Refer to the portion of the MAR provided below to answer the question.

Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGIES: Penicillin, Codeine Date: 5/2/2014

What are the scheduled times for administering K-Dur? (State in traditional times.) _______________ ANS:

9 AM, 5 PM PTS: 1

MSC: General

9. Directions: Refer to the portion of the MAR provided below to answer the question.

Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGIES: Penicillin, Codeine Date: 5/2/2014

How many times in a 24-hour period will K-Dur be administered? _______________ ANS:

Twice PTS: 1

MSC: General

10. Directions: Refer to the portion of the MAR provided below to answer the question.

Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGIES: Penicillin, Codeine Date: 5/2/2017

You work from 3 PM to 11 PM on May 3, 2017. Which standing medication will you administer to the client? _______________ ANS:

K-Dur PTS: 1

MSC: General

ESSAY 1. The prescriber orders a medication q8h. The nurse enters the following times on the medication

administration record (MAR): 12 AM-6 AM-12 PM-6 PM. What error has occurred?

ANS:

The wrong time intervals, the time intervals are 6 hours apart instead of 8 hours. The times if not corrected will cause the client to receive one more dose of the medication than was intended.

PTS: 1

MSC: General

Chapter 13: Reading Medication Labels Gray Morris: Calculate with Confidence, 7th Edition

MULTIPLE CHOICE 1. 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.

ANS: C

PTS: 1

MSC: General

2. 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.

ANS: B

PTS: 1

MSC: General

SHORT ANSWER 1. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

. a. Trade name: _______________ b. Generic name: _______________ c. Dosage strength: _______________ d. Form: _______________ e. Total amount in container: _______________ ANS:

a. Ambien; b. zolpidem tartrate; c. 5 mg per tab; d. tablets (tab); e. 100 tablets (tabs) PTS: 1

MSC: General

2. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Trade name: _______________ b. Generic name: _______________ c. Dosage strength: _______________ d. According to the label, who should not use this medication? _______________ ANS:

a. Cytotec; b. misoprostol; c. 100 mcg per tablet (tab); d. Pregnant women PTS: 1

MSC: General

3. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Trade name: _______________ b. Generic name: _______________ c. Dosage strength: _______________ d. Form: _______________ e. Total amount in container: ________________ ANS:

a. Detrol LA; b. tolterodine tartrate; c. 2 mg per extended-release capsule (caps); d. extended release capsules (caps); e. 30 extended release capsules (caps) PTS: 1

MSC: General

4. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Trade name: _______________ b. Generic name: _______________ c. Dosage strength: _______________ d. Form: _______________ e. Total volume: _______________ f. Directions for use: _______________ ANS:

a. none stated; b. Bumetanide; c. 1 mg per 4 mL or 0.25 mg per mL; d. injectable liquid; e. 4 mL; f. for IV or IM use PTS: 1

MSC: General

5. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Trade name: _______________ b. Generic name: _______________ c. Dosage strength: _______________ d. Form: _______________ e. Total volume: _______________

f. Storage directions: ___________ ANS:

a. none stated; b. butorphanol tartrate; c. 2 mg per mL; d. injectable liquid; e. 1 mL; f. store at room temperature; 15° C to 30° C (59° F to 86° F) PTS: 1

MSC: General

6. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Trade name: _______________ b. Generic name: _______________ c. Dosage strength of oxycodone per tablet: _______________ d. Dosage strength of acetaminophen per tablet: _______________ e. Form: _______________ f. What type of label is illustrated here? _______________ g. Controlled drug schedule: ____________ ANS:

a. Percocet; b. oxycodone and acetaminophen; c. 5 mg per tablet (tab); d. 325 mg per tablet (tab), e. tablets (tab), f. Combination drugs (two drugs in one form); g. II, 2 PTS: 1

MSC: General

7. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Trade name: _______________ b. Generic name: _______________ c. Dosage strength of amoxicillin: _______________ d. Dosage strength of clavulanate potassium: _______________ e. Form: _______________ f. Total volume: _____________ ANS:

a. none stated; b. amoxicillin and clavulanate potassium; c. 250 mg per 5 mL; d. 28.5 mg per 5 mL; e. powder (when reconstituted oral suspension); f. 100 mL (when reconstituted) PTS: 1

MSC: General

8. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Trade name: _______________ b. Generic name: _______________ c. Dosage strength: _______________ d. Form: _______________ e. Total volume: _______________ ANS:

a. none stated; b. albuterol sulfate; c. 2 mg per 5 mL; d. oral syrup; e. 473 mL PTS: 1

MSC: General

9. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Trade name: _______________ b. Generic name: _______________ c. Dosage strength: _______________ d. Form: _______________ e. Directions for use: _______________ ANS:

a. Adriamycin PFS; b. doxorubicin hydrochloride; c. 75 mg per 37.5 mL or 2 mg per mL; d. sterile isotonic solution–injectable; e. for intravenous use only PTS: 1

MSC: General

10. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Trade name: _______________ b. Generic name: _______________ c. Dosage strength: _______________ d. Form: _______________ e. Total volume: _______________ ANS:

a. Dilantin; b. phenytoin sodium; c. 250 mg per 5 mL; d. injectable liquid; e. 5 mL PTS: 1

MSC: General

11. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Trade name: _______________ b. Generic name: _______________ c. Dosage strength: _______________ d. Form: _______________ e. Directions before using: _______________ ANS:

a. Tegretol; b. carbamazepine; c. 100 mg per 5 mL; d. oral suspension; e. shake well

PTS: 1

MSC: General

12. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Trade name: ________________ b. Generic name: ________________ c. Dosage strength: ______________ d. Form: __________ e. Total amount in container: _______________ ANS:

a. Calan; b. verapamil hydrochloride; c. 80 mg per tablet (tab); d. tablets (tabs), e. 100 tablets (tabs) PTS: 1

MSC: General

13. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Trade name: _______________ b. Generic name: _______________ c. Form: _______________ d. Dosage strength: _______________ e. Storage directions: _______________ ANS:

a. Emend; b. Aprepitant; c. capsules (caps); d. 80 mg per capsule (cap); e. store at 20–25° C (68– 77° F) (See USP controlled room temperature.)

PTS: 1

MSC: General

14. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Trade name: _______________ b. Generic name: _______________ c. Form: _______________ d. Controlled substance schedule: _______________ ANS:

a. Kadian; b. morphine sulfate; c. extended-release capsules; d. Schedule II or 2 PTS: 1

MSC: General

15. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Trade name: _______________

b. What two medications are contained in the medication? _______________ c. Dosage strength: _______________ d. Controlled substance schedule: _______________ e. Warning: _______________ ANS:

a. Lomotil; b. diphenoxylate hydrochloride and atropine sulfate; c. diphenoxylate 2.5 mg per tablet (tab); atropine sulfate 0.025 mg per tablet (tab); d. Schedule V or 5; e. may be habit forming PTS: 1

MSC: General

16. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Trade name: _______________ b. Form: _______________ ANS:

a. Ery-tab; b. enteric-coated, delayed-release tablets (tabs) PTS: 1

MSC: General

17. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Trade name: _______________ b. Generic name: _______________ c. Form: _______________ d. Dosage strength: _______________ e. How many doses are in the vial? _______________ f. Directions for use: _______________ ANS:

a. Zemplar; b. paricalcitol; c. capsules (caps); d. 2 mcg per capsule; e. 30 capsules; f. see package insert for full prescribing information PTS: 1

MSC: General

18. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Trade name: _______________ b. Generic name: _______________ c. Form: _______________ d. Dosage strength: _______________ e. Total volume: _______________ f. Route of administration: _______________ ANS:

a. Lufyllin; b. dyphylline; c. Elixir; d. 100 mg per 15 mL; e. 1 pint (473 mL); f. orally or by mouth PTS: 1

MSC: General

19. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Generic name: ___________________ b. Form: _________________________ c. Dosage strength: _________________ d. Dosage: __________________________ ANS:

a. atomoxetine; b. capsule (caps); c. 100 mg per capsule; d. see accompanying literature for dosage information PTS: 1

MSC: General

20. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Generic name: ________________ b. Dosage strength: ____________________ c. Total volume: ______________________ d. Form: __________________________ e. Directions for use: ____________________ ANS:

a. Propranolol HCl; b. 1 mg per mL; c. 1 mL; d. injectable liquid; e. for IV use only PTS: 1

MSC: General

21. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Trade name: ___________________ b. Generic name: __________________

c. Form: _______________________ d. Dosage strength: ______________ e. Total amount in container: _______________ ANS:

a. Tegretol; b. carbamazepine; c. chewable tablets; d. 100 mg per chewable tablet (tab); e. 100 chewable tablets (tabs) PTS: 1

MSC: General

22. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Trade name: ________________ b. Form: ______________________ c. Dosage strength: _____________ d. Total amount in container: _____________ ANS:

a. Calan SR; b. sustained-release caplets; c. 240 mg per sustained-release caplet; d. 100 sustained caplets PTS: 1

MSC: General

23. Directions: Use the label to identify the information requested. If more than one answer is

necessary, separate your answers with commas.

a. Generic name: ____________________ b. Dosage strength: ____________________ c. Total volume: ______________________ d. Directions for use: __________________

ANS:

a. Terbutaline sulfate; b. 1 mg per mL; c. 1 mL; d. For subcut injection only PTS: 1

MSC: General

Chapter 14: Dosage Calculation Using the Ratio and Proportion Method Gray Morris: Calculate with Confidence, 7th Edition COMPLETION 1. 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 ANS: 2 caps PTS: 1

MSC: General

2. 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 ANS: 1 tab PTS: 1

MSC: General

3. Directions: Calculate the following dosage using the ratio and proportion 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 ANS: 8.8 mL PTS: 1

MSC: General

4. Directions: Calculate the following dosage using the ratio and proportion method. Round mL

answers to the nearest tenth unless otherwise indicated.

Order: Thorazine 25 mg p.o. t.i.d.

Available: Thorazine syrup labeled 10 mg per 5 mL ANS: 12.5 mL PTS: 1

MSC: General

5. Directions: Calculate the following dosage using the ratio and proportion 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 ANS: 8 mL PTS: 1

MSC: General

6. Directions: Calculate the following dosage using the ratio and proportion method. Round mL

answers to the nearest tenth unless otherwise indicated.

Order: Thorazine 15 mg IM stat Available: Thorazine 25 mg per mL ANS: 0.6 mL PTS: 1

MSC: General

7. 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 ANS: 4 mL PTS: 1

MSC: General

8. Directions: Calculate the following dosage using the ratio and proportion method. Round mL

answers to the nearest tenth unless otherwise indicated.

Order: Ketorolac 16 mg IV q6h p.r.n. for pain Available:

ANS: 0.5 mL PTS: 1

MSC: General

9. Directions: Calculate the following dosage using the ratio and proportion 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

ANS: 1.5 mL PTS: 1

MSC: General

10. 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 ANS: 1.5 mL PTS: 1

MSC: General

11. Directions: Calculate the following dosage using the ratio and proportion method. Round mL

answers to the nearest tenth unless otherwise indicated.

Order: Heparin 2,000 units subcut daily Available:

ANS: 0.4 mL PTS: 1

MSC: General

12. Directions: Calculate the following dosage using the ratio and proportion method. Round mL

answers to the nearest tenth unless otherwise indicated.

Order: Heparin 2,500 units subcut stat Available: (Express answer in hundredths.)

ANS: 0.25 mL PTS: 1

MSC: General

13. Directions: Calculate the following dosage using the ratio and proportion method. Round mL

answers to the nearest tenth unless otherwise indicated.

Order: Cialis 15 mg p.o. daily Available:

ANS:

3 tablets (3 tabs) 3 tablets 3 tabs PTS: 1

MSC: General

14. Directions: Calculate the following dosage using the ratio and proportion method. Round mL

answers to the nearest tenth unless otherwise indicated.

Order: Ketorolac 35 mg IM q6h p.r.n. for severe pain Available:

ANS: 2.3 mL PTS: 1

MSC: General

15. Directions: Calculate the following dosage using the ratio and proportion method. Round mL

answers to the nearest tenth unless otherwise indicated.

Order: Ativan 3.5 mg IM stat Available:

ANS: 1.8 mL PTS: 1

MSC: General

Chapter 15: Dosage Calculation Using the Formula Method Gray Morris: Calculate with Confidence, 7th Edition COMPLETION 1. Directions: Calculate the following dosage using the formula 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

ANS: 2 caps PTS: 1

MSC: General

2. 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 ANS: 1 tab PTS: 1

MSC: General

3. 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 ANS: 8.8 mL PTS: 1

MSC: General

4. Directions: Calculate the following dosage using the formula method. Round mL answers to the

nearest tenth unless otherwise indicated.

Order: Thorazine 25 mg p.o. t.i.d.

Available: Thorazine syrup labeled 10 mg per 5 mL ANS: 12.5 mL PTS: 1

MSC: General

5. 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 ANS: 8 mL PTS: 1

MSC: General

6. Directions: Calculate the following dosage using the formula method. Round mL answers to the

nearest tenth unless otherwise indicated.

Order: Thorazine 15 mg IM stat Available: Thorazine 25 mg per mL ANS: 0.6 mL PTS: 1

MSC: General

7. Directions: Calculate the following dosage using the formula method. Round mL answers to the

nearest tenth unless otherwise indicated.

Order: Clindamycin 0.6 g IV q12h Available:

ANS: 4 mL PTS: 1

MSC: General

8. Directions: Calculate the following dosage using the formula method. Round mL answers to the

nearest tenth unless otherwise indicated.

Order: Ketorolac 16 mg IV q6h p.r.n. for pain Available:

ANS: 0.5 mL PTS: 1

MSC: General

9. Directions: Calculate the following dosage using the formula 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

ANS: 1.5 mL PTS: 1

MSC: General

10. 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 ANS: 1.5 mL PTS: 1

MSC: General

11. Directions: Calculate the following dosage using the formula method. Round mL answers to the

nearest tenth unless otherwise indicated.

Order: Heparin 2,500 units subcut stat Available: (Express answer in hundredths.)

ANS: 0.25 mL PTS: 1

MSC: General

12. Directions: Calculate the following dosage using the formula method. Round mL answers to the

nearest tenth unless otherwise indicated.

Order: Diphenhydramine HCl 35 mg IM q6h p.r.n. for itching Available:

ANS: 0.7 mL PTS: 1

MSC: General

13. Directions: Calculate the following dosage using the formula method. Round mL answers to the

nearest tenth unless otherwise indicated.

Order: Tricor 134 mg p.o. daily Available:

ANS:

2 tablets (tabs) 2 tablets 2 tabs PTS: 1

MSC: General

14. Directions: Calculate the following dosage using the formula method. Round mL answers to the

nearest tenth unless otherwise indicated.

Order: Sandostatin 200 mcg subcut daily

Available:

ANS: 0.4 mL PTS: 1

MSC: General

Chapter 16: Dosage Calculation Using the Dimensional Analysis Method Gray Morris: Calculate with Confidence, 7th Edition COMPLETION 1. 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 ANS: 2 caps PTS: 1

MSC: General

2. Directions: Calculate the following dosage using the dimensional analysis 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 ANS: 1 tab PTS: 1

MSC: General

3. 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

ANS: 8.8 mL PTS: 1

MSC: General

4. Directions: Calculate the following dosage using the dimensional analysis method. Round mL

answers to the nearest tenth unless otherwise indicated.

Order: Thorazine 25 mg p.o. t.i.d.

Available: Thorazine syrup labeled 10 mg per 5 mL ANS: 12.5 mL PTS: 1

MSC: General

5. 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 ANS: 8 mL PTS: 1

MSC: General

6. Directions: Calculate the following dosage using the dimensional analysis method. Round mL

answers to the nearest tenth unless otherwise indicated.

Order: Thorazine 15 mg IM stat Available: Thorazine 25 mg per mL ANS: 0.6 mL PTS: 1

MSC: General

7. Directions: Calculate the following dosage using the dimensional analysis method. Round mL

answers to the nearest tenth unless otherwise indicated.

Order: Clindamycin 0.475 g IV q12h Available:

ANS: 3.2 mL PTS: 1

MSC: General

8. Directions: Calculate the following dosage using the dimensional analysis method. Round mL

answers to the nearest tenth unless otherwise indicated.

Order: Ketorolac 16 mg IV q6h p.r.n. for pain Available:

ANS: 1.1 mL PTS: 1

MSC: General

9. 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

ANS: 1.5 mL PTS: 1

MSC: General

10. Directions: Calculate the following dosage using the dimensional analysis method. Round mL

answers to the nearest tenth unless otherwise indicated.

Order: Ampicillin 0.375 g IM q6h Available: Ampicillin 250 mg per mL ANS: 1.5 mL PTS: 1

MSC: General

11. Directions: Calculate the following dosage using the dimensional analysis method. Round mL

answers to the nearest tenth unless otherwise indicated.

Order: Heparin 3,250 units subcut daily Available: (Express answer in hundredths.)

ANS: 0.65 mL PTS: 1

MSC: General

12. Directions: Calculate the following dosage using the dimensional analysis method. Round mL

answers to the nearest tenth unless otherwise indicated.

Order: Heparin 5,500 units subcut stat Available: (Express answer in hundredths.)

ANS: 0.55 mL PTS: 1

MSC: General

Chapter 17: Oral Medications Gray Morris: Calculate with Confidence, 7th Edition SHORT ANSWER 1. Directions: Complete with the correct word(s) or number.

An elongated tablet for easy swallowing is referred to as a _______________.

ANS:

caplet PTS: 1

MSC: General

2. Directions: Complete with the correct word(s) or number.

Enteric-coated tablets and time-release tablets should never be _______________.

ANS:

crushed, broken PTS: 1

MSC: General

3. Directions: Complete with the correct word(s) or number.

Sublingual tablets must never be _______________ but placed _______________ the tongue.

ANS:

crushed, swallowed; under PTS: 1

MSC: General

4. Directions: Complete with the correct word(s) or number.

The nurse should question and check any calculation that indicates you should administer more than ________ tablets or capsules to achieve a single dose.

ANS:

three (3) PTS: 1

MSC: General

5. 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 _______________.

ANS:

spansule PTS: 1

MSC: General

6. Directions: Complete with the correct word(s) or number.

The most common form of oral medication is the __________.

ANS:

tablet PTS: 1

MSC: General

7. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to the

nearest tenth as indicated.

Order: Ranitidine 300 mg p.o. daily at bedtime Available:

Dosage: _____ ANS:

2 tabs PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

8. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to the

nearest tenth as indicated.

Order: Evista 60 mg p.o. daily Available:

Dosage: _____ ANS:

1 tab

PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

9. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to the

nearest tenth as indicated.

Order: Tegretol 0.2 g p.o. b.i.d.

Available:

Dosage: _____ ANS:

2 tabs PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

10. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to the

nearest tenth as indicated.

Order: Biaxin 175 mg p.o. q12h Available:

Dosage: _____ ANS:

3.5 mL PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

11. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to the

nearest tenth as indicated.

Order: Cardura 8 mg p.o. daily Available:

a. Which dosage strength of Cardura would you use? _____ mg tabs b. How many tablets will you administer? _____ tab(s) ANS:

a. 4 b. 2

PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

12. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to the

nearest tenth as indicated.

Order: Synthroid 0.3 mg p.o. daily Available:

Dosage: _____ tab(s) ANS:

2

PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

13. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to the

nearest tenth as indicated.

Order: Benazepril (Lotensin HCT) 20 mg per 25 mg p.o. every day Available:

a. How many tablets should the client receive per dosage? _____ tab(s) b. How many tablets would be needed for 1 week? _____ tab(s) ANS:

a. 2 b. 14

PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

14. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest 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 theclient receive per dosage? _____ mL b. How many milligrams will theclient receive per day? _____ mg ANS:

A. 4 B. 12 PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

15. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Ceftin 500 mg p.o. q12h Available:

Dosage: _____ ANS:

10 mL PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

16. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Norvasc 5 mg p.o. daily Available:

Dosage: _____ ANS:

2 tabs PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

17. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Tenormin 100 mg p.o. daily Available:

Dosage: _____ ANS:

2 tabs PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

18. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Ampicillin 1 g p.o. as an initial dosage and then 500 mg p.o. q.i.d. for 7 days thereafter Available: Ampicillin capsules labeled 500 mg a. How many capsules will you administer for theinitial dosage? _____ cap(s) b. What is thetotal number of capsules needed for thesubsequent dosages for 7 days? _____ cap(s)

ANS:

a. 2 b. 28

PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

19. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Feldene 20 mg p.o. daily Available:

a. Which dosage strength would be best to use? _____ mg caps b. How many capsules will you administer per dosage? _____ cap(s) ANS:

a. 20 b. 1

PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

20. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Diflucan 350 mg p.o. daily Available:

Dosage: _____ ANS:

8.8 mL PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

21. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Depakene 0.5 g p.o. daily for 1 week, then 1 g p.o. daily beginning thesecond week Available:

a. How many milligrams will theclient receive per dosage for 1 week? _____ mg b. How many milliliters will you administer per dosage for 1 week? _____ mL c. How many milligrams will theclient receive per dosage thesecond week? _____ mg per dosage d. How many milliliters will you administer per dosage thesecond week? _____ mL ANS:

a. 500 b. 10

c. 1,000 d. 20 PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

22. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Potassium chloride 40 mEq p.o. every day Available:

a. How many milliliters would theclient receive? _____ mL b. How many containers are needed? _________ container(s) ANS:

a. 30 b. 2

PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

23. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Zithromax 160 mg p.o. daily Available:

Dosage: _____

ANS:

4 mL PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

24. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Zoloft 50 mg p.o. daily Available:

Dosage: _____ ANS:

2 tabs PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

25. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Methadone hydrochloride 25 mg p.o. daily Available: Scored tablets

Dosage: _____ ANS:

tabs

PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

26. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Carvedilol (Coreg) 6.25 mg p.o. b.i.d.

Available:

a. How many tablets should theclient receive per dosage? _____ tab(s) b. How many milligrams will theclient receive per day? _____ mg ANS:

a. 2 b. 12.5 PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

27. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Terbutaline 5 mg p.o. q8h Available:

a. Which dosage of Terbutaline would you use and why? ________________ b. How many tablets will you give? ______ tab(s) ANS:

a. Use the5 mg tab; if the2.5 mg tab were used, theclient would have to take 2 tabs. Although 2 tabs are acceptable, you want to administer theleast number of tablets to achieve thedosage. b. 1 PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

28. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Clozaril 50 mg p.o. daily Available:

Dosage: _____ ANS:

2 tabs

PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

29. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Compazine 10 mg p.o. q.i.d.

Available:

Dosage: _____ ANS:

10 mL PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

30. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Lithium citrate 0.6 g p.o. b.i.d.

Available:

Dosage: _____ ANS:

10 mL (Indicate thedosage on themedication cup.)

PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

31. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Vibramycin 100 mg p.o. b.i.d. for 14 days Available:

ANS:

20 mL (Indicate thedosage on themedication cup.)

PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

32. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Zebeta 15 mg p.o. daily Available:

a. Which dosage strength of Zebeta would be appropriate to use and why? __________ b. How many tablets will you administer? _________ tab(s) ANS:

a. 1 (5 mg tab) and 1 (10 mg) tab would be theappropriate tabs to give. If the5 mg tablets were used, theclient would have to take 3 tabs. Although this amount is acceptable, theclient should be given theleast amount to achieve thedosage. b. 2 (one 5 mg tab and one 10 mg tab) PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

33. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Amoxicillin and Clavulanate Potassium 250 mg p.o. q8h (dose is based on amoxicillin) Available:

Dosage _____________

ANS:

3.1 mL PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

34. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Isentress 0.8 g p.o. b.i.d.

Available:

Dosage: ___________________ ANS:

2 tabs PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

35. Directions: Calculate thefollowing dosage. Use labels where provided. Round oral liquids to

thenearest tenth as indicated.

Order: Trileptal 0.3 g p.o. b.i.d.

Available:

Dosage: ________ ANS:

5 mL PTS: 1

MSC: Oral Dosages (tablets, capsules, and oral solutions)

Chapter 18: Parenteral Medications Gray Morris: Calculate with Confidence, 7th Edition MULTIPLE CHOICE

1. A 3-mL syringe is calibrated in which of thefollowing increments? a. 0.01 mL b. 0.1 mL c. 0.2 mL d. 1 mL ANS: B

PTS: 1

MSC: Injectables

2. If thedose calculated is 0.78 mL, and a 1-mL syringe is used, how many milliliters will thenurse

administer? a. 0.75 mL b. 0.78 mL c. 0.8 mL d. 0.85 mL ANS: B

PTS: 1

MSC: Injectables

COMPLETION 1. Directions: Refer to thediagram of thesyringes provided to answer thefollowing questions.

The nurse needs to withdraw 1.7 mL of medication into a syringe. thenurse fills themedication to which area on thesyringe? _________

ANS: 2 PTS: 1

MSC: Injectables

2. Directions: Refer to thediagram of thesyringes provided to answer thefollowing questions.

The nurse needs to withdraw 0.65 mL of medication into a syringe. thenurse fills themedication to which area on thesyringe? _________

ANS: 3 PTS: 1

MSC: Injectables

3. Directions: Refer to thediagram of thesyringes provided to answer thefollowing questions.

The nurse needs to withdraw 5.6 mL of medication into a syringe. thenurse fills themedication to which area on thesyringe? _________

ANS: 1 PTS: 1

MSC: Injectables

4. Directions: Calculate thedosages, use labels where provided, and shade in thedosages on

thesyringe where provided. Round answers to thenearest tenth unless otherwise indicated.

How many milligrams of Diltiazem are contained in 2.5 mL? _____ mg ANS: 12.5 PTS: 1

MSC: Injectables

5. Directions: Calculate thedosages, use labels where provided, and shade in thedosages on

thesyringe where provided. Round answers to thenearest tenth unless otherwise indicated.

Order: Levothyroxine sodium 0.3 mg IV daily Available: Levothyroxine sodium 200 mcg per 5 mL How many milliliters will you add to theIV? _____ mL ANS: 7.5 PTS: 1

MSC: Injectables

6. Directions: Calculate thedosages, use labels where provided, and shade in thedosages on

thesyringe where provided. Round answers to thenearest tenth unless otherwise indicated.

Order: Furosemide 15 mg IM every day Available:

How many milliliters will you administer? _____ mL ANS: 1.5 PTS: 1

MSC: Injectables

7. Directions: Calculate thedosages, use labels where provided, and shade in thedosages on

thesyringe where provided. Round answers to thenearest tenth unless otherwise indicated.

Order: Dexamethasone 25 mg IV stat Available:

How many milliliters will you prepare to administer? _____ mL ANS: 6.3 PTS: 1

MSC: Injectables

8. Directions: Calculate thedosages, use labels where provided, and shade in thedosages on

thesyringe where provided. Round answers to thenearest tenth unless otherwise indicated.

Order: Vancomycin 0.6 g IV q12h Available:

After reconstitution: 50 mg per mL How many milliliters will you administer? _____ mL ANS: 12 PTS: 1

MSC: Injectables

9. Directions: Calculate thedosages, use labels where provided, and shade in thedosages on

thesyringe where provided. Round answers to thenearest tenth unless otherwise indicated.

Order: Heparin 45,000 units IV in 500 mL D5W Available:

How many milliliters will you add to theIV? _____ mL ANS: 4.5 PTS: 1

MSC: Injectables

10. Directions: Complete thefollowing statements with thecorrect word(s) or number(s).

The calibrations on a syringe that indicate thecapacity can be found on the_______________.

ANS: barrel PTS: 1

MSC: Injectables

11. Directions: Complete thefollowing statements with thecorrect word(s) or number(s).

The term used for injectable medications is _______________.

ANS: parenteral PTS: 1

MSC: Injectables

12. Directions: Complete thefollowing statements with thecorrect word(s) or number(s).

The route that is used for diagnostic purposes is called _______________.

ANS: intradermal PTS: 1

MSC: Injectables

13. Directions: Complete thefollowing statements with thecorrect word(s) or number(s).

If a nurse calculates a dosage of 3.39 mL of medication, which size syringe should thenurse select? _____ What would be thenearest measurable dose on thesyringe? _____ ANS:

5 mL; 3.4 mL 5 mL, 3.4 mL 5 mL 3.4 mL PTS: 1

MSC: Injectables

SHORT ANSWER 1. Directions: Refer to thediagram of thesyringes provided to answer thefollowing questions.

The nurse needs to administer 31 units of Humulin Regular U-100. Indicate thecorrect syringe thenurse should choose to accurately withdraw thedosage. Shade in thedosage on thesyringe. _________ a.

b.

ANS:

b

PTS: 1

MSC: Injectables

2. Directions: Calculate thedosages, use labels where provided, and shade in thedosages on

thesyringe where provided. Round answers to thenearest tenth unless otherwise indicated.

Order: Atropine 0.5 mg IM stat Available:

a. How many milliliters will you administer? _____ mL b. Shade in thedosage on thesyringe.

ANS:

a. 1.3 b.

PTS: 1

MSC: Injectables

3. Directions: Calculate thedosages, use labels where provided, and shade in thedosages on

thesyringe where provided. Round answers to thenearest tenth unless otherwise indicated.

Order: Terbutaline 300 mcg subcut stat Available:

. How many milliliters will you administer? _____ mL b. Shade in thedosage on thesyringe.

ANS:

a. 0.3 b.

a

PTS: 1

MSC: Injectables

4. Directions: Calculate thedosages, use labels where provided, and shade in thedosages on

thesyringe where provided. Round answers to thenearest tenth unless otherwise indicated.

Order: Morphine 8 mg subcut q4h prn for pain Available:

a. How many milliliters will you administer? _____ mL b. Shade in thedosage on thesyringe.

ANS:

a. 0.53 b.

PTS: 1

MSC: Injectables

5. Directions: Calculate thedosages, use labels where provided, and shade in thedosages on

thesyringe where provided. Round answers to thenearest tenth unless otherwise indicated.

Order: Fosphenytoin 280 mg IV daily Available:

a. How many milliliters will you administer? _____ mL b. Shade in thedosage on thesyringe.

ANS:

a. 5.6 b.

PTS: 1

MSC: Injectables

6. Directions: Calculate thedosages, use labels where provided, and shade in thedosages on

thesyringe where provided. Round answers to thenearest tenth unless otherwise indicated.

Order: Lovenox 50 mg subcut b.i.d.

Available: Lovenox labeled 60 mg per 0.6 mL a. How many milliliters will you administer? _____ mL b. Shade in thedosage on thesyringe.

ANS:

a. 0.5 b.

PTS: 1

MSC: Injectables

7. Directions: Calculate thedosages, use labels where provided, and shade in thedosages on

thesyringe where provided. Round answers to thenearest tenth unless otherwise indicated.

Order: Ranitidine 35 mg IV q6h Available:

a. How many milliliters will you add to theIV? _____ mL b. Shade in thedosage on thesyringe.

ANS:

a. 1.4 b.

PTS: 1

MSC: Injectables

8. Directions: Calculate thedosages, use labels where provided, and shade in thedosages on

thesyringe where provided. Round answers to thenearest tenth unless otherwise indicated.

Order: Digoxin 0.375 mg IV stat

Available:

a. How many milliliters will you prepare for administration? _____ mL b. Shade in thedosage on thesyringe.

ANS:

a. 1.5 b.

PTS: 1

MSC: Injectables

9. Directions: Calculate thedosages, use labels where provided, and shade in thedosages on

thesyringe where provided. Round answers to thenearest tenth unless otherwise indicated.

Order: Pancuronium 1.6 mg IV stat Available: Pancuronium labeled 2 mg per mL a. How many milliliters will you administer? _____ mL b. Shade in thedosage on thesyringe.

ANS:

a. 0.8 b.

PTS: 1

MSC: Injectables

10. Directions: Calculate thedosages, use labels where provided, and shade in thedosages on

thesyringe where provided. Round answers to thenearest tenth unless otherwise indicated.

Order: Meperidine (Demerol) 65 mg and promethazine 25 mg IM q4h p.r.n. for pain Available:

a. How many milliliters of meperidine will you administer? _____ mL b. How many milliliters of promethazine will you administer? _____ mL c. What is thetotal number of milliliters you will draw up in thesyringe? _____ mL

d. Shade in thedosage on thesyringe.

ANS:

a. 0.7 b. 0.5 c. 1.2 d.

PTS: 1

MSC: Injectables

11. Directions: Calculate thedosages, use labels where provided, and shade in thedosages on

thesyringe where provided. Round answers to thenearest tenth unless otherwise indicated.

Order: Heparin 4,400 units subcut daily Available:

a. What type of syringe would you use? _______________ b. How many milliliters will you administer? _____ mL c. Shade in thedosage on thesyringe.

ANS:

a. Tuberculin syringe b. 0.44 c.

PTS: 1

MSC: Injectables

12. Directions: Calculate thedosages, use labels where provided, and shade in thedosages on

thesyringe where provided. Round answers to thenearest tenth unless otherwise indicated.

You need to flush a central venous line with heparin. Which of thetwo labels shown is appropriate for a heparin flush? ______________________________

ANS:

Heparin lock flush solution PTS: 1

MSC: Injectables

13. Directions: Calculate thedosages, use labels where provided, and shade in thedosages on

thesyringe where provided. Round answers to thenearest tenth unless otherwise indicated.

Order: Heparin 3,500 units subcut q8h Available:

a. How many milliliters will you administer? _____ mL b. Shade in thedosage on thesyringe.

ANS:

a. 0.7 b.

PTS: 1

MSC: Injectables

14. Directions: Complete thefollowing statements with thecorrect word(s) or number(s).

Order: Hydromorphone 3 mg IM q4h p.r.n. for pain Available:

a. How many mL will you administer? _____ mL b. Shade in thedosage on thesyringe.

ANS:

a. 1.5 mL b.

PTS: 1

MSC: Injectables

15. Directions: Complete thefollowing statements with thecorrect word(s) or number(s).

Order: Fentanyl 0.05 mg IV stat Available:

a. How many mL will you administer? _____ mL b. Shade in thedosage on thesyringe.

ANS:

a. 1 mL b.

PTS: 1

MSC: Injectables

Chapter 19: Reconstitution of Solutions Gray Morris: Calculate with Confidence, 7th Edition SHORT ANSWER 1. Directions: Use thelabel (where provided) to obtain thenecessary information. Round answers to

thenearest tenth where indicated.

Order: cefazolin (Ancef) 0.375 g IM q6h Available:

a. How many milliliters of diluent will you add for IM use? _____ mL b. Why will thereconstituted volume be larger than theamount of diluent? _____ c. What is thedosage strength of thereconstituted solution? ___________ d. What are thedirections for use? e. How many milliliters will you administer? _____ mL ANS:

a. 2.5 b. themedication itself adds volume c. 330 mg per mL d. For IM or IV use e. 1.1 PTS: 1

MSC: Reconstitution of Solutions

2. Directions: Use thelabel (where provided) to obtain thenecessary information. Round answers to

thenearest tenth where indicated.

Order: Zosyn 3 g IV q6h Available:

a. How many milliliters of diluent should be used to reconstitute thesolution? _____ mL b. What is thedosage strength of theprepared solution? _______________ c. How many milliliters will you add to theIV? _____ mL ANS:

a. 152 b. 200 mg per mL c. 15 PTS: 1

MSC: Reconstitution of Solutions

3. Directions: Use thelabel (where provided) to obtain thenecessary information. Round answers to

thenearest tenth where indicated.

Order: Synagis 65 mg IM q8h Available: Refer to label and package insert.

a. What diluent is recommended for reconstitution? ___________ b. How much diluent must be added? ____________ c. What is thedosage strength of thereconstituted solution? ______ d. How many milliliters will you administer? ________ e. How long is thereconstituted solution good for? ___________ ANS:

a. Sterile water for injection b. 1 mL c. 100 mg per mL d. 0.7 mL e. 6 hours PTS: 1

MSC: Reconstitution of Solutions

4. Directions: Use thelabel (where provided) to obtain thenecessary information. Round answers to

thenearest tenth where indicated.

Order: Vancomycin 0.85 g IV q12h Available:

a. How many milliliters of diluent are used to reconstitute thesolution? _____ mL b. What is thedosage strength of theprepared solution? _______________ c. How many milliliters will you add to theIV? _____ mL ANS:

a. 20 b. 50 mg per mL or 1 g per 20 mL c. 17 PTS: 1

MSC: Reconstitution of Solutions

5. Directions: Use thelabel (where provided) to obtain thenecessary information. Round answers to

thenearest tenth where indicated.

Order: Ceftriaxone 0.5 g IV q12h Available:

a. How many milliliters of diluent will you add to reconstitute thesolution for IV use? _____ mL b. What is thedosage strength of thereconstituted solution for IV use? _____ c. How many milliliters will you administer? __________ mL

ANS:

a. 19.2 b. 100 mg per mL c. 5

PTS: 1

MSC: Reconstitution of Solutions

6. Directions: Use thelabel (where provided) to obtain thenecessary information. Round answers to

thenearest tenth where indicated.

Order: Amoxicillin clavulanate potassium 275 mg p.o. q12h Available:

a. How much diluent is recommended for reconstitution? _________ b. What is thedosage strength of amoxicillin when reconstituted? _______ c. What is thetotal volume of thereconstituted solution? __________ d. How many milliliters will you administer? (based on theamoxicillin) ________ ANS:

a. 87 mL b. 400 mg per 5 mL c. 100 mL d. 3.4 mL PTS: 1

MSC: Reconstitution of Solutions

7. Directions: Prepare thefollowing strength solutions. Describe your calculations.

800 mL of 3/4 strength Sustacal via gastrostomy over 6 hours ANS:

3/4  800 = 600 mL of formula (solute) Amount of solution (800 mL) – Amount of solute (600 mL) = Amount needed to dissolve (200 mL) Therefore, you will add 200 mL of water to 600 mL of Sustacal to make 800 mL of 3/4 strength Sustacal.

PTS: 1

MSC: Reconstitution of Solutions

8. Directions: Prepare thefollowing strength solutions. Describe your calculations.

1/4 strength Ensure 8 oz p.o. q4h for 24 hours ANS:

[Note: 8 oz q4h = 6 feedings; 8 oz  6 = 48 oz] 1 oz = 30 mL, therefore 48 oz = 1,440 mL 1/4  1,440 = 360 mL of theformula (solute) Amount of solution (1,440 mL) – Amount of solute (360 mL) = Amount needed to dissolve (1,080 mL) Therefore, you will add 1,080 mL of water to 360 mL of Ensure to make 1,440 mL of 1/4 strength Ensure.

PTS: 1

MSC: Reconstitution of Solutions

9. Directions: Prepare thefollowing strength solutions. Describe your calculations.

Order: Amoxicillin 175 mg p.o. q8h Available:

a. Form: _______________ b. Route of administration: _______________ c. Type of diluent and amount to use: _______________ d. Directions for mixing: _______________ e. Dosage strength of reconstituted solution: _____ f. Time good for after reconstitution: _____ g. How many milliliters will you administer? __________ ANS:

a. Oral suspension when reconstituted b. By mouth, orally c. Water, 77 mL d. Tap bottle to loosen powder, add thewater in two portions, shaking well after each addition e. 125 mg per 5 mL f. Discard suspension after 14 days g. 7 mL PTS: 1

MSC: Reconstitution of Solutions

10. Directions: Prepare thefollowing strength solutions. Describe your calculations.

a. What is thetotal dosage strength of thevial? _____ b. If 450,000 units IV of penicillin were ordered, which concentration would be appropriate to mix? _____

c. How much diluent must be added to make theappropriate concentration? _____ d. If themedication is reconstituted at 1:00 AM on December 18, what must you print on thelabel? _______________ e. How many milliliters will you give to administer 450,000 units IV? _______ ANS:

a. One million units per vial (1,000,000 units per vial) b. 500,000 units per mL c. 1.8 mL d. Exp. 1:00 AM Dec 25 e. 0.9 mL PTS: 1

MSC: Reconstitution of Solutions

11. Directions: Prepare thefollowing strength solutions. Describe your calculations.

Prepare irrigant 250 mL 1/2 strength solution: ______________________________ ANS:

1/2  250 mL = 125 mL (solute) Amount of solution (250 mL) – Amount of solute (125 mL) = Amount needed to dissolve (125 mL) Therefore, you will add 125 mL of water to 125 mL of irrigant to make 250 mL 1/2 strength irrigant solution.

PTS: 1

MSC: Reconstitution of Solutions

12. Directions: Prepare thefollowing strength solutions. Describe your calculations.

360 mL of 1/4 strength Ensure percutaneous endoscopic (PEG) tube over 4 hours ANS:

1/4  360 mL = 90 mL solute Amount of solvent (360 mL) – Amount of solute (90 mL) = Amount needed to dissolve (270 mL) Therefore, you will add 270 mL of water to make 1/4 strength Ensure.

PTS: 1

MSC: Reconstitution of Solutions

13. Directions: Indicate how you would prepare each of thefollowing using full-strength hydrogen

peroxide (solute) and normal saline (solvent).

300 mL of 3/4 strength for skeletal pin care ANS:

3/4  300 mL = 225 mL (solute) 300 mL – 225 mL = 75 mL (solvent/normal saline) To make 300 mL of 3/4 strength hydrogen peroxide, mix 225 mL of full-strength hydrogen peroxide and 75 mL of normal saline.

PTS: 1

MSC: Reconstitution of Solutions

14. Directions: Indicate how you would prepare each of thefollowing using full-strength hydrogen

peroxide (solute) and normal saline (solvent).

8 oz of 1/2 strength for wound care ANS:

8  1/2 = 4 oz (solute) 8 oz – 4 oz = 4 oz (solvent/normal saline) To make 8 oz of 1/2 strength hydrogen peroxide, mix 4 oz of full-strength hydrogen peroxide and 4 oz of normal saline.

PTS: 1

MSC: Reconstitution of Solutions

15. Directions: Indicate how you would prepare each of thefollowing using full-strength hydrogen

peroxide (solute) and normal saline (solvent).

0.24 L of 1/3 strength for wound care ANS:

Conversion required. 1 L = 1,000 mL, 0.24 L = 240 mL 1/3  240 mL = 80 mL (solute) 240 mL – 80 mL = 160 mL (solvent/normal saline) To make 240 mL of 1/3 strength hydrogen peroxide, mix 80 mL of full-strength hydrogen peroxide and 160 mL of normal saline.

PTS: 1

MSC: Reconstitution of Solutions

16. Order: Doxycycline 100 mg IVPB q12h

Available:

How many milliliters will you administer? __________ ANS:

10 mL

PTS: 1

MSC: Reconstitution of Solutions

17. Order: Zithromax 250 mg p.o. daily

Available:

a. How many milliliters of diluent must be added to thebottle? _____________ b. What is thefinal concentration of theprepared solution? ________________ c. How many milliliters will you administer? ___________________ ANS:

a. 9 mL b. 200 mg per 5 mL c. 6.3 mL PTS: 1

MSC: Reconstitution of Solutions

Chapter 20: Insulin Gray Morris: Calculate with Confidence, 7th Edition SHORT ANSWER 1. Directions: Calculate thedosage and shade in thedosage on thesyringe where provided.

Order: Regular Humulin Insulin U-100 12 units subcut stat Available:

a. What will you administer using this syringe? _____ Shade in theappropriate dosage on thesyringe.

b. What will you administer using this syringe? _____ Shade in theappropriate dosage on thesyringe.

ANS:

a. 12 units in 50-unit syringe

b. 12 units in 100-unit syringe

PTS: 1

MSC: Injectables

2. Directions: Calculate thedosage and shade in thedosage on thesyringe where provided.

Order: Humalog 75/25 U-100 27 units subcut at 7:30 AM Available:

What will you administer using this syringe? _____ Shade in theappropriate dosage on thesyringe.

ANS:

27 units

PTS: 1

MSC: Injectables

3. Directions: Calculate thedosage and shade in thedosage on thesyringe where provided.

A client is on a sliding scale for insulin dosages q6h. theorder is for Humulin Regular U-100 subcut q6h as follows:

Change to new label, see control sheet Blood Glucose Level (mg per dL) Regular Insulin Less than 70 Call MD 201–250 4 units 251–300 6 units 301–350 8 units 351–400 10 units Greater than 400 Call MD a. At 8:00 AM theclient’s blood sugar is 384 mg/dL. Shade in thesyringe with theappropriate dosage.

b. At 2:00 PM theclient’s blood sugar is 310 mg/dL. Shade in thesyringe with theappropriate dosage.

ANS:

a. 10 units

b. 8 units

PTS: 1

MSC: Injectables

4. Directions: Calculate thedosage and shade in thedosage on thesyringe where provided.

Order: Novolin Regular U-100 10 units subcut and Novolin NPH U-100 18 units subcut stat Available:

a. What will you administer? _____ b. Explain themethod for mixing two insulins: ______________________________ c. Shade in theappropriate dosage on thesyringe provided.

ANS:

a. 28 units b. Inject 18 units of air into theNPH insulin bottle and 10 units of air into theregular insulin.

Withdraw 10 units of regular insulin and then 18 units of NPH insulin for a total of 28 units of insulin. c.

PTS: 1

MSC: Injectables

5. Directions: Calculate thedosage and shade in thedosage on thesyringe where provided.

a. What does theR on thelabel identify? _______________ b. Is this a short- or long-acting insulin? _______________ c. What is thetotal volume of thevial? _____ d. What is thedosage strength of theinsulin? _______________ ANS:

a. Regular insulin b. Short-acting c. 10 mL d. 100 units per mL PTS: 1

MSC: Injectables

6. Directions: Calculate thedosage and shade in thedosage on thesyringe where provided.

a. Trade name: _______________ b. Generic name: _______________ c. Directions for use: _______________ d. Is this a short- or long-acting insulin? __________ ANS:

a. Levemir b. detemir c. For subcutaneous use only d. Long-acting PTS: 1

MSC: Injectables

7. Directions: Fill in thecorrect number or word(s).

U-100 on thelabel of an insulin vial me ______________________________.

ANS:

concentration per milliliter (100 units per mL) PTS: 1

MSC: Injectables

8. Directions: Fill in thecorrect number or word(s).

What is thedifference between thecalibration of units on the1-mL insulin syringe and on theLoDose syringe? ______________________________ ANS:

On the1-mL insulin syringe, each calibration is 2 units; on theLo-Dose syringe, each calibration is 1 unit.

PTS: 1

MSC: Injectables

9. Directions: Fill in thecorrect number or word(s).

Order: Lantus U-100 insulin 68 units subcut daily at 8:00 AM Available:

What will you administer using this syringe? ________ Shade in theappropriate dosage on thesyringe.

ANS:

68 units

PTS: 1

MSC: Injectables

10. Directions: Fill in thecorrect number or word(s).

Order: Humulin Regular U-500 units 240 units subcut stat Available:

a. What is theconcentration of theinsulin? ____________ b. Is this a short-acting or long-acting insulin? _____________ c. What will you administer using a 1 mL syringe? _________ d. Shade in theappropriate dosage on thesyringe.

e. Calculate thedose and shade it in using a U-100 insulin syringe.

ANS:

a. 500 units per mL b. Short-acting c. 0.48 mL d.

e. 48 units

PTS: 1

MSC: Injectables

Chapter 21: Intravenous Solutions and Equipment Gray Morris: Calculate with Confidence, 7th Edition

COMPLETION 1. Directions: Fill in thecorrect number or word(s) to answer thequestion.

The IV line that can be used to administer medications and solutions and can be connected to a port on themain infusion is called _______________.

ANS: secondary line PTS: 1

MSC: IV Solutions and Equipment

2. Directions: Fill in thecorrect number or word(s) to answer thequestion.

The name for themain infusion administration set is _______________.

ANS: primary line PTS: 1

MSC: IV Solutions and Equipment

3. Directions: Fill in thecorrect number or word(s) to answer thequestion.

In IV fluid abbreviations, D5NS identifies what IV fluid? _______________ ANS: 5% dextrose in normal saline PTS: 1

MSC: IV Solutions and Equipment

4. Directions: Fill in thecorrect number or word(s) to answer thequestion.

An IV pump is an example of an ___________ infusion device.

ANS: electronic PTS: 1

MSC: IV Solutions and Equipment

5. Directions: Fill in thecorrect number or word(s) to answer thequestion.

_______________ devices allow a client to self-administer pain medication.

ANS:

Patient-controlled analgesia (PCA) Patient-controlled analgesia PCA PTS: 1

MSC: IV Solutions and Equipment

6. Directions: Identify theletter of thelabel corresponding to theIV fluid abbreviation.

D

NS with 20 mEq KCL

ANS: B PTS: 1

MSC: IV Solutions and Equipment

7. Directions: Identify theletter of thelabel corresponding to theIV fluid abbreviation.

NS

ANS: C PTS: 1

MSC: IV Solutions and Equipment

8. Directions: Identify theletter of thelabel corresponding to theIV fluid abbreviation.

D5NS

ANS: A PTS: 1

MSC: IV Solutions and Equipment

9. Directions: Calculate thenumber of grams of NaCl and/or dextrose in thefollowing solutions.

5 L D10W dextrose: _______________ ANS: 500 g dextrose PTS: 1

MSC: IV Solutions and Equipment

10. Directions: Calculate thenumber of grams of NaCl and/or dextrose in thefollowing solutions.

500 mL

NS sodium chloride (NaCl): _____

ANS: 2.25 g NaCl PTS: 1

MSC: IV Solutions and Equipment

SHORT ANSWER 1. Directions: Fill in thecorrect number or word(s) to answer thequestion.

List thecomponents and percentage strengths of thefollowing IV solutions. a. D5 S b. D5NS 10 mEq KCl c. D5RL ANS:

a. 5% Dextrose in 0.225% saline b. 5% Dextrose in 0.9% saline with 10 mEq potassium chloride

c. 5% Dextrose in lactated Ringer solution PTS: 1

MSC: IV Solutions and Equipment

2. Directions: Interpret thefollowing IV orders.

1,000 mL (1 L) D5W to infuse at a rate of 100 mL per hour ANS:

Administer 1,000 mL 5% dextrose in water at a rate of 100 mL per hour PTS: 1

MSC: IV Solutions and Equipment

3. Directions: Interpret thefollowing IV orders.

1,000 mL (1 L) of L/R q8h ANS:

Administer 1,000 mL of lactated Ringer solution every 8 hours PTS: 1

MSC: IV Solutions and Equipment

4. Directions: Calculate thenumber of grams of NaCl and/or dextrose in thefollowing solutions.

250 mL D5NS _______ g dextrose ________ g NaCl ANS:

12.5; 2.25 PTS: 1

MSC: IV Solutions and Equipment

5. Directions: Calculate thenumber of grams of NaCl and/or dextrose in thefollowing solutions.

0.5 L D

NS ________ g dextrose ________ g NaCl

ANS:

25; 1.125 PTS: 1

MSC: IV Solutions and Equipment

Chapter 22: Intravenous Calculations Gray Morris: Calculate with Confidence, 7th Edition COMPLETION 1. Directions: Determine thefollowing in drops per minute using thedrop factor provided.

D5 NS is infusing at 28 macrogtt/min. thedrop factor is 10 gtt/mL. How much fluid volume will theclient receive in 8 hr? _____ ANS: 1,344 mL PTS: 1

MSC: IV Calculations

2. Directions: Determine thefollowing in drops per minute using thedrop factor provided.

Lactated Ringer solution is infusing at 45 microgtt/min. thedrop factor is 60 gtt/mL. How much fluid volume will theclient receive in 5 hr? _____ ANS: 225 mL PTS: 1

MSC: IV Calculations

3. Directions: Determine theflow rate for thefollowing IV being administered by infusion pump.

500 mL of Intralipid in 6 hr: _____ ANS: 83 mL/hr PTS: 1

MSC: IV Calculations

4. Directions: Determine theflow rate for thefollowing IV being administered by infusion pump.

Ampicillin 1.5 g in 100 mL 0.9% NS over 45 min: _____ ANS: 133 mL/hr PTS: 1

MSC: IV Calculations

5. Directions: Determine theflow rate for thefollowing IV being administered by infusion pump.

Zosyn 2 g in 100 mL D5W over 40 min: _____ ANS: 150 mL/hr PTS: 1

MSC: IV Calculations

6. Directions: Determine theflow rate for thefollowing IV being administered by infusion pump.

Clindamycin 600 mg in 100 mL D5W over

hr: _____

ANS: 67 mL/hr PTS: 1

MSC: IV Calculations

7. Directions: Recalculate theIV flow rate. Determine thepercentage of change and state thecourse

of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable.

100 units of regular Humulin insulin in 250 mL 0.9% NS were to infuse at 4 mL/hr. How many units per hour will be delivered? _____ ANS: 1.6 PTS: 1

MSC: IV Calculations

8. Directions: Recalculate theIV flow rate. Determine thepercentage of change and state thecourse

of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable.

40 units of regular Humulin insulin in 100 mL 0.9% NS were to infuse at 10 mL/hr. How many units per hour will be delivered? _____ ANS: 4 PTS: 1

MSC: IV Calculations

9. Directions: Recalculate theIV flow rate. Determine thepercentage of change and state thecourse

of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable.

Order: regular Humulin insulin 10 units/hr IV Available: 40 units of insulin in 100 mL 0.9% NS What rate in mL/hr will infuse 10 units/hr? _____ ANS: 25 PTS: 1

MSC: IV Calculations

10. Directions: Recalculate theIV flow rate. Determine thepercentage of change and state thecourse

of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable.

Order: Regular Humulin Insulin 8 units/hr IV Available: 50 units of insulin in 150 mL 0.9% NS What rate in mL/hr will infuse 8 units/hr? _____ ANS: 24 PTS: 1

MSC: IV Calculations

11. Directions: Recalculate theIV flow rate. Determine thepercentage of change and state thecourse

of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable.

10% calcium chloride (10 mL) over 5 min IV push How many milliliters will be injected per minute? _____ mL ANS: 2 PTS: 1

MSC: IV Push

12. Directions: Recalculate theIV flow rate. Determine thepercentage of change and state thecourse

of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable.

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? _____

ANS: 0.2 PTS: 1

MSC: IV Push

13. Directions: Recalculate theIV flow rate. Determine thepercentage of change and state thecourse

of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable.

The type of administration set that will be selected for an IVPB solution is _______________.

ANS: secondary PTS: 1

MSC: IV Calculations

14. Directions: Recalculate theIV flow rate. Determine thepercentage of change and state thecourse

of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable.

Drop factor of 15 on thepackage of a continuous IV administration set indicates what? ______________________________ ANS: The tubing delivers 15 gtt/mL. PTS: 1

MSC: IV Calculations

15. Directions: Recalculate theIV flow rate. Determine thepercentage of change and state thecourse

of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable.

The type of administration set that delivers thesmallest drops is called _______________.

ANS:

microdrip (60 gtt/mL) microdrip 60 gtt/mL microdrip 60 gtt/mL PTS: 1

MSC: IV Calculations

16. Directions: Recalculate theIV flow rate. Determine thepercentage of change and state thecourse

of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable.

When an IV medication is injected directly into a vein, theprocedure is referred to as ________________.

ANS: IV push PTS: 1

SHORT ANSWER

MSC: IV Push

1. Directions: Determine theinfusion time for thefollowing IV. State time in both traditional and

military time. Round minutes to thenearest whole number of minutes.

1,000 mL D5W infusing at 90 mL/hr

a. Determine theinfusion time: _____ b. theIV was started at 2:00 AM. When will theinfusion be complete? _____ ANS:

a. 1,000 mL ÷ 90 mL/hr = 11.11 hr 60 min  0.11 hr = 6.6 = 7 min Infusion time: 11 hr 7 min b. 1:07 PM; 1307 PTS: 1

MSC: IV Calculations

2. Directions: Determine theinfusion time for thefollowing IV. State time in both traditional and

military time. Round minutes to thenearest whole number of minutes.

750 mL lactated Ringer solution at 80 mL/hr a. Determine theinfusion time: _____ b. theIV was started at 7:00 AM. When will theinfusion be complete? _____ ANS:

a. 750 mL ÷ 80 mL/hr = 9.38 hr 60 min  0.38 hr = 22.8 = 23 min Infusion time: 9 hr 23 min b. 4:23 PM; 1623 PTS: 1

MSC: IV Calculations

3. Directions: Determine theinfusion time for thefollowing IV. State time in both traditional and

military time. Round minutes to thenearest whole number of minutes.

250 mL 0.9% NS at 30 mL/hr a. Determine theinfusion time: _____ b. theIV was started at 7:00 PM. When will theinfusion be complete? _____ ANS:

a. 250 mL ÷ 30 mL/hr = 8.33 hr 60 min  0.33 hr = 19.8 = 20 min Infusion time: 8 hr 20 min b. 3:20 AM; 0320 PTS: 1

MSC: IV Calculations

4. Directions: Determine theinfusion time for thefollowing IV. State time in both traditional and

military time. Round minutes to thenearest whole number of minutes.

100 mL D5

/2NS at 40 mL/hr

a. Determine theinfusion time: _____ b. theIV was started at noon. When will theinfusion be complete? _____ ANS:

a. 100 mL ÷ 40 mL/hr = 2.5 hr 60 min  0.5 hr = 30 min Infusion time: 2 hr 30 min b. 2:30 PM; 1430 PTS: 1

MSC: IV Calculations

5. Directions: Determine theinfusion time for thefollowing IV. State time in both traditional and

military time. Round minutes to thenearest whole number of minutes.

150 mL D5W NS infusing at 20 macrogtt/min. Drop factor: 15 gtt/mL. Calculate theinfusion time: _____ ANS:

15 gtt: 1 mL = 20 gtt:x mL x = 1.33 = 1.3 mL/min 60 min  1.3 mL/min = 78 mL/hr 150 mL ÷ 78 mL/hr = 1.92 hr 60 min  0.92 hr = 55.2 = 55 min Infusion time: 1 hr 55 min PTS: 1

MSC: IV Calculations

6. Directions: Determine theinfusion time for thefollowing IV. State time in both traditional and

military time. Round minutes to thenearest whole number of minutes.

60 mL of IV fluid with medication infusing at 50 macrogtt/min. Drop factor is 10 gtt/mL. Calculate theinfusion time: _____ ANS:

10 gtt: 1 mL = 50 gtt:x mL x = 5 mL/min 60 mL ÷ 5 mL/min = 12 min Infusion time: 12 min PTS: 1

MSC: IV Calculations

7. Directions: Determine theinfusion time for thefollowing IV. State time in both traditional and

military time. Round minutes to thenearest whole number of minutes.

Total parenteral nutrition (TPN) solution of 1,000 mL at 30 mL/hr Determine theinfusion time: _____ ANS:

1,000 mL ÷ 30 mL/hr = 33.33 hr 60 min  0.33 hr = 19.8 = 20 min

Infusion time: 33 hr 20 min PTS: 1

MSC: IV Calculations

8. Directions: Determine the infusion time for the following IV. State time in both traditional and

military time. Round minutes to the nearest whole number of minutes.

D5 1/3NS 1,000 mL at 45 mL/hr Determine the infusion time: _____ ANS:

1,000 mL ÷ 45 mL/hr = 22.22 hr 60 min  0.22 hr = 13.2 = 13 min Infusion time: 22 hr 13 min PTS: 1

MSC: IV Calculations

9. Directions: Determine the infusion time for the following IV. State time in both traditional and

military time. Round minutes to the nearest whole number of minutes.

500 mL of whole blood to infuse at 130 mL/hr a. Determine the infusion time: _____ b. The transfusion was started at 2:40 PM. When will the transfusion be completed? _____ ANS:

a. 500 mL ÷ 130 mL/hr = 3.84 hr 60 min  0.84 hr = 50.4 min = 50 min Infusion time: 3 hr 50 min b. 6:30 PM; 1830 PTS: 1

MSC: IV Calculations

10. Directions: Determine the following in drops per minute using the drop factor provided.

0.45% NS at 30 mL/hr a. 10 gtt/mL _____ b. 15 gtt/mL _____ c. 20 gtt/mL _____ d. 60 gtt/mL _____ ANS:

a. 5 gtt/min or 5 macrogtt/min b. 8 gtt/min or 8 macrogtt/min c. 10 gtt/min or 10 macrogtt/min d. 30 gtt/min or 30 microgtt/min PTS: 1

MSC: IV Calculations

11. Directions: Determine the following in drops per minute using the drop factor provided.

3,000 mL D5W at 125 mL/hr a. 10 gtt/mL _____

b. 15 gtt/mL _____ c. 20 gtt/mL _____ d. 60 gtt/mL _____ ANS:

a. 21 gtt/min or 21 macrogtt/min b. 31 gtt/min or 31 macrogtt/min c. 42 gtt/min or 42 macrogtt/min d. 125 gtt/min or 125 microgtt/min PTS: 1

MSC: IV Calculations

12. Directions: Determine the following in drops per minute using the drop factor provided.

2,500 mL RL in 12 hr a. 10 gtt/mL _____ b. 15 gtt/mL _____ c. 20 gtt/mL _____ d. 60 gtt/mL _____ ANS:

a. 35 gtt/min; 35 macrogtt/min b. 52 gtt/min; 52 macrogtt/min c. 69 gtt/min; 69 macrogtt/min d. 208 gtt/min; 208 microgtt/min PTS: 1

MSC: IV Calculations

13. Directions: Determine the following in drops per minute using the drop factor provided.

0.33% NS at 200 mL/hr a. 10 gtt/mL _____ b. 15 gtt/mL _____ c. 20 gtt/mL _____ d. 60 gtt/mL _____ ANS:

a. 33 gtt/min; 33 macrogtt/min b. 50 gtt/min; 50 macrogtt/min c. 67 gtt/min; 67 macrogtt/min d. 200 gtt/min; 200 microgtt/min PTS: 1

MSC: IV Calculations

14. 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): _____ ANS:

a. 63 mL/hr b. 21 gtt/min or 21 macrogtt/min PTS: 1

MSC: IV Calculations

15. Directions: Determine the following in drops per minute using the drop factor provided.

500 mL D5W is infusing at a rate of 25 macrogtt/min. The drop factor is 10 gtt/mL. How long will it take for the IV to infuse? (Express time in hours and minutes.): _____ ANS:

3 hr, 20 min PTS: 1

MSC: IV Calculations

16. Directions: Determine the following in drops per minute using the drop factor provided.

An IV of 1,000 mL 0.9 % NS is infusing at 18 macrogtt/min. The drop factor is 15 gtt/mL. How long will it take for the IV to infuse? (Express time in hours and minutes.): _____ ANS:

13 hr, 53 min PTS: 1

MSC: IV Calculations

17. Directions: Recalculate the IV flow rate. Determine the percentage of change and state the

course of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable.

250 mL were to infuse in 8 hr at 31 microgtt/min.

The drop factor is 60 gtt/mL. After 4 hr, you notice that 100 mL have infused. a. Recalculated rate: _____ b. Percentage of change: _____ c. Course of action: _____ ANS:

a. 38 microgtt/min or 38 gtt/min b. 23% c. Assess client before adjusting IV rate, and monitor during increase. 23% is an acceptable increase.

PTS: 1

MSC: IV Calculations

18. Directions: Recalculate the IV flow rate. Determine the percentage of change and state the

course of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable.

2,000 mL of 0.9% NS were to infuse in 12 hr at 28 macrogtt/min.

The drop factor is 10 gtt/mL. After 8 hr, 900 mL remain. a. Recalculated rate: _____ b. Percentage of change: _____ c. Course of action: _____

ANS:

a. 38 macrogtt/min or 38 gtt/min b. 36% c. Notify prescriber. 36% is an unacceptable increase.

PTS: 1

MSC: IV Calculations

19. Directions: Recalculate the IV flow rate. Determine the percentage of change and state the

course of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable.

500 mL of D5 0.45% NS were to infuse in 5 hr at 33 macrott/min. The drop factor is 20 gtt/mL. After 2 hr, you notice 250 mL remaining. a. Recalculated rate: _____ b. Percentage of change: _____ c. Course of action: _____ ANS:

a. 28 macrogtt/min or 28 gtt/min b. 15% c. Assess client before decreasing rate, and monitor during decrease. ~15% is an acceptable decrease.

PTS: 1

MSC: IV Calculations

20. Directions: Recalculate the IV flow rate. Determine the percentage of change and state the

course of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable.

Order: Cardizem 0.25 mg/kg IV bolus. Infuse over 2 min. Client weighs 50 kg.

Available: Cardizem 25 mg (5 mg/mL) a. How many milligrams should the client receive? _____ mg b. How many milliliters will you give? _____ mL c. How many milliliters will you infuse per minute? _____ mL/min ANS:

a. 12.5 b. 2.5 c. 1.25 PTS: 1

MSC: IV Push

21. Directions: Recalculate the IV flow rate. Determine the percentage of change and state the

course of action. Assume that hospital policy permits recalculation of rates when rates are off schedule and clients are stable.

Order: Integrilin 180 mcg/kg IV bolus initially. Infuse over 2 min. Client weighs 154 lb.

Available: 2 mg/mL a. How many kilograms does client weigh? _____ kg b. How many milligrams should the client receive? _____ mg

c. How many milliliters will you infuse per minute? _____ mL/min ANS:

a. 70 b. 180 mcg/kg  70 kg = 12,600 Change micrograms to milligrams: 12,600 ÷ 1,000 = 12.6 mg c. 3.15 = 3.2 PTS: 1

MSC: IV Push

Chapter 23: Heparin Calculations Gray Morris: Calculate with Confidence, 7th Edition COMPLETION 1. Directions: Calculate the following hourly dosage of heparin (units/hr).

Order: 50,000 units of heparin in 1 L D5 0.9% NS to infuse at 40 mL/hr units/hr = _____ ANS: 2,000 PTS: 1

MSC: IV Calculations

2. Directions: Calculate the following hourly dosage of heparin (units/hr).

Order: 30,000 units of heparin in 500 mL D5W to infuse at 15 mL/hr units/hr = _____ ANS: 900 PTS: 1

MSC: IV Calculations

3. Directions: Calculate the following hourly dosage of heparin (units/hr).

Order: 25,000 units of heparin in 250 mL D5W to infuse at 8 mL/hr units/hr = _____ ANS: 800 PTS: 1

MSC: IV Calculations

4. Directions: Calculate the following hourly dosage of heparin (units/hr).

Order: 10,000 units of heparin in 500 mL 0.9% NS to infuse at 120 mL/hr units/hr = _____ ANS: 2,400 PTS: 1

MSC: IV Calculations

5. Directions: Calculate the following hourly dosage of heparin (units/hr).

Order: 45,000 units of heparin in 1,000 mL D5 units/hr = _____

/2 NS at 25 mL/hr

ANS: 1,125 PTS: 1

MSC: IV Calculations

6. Directions: Calculate the following hourly dosage of heparin (units/hr).

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 ANS: 50 PTS: 1

MSC: IV Calculations

7. Directions: Calculate the following hourly dosage of heparin (units/hr).

Order: Infuse heparin at 800 units/hr IV from a solution containing 40,000 units in 1,000 mL D5W. How many milliliters will infuse per hour? _____ mL ANS: 20 PTS: 1

MSC: IV Calculations

8. Directions: Calculate the following hourly dosage of heparin (units/hr).

Order: 40 units/kg/hr heparin IV. The client weighs 50 kg.

How many units should the client receive per hour? _____ ANS: 2,000 PTS: 1

MSC: IV Calculations

9. Directions: Calculate the following hourly dosage of heparin (units/hr).

Which solution of heparin is more concentrated: 1,000 units per mL or 10,000 units per mL? _____ ANS: 10,000 units per mL PTS: 1

MSC: IV Calculations

10. Directions: Calculate the following hourly dosage of heparin (units/hr).

If a U for units was misread as a zero by the nurse for a heparin dose, the consequences to the client receiving the heparin could be ____________________________.

ANS:

bleeding or hemorrhage bleeding

hemorrhage PTS: 1

MSC: IV Calculations

11. Order: Heparin 20,000 units in 500 mL D5W to infuse at 12 mL/hr.

Calculate the hourly heparin dosage. ___________________ units/hr ANS: 480 PTS: 1

MSC: IV Calculations

12. Order: Heparin 25,000 units in 500 mL D5W to infuse at 15 mL/hr.

Calculate the hourly heparin dosage. _________________ units/hr ANS: 750 PTS: 1

MSC: IV Calculations

SHORT ANSWER 1. Directions: Calculate the following hourly dosage of heparin (units/hr).

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? _____ ANS:

a. 165 lb ÷ 2.2 = 75 kg b. 20 units/kg/hr  75 kg = 1,500 PTS: 1

MSC: IV Calculations

2. Directions: Calculate the following hourly dosage of heparin (units/hr).

Order: 40 units/kg/hr heparin IV. The client weighs 116 lb.

How many units should the client receive per hour? _____ ANS:

116 lb ÷ 2.2 = 52.72 = 52.7 kg 40 units/kg/hr  52.7 kg = 2,108 PTS: 1

MSC: IV Calculations

3. Directions: Calculate the following hourly dosage of heparin (units/hr).

A client weighs 165 lb. Order: Administer a bolus of heparin sodium IV. The hospital protocol is 80 units/kg. How many units will you administer? _____ ANS:

165 lb ÷ 2.2 = 75 kg

75 kg  80 units/kg = 6,000 units PTS: 1

MSC: Calculation Based on Weight

4. Directions: Calculate the following hourly dosage of heparin (units/hr).

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? _____ ANS:

220 lb ÷ 2.2 = 100 kg 100 kg  14 units/kg/hr = 1,400 PTS: 1

MSC: Calculation Based on Weight

5. Directions: Calculate the following hourly dosage of heparin (units/hr).

A client weighs 70 kg. Heparin infusion: Heparin 25,000 units in 1,000 mL 0.9% sodium chloride.

Order: Bolus with heparin sodium at 90 units/kg, then initiate drip at 20 units/kg/hr. a. Calculate the heparin bolus dosage: _____ b. Calculate the infusion rate for the IV dosage: _____ c. Determine the rate in mL/hr at which to set the infusion device: _____ ANS:

a. 90 units/kg  70 kg = 6,300 units b. 20 units/kg/hr  70 kg = 1,400 units/hr c. 1,000 mL:25,000 units = x mL:1,400 units; x = 56 mL/hr PTS: 1

MSC: Calculation Based on Weight

6. Directions: Calculate the following hourly dosage of heparin (units/hr).

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: _____ ANS:

a. 80 units/kg  88 kg = 7,040 units b. 18 units/kg/hr  88 kg = 1,584 units/hr PTS: 1

MSC: Calculation Based on Weight

7. Directions: Calculate the following hourly dosage of heparin (units/hr).

Order: Heparin 4,600 units subcut 2 hours before surgery Available:

a. How many milliliters will you administer? _______ b. Shade in the dosage on the syringe provided.

ANS:

a. 0.92 mL b.

PTS: 1

MSC: Heparin Calculations

8. Directions: Calculate the following hourly dosage of heparin (units/hr).

Order: Heparin 5,600 units subcut stat Available:

a. How many milliliters will you administer? ___________ b. Shade in the dosage on the syringe provided.

ANS:

a. 0.56 mL b.

PTS: 1

MSC: Heparin Calculations

9. Directions: Use the following weight-based heparin protocol for the following problems.

1. Bolus heparin at 80 units/kg 2. Begin intravenous infusion of heparin at 18 units/kg/hr using 25,000 units of heparin in 250 mL of 0.45% NaCl for 100 units per mL. 3. Adjust intravenous heparin daily on the basis of APTT results. APTT less than 35 sec. Rebolus with 80 units/kg and increase rate by 4 units/kg/hr APTT 35–45 sec. Rebolus with 40 units/kg and increase rate by 2 units/kg/hr APTT 46–70 sec. No change APTT 71–90 sec. Decrease rate by 2 units/kg/hr APTT greater than 90 sec. Stop heparin infusion for 1 hour and decrease rate by 3 units/kg/hr A client weighs 158.4 lb. Determine the bolus dose of heparin, the initial infusion rate, and then adjust the hourly infusion rate based on the APTT results. APTT is reported as 88. The IV pump is calibrated to deliver in tenths of an mL/hr.

ANS:

a. Convert weight to kg.

158.4 lb ÷ 2.2 = 72 kg b. Calculate heparin bolus dosage 80 units/kg  72 kg = 5,760 units 100 units:1 mL = 5,760 units:x mL x = 57.6 mL c. Calculate infusion rate 18 unit/kg/hr  72 kg = 1,296 units/hr 100 units:1 mL = 1,296 units:x mL x = 13 mL/hr

d. Client’s APTT is 88. According to the protocol, decrease rate by 2 units/kg/hr.

2 units/kg/hr  72 kg = 144 units/hr decrease.

100 units:1 mL = 144 units:x mL x = 1.4 mL/hr e. Decrease rate by 1.4 mL/hr

11.6 mL/hr New rate 11.6 mL/hr (rate not rounded to whole number, pump delivers in tenths of a mL/hr).

PTS: 1

MSC: Heparin Calculations

10. Directions: Use the following weight-based heparin protocol for the following problems.

1. Bolus heparin at 80 units/kg 2. Begin intravenous infusion of heparin at 18 units/kg/hr using 25,000 units of heparin in 250 mL of 0.45% NaCl for 100 units per mL. 3. Adjust intravenous heparin daily on the basis of APTT results. APTT less than 35 sec. Rebolus with 80 units/kg and increase rate by 4 units/kg/hr APTT 35–45 sec. Rebolus with 40 units/kg and increase rate by 2 units/kg/hr APTT 46–70 sec. No change APTT 71–90 sec. Decrease rate by 2 units/kg/hr APTT greater than 90 sec. Stop heparin infusion for 1 hour and decrease rate by 3 units/kg/hr A client weighs 81 kg. Determine the bolus dose of heparin, the initial infusion rate, and then adjust the hourly infusion rate up or down on the basis of the APTT results. APTT is reported as 43. The IV pump is calibrated in tenths of a milliliter.

ANS:

a. No weight conversion required b. Calculate heparin bolus dosage.

80 units/kg  81 kg = 6,480 units 100 units:1 mL = 6,480 units:x mL x = 64.8 mL c. Calculate infusion rate 18 units/kg/hr  81 kg = 1,458 units/hr 100 units:1 mL = 1,458 units:x mL x = 14.6 mL/hr (Rate not rounded to a whole number, pump delivers in tenths of a mL/hr)

d. Client’s APTT is 43. According to the protocol, rebolus with 40 units/kg and increase rate by 2 units/kg/hr.

40 units/kg  81 kg = 3,240 units 100 units:1 mL = 3,240 units:x mL x = 32.4 mL e. Determine the infusion rate increase.

2 units/kg/hr  81 kg = 162 units/hr increase Calculate adjustment rate.

100 units:1 mL = 162 units:x mL x = 1.6 mL/hr increase

16.2 mL/hr New rate 16.2 mL/hr (rate not rounded to whole number, pump capable of delivering in tenths of a mL/hr).

PTS: 1

MSC: Heparin Calculations

11. A client weighs 110 lb. The hospital protocol is 18 units/kg/hr. How many units per hour will the

client receive? ___________________ ANS:

Convert weight to kg 110 lb ÷ 2.2 = 50 kg (conversion factor 2.2 lb = 1 kg) 18 units/kg/hr  50 kg = 900 units/hr PTS: 1

MSC: Heparin Calculations

12. 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. ____________ ANS:

Conversion of weight is required (Equivalent 2.2 lb = 1 kg).

132 lb ÷ 2.2 = 60 kg a. 40 units/kg  60 kg = 2,400 units (bolus dosage) b. 1,000 units:1 mL = 2,400 units:x mL OR

= 2.4 mL PTS: 1

MSC: Heparin Calculations

Chapter 24: Critical Care Calculations Gray Morris: Calculate with Confidence, 7th Edition SHORT ANSWER 1. Directions: Calculate the dosages as indicated.

A client is receiving procainamide 1 g in 500 mL D5W at 120 mL/hr. a. mg/hr: _____ b. mg/min: _____ ANS:

a. 240 b. 4 PTS: 1

MSC: Critical Care Calculations

2. Directions: Calculate the dosages as indicated.

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: _____ ANS:

a. 48 b. 800 PTS: 1

MSC: Critical Care Calculations

3. Directions: Calculate the dosages as indicated.

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: _____ ANS:

a. 87.72 = 87.7 b. 11 PTS: 1

MSC: Critical Care Calculations

4. Directions: Calculate the dosages as indicated.

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: _____ ANS:

a. 320 b. 5.3 PTS: 1

MSC: Critical Care Calculations

5. Directions: Calculate the dosages as indicated.

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: _____ ANS:

a. 640 b. 24 PTS: 1

MSC: Critical Care Calculations

6. Directions: Calculate the dosages as indicated.

Dopamine 4 mcg/kg/min is ordered for a client who weighs 165 lb. The solution available is 400 mg of Dopamine in 250 mL D5W. To infuse by infusion pump that delivers in tenths of a milliliter: a. mg/min: ____ b. mg/hr: _____ c. mL/hr: ____ ANS:

a. 0.3 b. 18 c. 11.3 PTS: 1

MSC: Critical Care Calculations

7. Directions: Calculate the dosages as indicated.

Lidocaine to infuse at 3 mg/min. The solution available is 2 g of lidocaine in 500 mL D5W. Determine the IV flow rate. ____ ANS:

45 mL/hr PTS: 1

MSC: Critical Care Calculations

8. Directions: Calculate the dosages as indicated.

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.

ANS:

a. 3–9 mL/hr will deliver 10–30 mcg/min. b. For each change of 5 mcg/min, the incremental flow rate is 1.5 mL/hr. c. Titration Table Dosage rate (mcg/min) Flow rate (mL/hr) 10 mcg/min (minimum) 3 mL/hr 15 mcg/min 4.5 mL/hr 20 mcg/min 6 mL/hr 25 mcg/min 7.5 mL/hr 30 mcg/min (maximum) 9 mL/hr PTS: 1

MSC: Critical Care Calculations

Chapter 25: Pediatric and Adult Dosage Calculation Based on Weight Gray Morris: Calculate with Confidence, 7th Edition COMPLETION 1. Directions: Using the West nomogram, determine the body surface area (BSA) for a child with

the height and weight given.

32 inches and 25 lb: _____ m2 ANS: 0.54 PTS: 1

MSC: Calculation Based on Weight

2. Directions: Using the West nomogram, determine the body surface area (BSA) for a child with

the height and weight given.

80 cm and 11 kg: _____ m2 ANS: 0.5 PTS: 1

MSC: Calculation Based on Weight

3. Directions: Using the West nomogram, determine the body surface area (BSA) for a child with

the height and weight given.

22 inches and 10 lb: _____ m2 ANS: 0.27 PTS: 1

MSC: Calculation Based on Weight

4. Directions: Using the West nomogram, determine the body surface area (BSA) for a child with

the height and weight given.

170 cm and 50 kg: _____ m2 ANS: 1.55 PTS: 1

MSC: Calculation Based on Weight

5. Directions: Use the appropriate formula to determine BSA. Express answer to the nearest

hundredth.

An adult who measures 175 cm and weighs 85 kg: _____ m2 ANS: 2.03 PTS: 1

MSC: Calculation Based on Weight

6. Directions: Use the appropriate formula to determine BSA. Express answer to the nearest

hundredth.

An adolescent who measures 157.5 cm and weighs 59.1 kg: _____ m2 ANS: 1.61 PTS: 1

MSC: Calculation Based on Weight

7. Directions: Use the appropriate formula to determine BSA. Express answer to the nearest

hundredth.

A child who measures 26 inches and weighs 36 lb: _____ m2 ANS: 0.55 PTS: 1

MSC: Calculation Based on Weight

8. Directions: Use the appropriate formula to determine BSA. Express answer to the nearest

hundredth.

An adult who is 67 inches tall and weighs 175 lb: _____ m2 ANS: 1.94 PTS: 1

MSC: Calculation Based on Weight

9. Directions: Calculate the following children’s dosages.

Order: Garamycin 15 mg IV q8h Available:

How many milliliters will you administer? _____ mL ANS: 1.5 PTS: 1

MSC: Calculation Based on Weight

10. Directions: Calculate the following children’s dosages.

Order: Kantrex 65 mg IV q8h Available:

How many milliliters will you administer? _____ mL ANS: 1.7 PTS: 1

MSC: Calculation Based on Weight

11. Directions: Calculate the following children’s dosages.

Order: Epinephrine 0.25 mg IV stat Available: Epinephrine 0.1 mg/mL How many milliliters will you prepare to administer? _____ mL ANS: 2.5 PTS: 1

MSC: Calculation Based on Weight

12. Directions: Calculate the following children’s dosages.

Order: Lanoxin (digoxin) elixir 0.1 mg p.o. daily Available:

How many milliliters will you administer? _____ mL ANS: 2 PTS: 1

MSC: Calculation Based on Weight

13. Directions: Calculate the following children’s dosages.

Order: Amoxil 75 mg p.o. q8h Available:

How many milliliters will you administer? _____ mL ANS: 3 PTS: 1

MSC: Calculation Based on Weight

14. Directions: Calculate the following children’s dosages.

Order: Nebcin 35 mg IV q8h Available:

How many milliliters will you administer? _____ mL ANS: 3.5 PTS: 1

MSC: Calculation Based on Weight

15. Directions: Calculate the following children’s dosages.

Order: Kefzol 185 mg IV q6h Available:

How many milliliters will you add to the IV? _____ mL ANS: 1.5 PTS: 1

MSC: Calculation Based on Weight

SHORT ANSWER 1. Directions: Round dosage and weight to the nearest tenth as indicated. Use labels where

provided.

Erythromycin ethylsuccinate 62.5 mg p.o. q6h is ordered for an infant weighing 10 lb 4 oz. The recommended safe dosage is 30 to 50 mg/kg/24 hr divided q6h. a. What is the infant’s weight in kilograms? _____ b. What is the safe 24-hr dosage range for this infant? _____ c. What is the divided dosage range? _____ d. Is the dosage ordered safe? (Prove mathematically.) _______________ Explain your action. ______________________________ ANS:

a. 16 oz = 1 lb 4 oz = 0.25 lb = 0.3 lb 2 lb = 1 kg 10.3 lb ÷ 2.2 = 4.68 = 4.7 kg b. 4.7 kg  30 mg/kg/24hr = 141 mg/24 hr 4.7 kg  50 mg/kg/24hr = 235 mg/24hr The dosage range 141 to 235 mg/day. c. 141 mg ÷ 4 = 35.25 = 35.3 mg q6h 235 mg ÷ 4 = 58.75 = 58.8 mg q6h The divided dosage range is 35.3 to 58.8 mg q6h. d. No. The dosage is 62.5 mg  4 = 250 mg/day. It exceeds the safe dosage range of 141 to 235 mg/day. Notify the prescriber.

PTS: 1

MSC: Calculation Based on Weight

2. Directions: Round dosage and weight to the nearest tenth as indicated. Use labels where

provided.

Order: Ceclor (cefaclor) 100 mg p.o. q8h is ordered for a child weighing 32 lb. The recommended dosage is 20 to 40 mg/kg/day divided q8h.

Available:

a. What is the child’s weight in kilograms? _____ b. What is the safe 24-hr dosage range for this child? _____ c. Is the dosage ordered safe? (Prove mathematically.) _______________ Explain your action. ______________________________ d. How many milliliters of Ceclor are needed to administer the dosage? _____

ANS:

a. 32 lb ÷ 2.2 = 14.54 = 14.5 kg b. 14.5 kg  20 mg = 290 mg/day 14.5 kg  40 mg = 580 mg/day The dosage range is 290 to 580 mg/day. c. Yes. The dosage is 100 mg  3 = 300 mg/day. It falls within the safe dosage range of 290 to 580 mg/day. Administer medication as ordered. d. 4 mL PTS: 1

MSC: Calculation Based on Weight

3. Directions: Round dosage and weight to the nearest tenth as indicated. Use labels where

provided.

Phenobarbital 45 mg p.o. b.i.d. is ordered for a child with seizures weighing 35 lb. The recommended dosage is 6 to 8 mg/kg/24 hr, given every day or b.i.d. a. What is the child’s weight in kilograms? _____ b. What is the safe 24-hr dosage range for this child? _____ c. Is the dosage ordered safe? (Prove mathematically.) _______________ Explain your action. ______________________________ ANS:

a. 35 lb ÷ 2.2 = 15.9 kg b. 15.9 kg  6 mg = 95.4 mg/day 15.9 kg  8 mg = 127.2 mg/day The dosage range is 95.4 = 127.2 mg/day. c. No. The dosage is 45 mg  2 = 90 mg/day. It falls below the safe dosage range of 95.4 to 127.2 mg/day. Notify the prescriber because the dose may not be effective.

PTS: 1

MSC: Calculation Based on Weight

4. Directions: Round dosage and weight to the nearest tenth as indicated. Use labels where

provided.

Gentamicin 45 mg IV q8h for a child weighing 45 lb. The recommended dosage is 6 to 7.5 mg/kg/day in three to four divided dosages. a. What is the child’s weight in kilograms? _____ b. What is the safe 24-hr dosage range for this child? _____ c. What is the divided dosage range? _____ d. Is the dosage ordered safe? (Prove mathematically.) _______________ Explain your action. ______________________________ ANS:

a. 45 lb ÷ 2.2 = 20.45 = 20.5 kg 20.5 kg  6 mg = 123 mg/day 20.5 kg  7.5 mg = 153.75 = 153.8 mg/day b. The dosage range is 123 to 153.8 mg/day. c. 123 mg ÷ 3 = 41 mg q8h

153.8 ÷ 3 = 51.26 = 51.3 mg q8h The divided dosage range is 41 to 51.3 mg q8h. d. Yes. The dosage is 45 mg  3 = 135 mg/day. It falls within the safe dosage range of 123 to 153.8 mg/day. Administer medication as ordered.

PTS: 1

MSC: Calculation Based on Weight

5. Directions: Round dosage and weight to the nearest tenth as indicated. Use labels where

provided.

Order: Albuterol 1.2 mg p.o. t.i.d. is ordered for a child weighing 27 lb. The recommended dosage is 0.3 mg/kg/24 hr divided q8h.

Available:

a. What is the child’s weight in kilograms? _____ b. What is the safe 24-hr dosage for this child? _____ c. What is the divided dosage? _____ d. Is the dosage ordered safe? (Prove mathematically.) _______________ Explain your action. ______________________________ e. How many milliliters of albuterol are needed to administer the dosage? _____ ANS:

a. 27 lb ÷ 2.2 = 12.27 = 12.3 kg b. 12.3 kg  0.3 mg = 3.69 = 3.7 mg/day c. 3.7 mg ÷ 3 = 1.23 = 1.2 mg q8h d. Yes. The dosage ordered is 1.2 mg. 1.2 mg is the safe dosage to be administered q8h.

Administer medication as ordered.

e. 3 PTS: 1

MSC: Calculation Based on Weight

6. Directions: Round dosage and weight to the nearest tenth as indicated. Use labels where

provided.

The recommended dosage of Mezlin for an adult with a serious infection is 200 to 300 mg/kg/day given in four to six divided dosages. The adult weighs 175 lb. a. What is the adult’s weight in kilograms? _____ b. What is the 24-hr dosage range for the 175-lb adult in milligrams? _____ c. What is the dosage range in grams? _____ ANS:

a. 175 lb ÷ 2.2 = 79.54 = 79.5 kg b. 79.5 kg  200 mg/kg/day = 15,900 mg/day 79.5 kg  300 mg/kg/day = 23,850 mg/day The dosage range is 15,900 to 23,850 mg/day. c. 1 g = 1,000 mg 15,900 mg ÷ 1,000 = 15.9 g 23,850 mg ÷ 1,000 = 23.85 g = 23.9 g The dosage range is 15.9 g to 23.9 g/day.

PTS: 1

MSC: Calculation Based on Weight

7. 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: ______________________________ ANS:

a. 194 lb ÷ 2.2 = 88.18 = 88.2 kg 88.2 kg  150 = 13,230 mg/day 88.2 kg  200 = 17,640 mg/day The dosage range is 13,230 to 17,640 mg/day. b. 1 g = 1,000 mg 13,230 mg ÷ 1,000 = 13.23 = 13.2 g 17,640 mg ÷ 1,000 = 17.64 = 17.6 g The dosage range is 13.2 to 17.6 g/day. c. Yes. The dosage is safe. 4 g  4 = 16 g/day. It falls within the safe range of 13.2 to 17.6 g/day.

PTS: 1

MSC: Calculation Based on Weight

8. Directions: Using the West nomogram or formula when indicated, calculate the following

dosages. Express answer to the nearest tenth.

The recommended dosage of acyclovir is 250 mg/m2. What will be the dosage for a child with a BSA of 0.27 m2? _____ ANS:

250 mg/m2  0.27 m2 = 67.5 mg PTS: 1

MSC: Calculation Based on Weight

9. Directions: Using the West nomogram or formula when indicated, calculate the following

dosages. Express answer to the nearest tenth.

The recommended dosage of methotrexate is 25 to 75 mg/m2/week. 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? _____ ANS:

a. 0.49 m2 b. 25 mg/m2  0.49 m2 = 12.25 = 12.3 mg 75 mg/m2  0.49 m2 = 36.75 = 36.8 mg The dosage range is 12.3 to 36.8 mg.

PTS: 1

MSC: Calculation Based on Weight

10. 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/m2. The client’s BSA is 1.67 m2. What dosage should the client receive? _____ ANS:

360 mg/m2  1.67 m2 = 601.2 mg PTS: 1

MSC: Calculation Based on Weight

11. Directions: Using the West nomogram or formula when indicated, calculate the following

dosages. Express answer to the nearest tenth.

The recommended dosage of Zovirax for a child who is immunosuppressed and has a varicellazoster infection is 500 mg/m2. The child weighs 26.5 lb and is 58 inches tall. a. What is the child’s BSA? _____ b. What is the recommended dosage? _____ ANS:

a. 0.7 m2 b. 500 mg/m  0.7 m = 350 mg PTS: 1

MSC: Calculation Based on Weight

12. Directions: Determine the volume of solution that must be added to the burette in the following

problem. Determine the rate in gtt/min for each IV when a microdrop is used, then the rate in mL/hr for a controller.

The volume of a 75-mg dosage of medication is 3 mL. Dilute to 55 mL and infuse over 45 min. a. Dilution volume: _____ b. gtt/min: _____ c. mL/hr: _____ ANS:

a. 52 mL b. 73 microgtt/min or 73 gtt/min c. 73 mL/hr PTS: 1

MSC: IV Calculations

13. Directions: Determine the volume of solution that must be added to the burette in the following

problem. Determine the rate in gtt/min for each IV when a microdrop is used, then the rate in mL/hr for a controller.

A medication of 1 g in 4 mL is to be diluted to 60 mL and infused over 90 min. a. Dilution volume: _____ b. gtt/min: _____ c. mL/hr: _____ ANS:

a. 56 mL b. 40 microgtt/min or 40 gtt/min c. 40 mL/hr PTS: 1

MSC: IV Calculations

14. Directions: Determine the normal dosage range to the nearest tenth. State your course of action.

A child weighing 16.4 kg is to receive a medication IV with a dosage range of 100 to 150 mg/kg/day. The order is for 600 mg in 75 mL D5W q6h. Determine whether the dosage ordered is within normal limits. What is your course of action? ______________________________ ANS:

Calculate the normal daily dosage range: 100 mg  16.4 = 1,640 mg/day 150 mg  16.4 = 2,460 mg/day The dosage ordered is 600 mg q6h (4 doses).

600 mg  4 = 2,400 mg/day The dosage ordered is 2,400 mg/day. It is within the normal range of 1,640 to 2,460 mg/day.

Administer medication as ordered.

PTS: 1

MSC: IV Calculations

15. Directions: Determine the normal dosage range to the nearest tenth. State your course of action.

A child weighs 10 kg and is to receive 0.5 g of nafcillin in 100 mL D5W q6h. The dosage range is 100 to 200 mg/kg/day. What is your course of action? ______________________________ ANS:

Calculate the normal daily dosage range: 100 mg/kg  10 kg = 1,000 mg/day 200 mg/kg  10 kg = 2,000 mg/day The dosage ordered is 0.5 g q6h (4 doses).

0.5 g = 500 mg 500 mg  4 = 2,000 mg The dosage ordered is 2,000 mg. It is within the normal range. Administer medication as ordered.

PTS: 1

MSC: IV Calculations

16. Directions: Determine the normal dosage range to the nearest tenth. State your course of action.

An IV medication of 50 mcg in 200 mL is ordered to infuse over 2 hr. The normal dosage range is 1.5 to 3 mcg/kg/hr. The child weighs 5.7 kg. Determine the dosage range per hour. Determine whether the dosage ordered is within normal limits. State your course of action: ______________________________ ANS:

Calculate the hourly dosage range: 1.5 mcg/kg/hr  5.7 kg = 8.5 mcg/hr 3 mcg/kg/hr  5.7 kg = 17.1 mcg/hr Calculate the dosage infusing per hour.

50 mcg ÷ 2 hr = 25 mcg/hr The dosage is 25 mcg/hr. It is greater than the safe range of 8.6 to 17.1 mcg/hr. Notify the prescriber.

PTS: 1

MSC: IV Calculations

Calculate the Daily Fluid Maintenance and the hourly rate for the following problems using the formula provided. (Pump is programmed in whole milliliters unless otherwise indicated.)

Formula: 100 mL/kg/day for the first 10 kg of body weight 50 mL/kg/day for the next 10 kg of body weight 20 mL/kg/day for each kg above 20 kg of body weight 17. Child weighing 24 kg

a. Daily fluid maintenance _____________________ mL/day b. IV rate __________________ mL/hr ANS:

a. 100 mL/kg/day  10 kg = 1,000 mL/day (for the first 10 kg) 50 mL/kg/day  10 kg = 500 mL/day (for the next 10 kg)

20 mL/kg/day  4 kg = 80 mL/day (for remaining 4 kg) Total: 1,000 mL/day + 500 mL/day + 80 mL/day = 1,580 mL/day or per 24 hr. b. x mL/hr = x = 66 mL/hr PTS: 1

MSC: IV Calculations

18. Child weighing 77 lb

Convert weight Equivalent 2.2 lb= 1 kg 77 lb ÷ 2.2 = 35 kg ANS:

a. 100 mL/kg/day  10 kg = 1,000 mL/day (for first 10 kg) 50 mL/kg/day  10 kg = 500 mL/day (for next 10 kg) 20 mL/kg/day  15 kg = 300 mL/day (for remaining 15 kg) Total: 1,000 mL/day + 500 mL/day + 300 mL/day = 1,800 mL/day or per 24 hr b. x mL/hr = x = 75 mL/hr PTS: 1

MSC: IV Calculations