Test Bank for Gray Morris Calculate with Confidence, 8th Edition

Chapter 01: Fractions Morris: Calculate with Confidence, 8th Edition COMPLETION 1. Reduce the following fraction to lowest terms.

54/81 = _____ ANS: 2/3 PTS: 1 2. Reduce the following fraction to lowest terms.

105/135 = _____ ANS: 7/9 PTS: 1 3. Reduce the following fraction to lowest terms.

39/65 = _____ ANS: 3/5 PTS: 1 4. Change the following improper fraction to a whole or mixed number.

325/16 = _____ ANS: 20 5/16 PTS: 1 5. Change the following improper fraction to a whole or mixed number.

1,500/100 = _____ ANS: 15 PTS: 1 6. Change the following improper fraction to a whole or mixed number.

193/62 = _____ ANS: 3 7/62 PTS: 1 7. Change the following mixed number to an improper fraction.

12 1/8 = _____

ANS: 97/8 PTS: 1 8. Change the following mixed number to an improper fraction.

29 2/3 = _____ ANS: 89/3 PTS: 1 9. Perform the indicated operation and reduce to lowest terms.

1/12 + 6/12 + 5/12 = ____ ANS: 1 PTS: 1 10. Perform the indicated operation and reduce to lowest terms.

3/8 – 1/3 = _____ ANS: 1/24 PTS: 1 11. Perform the indicated operation and reduce to lowest terms.

4/5  5/16 = _____ ANS: 1/4 PTS: 1 12. Perform the indicated operation and reduce to lowest terms.

1/12  1/15 = _____ ANS: 1/180 PTS: 1 13. Perform the indicated operation and reduce to lowest terms.

3/5 ÷ 5 = _____ ANS: 3/25 PTS: 1 14. Perform the indicated operation and reduce to lowest terms.

1/100 ÷ 1/200 = _____ ANS: 2

PTS: 1 15. Indicate which fraction is the largest.

1/100, 1/150, 1/200: _____ ANS: 1/100 PTS: 1 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 17. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

1/5 + 1/2 + 1/4 = _____ ANS: 19/20 PTS: 1 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 19. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

6 10/12  15/3 = _____ ANS: 34 1/6 PTS: 1 20. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

56 ÷ 9/20 = _____ ANS: 124 4/9 PTS: 1 21. Indicate the largest number in the following set.

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

22. Indicate the largest number in the following set.

1/30, 1/4, 1/150: _____ ANS: 1/4 PTS: 1 23. Reduce the following fraction to lowest terms.

34/102 = _____ ANS: 1/3 PTS: 1 24. Reduce the following fraction to lowest terms.

60/1200 = _____ ANS: 1/20 PTS: 1 25. Express the following improper fraction as a mixed number. Reduce to lowest terms.

24/18 = _____ ANS: 1 1/3 PTS: 1 26. Express the following improper fraction as a mixed number. Reduce to lowest terms.

15/13 = _____ ANS: 1 2/13 PTS: 1 27. Change the following mixed number to an improper fraction.

9 1/9 = _____ ANS: 82/9 PTS: 1 28. Change the following mixed number to an improper fraction.

6 7/10 = _____ ANS: 67/10 PTS: 1 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 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 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 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 33. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

15/21 – 10/21 = _____ ANS: 5/21 PTS: 1 34. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

8/16 – 1/4 = _____ ANS: 1/4 PTS: 1 35. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

14 – 5/9 = _____ ANS: 13 4/9 PTS: 1 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 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 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 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 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 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 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 43. A bottle of tablets(tabs) has 90 scored tablets so that each tablet (tab) can be divided into two

pieces. If a typical dose is ANS: 180 doses PTS: 1

tab, how many doses does the bottle contain? ______

44. The nurse administers

ounces of a medication four times a day to a client for 5 days. How much medication did the client receive over the 5 days? _______ ANS: 25 ounces PTS: 1

45. One tablet contains 250 milligrams of medication. How many milligrams are in

tablets?

_______ ANS: 1,125 milligrams PTS: 1

Chapter 02: Decimals Morris: Calculate with Confidence, 8th 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 2. Change the following to a decimal. Carry division three places as indicated. Do not round off.

5/18 = _____ ANS: 0.277 PTS: 1 3. Change the following decimal to a fraction. Reduce to lowest terms if indicated.

7.025 = _____ ANS: 7 1/40 PTS: 1 4. Change the following decimal to a fraction. Reduce to lowest terms if indicated.

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

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

0.6, 0.128 = _____ ANS: 0.6 PTS: 1 6. Identify the decimal with the largest value in the following set.

0.7, 0.67, 0.86: _____ ANS: 0.86 PTS: 1 7. Round off the following decimal to the nearest tenth.

3.539 = _____ ANS: 3.5 PTS: 1 8. Round off the following decimal to the nearest thousandth.

0.6253 = _____ ANS: 0.625 PTS: 1 9. Perform the indicated operation with decimals.

64.1 – 0.009 = _____ ANS: 64.091 PTS: 1 10. Perform the indicated operation with decimals.

0.123 + 0.4 = _____ ANS: 0.523 PTS: 1 11. Perform the indicated operation with decimals.

0.46  0.17 = ______ ANS: 0.0782 PTS: 1 12. Divide the following decimal. Express answer to nearest hundredth.

0.1 ÷ 0.375 = _____

ANS: 0.27 PTS: 1 13. Change the following to a decimal.

1.25% = _____ ANS: 0.0125 PTS: 1 14. Indicate the largest number in the following set.

0.75, 0.749: _____ ANS: 0.75 PTS: 1 15. Indicate the largest number in the following set.

0.001, 1.25, 1.09: _____ ANS: 1.25 PTS: 1 16. Perform the indicated operation with decimals.

0.98 + 0.76 = _____ ANS: 1.74 PTS: 1 17. Perform the indicated operation with decimals.

9.123 – 6.055 = _____ ANS: 3.068 PTS: 1 18. Perform the indicated operation with decimals.

60 ÷ 0.012 = _____ ANS: 5,000 PTS: 1 19. Perform the indicated operation with decimals.

66.66  3.33 = _____ ANS: 221.9778

PTS: 1 20. Change the following decimal to a fraction. Reduce to lowest terms if indicated.

0.010 = _____ ANS: 1/100 PTS: 1 21. Change the following decimal to a fraction. Reduce to lowest terms if indicated.

0.006 = _____ ANS: 3/500 PTS: 1 22. Round off the following decimal to the nearest tenth.

0.52 = _____ ANS: 0.5 PTS: 1 23. Round off the following decimal to the nearest hundredth.

2.457 = _____ ANS: 2.46 PTS: 1 24. Round off the following decimal to the nearest tenth.

28.66 = _____ ANS: 28.7 PTS: 1 25. Round off the following decimal to the nearest tenth.

1.45 = _____ ANS: 1.5 PTS: 1 26. Round off the following decimal to the nearest thousandth.

0.3333 = _____ ANS: 0.333 PTS: 1

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

normal body temperature is 98. F, how far below normal was the client’s temperature? _____ F. ANS: 3.4 PTS: 1 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 32. A client received 0.375 milligrams (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 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

34. One dose of vaccine is 1.25 milliliters (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 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 36. A client’s temperature was 101.2 F on Monday morning. By Monday afternoon, it was 99.4

F. By how many degrees had the client’s temperature changed? ______ ANS: 1.8 degrees PTS: 1 37. A client weighed 65.75 kilograms (kg). The client’s weight increased by 2.4 kg one month

and decreased by 1.75 kg the next month. What is the client’s current weight in kilograms? ______ ANS: 66.4 kg PTS: 1 38. There are 27 residents at an assisted-living facility. If there are four attendants on duty, how

many residents is each attendant responsible for? (Round to the nearest whole number.) ________ ANS: 7 residents PTS: 1 39. The prescriber ordered 45 milligrams (mg) of a medication for a client. The nurse misread the

order and administered 4.5 mg of medication to the client. How much more medication should the client be given to give the dose the prescriber ordered? _______ ANS: 4.5 mg PTS: 1 40. A client received a total of 14.5 milligrams (mg) of medication from five tablets. How many

mg was in each tablet? _______ ANS: 2.9 mg

PTS: 1

Chapter 03: Ratio and Proportion Morris: Calculate with Confidence, 8th Edition COMPLETION 1. Solve for x in the following.

11:121 = 3:x x = _____ ANS: 33 PTS: 1 2. Solve for x in the following.

4/2.6 = 5/x x = _____ ANS: 3.25 PTS: 1 3. Solve for x in the following.

0.5/0.125 = x/4 x = _____ ANS: 16 PTS: 1 4. Solve for x in the following.

500:3 = 350:x x = _____ ANS: 2.1 PTS: 1 5. Express the following dosage as a ratio.

A capsule contains 450 mg of medication; _____ ANS:

1 cap/450 mg 450 mg/1 cap 1 cap:450 mg PTS: 1 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 0.7 mL/500 mg 500 mg:0.7 mL PTS: 1 7. Solve for x.

2.2:1 = x:145 x = _____ ANS: 319 PTS: 1 8. Solve for x.

0.25/2 = x/(1/2) x = _____ ANS: 0.0625 PTS: 1 9. Solve for x. Round to the nearest tenth.

1:3.6 = x:170 x = _____ ANS: 47.2 PTS: 1 10. Solve for x.

1 1/2:2 = x:3 x = _____ ANS: 2 1/4 PTS: 1 11. Solve for x.

1/0.05 = x/0.1 x = _____ ANS: 2 PTS: 1 12. Solve for x.

42:7 = 48:x x = ______

ANS: 8 PTS: 1 13. Solve for x.

16/40 = x/55 x = _____ ANS: 22 PTS: 1 14. Solve for x.

2:9 = x:27 x = _____ ANS: 6 PTS: 1 15. If one glass of milk contains 300 milligrams (mg) of calcium, how many mg of calcium are in

3 1/2 glasses of milk? ______ ANS: 1,050 mg PTS: 1 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 17. If three tablets (tabs) contain 60 milligrams (mg), how many tabs would need to be given for

80 mg? ______ ANS: 4 tabs PTS: 1 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 19. If 1 ounce (oz) is equal to 30 mL, how many mL are there in 4 3/4 oz? (State answer as a

decimal number.) ______

ANS: 142.5 mL PTS: 1 20. If 5 ounces (oz) 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 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 22. A low-fat cheese has 40 calories (cal) per ounce (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 23. Two tablets (tabs) contain a total of 50 milligrams (mg) of a medication. How many mg of

medication is present in 15 tabs? _______ ANS: 375 mg PTS: 1 24. A client must take four tablets (tabs) per day for 14 days. How many tabs should the

pharmacy supply to fill this order? ______ ANS: 56 tabs PTS: 1 25. The nurse is instructed to administer 500 milliliters (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 26. A tablet(tab) contains 7.5 milligrams(mg) of medication. How many mg of medication is in 3

tablets (tabs)? ______ (Express answer as a decimal number.)

ANS: 22.5 mg

PTS: 1 27. If there are 0.5 grams (g) in 2 capsules (caps), how many g of medication are there in 8 caps?

________ ANS: 2 g PTS: 1 28. A capsule(cap) contains 0.5 micrograms (mcg) of medication. How many mcg of medication

is in 3 capsules (caps)? _______ (State answer as a decimal number.)

ANS: 1.5 mcg PTS: 1 29. If there are 2.5 milligrams (mg) of medication contained in 1 milliliter (mL). How many mg

of medication is contained in 3.5 mL? ______ (Express answer as a decimal number.)

ANS: 8.75 mg PTS: 1 30. If there are 250 milligrams (mg) in 5 milliliters (mL) of medication. How many mg of

medication is contained in 12 mL? _______ ANS: 600 mg PTS: 1

Chapter 04: Percentages Morris: Calculate with Confidence, 8th Edition COMPLETION 1. Change the following percentage to a fraction. Reduce to lowest terms.

37.5% = _____ ANS: 3/8 PTS: 1 2. Find the following percentage.

(9/10)% of 2,000 = _______ ANS: 18 PTS: 1 3. Find the following percentage.

16% of 79 = _____

ANS: 12.64 PTS: 1 4. Find the following percentage.

8% of 32 = _____ ANS: 2.56 PTS: 1 5. Change the following percentage to a ratio and its decimal equivalent.

8% = _____; _____ ANS: 2:25; 0.08 PTS: 1 6. Change the following percentage to a ratio and its decimal equivalent.

45% = _____; _____ ANS: 45:100; 0.45 PTS: 1 7. Change the following percentage to a ratio.

16 (2/3)% = _______ ANS: 1:6 PTS: 1 8. Change the following percentage to a ratio.

0.4% = _____ ANS: 1:250 PTS: 1 9. Convert 84.75% to decimal form. _____ ANS: 0.8475 PTS: 1 10. Convert 42.5% to decimal form. _____ ANS: 0.425 PTS: 1

11. Convert 2.96 to a percent. _____ ANS: 296% PTS: 1 12. Convert 0.925 to a percent. _____ ANS: 92.5% PTS: 1 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 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 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 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 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 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 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 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

Chapter 05: Metric System Morris: Calculate with Confidence, 8th 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

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

ANS: D

PTS: 1

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

4. Three and one half kilograms a. 3.5 kg. b. 3.05 kg. c. 3 1/2 kg. d. 3.5 kg.

ANS: D

PTS: 1

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

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

ANS: A

PTS: 1

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

ANS: D

PTS: 1

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

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

COMPLETION 1. Directions: Write the equivalent indicated.

1 L = _____ mL

ANS: 1,000 PTS: 1 2. Directions: Write the equivalent indicated.

1 kg = _____ g ANS: 1,000 PTS: 1 3. Directions: Write the equivalent indicated.

3,120 mcg = _____ mg ANS: 3.12 PTS: 1 4. Directions: Write the equivalent indicated.

1 mg = _____ g ANS: 0.001 PTS: 1 5. Directions: Write the equivalent indicated.

5.2 kg = _____ g ANS: 5,200 PTS: 1 6. Directions: Write the equivalent indicated.

3,550 mL = _____ L ANS: 3.55 PTS: 1 7. Directions: Write the equivalent indicated.

15 mg = _____ mcg ANS: 15,000 PTS: 1 8. Directions: Write the equivalent indicated.

25.6 mg = _____ g ANS: 0.0256

PTS: 1 9. Directions: Write the equivalent indicated.

0.075 mg = _____ mcg ANS: 75 PTS: 1 10. Directions: Write the equivalent indicated.

7.45 mL = _____ L ANS: 0.00745 PTS: 1 11. Directions: Write the equivalent indicated.

1.57 kg = _____ g ANS: 1,570 PTS: 1 12. Directions: Write the equivalent indicated.

26 mcg = _____ mg ANS: 0.026 PTS: 1 13. Directions: Write the equivalent indicated.

8.3 L = _____ mL ANS: 8,300 PTS: 1 14. Directions: Write the equivalent indicated.

54.6 g = _____ kg ANS: 0.0546 PTS: 1 15. Directions: Write the equivalent indicated.

450 mL = _____ L ANS: 0.45 PTS: 1 16. Directions: Write the equivalent indicated.

0.081 g = _____ mg ANS: 81 PTS: 1 17. Directions: Write the equivalent indicated.

44 mL = ______ L ANS: 0.044 PTS: 1 18. Directions: Write the equivalent indicated.

0.008 L = _______ mL ANS: 8 PTS: 1 19. Directions: Write the equivalent indicated.

25.5 mcg = _______ mg ANS: 0.0255 PTS: 1 20. Directions: Write the equivalent indicated.

3.5 g = _______ mg ANS: 3,500 PTS: 1 21. Directions: Write the equivalent indicated.

9.5 mg = ________ mcg ANS: 9,500 PTS: 1 22. Directions: Write the equivalent indicated.

20 mg = ________ g ANS: 0.02 PTS: 1 23. Directions: Write the equivalent indicated.

6,724 g = _______ kg

ANS: 6.724 PTS: 1 24. Directions: Write the equivalent indicated.

0.007 kg = _______ g ANS: 7 PTS: 1 25. Directions: Write the equivalent indicated.

21 L = _________ mL ANS: 21,000 PTS: 1 26. Directions: Write the equivalent indicated.

350,000 mcg = ________ mg ANS: 350 PTS: 1 27. Directions: Write the equivalent indicated.

48.5 mcg = _________ mg ANS: 0.0485 PTS: 1 28. Directions: Write the equivalent indicated.

873 mL = _________ L ANS: 0.873 PTS: 1 29. 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 30. 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 31. Directions: Apply the guidelines relating to the use of leading and trailing zeros and express

the following metric notations correctly. ______ 8.0 L ANS: 8 L PTS: 1 32. 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 33. 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 TRUE/FALSE 1. Trailing zeros should be placed on quantities to avoid misinterpretation of a value.

ANS: F

PTS: 1

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

ANS: T

PTS: 1

Chapter 06: Apothecary and Household Systems and Additional Measures used in Medication Administration Morris: Calculate with Confidence, 8th Edition MULTIPLE CHOICE 1. 1 oz is equivalent to a. 4 mL.

b. 5 mL. c. 15 mL. d. 30 mL. ANS: D

PTS: 1

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

PTS: 1

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

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

drop: _____ ANS: gtt PTS: 1 2. Directions: Write the abbreviation for the following:

teaspoon: _____ ANS: tsp PTS: 1 3. Directions: Write the abbreviation for the following:

ounce: _____ ANS: oz PTS: 1 4. Directions: Write the equivalent indicated.

30 mL = _____ oz

ANS: 1 PTS: 1 5. Directions: Write the equivalent indicated.

13 t = _______ mL ANS: 65 PTS: 1 6. Directions: Write the equivalent indicated.

15 mL = _____ oz ANS: 1/2 PTS: 1 7. Directions: Write the equivalent indicated.

2 3/4 C = ______ ml ANS: 660 PTS: 1 8. Directions: Write the equivalent indicated.

10 tbs = _____ mL ANS: 150 PTS: 1 9. Directions: Write the equivalent indicated.

50 mL = _____ qt ANS: 1/20 PTS: 1 10. Directions: Write the equivalent indicated.

5 t = _____ mL ANS: 25 PTS: 1 11. Directions: Write the equivalent indicated.

255 mL = _____ oz ANS: 8 1/2

PTS: 1 12. Directions: Write the equivalent indicated.

6 1/4 qt = ________ mL ANS: 6,250 PTS: 1 13. Directions: Write the equivalent indicated.

5 1/4 pt = ______ mL ANS: 2,625 PTS: 1 14. Directions: Write the equivalent indicated.

16 T = _____ mL ANS: 240 PTS: 1 15. Directions: Write the equivalent indicated.

750 mL = _____ pt ANS: 1 1/2 pt PTS: 1 16. Directions: Write the equivalent indicated.

2 1/4 cup = _____ mL ANS: 540 PTS: 1 17. Directions: Write the equivalent indicated.

195 mL = ________ oz ANS: 6 1/2 PTS: 1 18. Directions: Write the equivalent indicated.

10 1/3 tbs = _______ mL ANS: 155 PTS: 1 19. Directions: Write the equivalent indicated.

277.5 mL = _________ oz ANS: 9 1/4 PTS: 1 20. Directions: Write the equivalent indicated.

43.75 mL = ________ tsp ANS: 8 3/4 PTS: 1 21. Directions: Express the following value correctly.

5.5 Tsp ________ ANS:

5 1/2 tsp tsp 5 1/2 PTS: 1 22. Directions: Express the following value correctly.

20 MEQ ________ ANS: 20 mEq PTS: 1 23. Directions: Express the following value correctly.

2.75 OZ ________ ANS:

2 3/4 oz oz 2 3/4 PTS: 1 24. Directions: Express the following value correctly.

17 U ________ ANS: 17 units PTS: 1 25. Directions: Express the following value correctly.

18.0 Tbs ________ ANS: 18 tbs or tbs 18 PTS: 1

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

ANS: F

PTS: 1

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

administration.

ANS: T

PTS: 1

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

ANS: F

PTS: 1

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

ANS: T

PTS: 1

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

ANS: F

PTS: 1

Chapter 07: Converting Within and Between Systems Morris: Calculate with Confidence, 8th Edition COMPLETION 1. A client’s intake was the following:

3/4 cup of coffee (1 cup = 8 oz) 1 can of ginger ale (1 can = 12 oz) 1/2 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 2. Directions: Write the equivalent indicated.

1 mg = _____ g ANS: 0.001 PTS: 1 3. Directions: Write the equivalent indicated.

1,200 mL = ______ oz ANS: 40

PTS: 1 4. Directions: Write the equivalent indicated.

4 1/4 qt = _____ mL ANS: 4,250 PTS: 1 5. Directions: Write the equivalent indicated.

11 1/2 oz = ________ mL ANS: 345 PTS: 1 6. Directions: Write the equivalent indicated.

28.3 kg = _____ lb ANS: 62.04 PTS: 1 7. Directions: Write the equivalent indicated.

4,176 g = _____ kg ANS: 4.176 PTS: 1 8. Directions: Write the equivalent indicated.

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

ANS: 26.8 PTS: 1 9. Directions: Write the equivalent indicated.

0.005 g = _____ mg ANS: 5 PTS: 1 10. Directions: Write the equivalent indicated.

0.3 mg = _____ g ANS: 0.0003 PTS: 1 11. Directions: Write the equivalent indicated.

2 oz = _____ tbs ANS: 4 PTS: 1 12. Directions: Write the equivalent indicated.

45 kg = _______ lb ANS: 99 PTS: 1 13. Directions: Write the equivalent indicated.

56 in. = ______ cm ANS: 140 PTS: 1 14. Directions: Write the equivalent indicated.

2,575 mL = _______ L ANS: 2.575 PTS: 1 15. Directions: Write the equivalent indicated.

125 mL = ________ tsp ANS: 25 PTS: 1 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 17. A client drinks 300 mL of magnesium citrate. How many ounces did the client consume?

_____ oz ANS: 10 PTS: 1

18. A client has an order for Maalox 30 mL p.o. at bedtime. How many tbs will the nurse instruct

the client to take? _____ tbs ANS: 2 PTS: 1 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 4 3/4 cups (cup = 8 oz) of a liquid. How many mL did the client drink? ______

mL ANS: 1,140 PTS: 1 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 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 23. A client needs to drink 1 1/2 oz of an elixir per day. How many tsp would this be equivalent

to? ________ tsp ANS: 9 PTS: 1 24. 10 mL = ____________ oz ANS: 1/3 PTS: 1 25. 9 1/2 oz = _____________ T ANS: 19

PTS: 1 26. 6.653 g = ____________ mg ANS: 6,653 PTS: 1 27. 4 g = ______________ mg ANS: 4,000 PTS: 1 28. 36 mg = ____________ g ANS: 0.036 PTS: 1 29. A client’s intake was the following:

1 1/4 cup of coffee (1 cup = 8 oz) 4 oz cranberry juice 1 1/2 bowls of chicken broth (1 bowl = 6 oz) 3 1/2 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 1,320; 1,365 1,320, 1,365 PTS: 1 30. A client’s intake was the following:

1/8 qt of milk 1 1/4 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. 0.5 500; 0.5 500, 0.5 PTS: 1

31. A client had the following during a 12-hour shift: (7 am-7 pm)

1.5 L of IV fluid Breakfast 1 3/4 cup of coffee (1 cup = 8 oz) 2 oz apple juice Lunch 1/2 can ginger ale (1 can = 12 oz) 3 oz jello Dinner 2 cups of tea (1 cup = 8 oz) 4 oz gelatin dessert 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 2,850; 1,850 2,850, 1,850 PTS: 1 32. 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) 2 1/4 cups coffee 3 1/2 glasses juice 4 3/4 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 3,090; 2,175 3,090, 2,175 PTS: 1 33. During the 7 am-3 pm shift the nurse administers a formula feeding through a feeding tube of

200 mL ordered q4h followed by 100 mL of water after each feeding (8:00 am, and 12:00 pm).

50 mL of water is administered with medications at 10 am and 2:00 pm. How many mL will the nurse record for the client’s intake? ______________ mL ANS: 700 PTS: 1

Chapter 08: Additional Conversions Useful in the Health Care Setting

Morris: Calculate with Confidence, 8th Edition MULTIPLE CHOICE 1. In international time, 4:08 PM is a. 0408 b. 1508 c. 1608 d. 1708 ANS: C

PTS: 1

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

PTS: 1

COMPLETION 1. Directions: Write the equivalent indicated.

1 kg = _____ lb ANS: 2.2 PTS: 1 2. Directions: Write the equivalent indicated.

1 cm = _____ mm ANS: 10 PTS: 1 3. Directions: Write the equivalent indicated.

1 in. = _____ cm ANS: 2.5 PTS: 1 4. Directions: Write the equivalent indicated.

16 oz = _____ lb ANS: 1 PTS: 1 5. Directions: Write the equivalent indicated.

40.5 cm ______ mm

ANS: 405 PTS: 1 6. Directions: Convert the following temperature as indicated.

18 C = _____ F ANS: 64.4 PTS: 1 7. Directions: Convert the following temperature as indicated.

39 C = _____ F ANS: 102.2 PTS: 1 8. Directions: Convert the following temperature as indicated.

102 F = _____ C ANS: 38.9 PTS: 1 9. Directions: Convert the following temperature as indicated.

212 F = _____ C ANS: 100 PTS: 1 10. Directions: Convert the following temperature as indicated.

Store medication within a temperature range of 36 F and 41 F. ______ C ANS: 2.2 and 5 PTS: 1 11. Directions: Convert the following temperature as indicated.

12.8 C = _____ F ANS: 55 PTS: 1 12. Directions: Convert the following temperature as indicated.

82.8 F = ______ C ANS: 28.2

PTS: 1 13. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

8 lb, 12.2 oz = _____ kg ANS: 4 PTS: 1 14. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

9 lb, 9 oz = _____ kg ANS: 4.4 PTS: 1 15. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

134 lb = _____ kg ANS: 60.9 PTS: 1 16. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

6.4 lb = _____ kg ANS: 2.9 PTS: 1 17. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

7.6 kg = _____ lb ANS: 16.7 PTS: 1 18. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

63 kg = _____ lb ANS: 138.6 PTS: 1 19. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

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

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

41 lb, 2 oz = _____ kg ANS: 18.7 PTS: 1 21. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

14 lb, 4 oz = _____ kg ANS: 6.5 PTS: 1 22. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

39 3/4 lb = _____ kg ANS: 18.1 PTS: 1 23. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

82 1/2 lb = _____ kg ANS: 37.5 PTS: 1 24. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

20.8 kg = _____ lb ANS: 45.8 PTS: 1 25. Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

43.5 kg = _____ lb ANS: 95.7 PTS: 1 26. Directions: Convert as indicated.

34 mm = _____ cm ANS: 3.4 PTS: 1 27. Directions: Convert as indicated.

16.2 in. = _____ cm

ANS: 40.5 PTS: 1 28. Directions: Convert as indicated.

27 cm = _____ in.

ANS: 10.8 PTS: 1 29. A client’s rash measures 5 cm  4 cm. How much does this measure in inches? _____ in.

ANS: 2  1.6 PTS: 1 30. A wound measures 4.2 cm in length. How many mm is this? _____ mm ANS: 42 PTS: 1 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 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 33. Directions: Convert the following time to international time.

2:35 AM _________________ ANS: 0235 PTS: 1 34. Directions: Convert the following time to international time.

10:19 PM _________________ ANS: 2219 PTS: 1

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

12:19 AM ________________ ANS: 0019 PTS: 1 36. Directions: Convert the following time to traditional time.

2146 ___________ ANS: 9:46 PM PTS: 1 37. Directions: Convert the following time to traditional time.

2359 _____________ ANS: 11:59 PM PTS: 1 38. 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 12:30 PM, 6:30 PM; 1230, 1830 12:30 PM, 6:30 PM, 1230, 1830 PTS: 1 39. An IV is started at 4:15 am to complete in 12 hr. Determine the completion time in traditional

and international time. a. Traditional time _______________; b. International time ____________ ANS:

a. 4:15; b. 1615 4:15; 1615 4:15, 1615 PTS: 1 40. An IV is started at 2200 to be completed in 12 hr. Determine the completion time in

traditional and international time. a. Traditional time _________________; b. International time ______________ ANS:

a. 10:00 AM; b. 1000 10:00 AM; 1000 10:00 AM, 1000

PTS: 1

Chapter 09: Medication Administration Morris: Calculate with Confidence, 8th 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

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

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

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

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

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 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 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 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 lookalike names is called __________ lettering.

ANS: Tall Man PTS: 1 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 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 7. 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 8. 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 TRUE/FALSE 1. Medication errors can result in prolonged hospitalization for a client.

ANS: T

PTS: 1

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

ANS: F

PTS: 1

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

ANS: T

PTS: 1

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

ANS: F

PTS: 1

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

6. Promoting a culture of safety is the primary responsibility of only the nurse administering

medications.

ANS: F

PTS: 1

7. A black box warning on a medication indicates that the medication carries a risk of serious or

life-threatening adverse effects.

ANS: T

PTS: 1

Chapter 10: Understanding and Interpreting Medication Orders Morris: Calculate with Confidence, 8th 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

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

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

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

PTS: 1 2. Directions: Give the abbreviation for the following.

Every hour: _____ ANS: qh PTS: 1 3. Directions: Give the abbreviation for the following.

Every four hours: _____ ANS: q4h PTS: 1

4. Directions: Give the abbreviation for the following.

Immediately: _____ ANS:

stat STAT PTS: 1 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 6. Directions: For the following medication order indicate what component of the order is

missing.

Demerol 75 mg IM prn. ______ ANS: Frequency PTS: 1 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 8. Directions: For the following medication order indicate what component of the order is

missing.

Trental 400 mg po. ______ ANS: Frequency PTS: 1 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 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 11. 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 12. Verbal orders should be accepted only in _______________.

ANS: emergency situations PTS: 1 13. CPOE is an abbreviation for _______________.

ANS:

computerized physician order entry computerized provider order entry PTS: 1 14. 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 bid PTS: 1 15. 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 16. Directions: Interpret the following medication order. Use “Give” or Administer at the

beginning of the sentence.

Doxycycline 100 mg po bid pc _______________ ANS: Give Doxycycline 100 milligrams by mouth two times a day after meals PTS: 1 17. Directions: Interpret the following medication order. Use “Give” or Administer at the

beginning of the sentence.

Motrin 400 mg po q6h prn for back pain _______________ ANS: Give Motrin 400 milligrams by mouth every 6 hours when necessary for back pain PTS: 1 18. Directions: Interpret the following medication order. Use “Give” or Administer at the

beginning of the sentence.

Heparin 5,000 units subcut daily _______________ ANS: Give Heparin 5,000 units by subcutaneous injection daily PTS: 1 TRUE/FALSE 1. A p.r.n. order must indicate the minimum time between dosages such as q4h.

ANS: T

PTS: 1

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

institution.

ANS: F

PTS: 1

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

ANS: F

PTS: 1

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

ANS: T

PTS: 1

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

qd.

ANS: F

PTS: 1

6. ODT in terms of medication is an abbreviation for Orally Disintegrating Tablet.

ANS: T

PTS: 1

7. Medication labels are required by law to have the trade name on the label.

ANS: F

PTS: 1

8. If the route is missing from a medication order the nurse can administer the medication based

on his or her knowledge about the medication.

ANS: F

PTS: 1

Chapter 11: Medication Administration Records and Medication Distribution Systems Morris: Calculate with Confidence, 8th 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

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

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

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 MULTIPLE RESPONSE

PTS: 1

1. The health care provider writes medication orders at 8 AM on March 10, 2020, 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

COMPLETION 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: 5/2/2020

What are the client’s medication allergies? ______________ ANS: Penicillin, Codeine PTS: 1 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: 5/2/2020

Which medication is ordered to be administered “as needed”? _______________ ANS: Percocet PTS: 1 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: 5/2/2020

If the client receives the Percocet at 11 PM on 5/2/2020, what date and time can the next dose be given? (State the time in traditional and international time.) _______________ ANS: 5/3/2020 at 5:00 AM, 0500 PTS: 1 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: 5/2/2020

How many hours are between the scheduled times for Potassium Chloride Oral Solution? _______________ ANS: 8 hours PTS: 1 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: 5/2/2020

By what route will the heparin be administered? _______________ ANS: Subcutaneous injection PTS: 1 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: 5/2/2020

What dose of heparin is to be administered? _______________ ANS: 5,000 units PTS: 1 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: 5/2/2020

Potassium Chloride Oral Solution 20 mEq. What does mEq mean? _______________ ANS: Milliequivalent PTS: 1 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: 5/2/2020

What are the scheduled times for administering Potassium Chloride Oral Solution? (State in traditional times) _________________ ANS: 9 AM, 5 PM PTS: 1 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: 5/2/2020

How many times in a 24-hour period will Potassium Chloride Oral Solution be administered? _______________ ANS: Twice PTS: 1 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: 5/2/2020

You work from 3 PM to 11 PM on May 3, 2020. Which standing medication will you administer to the client? _______________ ANS: Potassium Chloride Oral Solution PTS: 1

Chapter 12: Reading Medication Labels Morris: Calculate with Confidence, 8th 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

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

COMPLETION 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: _______________ f. Controlled Substance Schedule: ___________ ANS: a. Ambien; b. zolpidem tartrate; c. 5 mg per tab; d. tablets (tab); e. 100 tablets (tabs); f.

IV, 4 PTS: 1 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 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 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: _______________ g. Directions for storage: __________ 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; g. Store at 20 to 25°C (68 to 77°F) PTS: 1 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. Directions for use: ___________ ANS: a. none stated; b. butorphanol tartrate; c. 2 mg per mL; d. injectable liquid; e. 1 mL; f.

For IV or IM use PTS: 1 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 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. 400 mg per 5 mL; d. 57 mg

per 5 mL; e. powder (when reconstituted oral suspension); f. 100 mL (when reconstituted) PTS: 1 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. one pint (473 mL) PTS: 1 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; b. doxorubicin HCI; c. 200 mg per 100 mL or 2 mg per mL; d. sterile

isotonic solution–injectable; e. for intravenous use only PTS: 1 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 amount in container: _______________ ANS: a. Invega; b. paliperidone; c. 6 mg per extended-release tablet (tab); d. extended-release

tablet (tab); e. 30 extended-release tablets (tabs) PTS: 1 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 for use: _______________ f. Directions before using: _____________ ANS: a. Entyvio; b. vedolizumab; c. 300 mg per vial; d. powder until reconstituted then

injectable solution; e. For Intravenous use only; f. must be reconstituted and diluted prior to use PTS: 1 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. Sunosi; b. solriamfetol; c. 150 mg per tablet (tab); d. tablets (tabs); e. 30 tablets (tabs) PTS: 1

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. Usual Dosage: ______________ f. Directions to pharmacist: _______________ ANS: a. Trintellix; b. vortioxetine; c. tablets (tabs); d. 5 mg per tablet (tab); e. see package

insert; f. Dispense with the accompanying medication guide PTS: 1 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. Dosage strength: _______________ ANS: a. Ubrelvy; b. ubrogepant; c. tablet (tab); d. 100 mg per tablet (tab) PTS: 1 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 Total amount in container: _______________ e. NDC number: _______________ f. This medication is an example of: ____________ ANS: a. Mavyret; b. glecaprevir and pibrentasvir; c. glecaprevir 100 mg per tablet (tab);

pibrentasvir 40 mg per tablet (tab); d. 84 tablets (tabs); e. 0074-2625-80; f. Combination drug (two drugs in one form), fixed dose combination tablet PTS: 1 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: _______________ c. Usual Dosage: _____________ d. Directions for administration: ______________ ANS: a. Ery-tab; b. enteric-coated, delayed-release tablets (tabs); c. For full prescribing

information see package insert; d. Dosage may be administered without regard to meals.

PTS: 1 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. Total amount in container: ___________ f. Usual dosage: __________ 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 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: _______________ g. Drug Manufacturer: __________ ANS: a. Neurontin; b. gabapentin; c. Oral solution; d. 250 mg per 5 mL; e. 470 mL; f. orally

or by mouth; g. Parke-Davis (division of Pfizer Inc) PTS: 1 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: __________________________ e. When should this medication not be used? ____________ ANS: a. atomoxetine; b. capsule (caps); c. 18 mg per capsule; d. see accompanying literature

for dosage information; e. If Lilly inner seal is missing or broken PTS: 1 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 Hydrochloride (HCl); b. 1 mg per mL; c. 1 mL; d. injectable liquid; e.

for IV use only PTS: 1 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. None stated; b. ondansetron; c. orally disintegrating tablets (tabs); d. 4 mg per orally

disintegrating tablet (tab); e. 30 orally disintegrating tablets (tabs) PTS: 1 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. Generic name: _____________ c. Form: ______________________ d. Dosage strength: _____________ e. Total amount in container: _____________ ANS: a. Calan SR; b. verapamil hydrochloride; c. sustained-release caplets; d. 240 mg per

sustained-release caplet; e. 100 sustained-release caplets PTS: 1 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 subcutaneous (subcut) use only PTS: 1

24. 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. Form: ___________ d. Total volume: ________________ e. Controlled Substance Schedule: __________________ ANS: a. Fentanyl Citrate; b. 250 mcg per 5 mL, 50 mcg per mL, 0.05 mg per mL; c.

Injectable liquid (solution); d. 5 mL; e. ll, 2 PTS: 1 25. 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. How is the medication packaged? ____________ e. Directions for Use: ____________ ANS: a. Prolia; b. denosumab; c. 60 mg per mL; d. Prefilled Syringe; e. For subcutaneous

(subcut) use only PTS: 1

Chapter 13: Dosage Calculation Using the Ratio and Proportion Method Morris: Calculate with Confidence, 8th Edition

COMPLETION 1. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. _________ caps

Order: Amoxil 0.5 g p.o. q6h Available: Amoxil capsules labeled 250 mg per capsule ANS: 2 PTS: 1 2. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. _________ tab

Order: Raloxifene HCl 60 mg p.o. b.i.d.

Available: Raloxifene HCl tablets labeled 60 mg per tablet ANS: 1 PTS: 1 3. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Zofran 7 mg p.o. b.i.d.

Available: Zofran oral solution labeled 4 mg per 5 mL ANS: 8.8 PTS: 1 4. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: PrednisoLONE 20 mg p.o. daily Available: PrednisoLONE oral solution labeled 15 mg per 5 mL ANS: 6.7 PTS: 1 5. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: METHYLPREDnisolone Acetate 30 mg IM stat Available: METHYLPREDnisolone Acetate labeled 40 mg per mL ANS: 0.8 PTS: 1 6. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Granisetron 450 mcg IV 30 minutes prior to chemotherapy Available: Granisetron 0.1 mg per mL ANS: 4.5 PTS: 1 7. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Clindamycin 0.6 g IV q12h Available: Clindamycin 300 mg per 2 mL ANS: 4 PTS: 1 8. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Ketorolac 16 mg IV q6h p.r.n. for pain for 4 days Available:

ANS: 0.5 PTS: 1 9. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Calcitriol 1.5 mcg IV daily on Mon., Wed., Fri. Available: Calcitriol 1 mcg per mL ANS: 1.5 PTS: 1 10. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

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

11. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Heparin 2,000 units subcut daily Available:

ANS: 0.4 PTS: 1 12. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

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

ANS: 0.25 PTS: 1

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 14. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Dexamethasone 0.75 mg p.o. daily Available:

ANS: 7.5 PTS: 1 15. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Ativan 3.5 mg IM stat Available:

ANS: 1.8 PTS: 1

Chapter 14: Dosage Calculation Using the Formula Method Morris: Calculate with Confidence, 8th Edition COMPLETION 1. Directions: Calculate the following dosage using the formula method. Round mL answers to the nearest tenth unless otherwise indicated. _________ tabs

Order: Neurontin 1.2 g p.o. daily Available:

ANS: 2 PTS: 1 2. Directions: Calculate the following dosage using the formula method. Round mL answers to the nearest tenth unless otherwise indicated. _________ tab

Order: Diazepam 10 mg p.o. tid Available: Diazepam tablets labeled 10 mg per tablet ANS: 1 PTS: 1 3. Directions: Calculate the following dosage using the formula method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Zofran 7.5 mg p.o. b.i.d.

Available: Zofran oral solution labeled 4 mg per 5 mL ANS: 9.4 PTS: 1 4. Directions: Calculate the following dosage using the formula method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Valium 7.5 mg IM stat Available: Valium labeled 5 mg per mL ANS: 1.5 PTS: 1 5. Directions: Calculate the following dosage using the formula method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Clemastine Fumarate 1 mg p.o. q12h Available: Clemastine Fumarate syrup labeled 0.5 mg per 5 mL ANS: 10 PTS: 1 6. Directions: Calculate the following dosage using the formula method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Desmopressin Acetate 1 mcg subcut b.i.d.

Available: Desmopressin Acetate 4 mcg per mL (Express answer in hundredths) ANS: 0.25 PTS: 1 7. Directions: Calculate the following dosage using the formula method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Clindamycin 0.6 g IV q12h Available:

ANS: 4 PTS: 1 8. Directions: Calculate the following dosage using the formula method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

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

ANS: 0.5 PTS: 1 9. Directions: Calculate the following dosage using the formula method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Calcitriol 1.5 mcg IV daily on Mon., Wed., Fri. Available: Calcitriol 1 mcg per mL ANS: 1.5 PTS: 1 10. Directions: Calculate the following dosage using the formula method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Ampicillin 0.35 g IM q6h Available: Ampicillin 250 mg per mL ANS: 1.4

PTS: 1 11. Directions: Calculate the following dosage using the formula method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

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

ANS: 0.25 PTS: 1 12. Directions: Calculate the following dosage using the formula method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Diphenhydramine HCl 35 mg IM q6h p.r.n. for itching Available: Diphenhydramine labeled 50 mg per mL ANS: 0.7 PTS: 1 13. Directions: Calculate the following dosage using the formula method. Round mL answers to the nearest tenth unless otherwise indicated. _________

Order: Tricor 96 mg p.o. daily Available:

ANS:

2 tablets (tabs) 2 tablets 2 tabs PTS: 1 14. Directions: Calculate the following dosage using the formula method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Sandostatin 200 mcg subcut daily Available:

ANS: 0.4 PTS: 1

Chapter 15: Dosage Calculation Using the Dimensional Analysis Method Morris: Calculate with Confidence, 8th Edition COMPLETION 1. Directions: Calculate the following dosage using the dimensional analysis method. Round mL answers to the nearest tenth unless otherwise indicated. _________ caps

Order: Cefdinir 0.6 g p.o. daily Available: Cefdinir capsules labeled 300 mg per capsule ANS: 2 PTS: 1 2. Directions: Calculate the following dosage using the dimensional analysis method. Round mL answers to the nearest tenth unless otherwise indicated. _________ tabs

Order: Lasix 40 mg p.o. b.i.d.

Available: Lasix tablets labeled 20 mg per tablet ANS: 2 PTS: 1 3. Directions: Calculate the following dosage using the dimensional analysis method. Round mL answers to the nearest tenth unless otherwise indicated. _________ tab

Order: Sulfasalazine 0.5 g p.o. q.i.d.

Available: Sulfasalazine tablets labeled 500 mg per tablet ANS: 1 PTS: 1 4. Directions: Calculate the following dosage using the dimensional analysis method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Cefaclor 250 mg p.o. q8h Available: Cefaclor Oral Suspension labeled 375 mg per 5 mL ANS: 3.3 PTS: 1 5. Directions: Calculate the following dosage using the dimensional analysis method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Terbutaline 0.25 mg subcut stat Available: (Express answer in hundredths)

ANS: 0.25 PTS: 1 6. Directions: Calculate the following dosage using the dimensional analysis method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Furosemide 35 mg IV stat Available: Furosemide labeled 20 mg per 2 mL

ANS: 3.5 PTS: 1 7. Directions: Calculate the following dosage using the dimensional analysis method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Clindamycin 0.475 g IV q12h Available:

ANS: 3.2 PTS: 1 8. Directions: Calculate the following dosage using the dimensional analysis method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Gentamicin 65 mg IV q8h Available:

ANS: 1.6 PTS: 1 9. Directions: Calculate the following dosage using the dimensional analysis method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Calcitriol 1.5 mcg IV daily on Mon., Wed., Fri. Available: Calcitriol 1 mcg per mL ANS: 1.5 PTS: 1 10. Directions: Calculate the following dosage using the dimensional analysis method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

Order: Ampicillin 0.375 g IM q6h Available: Ampicillin 250 mg per mL ANS: 1.5 PTS: 1 11. Directions: Calculate the following dosage using the dimensional analysis method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

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

ANS: 0.65 PTS: 1 12. Directions: Calculate the following dosage using the dimensional analysis method. Round mL answers to the nearest tenth unless otherwise indicated. _________ mL

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

ANS: 0.55 PTS: 1

Chapter 16: Oral Medications Morris: Calculate with Confidence, 8th Edition COMPLETION 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 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 3. Directions: Complete with the correct word(s) or number.

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

ANS:

crushed, swallowed; under crushed, under swallowed; under PTS: 1

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) three 3 PTS: 1 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 6. Directions: Complete with the correct word(s) or number.

The most common form of oral medication is the __________.

ANS: tablet PTS: 1 7. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to

the nearest tenth as indicated.

Order: Rubraca 0.5 g p.o. bid Available:

Dosage: _____ ANS: 2 tabs PTS: 1

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 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: _____ tab ANS: 1 PTS: 1

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

the nearest tenth as indicated.

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

Dosage: _____ mL ANS: 3.5 PTS: 1 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 4, 2 4: 2 PTS: 1 12. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to

the nearest tenth as indicated.

Order: Synthroid (levothyroxine sodium) 0.3 mg p.o. daily Available:

Dosage: _____ tab(s) ANS: 2 PTS: 1 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 2, 14 2; 14 PTS: 1 14. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to

the nearest tenth as indicated.

Order: Diazepam 4 mg via nasogastric tube t.i.d.

Available: Diazepam oral solution 5 mg per 5 mL a. How many milliliters should the client receive per dosage? _____ mL b. How many milligrams will the client receive per day? _____ mg ANS:

a. 4, b. 12 2, 12 2; 12 PTS: 1 15. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to

the nearest tenth as indicated.

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

Dosage: _____ tabs ANS: 2 PTS: 1 16. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to

the nearest tenth as indicated.

Order: Bosulif 200 mg p.o. daily Available:

Dosage: _____ tabs ANS: 2 PTS: 1 17. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to

the nearest tenth as indicated.

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

a. 2, b. 28 2, 28 2; 28 PTS: 1 18. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to

the nearest 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 20, 1 20; 1 PTS: 1 19. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to

the nearest tenth as indicated.

Order: Diflucan 375 mg p.o. daily Available:

Dosage: _____ mL ANS: 9.4 PTS: 1 20. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to

the nearest tenth as indicated.

Order: Valproic Acid 0.5 g p.o. daily for 1 week, then 1 g p.o. daily beginning the second week Available:

a. How many milligrams will the client 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 the client receive per dosage the second week? _____ mg per dosage d. How many milliliters will you administer per dosage the second week? _____ mL ANS:

a. 500 b. 10 c. 1,000 d. 20 PTS: 1 21. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to

the nearest tenth as indicated.

Order: Zithromax 500 mg p.o. for the initial dose followed by 250 mg p.o. daily for 4 days.

Available:

a. How many mL will you administer for the initial dose? ________ mL b. How many mL will you administer for each subsequent dose? ______ mL ANS:

a. 12.5, b. 6.3

12.5, 6.3 12.5; 6.3 PTS: 1 22. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to

the nearest tenth as indicated.

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

Dosage: _____ tabs ANS: 2 PTS: 1 23. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to

the nearest tenth as indicated.

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

Dosage: _____ tabs ANS: 2 1/2 PTS: 1

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

the nearest tenth as indicated.

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

Available:

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

a. 2, b. 12.5 2, 12.5 2; 12.5 PTS: 1 25. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to

the nearest tenth as indicated.

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

Dosage: _____ tabs

ANS: 2 PTS: 1 26. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to

the nearest tenth as indicated.

Order: Prochlorperazine Maleate 10 mg p.o. bid Available:

Dosage: _____ tabs ANS: 2 PTS: 1 27. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to

the nearest tenth as indicated.

Order: Zoloft 75 mg p.o. daily Available:

Dosage: _____ mL ANS: 3.8 PTS: 1 28. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to

the nearest tenth as indicated.

Order: Sunosi 37.5 mg po daily for a client with Obstructive Sleep Apnea (OSA).

Available: Scored tablets

Dosage: _____ tab ANS: 1/2 PTS: 1 29. Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to

the nearest tenth as indicated.

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

Dosage _____________ mL ANS: 3.1 PTS: 1

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

the nearest tenth as indicated.

Order: Isentress 0.4 g p.o. b.i.d.

Available:

Dosage: ___________________ tab ANS: 1 PTS: 1

Chapter 17: Parenteral Medications Morris: Calculate with Confidence, 8th Edition MULTIPLE CHOICE 1. A 3-mL syringe is calibrated in which of the following increments? a. 0.01 mL b. 0.1 mL c. 0.2 mL d. 1 mL ANS: B

PTS: 1

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

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

PTS: 1

3. Directions: Refer to the diagram of the syringes provided to answer the following questions.

The nurse needs to administer 31 units of Humulin Regular U-100. Indicate the correct syringe the nurse should choose to accurately withdraw the dosage. Shade in the dosage on the syringe. _________

a.

b.

ANS: B

PTS: 1

COMPLETION 1. Directions: Refer to the diagram of the syringes provided to answer the following questions.

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

ANS: 2 PTS: 1 2. Directions: Refer to the diagram of the syringes provided to answer the following questions.

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

ANS: 3 PTS: 1 3. Directions: Refer to the diagram of the syringes provided to answer the following questions.

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

ANS: 1 PTS: 1 4. Directions: Calculate the dosages, use labels where provided, and shade in the dosages on the

syringe where provided. Round answers to the nearest tenth unless otherwise indicated.

How many milligrams of Diltiazem are contained in 2.5 mL? _____ mg ANS: 12.5 PTS: 1 5. Directions: Calculate the dosages, use labels where provided, and shade in the dosages on the

syringe where provided. Round answers to the nearest 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 the IV? _____ mL ANS: 7.5 PTS: 1 6. Directions: Calculate the dosages, use labels where provided, and shade in the dosages on the

syringe where provided. Round answers to the nearest tenth unless otherwise indicated.

Order: Furosemide 15 mg IM every day Available:

How many milliliters will you administer? _____ mL ANS: 1.5 PTS: 1 7. Directions: Calculate the dosages, use labels where provided, and shade in the dosages on the

syringe where provided. Round answers to the nearest 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 8. Directions: Calculate the dosages, use labels where provided, and shade in the dosages on the

syringe where provided. Round answers to the nearest 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 9. Directions: Calculate the dosages, use labels where provided, and shade in the dosages on the

syringe where provided. Round answers to the nearest tenth unless otherwise indicated.

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

a. How many milliliters will you add to the IV? _____ mL b. How many vials will you need? ______ vials ANS:

a. 4.5, b. 4 1/2 4.5, 4 1/2 4.5; 4 1/2 PTS: 1

10. Directions: Complete the following statements with the correct word(s) or number(s).

The calibrations on a syringe that indicate the capacity can be found on the _______________.

ANS: barrel PTS: 1 11. Directions: Complete the following statements with the correct word(s) or number(s).

The term used for injectable medications is _______________.

ANS: parenteral PTS: 1 12. Directions: Complete the following statements with the correct word(s) or number(s).

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

ANS: intradermal PTS: 1 13. Directions: Complete the following statements with the correct word(s) or number(s).

If a nurse calculates a dosage of 3.39 mL of medication, which size syringe should the nurse select? _____mL What would be the nearest measurable dose on the syringe? _____mL ANS:

5; 3.4 5; 3.4 5, 3.4 PTS: 1 14. Directions: Calculate the dosages, use labels where provided, and shade in the dosages on the

syringe where provided. Round answers to the nearest tenth unless otherwise indicated.

Order: Atropine 0.5 mg IM stat Available:

How many milliliters will you administer? _____ mL

ANS: 1.3 PTS: 1 15. Directions: Calculate the dosages, use labels where provided, and shade in the dosages on the

syringe where provided. Round answers to the nearest tenth unless otherwise indicated.

Order: Terbutaline 300 mcg subcut stat Available:

How many milliliters will you administer? _____ mL ANS:

0.3 .3 PTS: 1 16. Directions: Calculate the dosages, use labels where provided, and shade in the dosages on the

syringe where provided. Round answers to the nearest tenth unless otherwise indicated.

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

How many milliliters will you administer? _____ mL ANS: 1.6 PTS: 1

17. Directions: Calculate the dosages, use labels where provided, and shade in the dosages on the

syringe where provided. Round answers to the nearest tenth unless otherwise indicated.

Order: Cerebyx (fosphenytoin sodium) 280 mg IV daily Available:

How many milliliters will you administer? _____ mL ANS: 5.6 PTS: 1 18. Directions: Calculate the dosages, use labels where provided, and shade in the dosages on the

syringe where provided. Round answers to the nearest tenth unless otherwise indicated.

Order: Lovenox 30 mg subcut q12h for 7 days Available: Lovenox prefilled syringe

a. How many mL will you administer? _____________ mL b. How many mL will you discard? _______________ mL ANS:

a. 0.3, b. 0.5 0.3, 0.5 0.3; 0.5 PTS: 1 19. Directions: Calculate the dosages, use labels where provided, and shade in the dosages on the

syringe where provided. Round answers to the nearest tenth unless otherwise indicated.

Order: Digoxin 0.375 mg IV stat

Available:

How many milliliters will you prepare for administration? _____ mL ANS: 1.5 PTS: 1 20. Directions: Calculate the dosages, use labels where provided, and shade in the dosages on the

syringe where provided. Round answers to the nearest tenth unless otherwise indicated.

Order: Pancuronium Bromide 1.6 mg IV stat Available:

How many milliliters will you prepare for administration? _____ mL ANS: 1.6 PTS: 1 21. Directions: Calculate the dosages, use labels where provided, and shade in the dosages on the

syringe where provided. Round answers to the nearest tenth unless otherwise indicated.

Order: Demerol (meperidine) 65 mg and Vistaril (hydroxyzine HCl) 25 mg IM q4h p.r.n. for pain Available:

a. How many milliliters of Demerol will you administer? _____ mL b. How many milliliters of Vistaril will you administer? _____ mL c. What is the total number of milliliters you will draw up in the syringe? _____ mL ANS:

a. 0.7, b. 0.5, c. 1.2 0.7, 0.5, 1.2 0.7; 0.5; 1.2 PTS: 1 22. Directions: You need to flush a central venous line with heparin. Which of the two labels

shown is appropriate for a heparin flush? ______________________________

NEW LABEL

ANS: Heparin lock flush solution PTS: 1 23. Directions: Calculate the dosages, use labels where provided, and shade in the dosages on the

syringe where provided. Round answers to the nearest tenth unless otherwise indicated.

Order: Heparin 3,500 units subcut q8h Available:

How many milliliters will you administer? _____ mL ANS: 0.7 PTS: 1 24. Directions: Calculate the dosages, use labels where provided, and shade in the dosages on the

syringe where provided. Round answers to the nearest tenth unless otherwise indicated.

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

a. How many mL will you administer? _____ mL b. How many vials will you need? _____ vials ANS:

a. 1.5, b. 2 1.5, 2 1.5; 2 PTS: 1 25. Directions: Calculate the dosages, use labels where provided, and shade in the dosages on the

syringe where provided. Round answers to the nearest tenth unless otherwise indicated.

Order: Fentanyl 0.05 mg IV stat Available:

How many mL will you prepare for administration? _____ mL ANS: 1 PTS: 1

Chapter 18: Reconstitution of Solutions Morris: Calculate with Confidence, 8th Edition COMPLETION

1. Directions: Use the label (where provided) to obtain the necessary information. Round

answers to the nearest tenth where indicated.

Order: Ancef (cefazolin) 0.375 g IM q8h Available:

a. How many milliliters of diluent will you add for IM use? _____ mL b. Why will the reconstituted volume be larger than the amount of diluent? _____ c. What is the dosage strength of the reconstituted solution? ___________ d. What are the directions for use? _____ e. How many milliliters will you administer? _____ mL ANS:

a. 2.5 b. The medication itself adds volume when dissolved (displacement factor). c. 330 mg per mL d. For IM IV use e. 1.1 PTS: 1 2. Directions: Use the label (where provided) to obtain the necessary information. Round

answers to the nearest tenth where indicated.

Order: Zosyn 3 g IV q6h Available:

a. How many milliliters of diluent should be used to reconstitute the solution? _____ mL b. What is the dosage strength of the prepared solution? _______________ (based on two medications together) c. How many milliliters will you add to the IV? _____ mL ANS:

a. 152 b. 225 mg per c. 13.3 PTS: 1 3. Directions: Use the label (where provided) to obtain the necessary information. Round

answers to the nearest tenth where indicated. Shade the dosage in on the syringe where provided.

Available:

a. What diluent is recommended for IM use? ___________ b. How much diluent must be added to the vial for IM administration? ____________ mL c. What is the dosage strength of the reconstituted solution for IM use? _________ d. How many milliliters will you administer? ________ mL e. How long is the reconstituted solution good for if refrigerated? ___________ ANS:

a. Sterile water for injection b. 10.6 c. 250 mg per 1.5 mL d. 2.3 e. 7 days PTS: 1 4. Directions: Use the label (where provided) to obtain the necessary information. Round

answers to the nearest tenth where indicated. Shade the dosage in on the syringe where provided.

Order: Cefepime 1.7 g IV q12h Available: Refer to the label and package insert

Single-Dose Vials for Amount of Intravenous (IV)/Intramuscular Diluent to be (IM) Administration added (mL) Cefepime vial content 1 g (IV)

10

Approximate Cefepime Concentration (mg/mL)

Amount of Reconstituted Volume to be Withdrawn (mL)

100

10.5

1 g (IM) 2 g (IV)

2.4 10

280 160

3.6 12.5

a. How many milliliters of diluent are used to reconstitute the solution? _____ mL b. What is the dosage strength of the prepared solution? _______________ c. How many milliliters will you add to the IV? _____ mL ANS:

a. 10 b. 160 mg per mL c. 10.6 PTS: 1 5. Directions: Use the label (where provided) to obtain the necessary information. Round

answers to the nearest tenth where indicated. Mark the dosage in on the syringe where provided.

Order: Ceftriaxone 0.5 g IV q12h Available:

a. How many milliliters of diluent will you add to reconstitute the solution for IV use? _____ mL b. What is the dosage strength of the reconstituted 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 6. Directions: Use the label (where provided) to obtain the necessary information. Round

answers to the nearest tenth where indicated.

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

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

a. 65 mL b. 250 mg per 5 mL c. 75 mL d. 5.5 mL PTS: 1 7. Directions: Use the label (where provided) to obtain the necessary information. Round

answers to the nearest tenth where indicated. Shade the dosage in on the syringe where provided.

a. What is the total dosage strength of the vial? _____ b. If 1,700,000 units IV of penicillin were ordered, which concentration would be appropriate to mix? _____ c. How much diluent must be added to make the appropriate concentration? _____

d. If the medication is reconstituted at 1:00 AM on December 10, what must you print on the label? _______________ e. How many milliliters will you give to administer 1,700,000 units IV? _______ ANS:

a. Five million units per vial (5,000,000 units per vial) b. 1,000,000 units per mL c. 3.2 mL d. Exp. 1:00 AM Dec 17 e. 1.7 mL PTS: 1 8. Order: Zithromax 250 mg p.o. daily

Available:

a. How many milliliters of diluent must be added for reconstitution? _____________ b. What is the final concentration of the prepared solution? ________________ c. How many milliliters will you administer? ___________________ ANS:

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

Chapter 19: Insulin Morris: Calculate with Confidence, 8th Edition COMPLETION 1. Directions: Calculate the dosage.

Order: Humulin R12 units subcut stat Available:

a. What will you administer using this syringe? _____ b. What will you administer using this syringe? _____ ANS:

a. 12 units in 50-unit syringe b. 12 units in 100-unit syringe PTS: 1 2. Directions: Calculate the dosage.

Order: Novolin 70/30 27 units subcut b.i.d. before breakfast and dinner Available:

What will you administer using this syringe? _____ ANS: 27 units PTS: 1 3. Directions: Calculate the dosage.

A client is on a sliding scale for insulin dosages q6h. The order is for Humulin Regular subcut q6h as follows: Available:

Blood Glucose Level (mg per dL) 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 the client’s blood sugar is 384 mg/dL. _____ b. At 2:00 PM the client’s blood sugar is 310 mg/dL. _____ ANS:

a. 10 units b. 8 units PTS: 1 4. Directions: Use the label provided to answer the questions.

a. What does the R on the label identify? _______________ b. Is this a short- or long-acting insulin? _______________ c. What is the total volume of the vial? _____ d. What is the dosage strength of the insulin? _______________ ANS:

a. Regular insulin b. Short-acting

c. 10 mL d. 100 units per mL PTS: 1 5. Directions: Use the label provided to answer the question.

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

a. Levemir b. Insulin detemir c. For subcutaneous use only d. Long-acting PTS: 1 6. Directions: Fill in the correct number or word(s).

U-100 on the label of an insulin indicates a concentration of _______________.

ANS: 100 units of insulin per mL PTS: 1 7. Directions: Calculate the dosage and shade in the dosage on the syringe provided.

Order: Lantus 68 units subcut daily at 8:00 AM Available:

What will you administer? ________ units ANS: 68 PTS: 1 8. Directions: Refer to the label provided to answer the questions.

a. What is the concentration of the insulin? _______________ b. This insulin is _____________ more potent than U-100 Insulin ___________ c. What size syringe must be used to administer the insulin? _____________ d. What are the directions for use? _____________ e. The total volume of the vial is _______________ f. What warnings are indicated on the label? _________________ g. Is this a short-acting or long-acting insulin?

ANS:

a. 500 units per mL

b. 5 x five times c. U-500 syringe d. For subcutaneous use only e. 20 mL f. The insulin is highly concentrated, wrong dose can be dangerous g. Short-acting PTS: 1 9. Refer to the syringe provided to answer the questions:

a. Each calibration on the syringe is ____________ b. The maximum amount the syringe can hold is ______________ ANS:

a. 5 units b. 250 units PTS: 1 10. DIRECTIONS: Using the syringes below, indicate the dosages shown by the arrows

__________

ANS: 80 units PTS: 1 11. DIRECTIONS: Using the syringes below, indicate the dosages shown by the arrows

__________

ANS: 115 units

PTS: 1 12. Directions: Calculate the dose and draw a line to indicate the dosage on the syringe.

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

What will you administer? _____________

ANS: 240 units PTS: 1 13. Directions: Calculate the dose.

Order: Humulin R U-500 135 units subcut ac daily Available:

What will you administer? _________

ANS: 135 units PTS: 1

Chapter 20: Intravenous Solutions and Equipment Morris: Calculate with Confidence, 8th Edition MULTIPLE CHOICE 1. Directions: Identify the letter of the label corresponding to the IV fluid abbreviation.

D5 a.

b.

c.

NS with 20 mEq KCL

ANS: B

PTS: 1

2. Directions: Identify the letter of the label corresponding to the IV fluid abbreviation, a.

b.

c.

ANS: C

PTS: 1

3. Directions: Identify the letter of the label corresponding to the IV fluid abbreviation.

D5NS a.

NS

b.

c.

ANS: A

PTS: 1

COMPLETION 1. Directions: Fill in the correct number or word(s) to answer the question.

Intermittent infusions of medications and solutions and can be connected to a port on the main infusion is called _______________.

ANS: secondary line PTS: 1 2. Directions: Fill in the correct number or word(s) to answer the question.

The name for the main infusion which is usually continuous is the _______________.

ANS: primary line PTS: 1 3. Directions: Fill in the correct number or word(s) to answer the question.

In IV fluid abbreviations, D5NS identifies what IV fluid? _______________ ANS: 5% dextrose in normal saline PTS: 1 4. Directions: Fill in the correct number or word(s) to answer the question.

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

ANS: electronic PTS: 1 5. Directions: Fill in the correct number or word(s) to answer the question.

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

ANS:

Patient-controlled analgesia (PCA) Patient-controlled analgesia PCA PTS: 1 6. Directions: Calculate the number of grams of NaCl and/or dextrose in the following solutions.

5 L D10W dextrose: _______________ ANS: 500 g dextrose PTS: 1 7. Directions: Calculate the number of grams of NaCl and/or dextrose in the following solutions.

500 mL

NS sodium chloride (NaCl): _____

ANS: 2.25 g NaCl PTS: 1 8. Directions: Fill in the correct number or word(s) to answer the question.

List the components and percentage strengths of the following IV solutions. a. D5 NS _____ b. D5NS with 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 9. Directions: Interpret the following IV orders.

1,000 mL D5W to infuse at 100 mL/hour ANS: Administer 1,000 mL 5% dextrose in water at a rate of 100 mL per hour PTS: 1

10. Directions: Interpret the following IV orders.

1,000 mL of L/R q8h ANS: Administer 1,000 mL of lactated Ringer solution every 8 hours PTS: 1 11. Directions: Calculate the number of grams of NaCl and/or dextrose in the following solutions.

250 mL D5NS _______ g dextrose ________ g NaCl ANS: 12.5; 2.25 12.5, 2.25 PTS: 1 12. Directions: Calculate the number of grams of NaCl and/or dextrose in the following solutions.

0.5 L D5

NS ________ g dextrose ________ g NaCl

ANS:

25; 1.125 25, 1.125 PTS: 1 13. A small volume of IV fluids used to administer IV medications is referred to as __________

and is abbreviated ____________.

ANS:

IV Piggyback; IVPB IV Piggyback, IVPB PTS: 1

Chapter 21: Intravenous Calculations Morris: Calculate with Confidence, 8th Edition COMPLETION 1. Directions: Solve for the unknown in the following problem as indicated.

D5 NS is infusing at 28 macrogtt/min. The drop factor is 10 gtt/mL. How much fluid volume will the client receive in 8 hr? _____ mL ANS: 1,344 PTS: 1 2. Directions: Solve for the unknown in the following problem as indicated.

Lactated Ringer solution is infusing at 45 microgtt/min. The drop factor is 60 gtt/mL. How much fluid volume will the client receive in 5 hr? _____ mL

ANS: 225 PTS: 1 3. Directions: Determine the flow rate in mL/hr.

500 mL of Intralipid in 6 hr: _____ mL/hr ANS: 83 PTS: 1 4. Directions: Determine the flow rate in mL/hr.

Ampicillin 1.5 g in 100 mL 0.9% NS over 45 min: _____ mL/hr ANS: 133 PTS: 1 5. Directions: Determine the flow rate in mL/hr.

Zosyn 2 g in 100 mL D5W over 40 min: _____ mL/hr ANS: 150 PTS: 1 6. Directions: Determine the flow rate in mL/hr.

Clindamycin 600 mg in 100 mL D5W over

hr: _____ mL/hr

ANS: 67 PTS: 1 7. Directions: Calculate the following as indicated.

100 units of Regular Humulin insulin in 250 mL 0.9% NS to infuse at 4 mL/hr. How many units per hour will be delivered? _____ ANS: 1.6 PTS: 1 8. Directions: Calculate the following as indicated.

40 units of Regular Humulin insulin in 100 mL 0.9% NS to infuse at 10 mL/hr. How many units per hour will be delivered? _____ ANS: 4 PTS: 1 9. Directions: Calculate the following as indicated.

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 10. Directions: Calculate the following as indicated.

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 11. Directions: Calculate the IV push rate as indicated.

10% calcium chloride (10 mL) over 5 min IV push How many milliliters will be injected per minute? _____ mL ANS: 2 PTS: 1 12. Directions: Calculate the IV push rate as indicated.

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 13. Directions: Complete the following by filling in the correct word (s) or number (s).

The type of administration set that will be selected for an IVPB solution is _______________.

ANS: Secondary PTS: 1 14. Directions: Complete the following by filling in the correct word (s) or number (s).

A Drop factor of 15 on the package of a continuous IV administration set indicates what? ______________________________ ANS: The tubing delivers 15 gtt/mL. PTS: 1 15. Directions: Complete the following by filling in the correct word (s) or number (s).

The type of administration set that delivers the smallest drops is called a _________.

ANS:

microdrip microdrop PTS: 1 16. Directions: Complete the following by filling in the correct word (s) or number (s).

When an IV medication is injected directly into a vein, the procedure is referred to as ________________.

ANS: IV push PTS: 1 17. Directions: Determine the infusion and completion time for the following IV. State time in

both traditional and military time. Round minutes to the nearest whole number of minutes.

An IV of 1,000 mL D5W was started at 2:00 AM to infuse at 90 mL/hr a. Determine the infusion time: __________ b. Determine the completion time ________ ANS:

a. 11 hr 7 min b. 1:07 PM; 1307 PTS: 1 18. Directions: Determine the infusion and completion time for the following IV. State time in

both traditional and military time. Round minutes to the nearest whole number of minutes.

An IV of 1,000 mL D5W was started at 2:00 AM to infuse at 90 mL/hr An IV of 750 mL Lactated Ringer to infuse at 80 mL/hr was started at 7:00 AM a. Infusion time: _____ b. Completion time: _____ ANS:

a. 9 hr 23 min b. 4:23 PM 1623 PTS: 1 19. Directions: Determine the infusion and completion time for the following IV. State time in

both traditional and military time. Round minutes to the nearest whole number of minutes.

An IV of 250 mL 0.9% NS to infuse at 30 mL/hr was started at 7:00 PM a. Infusion time: _____ b. Completion time: _____ ANS:

a. 8 hr 20 min b. 3:20 AM 0320 PTS: 1

20. Directions: Determine the infusion and completion time for the following IV. State time in

both traditional and military time. Round minutes to the nearest whole number of minutes.

A 100 mLof D5 NS to infuse at 40 mL/hr was started at noon. a. Infusion time: _____ b. Completion time: _____ ANS:

a. 2 hr 30 min b. 2:30 PM 1430 PTS: 1 21. Directions: Determine the infusion time for the following IV. Round minutes to the nearest

whole number of minutes.

150 mL D5 NS infusing at 20 macrogtt/min. Drop factor: 15 gtt/mL. _________ ANS: 1 hr 55 min PTS: 1 22. Directions: Determine the infusion time for the following IV. Round minutes to the nearest

whole number of minutes.

60 mL of IV fluid with medication infusing at 50 macrogtt/min. Drop factor: 10 gtt/mL. _________ ANS: 12 min PTS: 1 23. Directions: Determine the infusion time for the following IV. Round minutes to the nearest

whole number of minutes.

Total parenteral nutrition (TPN) solution of 1,000 mL infusing at 30 mL/hr. _________ ANS: 33 hr 20 min PTS: 1 24. Directions: Determine the infusion time for the following IV. Round minutes to the nearest

whole number of minutes.

D5 1/3 NS 1,000 mL infusing at 45 mL/hr _________ ANS: 22 hr 13 min PTS: 1 25. Directions: Determine the infusion and completion 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 was started at 2:40 PM

a. Infusion time: _____ b. Completion time: _____ ANS:

a. 3 hr 50 min b. 6:30 PM 1830 PTS: 1 26. Directions: Determine the completion time for the following IV. State time in both traditional

and military time. Round minutes to the nearest whole number of minutes.

A 1,000 mL of 0.9% NS is started at 0200 to infuse at 75 mL/hr. a. Infusion time: _____ b. Completion time: _____ ANS:

a. 13 hr 20 min b. 1520 3:20 PM PTS: 1 27. Directions: Determine the completion time for the following IV. State time in both traditional

and military time. Round minutes to the nearest whole number of minutes.

A liter of D5W is started at 2300 to infuse at 125 mL/hr. a. Infusion time: _____ b. Completion time: _____ ANS:

a. 8 hr. b. 0700 7:00 AM PTS: 1 28. Directions: Determine the following in drops per minute using the drop factor provided.

0.45% NS at 30 mL/hr a. 10 gtt/mL _____ gtt/min b. 15 gtt/mL _____ gtt/min c. 20 gtt/mL _____ gtt/min d. 60 gtt/mL _____ gtt/min ANS:

a. 5 b. 8 c. 10 d. 30 PTS: 1

29. 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 _____ gtt/min b. 15 gtt/mL _____ gtt/min c. 20 gtt/mL _____ gtt/min d. 60 gtt/mL _____ gtt/min ANS:

a. 21 b. 31 c. 42 d. 125 PTS: 1 30. Directions: Determine the following in drops per minute using the drop factor provided.

2,500 mL RL in 12 hr a. 10 gtt/mL _____ gtt/min b. 15 gtt/mL _____ gtt/min c. 20 gtt/mL _____ gtt/min d. 60 gtt/mL _____ gtt/min ANS:

a. 35 b. 52 c. 69 d. 208 PTS: 1 31. Directions: Determine the following in drops per minute using the drop factor provided.

0.33% NS at 200 mL/hr a. 10 gtt/mL _____ gtt/min b. 15 gtt/mL _____ gtt/min c. 20 gtt/mL _____ gtt/min d. 60 gtt/mL _____ gtt/min ANS:

a. 33 b. 50 c. 67 d. 200 PTS: 1 32. 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 b. 21 PTS: 1 33. Directions: Determine the following as indicated.

500 mL D5W is infusing at a rate of 25 macrogtt/min. Drop factor: 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 34. Directions: Determine the following as indicated.

An IV of 1,000 mL 0.9 % NS is infusing at 18 macrogtt/min. Drop factor: 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 35. 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.

Drop factor: 60 gtt/mL. After 4 hr, you notice that 100 mL has infused. a. Recalculated rate: _____ microgtt/min b. Percentage of change: _____% c. Course of action: _____ ANS:

a. 38 b. 23 c. Assess client before adjusting IV rate, and monitor during increase. 23% is an acceptable increase.

PTS: 1 36. 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.

Drop factor: 10 gtt/mL. After 8 hr, 900 mL remains. a. Recalculated rate: _____ macrogtt/min b. Percentage of change: _____% c. Course of action: _____ ANS:

a. 38

b. 36 c. Notify prescriber. 36% is an unacceptable increase.

PTS: 1 37. 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. Drop factor: 20 gtt/mL. After 2 hr, you notice 250 mL remaining. a. Recalculated rate: _____ macrogtt/min b. Percentage of change: _____% c. Course of action: _____ ANS:

a. 28 b. –15% c. Assess client before decreasing rate, and monitor during decrease.

PTS: 1 38. Directions: Calculate the IV push rate as indicated.

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 39. Directions: Calculate the IV push rate as indicated

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. 12.6 c. 3.2 PTS: 1

Chapter 22: Heparin Calculations

Morris: Calculate with Confidence, 8th 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 units/hr PTS: 1 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 units/hr PTS: 1 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 units/hr PTS: 1 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 units/hr PTS: 1 5. Directions: Calculate the following hourly dosage of heparin (units/hr).

Order: 45,000 units of heparin in 1,000 mL D5 units/hr = _____

NS to infuse at 25 mL/hr

ANS: 1,125 units/hr PTS: 1 6. Directions: Calculate the units of measure as indicated.

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 mL/hr

PTS: 1 7. Directions: Calculate the unit of measure as indicated.

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 mL/hr PTS: 1 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 units/hr PTS: 1 9. Directions: Complete the following by filling in the correct word (s) or number (s).

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 10. Directions: Complete the following by filling in the correct word (s) or number (s).

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 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 units/hr PTS: 1 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 units/hr

PTS: 1 13. 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: _____ kg b. How many units will the client receive per hour? ______ units/hr ANS:

a. 75, b. 1,500 75, 1,500 75, 1500 75; 1,500 75; 1500 PTS: 1 14. Directions: Calculate the following hourly dosage of heparin (units/hr).

Order: 40 units/kg/hr heparin IV. The client weighs 116 lb. (Round weight to the nearest tenth).

How many units should the client receive per hour? _____ units/hr ANS: 2,108 PTS: 1 15. 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? _____ units ANS: 6,000 PTS: 1 16. 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? _____ units/hr ANS: 1,400 PTS: 1 17. 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: _____ units b. Calculate the infusion rate for the IV dosage: _____ units/hr c. Determine the rate in mL/hr at which to set the infusion device: _____ mL/hr

ANS:

a. 6,300 b. 1,400 c. 56 PTS: 1 18. 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: _____ units b. Calculate the infusion rate for the IV dosage: _____ units/hr ANS:

a. 7,040, b. 1,584 7,040, 1,584 7040, 1584 7,040; 1,584 7040; 1584 PTS: 1 19. Directions: Calculate the following.

Order: Heparin 4,600 units subcut 2 hours before surgery Available:

How many milliliters will you administer? _______ mL ANS: 0.92 PTS: 1

20. Directions: Calculate the following:

Order: Heparin 5,600 units subcut stat Available:

How many milliliters will you administer? ___________ mL ANS: 0.56 PTS: 1

Chapter 23: Critical Care Calculations Morris: Calculate with Confidence, 8th Edition COMPLETION 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. 4 240, 4 240; 4 PTS: 1 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 48, 800 48; 800

PTS: 1 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 kg 87.7 kg b. 11 mL/hr PTS: 1 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. 5.3 320, 5.3 320; 5.3 PTS: 1 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. 24 640, 24 640; 24 PTS: 1 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 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

Chapter 24: Pediatric and Adult Dosage Calculation Based on Weight Morris: Calculate with Confidence, 8th 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 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 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 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

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 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 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 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 9. Directions: Calculate the following.

Order: Gentamicin 15 mg IV q8h Available:

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

PTS: 1 10. Directions: Calculate the following.

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 11. Directions: Calculate the following children’s dosages.

Order: Lanoxin (digoxin) oral solution 0.1 mg p.o. daily Available:

How many milliliters will you administer? _____ mL ANS: 2 PTS: 1 12. Directions: Calculate the following children’s dosages.

Order: Amoxicillin 75 mg p.o. q8h Available:

Ho w many milliliters will you administer? _____ mL ANS: 3 PTS: 1 13. Directions: Calculate the following children’s dosages.

Order: Tobramycin 35 mg IV q8h Available:

How many milliliters will you administer? _____ mL ANS: 3.5 PTS: 1 14. Directions: Calculate the following.

Order: Kefzol (Cefazolin) 185 mg IV q6h Available:

Directions for IV Reconstitution: Reconstitute with 2 mL of Sterile Water for Injection.

Provides a volume of 2.2 mL (225 mg per mL) How many milliliters will you add to the IV? _____ mL ANS: 0.8 PTS: 1 15. 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? _____ mg ANS: 67.5 PTS: 1 16. 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? _____ mg ANS: 601.2 PTS: 1 17. 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 varicella-zoster infection is 500 mg/m2. The child weighs 26.5 lb and is 58 inches tall. a. What is the child’s BSA? _____ m2 b. What is the recommended dosage? _____ mg ANS:

a. 0.7 b. 350 0.7, 350 0.7; 350 PTS: 1

18. A client with cancer is starting Chemotherapy. To prevent Chemotherapy-induced nausea and

vomiting, Granisetron hydrochloride is ordered for a client who weighs 148 lb. According to a reputable source (Daily Med), the recommended dosage is 10 mcg/kg administered Intravenously within 30 minutes before initiation of chemotherapy, and only on the day(s) chemotherapy is given.

What is the recommended dose for this client? (Round dosage and weight to the nearest tenth as indicated). ______ mcg ANS: 673 PTS: 1 19. A client with recurrent ovarian carcinoma is started on Carboplatin 558 mg IV on day 1. The

client’s BSA is 1.55 m2. According to a medication reference, Carboplatin injection, as a single agent, has been shown to be effective in patients with recurrent ovarian carcinoma at a dose of 360 mg/m2 IV on day 1 every 4 weeks. ______ mg Determine if the dose ordered is safe. ________ ANS:

a. 558 b. The dose ordered for the client is safe. It is the same as the recommended dose.

PTS: 1 20. 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: _____ mL b. gtt/min: _____ c. mL/hr: _____ ANS:

a. 52 b. 73 c. 73 PTS: 1 21. 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: _____ mL b. gtt/min: _____ c. mL/hr: _____ ANS:

a. 56

b. 40 c. 40 PTS: 1 22. 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. _________ mg/day What is your course of action? ______________ ANS:

a. 2,000 b. It is within the normal range. Administer medication as ordered.

PTS: 1 23. 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. _______________ mcg/hr Determine whether the dosage ordered is within normal limits. State your course of action: _______________ ANS:

a. 25 b. It is greater than the safe range of 8.6 to 17.1 mcg/hr. Notify the prescriber.

PTS: 1 24. Directions: Calculate the daily fluid maintenance and the hourly rate 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 Child weighing 24 kg a. Daily fluid maintenance _____________________ mL/day b. IV rate __________________ mL/hr ANS:

a. 1,580 b. 66 PTS: 1 25. Directions: Calculate the daily fluid maintenance and the hourly rate 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 Child weighing 77 lb Convert weight Equivalent 2.2 lb = 1 kg 77 lb ÷ 2.2 = 35 kg a. Daily fluid maintenance _____________________ mL/day b. IV rate __________________ mL/hr ANS:

a. 1800 b. 75 PTS: 1