Clinical Nursing Skills
Exam Solutions
Course Introduction
Clinical Nursing Skills is a comprehensive course that equips nursing students with the fundamental hands-on techniques required for effective patient care in a variety of healthcare settings. Through a combination of theoretical instruction and practical laboratory experiences, students develop proficiency in essential skills such as vital sign measurement, wound care, medication administration, IV therapy, patient hygiene, and safe patient movement. Emphasis is placed on infection control, accurate documentation, communication with patients and healthcare teams, and maintaining patient safety. This course forms the foundation for more advanced nursing practice and prepares students for clinical placements in hospitals and other healthcare facilities.
Recommended Textbook
Calculation of Drug Dosages A Work Text 10th Edition by Sheila J. Ogden RN MSN
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Chapter 1: Fractions
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Sample Questions
Q1) 6 1/2 - 1 3/4 = ____________________ Answer: 4 3/4
Q2) 3/10 + 3/5 + ____________________ Answer: 9/10
Q3) 11/12 - 1/2 = ____________________ Answer: 5/12
Q4) 3 1/2 ÷ 1 1/3 = ____________________ Answer: 2 5/8
Q5) 1/3 \(\times\) 3/4 = ____________________ Answer: 1/4
Q6) 5 1/2 \(\times\) 1 1/6 = ____________________ Answer: 6 5/12
Q7) 1 5/6 + 3 1/3 + ____________________ Answer: 5 1/6
Q8) 2 1/2 \(\times\) 2 1/3 = ____________________ Answer: 8 1/6
Q9) 5/6 ÷ 1/2 = ____________________ Answer: 1 3/7
Q10) 4 3/10 ÷ 1 3/4 = ____________________ Answer: 2 16/35 Page 3
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Page 4
Chapter 2: Decimals
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Sample Questions
Q1) 110.5 ÷ 7.52 = ____________________ Answer: 14.69414894
Q2) 0.662 \(\times\) 1000 = ____________________ Answer: 662
Q3) 4.4 ÷ 0.5 = ____________________ Answer: 8.8
Q4) 258.7 ÷ 100 = ____________________ Answer: 2.587
Q5) 1.1 + 50.6 + 30.9 + 6.75 = ____________________ Answer: 89.35
Q6) 354.6 ÷ 1000 = ____________________ Answer: 0.3546
Q7) 2.67 + 5.1 + 1.3 + 0.9 = ____________________ Answer: 9.97
Q8) 5.32 \(\times\) 67.9 = _________ Answer: 361.228
Q9) 120.005 \(\times\) 95.88 = ____________________ Answer: 24.125
Q10) 44.7 \(\times\) 17.13 \(\times\) 60 = ____________________ Answer: 45,942.66 Page 5
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Chapter 3: Percents
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Sample Questions
Q1) What is 25% of 75? ____________________ Answer: 18.75
Q2) Change 1/4 to a percent.____________________ Answer: 25%
Q3) Change 0.77 to a percent.____________________ Answer: 77%
Q4) What percent of 400 is 125? ____________________ Answer: 31.25%
Q5) Change 1.57 to a percent.____________________ Answer: 157%
Q6) What percent of 150 is 75? ____________________ Answer: 50%
Q7) Change 44% to a proper fraction.____________________ Answer: 11/25
Q8) Change 16.8% to a proper fraction.____________________ Answer: 21/125
Q9) What is 15% of 1085.6? _____________________ Answer: 162.84
Q10) Change 67.9% to a decimal.____________________ Answer:
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Chapter 4: Ratios
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Sample Questions
Q1) Change 0.12 to a ratio.____________________
Q2) Change 25:100 to a fraction.____________________
Q3) Change 15:75 to a percent.____________________
Q4) Change 1/7 ÷ 4/21 to a ratio.____________________
Q5) Change 3/10:2/5 to a fraction.____________________
Q6) Change 27% to a ratio.____________________
Q7) Change 2/7% to a ratio.____________________
Q8) Change 35:14 to a decimal number.____________________
Q9) Change 3/8 ÷ 5/12 to a ratio.____________________
Q10) Change 7:20 to a decimal number.____________________
Q11) Change 44:88 to a percent.____________________
Q12) Change 1.66 to a ratio.____________________
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Chapter 5: Proportions
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Sample Questions
Q1) x : 0.7 :: 21.21 : 3 ____________________
Q2) x : 0.54 :: 0.6 : 0.8 ____________________
Q3) 25 : 40 :: 75.5 : x ____________________
Q4) x : 1/4 :: 3/4: 32 ____________________
Q5) 14 : x :: 28 : 7 ____________________
Q6) 125 : 20 :: 300 : x ____________________
Q7) 33% : 66 :: x% : 15 ____________________
Q8) 2/3 : x :: 8/9 : 12 ____________________
Q9) 16 : x :: 45 : 15____________________
Q10) 30 : 600 :: x : 150 ____________________
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10
Chapter 6: Metric and Household Measurements
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Sample Questions
Q1) 90 kg = ____________________ lb
Q2) 12.6 cm = _____________________ mm
Q3) 76 mg = ____________________ mcg
Q4) 2.5 L = ____________________ mL
Q5) 1 mg = _________ g
Q6) 1 g = ___________ mcg
Q7) 150,525 mcg = ____________________ g
Q8) 3 oz = _____ mL
Q9) 18 mg = ________ mcg
Q10) 112.2 lb = ____________________ kg
Q11) 900 mg = ________ g
Q12) 15 mg = _________ g
Q13) 3.36 cm = ____________________ mm
Q14) 1 g = __________ mg
Q15) 445 mg = _____________________ g
Q16) 9415 mcg = ____________________ mg Page 11
Q17) 17.4 kg = ____________________ g
Q18) 1 mg = _________ mcg
Q19) 750 mL = ____________________ L
Q20) 1.42 mg = ____________________ mcg
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Chapter 7: Calculations Used in Patient Assessments
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Sample Questions
Q1) 3 oz = _____ mL
Q2) Calculate the output.A patient consumes 4 oz of orange juice and 4 oz of milk for breakfast,12 oz of coffee for lunch,and 3 oz mL of an ice pop and 4 oz mL of ice cream for dinner.The patient voided three times during the shift for 200 mL,360 mL,and 600 mL.Calculate the intake for the 6 AM to 6 PM shift.
Q3) Calculate the intake.A patient consumes 2 oz of an ice pop and 30 mL of ice chips during the shift.Intravenous fluids infused at 125 mL/h during the shift.The Foley catheter was emptied of 800 mL at 6 PM.80 mL were emptied from a drain at 6 PM.Calculate the intake for the 6 AM to 6 PM shift.
Q4) 112.2 lb = ____________________ kg
Q5) 180 lb = ______ kg
Q6) 37.6° C = ____________________° F
Q7) 1 g = ___________ mcg
Q8) 2 1/2 cups = _____________ fl oz
Q9) 90 kg = ____________________ lb
Q10) 6 cm = ____________________ in
Q11) 1 cup = ________ oz
Q12) 180 mL = ____________________ fl oz Page 13
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Page 14
Chapter 8: Oral Dosages
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Sample Questions
Q1) The physician orders simvastatin 80 mg oral at bedtime for a patient.Simvastatin is available in 40-mg tablets.How many tablets would the nurse administer with each dose? ___________
Q2) The patient has torsemide 60 mg oral twice a day ordered for hypertension.The medication is supplied as torsemide 20 mg per tablet.How many tablets of torsemide would the patient receive with each dose? _________
Q3) The physician orders KCl 20 mEq po daily for hypokalemia.The medication is supplied in 40 mEq/15 mL.How many milliliters will the nurse administer?
Q4) The physician orders potassium chloride crystals CR 40 mEq oral twice a day for a patient with hypokalemia.Potassium chloride crystals CR are available in 20-mEq tablets.How many tablets would the nurse administer with each dose? ___________
Q5) The physician orders Salagen 10 mg po twice a day for dry eyes.The medication is supplied in 5-mg tablets.How many tablets will the nurse administer? _____________
Q6) The physician orders glipizide 10 mg oral twice a day for a patient with diabetes.Glipizide is available in 5-mg tablets.How many tablets would the nurse administer with each dose? _______
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Page 15
Chapter 9: Parenteral Dosages
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Sample Questions
Q1) The physician has ordered Dilaudid 0.6 mg IV every 30 minutes prn for pain.The medication is available in 2 mg per 1-mL vials.How many milliliters would the nurse administer with each dose? __________
Q2) The physician orders Neupogen 400 mcg subcutaneous daily for neutropenia.The medication is supplied in 300 mcg/mL.How many milliliters will the nurse administer?
Q3) The physician has ordered hydromorphone 0.2 mg IV every 30 minutes prn for pain.The medication is available in 2 mg per 1-mL vials.How many milliliters would the nurse administer with each dose? __________
Q4) The physician has ordered Haldol 0.5 mg IV every 2 hours prn for agitation.The Haldol is available in 5 mg per 1-mL vials.How many milliliters would the nurse administer with each dose? __________
Q5) A patient with fluid volume overload has bumetanide injection 1.5 mg intravenous ordered.The medication is available in a 0.25-mg per milliliter concentration.How many milliliters should the nurse administer with each dose? _________
Q6) The physician orders furosemide 60 mg IV push stat for edema.Available: 10 mg/mL.How many milliliters will the nurse administer? ____________________
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Page 16
Chapter 10: Dosages Measured in Units
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Sample Questions
Q1) A patient has orders for Fragmin 2500 international units twice a day for deep vein thrombosis prevention.The Fragmin is available in 5000 international units per 0.4 milliliter vials.How many milliliters would the nurse administer with each dose?
Q2) Heparin 10,000 units subcutaneous every 12 hours is ordered for a patient after a stent placement.The heparin is available in 20,000 units per 1-mL concentration.How many milliliters would the nurse administer with each dose? __________
Q3) A patient has orders for Fragmin 10,000 international units twice a day for deep vein thrombosis prevention.The Fragmin is available in 5000 international units per 0.4 milliliter vials.How many milliliters would the nurse administer with each dose?
Q4) The physician orders heparin 5500 units subcutaneous for deep vein thrombosis prevention.The medication is supplied in 10,000 units/mL.How many milliliters will the nurse administer? ____________________
Q5) The physician orders heparin 5000 units subcutaneous every 12 hours for a patient with a deep vein thrombosis.The heparin is available in 20,000 units per 1-mL concentration.How many milliliters would the nurse administer with each dose? __________
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Chapter 11: Reconstitution of Medications
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Sample Questions
Q1) The physician orders Ampicillin 150 mg IM for a systemic infection.After reconstitution,the medication is available as 125 mg/mL.How many milliliters will the nurse administer?
Q2) The physician orders Vancocin 375 mg po for a staph infection.After reconstitution,the medication is available as 250 mg/5 mL.How many milliliters will the nurse administer?
Q3) The physician orders penicillin G 500,000 units IM for infection.After reconstitution,the medication is available as 1,000,000/mL.How many milliliters will the nurse administer?
Q4) The physician orders penicillin G 350,000 units IM for an infection.After reconstitution,the medication is available as 200,000 units/mL.How many milliliters will the nurse administer?
Q5) The physician orders Ceclor 175 mg po for an ear infection.After reconstitution,the medication is available as 125 mg/5 mL.How many milliliters will the nurse administer?
Q6) The physician orders Ancef 500 mg IV for a urinary tract infection.After reconstitution,the medication is available as 330 mg/mL.How many milliliters will the nurse administer?
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18
Chapter 12: Intravenous Flow Rates
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Sample Questions
Q1) TPN 2000 mL is ordered to infuse over 24 hours.Using an IV controller,how many milliliters per hour should be infused? _______
Q2) The physician orders erythromycin 1 g in 100 mL of D<sub>5</sub>W to infuse in 30 minutes.Calculate the flow rate in milliliters per hour.____________________
Q3) The patient has vancomycin 1250 mg ordered once daily for an infection.The vancomycin is available in 250 mL of NS and should infuse over 2 hours.Using tubing with a 10 gtt/mL drop factor,how many drops per minute should the vancomycin be infused?
Q4) The physician orders Kefzol 2 g in 50 mL of NS IVPB to infuse over 30 minutes.Tubing drop factor is 60 gtt/mL.Calculate the flow rate in drops per minute._________
Q5) The physician orders a continuous IV Dilaudid drip at 0.5 mg/h.The medication is supplied in 10 mg/100 mL.Calculate the flow rate in milliliters per hour.___________
Q6) The patient has Levaquin 500 mg ordered once daily.The Levaquin is available in 100 mL of NS and should infuse over 1 hour.Using tubing with a 60 gtt/mL drop factor,how many drops per minute should the Levaquin be infused? ______________
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Chapter 13: Intravenous Flow Rates for Dosages Measured
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Sample Questions
Q1) Calculate the units of heparin required for the bolus dose.Round the final answer to the nearest hundredth place.Order: Begin a heparin drip per the facility's protocol.The patient's weight is 96 kg.Heparin Protocol Bolus: Heparin 80 units/kg Infusion: Heparin 18 units/kg/h using a concentration of heparin 25,000 units in 250 mL of NS (100 units/mL)
Q2) Calculate the units of heparin required for the bolus dose.Round the final answer to the nearest hundredth place.Order: Begin a heparin drip per the facility's protocol.The patient's weight is 84 kg.Heparin Protocol Bolus: Heparin 70 units/kg Infusion: Heparin 17 units/kg/h using a concentration of heparin 25,000 units in 250 mL of NS (100 units/mL)
Q3) Calculate the units of heparin required for the bolus dose.Round the final answer to the nearest hundredth place.Order: Begin a heparin drip per the facility's protocol.The patient's weight is 80 kg.Heparin Protocol Bolus: Heparin 80 units/kg Infusion: Heparin 18 units/kg/h using a concentration of heparin 25,000 units in 250 mL of NS (100 units/mL)
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Chapter 14: Critical Care Intravenous Flow Rates
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Sample Questions
Q1) Round your answer to the nearest whole number.The physician orders esmolol IV drip at 50 mcg/kg/min for tachycardia.The patient weighs 132 lb.The medication is supplied in 5 g/500 mL of D<sub>5</sub>W.Calculate the flow rate in milliliters per hour.____________________
Q2) Round your answer to the nearest whole number.The physician orders a nitroglycerin IV drip to infuse at 8 mcg/min for chest pain.The medication is supplied in 25 mg/250 mL of D<sub>5</sub>W.Calculate the flow rate in milliliters per hour.____________________
Q3) Round your answer to the nearest whole number.A patient with supraventricular tachycardia has a maintenance infusion of Brevibloc 100 mcg/kg/min ordered.The Brevibloc concentration is 10 mg/mL.The patient's weight is 80 kg.How many milliliters per hour should the IV pump be set for? ____________________
Q4) Round your answer to the nearest tenth.During your morning assessment,you note that a patient with congestive heart failure has a Precedex drip infusing at 12 mL/h.The patient's weight is 80 kg.With a concentration of Precedex 200 mcg/50 mL NS,how many micrograms per kg per hour is the patient receiving? ____________
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21
Chapter 15: Pediatric Dosages
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Sample Questions
Q1) The physician orders ibuprofen 200 mg oral every 6 hours for a child weighing 60
lb.The ibuprofen is available in a 100 mg/5 mL concentration.The recommended dose is 5 to 10 mg/kg/dose.
a.What is the child's weight in kilograms? _______________
b.How many milligrams per kilogram per 24 hours is the patient receiving?
c.Is the order safe? _______________
d.If yes,how many milliliters are needed for each dose? __________________
Q2) The recommended dosage of amoxicillin is 20 to 40 mg/kg/day divided in equal doses q8 h.The medication is supplied as 50 mg/mL oral suspension.The child weighs 72.6 lb.
a.What is the child's weight in kilograms? _____________
b.Calculate the safe dosage range for this child per day.____________________
c.Calculate the safe dose range for each 8-hour dose._______________________
d.How many milliliters will be administered for a single dose if the child is receiving the 20 mg/kg/day dosage? ____________________
Q3) A health care provider orders 500 mL of D<sub>5</sub>0.45% NS to infuse at 50 mL/h.The tubing drop factor is 60 gtt/mL.Calculate the rate in drops per minute.____________________
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Page 22
Chapter 16: Obstetric Dosages
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Sample Questions
Q1) Round the answer to the nearest tenth.A physician writes orders for 1 g/h of magnesium sulfate for a patient in labor.The medication comes premixed with 40 g magnesium sulfate in 500 mL of lactated Ringer's solution.The IV pump should be programmed for how many milliliters per hour? ________
Q2) Round the answer to the nearest whole number.A physician writes orders for 1 g/h of magnesium sulfate for a patient in labor.The medication comes premixed with 10 g magnesium sulfate in 200 mL of lactated Ringer's solution.The IV pump should be programmed for how many milliliters per hour? ___________
Q3) Round the answer to the nearest whole number.A physician orders an increase in a magnesium sulfate drip to 2 g/h for a patient in labor.The medication has a concentration of 10 g magnesium sulfate in 200 mL of lactated Ringer's solution.The IV pump should be programmed for how many milliliters per hour? ___________
Q4) Round the answer to the nearest whole number.With your initial rounding,you find a Pitocin drip at 8 mL/h.With a Pitocin concentration of 30 units per 1000 mL of lactated Ringer's solution,how many milliunits per minute of Pitocin is the patient receiving?
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