Clinical Nursing Skills
Pre-Test Questions
Course Introduction
Clinical Nursing Skills is a foundational course designed to equip nursing students with essential hands-on competencies required for safe and effective patient care. The course emphasizes the development of practical skills such as patient assessment, vital signs measurement, medication administration, wound care, infection control, and basic bedside procedures. Through a combination of classroom instruction, simulation laboratories, and supervised clinical experiences, students gain confidence and proficiency in performing key nursing interventions. Emphasis is placed on evidence-based practice, patient safety, effective communication, and ethical standards, preparing students to provide holistic and compassionate care in diverse healthcare settings.
Recommended Textbook
Calculate with Confidence 6th Edition by Morris
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590 Verified Questions
590 Flashcards
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Chapter 1: Roman Numerals
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Sample Questions
Q1) Perform the indicated operation and record the result in lowercase Roman numerals.
10 + 2 = _____
Answer: xii
Q2) Perform the indicated operation and record the result in lowercase Roman numerals.
13 + 7 = _____
Answer: xx
Q3) Perform the indicated operation and record the result in lowercase Roman numerals.
12 \(\div\) 2 = _____
Answer: vi
Q4) Write the following Arabic number as a lowercase Roman numeral. 11 1/2 = _____
Answer: xiss
Q5) Write the following Arabic number as a lowercase Roman numeral. 21 = _____
Answer: xxi
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Chapter 2: Fractions
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Sample Questions
Q1) Change the following mixed number to an improper fraction. 29 2/3 = _____ Answer: 89/3
Q2) Change the following improper fraction to a whole or mixed number. 193/62 = _____ Answer: 3 7/62
Q3) Arrange the following fractions from smallest to largest. 1/6,1/5,1/8,1/4,1/3: _______________ Answer: 1/8,1/6,1/5,1/4,1/3
Q4) Perform the indicated operation with fractions.Reduce to lowest terms as indicated. 8/16 - 1/4 = _____ Answer: 1/4
Q5) Perform the indicated operation and reduce to lowest terms. 1/100 \(\div\) 1/200 = _____ Answer: 2
Q6) Change the following mixed number to an improper fraction. 9 1/9 = _____ Answer: 82/9
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Chapter 3: Decimals
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Sample Questions
Q1) Round off the following decimal to the nearest tenth.
1.45 = _____
Answer: 1.5
Q2) Perform the indicated operation with decimals.
9.123 - 6.055 = _____
Answer: 3.068
Q3) Round off the following decimal to the nearest tenth.
28.66 = _____
Answer: 28.7
Q4) Change the following to a decimal.Carry division three places as indicated.Do not round off.
1/64 = _____
Answer: 0.015
Q5) Perform the indicated operation with decimals.
60 \(\div\) 0.012 = _____
Answer: 5,000
Q6) Round off the following decimal to the nearest tenth.
0.52 = _____
Answer: 0.5
Page 5
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Chapter 4: Ratio and Proportion
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Sample Questions
Q1) Solve for x.
1/0.05 = x/0.1
x = _____
Q2) The nurse is instructed to administer 500 mL of a solution every 8 hours (hrs).How many hrs will be needed to administer 1,500 mL of solution?
Q3) If 5oz of a solution contains 4 1/2 oz of water,how many oz of water are in 20 oz of solution? _______
Q4) 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? _____
Q5) Solve for x in the following.
0.5/0.125 = x/4
x = _____
Q6) Solve for x in the following.
500:3 = 350:x
x = _____
Q7) If one glass of milk contains 300 milligrams (mg)of calcium,how many mg of calcium are in 3 1/2 glasses of milk? ______
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Chapter 5: Percentages
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Sample Questions
Q1) Change the following percentage to a fraction.Reduce to lowest terms. 37.5% = _____
Q2) Change the following percentage to a ratio and its decimal equivalent. 8% = _____;_____
Q3) Convert 42.5% to decimal form.
Q4) Find the following percentage. 8% of 32 = _____
Q5) Change the following percentage to a ratio. 0.4% = _____
Q6) 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?
Q7) Convert 84.75% to decimal form.
Q8) Find the following percentage. 16% of 79 = _____
Q9) 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?
Q10) 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?
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Chapter 6: Metric System
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Sample Questions
Q1) Directions: Write the equivalent indicated.
3,550 mL = _____ L
Q2) Directions: Write the equivalent indicated. 7.45 mL = _____ L
Q3) Directions: Write the equivalent indicated. 450 mL = _____ L
Q4) Eight-tenths of a milliliter
A)8/10 ml
B).8 mL
C)0.8 mL
D)ml 0.8
Q5) Directions: Write the equivalent indicated. 26 mcg = _____ mg
Q6) Directions: Write the equivalent indicated. 48.5 mcg = _________mg
Q7) Directions: Write the equivalent indicated. 350,000 mcg = ________ mg
Q8) Directions: Write the equivalent indicated. 1.57 kg = _____ g
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Chapter 7: Apothecary and Household Systems
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Sample Questions
Q1) Directions: Write the equivalent indicated.
2 3/4 C = ______ mL
Q2) Directions: Write the equivalent indicated. 750 mL = _____ pt
Q3) Directions: Write the equivalent indicated. 30 mL = _____ oz
Q4) Directions: Express the following value correctly.
17 U
Q5) Directions: Write the equivalent indicated.
43.75 mL = ________ tsp
Q6) Directions: Express the following value correctly.
2.75 OZ
Q7) A capital "U" is an acceptable abbreviation for units.
A)True
B)False
Q8) Directions: Write the equivalent indicated. 2 1/4 cup = _____ mL
Q9) Directions: Write the equivalent indicated. 5 t = _____ mL
9
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Chapter 8: Converting Within and Between Systems
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Sample Questions
Q1) Directions: Write the equivalent indicated. 45 kg = _______ lb
Q2) A client reports drinking 48 oz of water on a visit to the clinic.How many mL did the client drink? _________ mL
Q3) Directions: Write the equivalent indicated. 4,176 g = _____ kg
Q4) Directions: Write the equivalent indicated. 56 in = ______ cm
Q5) Directions: Write the equivalent indicated. 28.3 kg = _____ lb
Q6) Directions: Write the equivalent indicated. 0.005 g = _____ mg
Q7) Directions: Write the equivalent indicated. 59 lb = _____ kg (Round answer to the nearest tenth)
Q8) Directions: Write the equivalent indicated. 0.3 mg = _____ g
Q9) A client received 5.4 liters of IV fluid during a surgical procedure.How many mL of IV fluid did the client receive? _____ mL
Q10) Directions: Write the equivalent indicated.
2,575 mL = _______ L Page 11
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Chapter 9: Additional Conversions Useful in the Health Care Setting
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Sample Questions
Q1) Directions: Convert the following weight as indicated.Round weight to the nearest tenth.
18 lb,12 oz = _____ kg
Q2) Directions: Convert the following temperature as indicated.
212S1U1P1\(\circ\)S1S1P0 F = _____ S1U1P1\(\circ\)S1S1P0 C
Q3) A client's rash measures 5 cm * 4 cm.How much does this measure in inches? _____ in
Q4) Directions: Convert the following weight as indicated.Round weight to the nearest tenth.
9 lb,9 oz = _____ kg
Q5) Directions: Write the equivalent indicated. 1 cm = _____ mm
Q6) Directions: Convert the following temperature as indicated. Store medication within a temperature range of 36° F and 41° F.______ ° C
Q7) Directions: Convert as indicated. 27 cm = _____ in
Q9) Directions: Write the equivalent indicated. Page 13
Q8) Directions: Convert the following temperature as indicated. 102S1U1P1\(\circ\)S1S1P0 F = _____ S1U1P1\(\circ\)S1S1P0 C
40.5 cm ______ mm
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Page 14
Chapter 10: Medication Administration
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Sample Questions
Q1) 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.
Q2) 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.
Q3) 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 _____________ .
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Chapter 11: Understanding and Interpreting Medication
Orders
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Sample Questions
Q1) Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations,Symbols,and Dose Designations.
Lasix 40.0 mg po qd
Q2) The nurse is responsible for determining the times for a medication ordered t.i.d.at an institution.
A)True
B)False
Q3) Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations,Symbols,and Dose Designations.
Motrin 400 mg po q6h prn for back pain
Q4) Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations,Symbols,and Dose Designations.
Robitussin 15 cc po q6h prn
Q5) Directions: For the following medication order indicate what component of the order is missing.
Trental 400 mg po.
Q6) CPOE is an abbreviation for _______________.
Page 16
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Chapter 12: Medication Administration Records and Medication
Distribution
Systems
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Sample Questions
Q1) 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
Q2) The prescriber orders a medication q8h.The nurse enters the following times on the medication administration record (MAR): 12 AM- 6 AM- 12 PM- 6 PM.What error has occurred?
Q3) Directions: Refer to the portion of the MAR provided below to answer the question.
Q4) Directions: Refer to the portion of the MAR provided below to answer the question.
Q5) Directions: Refer to the portion of the MAR provided below to answer the question.
Q6) Directions: Refer to the portion of the MAR provided below to answer the question.
Q7) Directions: Refer to the portion of the MAR provided below to answer the question.
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Page 17
Chapter 13: Reading Medication Labels
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Sample Questions
Q1) 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.
Q2) 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.
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Chapter 14: Dosage Calculation Using the Ratio and Proportion Method
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Sample Questions
Q1) Directions: Calculate the following dosage using the ratio and proportion method.Round mL answers to the nearest tenth unless otherwise indicated.
Order: Thorazine 25 mg p.o.t.i.d.
Available: Thorazine syrup labeled 10 mg per 5 mL
Q2) Directions: Calculate the following dosage using the ratio and proportion method.Round mL answers to the nearest tenth unless otherwise indicated.
Order: Ampicillin 0.375 g IM q6h
Available: Ampicillin 250 mg per mL
Q3) Directions: Calculate the following dosage using the ratio and proportion method.Round mL answers to the nearest tenth unless otherwise indicated.
Order: Compazine 8 mg p.o.stat
Available: Compazine syrup labeled 5 mg per 5 mL
Q4) Directions: Calculate the following dosage using the ratio and proportion method.Round mL answers to the nearest tenth unless otherwise indicated.
Order: Zofran 7 mg p.o. b.i.d.
Available: Zofran oral solution labeled 4 mg per 5 Ml
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Chapter 15: Dosage Calculation Using the Formula Method
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Sample Questions
Q1) Directions: Calculate the following dosage using the formula method.Round mL answers to the nearest tenth unless otherwise indicated.
Order: Raloxifene HCl 60 mg p.o. b.i.d.
Available: Raloxifene HCl tablets labeled 60 mg per tablet
Q2) Directions: Calculate the following dosage using the formula method.Round mL answers to the nearest tenth unless otherwise indicated.
Order: Ampicillin 0.375 g IM q6h
Available: Ampicillin 250 mg per mL
Q3) Directions: Calculate the following dosage using the formula method.Round mL answers to the nearest tenth unless otherwise indicated.
Order: Calcijex 1.5 mcg IV daily on Mon. ,Wed. ,Fri.
Available: Calcijex 1 mcg per mL
Q4) Directions: Calculate the following dosage using the formula method.Round mL answers to the nearest tenth unless otherwise indicated.
Order: Amoxil 0.5 g p.o.q6h
Available: Amoxil capsules labeled 250 mg per capsule
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Page 20
Chapter 16: Dosage Calculation Using the Dimensional Analysis Method
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Sample Questions
Q1) Directions: Calculate the following dosage using the dimensional analysis method.Round mL answers to the nearest tenth unless otherwise indicated
Order: Amoxil 0.5 g p.o.q6h
Available: Amoxil capsules labeled 250 mg per capsule
Q2) Directions: Calculate the following dosage using the dimensional analysis method.Round mL answers to the nearest tenth unless otherwise indicated
Order: Thorazine 25 mg p.o.t.i.d.
Available: Thorazine syrup labeled 10 mg per 5 mL
Q3) Directions: Calculate the following dosage using the dimensional analysis method.Round mL answers to the nearest tenth unless otherwise indicated
Order: Zofran 7 mg p.o. b.i.d.
Available: Zofran oral solution labeled 4 mg per 5 mL
Q4) Directions: Calculate the following dosage using the dimensional analysis method.Round mL answers to the nearest tenth unless otherwise indicated
Order: Raloxifene HCl 60 mg p.o. b.i.d.
Available: Raloxifene HCl tablets labeled 60 mg per tablet
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Page 21
Chapter 17: Oral Medications
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Sample Questions
Q1) Directions: Complete with the correct word(s)or number. An elongated tablet for easy swallowing is referred to as a _______________.
Q2) 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 _______________.
Q3) Directions: Complete with the correct word(s)or number.
Enteric-coated tablets and time-release tablets should never be _______________.
Q4) Directions: Complete with the correct word(s)or number.
The most common form of oral medication is the __________.
Q5) 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
Q6) Directions: Complete with the correct word(s)or number.
Sublingual tablets must never be _______________ but placed _______________ the tongue.
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Chapter 18: Parenteral Medications
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Sample Questions
Q1) 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
Q2) 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
Q3) Directions: Complete the following statements with the correct word(s)or number(s). The term used for injectable medications is _______________.
Q4) Directions: Complete the following statements with the correct word(s)or number(s). The route that is used for diagnostic purposes is called _______________.
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Chapter 19: Reconstitution of Solutions
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Sample Questions
Q1) Directions: Prepare the following strength solutions.Describe your calculations. 800 mL of 3/4 strength Sustacal via gastrostomy over 6 hours
Q2) Directions: Prepare the following strength solutions.Describe your calculations. 360 mL of 1/4 strength Ensure percutaneous endoscopic (PEG)tube over 4 hours
Q3) Directions: Indicate how you would prepare each of the following using full-strength hydrogen peroxide (solute)and normal saline (solvent).
8 oz of 1/2 strength for wound care.
Q4) Directions: Indicate how you would prepare each of the following using full-strength hydrogen peroxide (solute)and normal saline (solvent).
300 mL of 3/4 strength for skeletal pin care
Q5) Directions: Prepare the following strength solutions.Describe your calculations. 1/4 strength Ensure 8 oz p.o.q4h for 24 hours
Q6) Directions: Indicate how you would prepare each of the following using full-strength hydrogen peroxide (solute)and normal saline (solvent).
0.24 L of 1/3 strength for wound care
Q7) Directions: Prepare the following strength solutions.Describe your calculations. Prepare irrigant 250 mL 1/2 strength solution: ______________________________
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Chapter 20: Insulin
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Sample Questions
Q1) Directions: Fill in the correct number or word(s). What is the difference between the calibration of units on the 1-mL insulin syringe and on the Lo-Dose syringe? ______________________________
Q2) Directions: Fill in the correct number or word(s). U-100 on the label of an insulin vial means: ______________________________.
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Chapter 21: Intravenous Solutions and Equipment
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Sample Questions
Q1) Directions: Calculate the number of grams of NaCl and /or dextrose in the following solutions.
250 mL D5NS _______ g dextrose ________ g NaCl
Q2) Directions: Interpret the following IV orders.
1,000 mL (1 L)of L/R q8h
Q3) Directions: Fill in the correct number or word(s)to answer the question. The name for the main infusion administration set is _______________.
Q4) Directions: Calculate the number of grams of NaCl and /or dextrose in the following solutions.
5 L D10W dextrose: _______________
Q5) Directions: Fill in the correct number or word(s)to answer the question. In IV fluid abbreviations,D5NS identifies what IV fluid? _______________
Q6) Directions: Interpret the following IV orders.
1,000 mL (1 L)D5W to infuse at a rate of 100 mL per hour
Q7) Directions: Calculate the number of grams of NaCl and /or dextrose in the following solutions.
500 mL 1/2 NS sodium chloride (NaCl): _____
Q8) Directions: Fill in the correct number or word(s)to answer the question. An IV pump is an example of an ___________ infusion device.
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Chapter 22: Intravenous Calculations
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Sample Questions
Q1) Directions: Determine the infusion time for the following IV.State time in both traditional and military time.Round minutes to the nearest whole number of minutes. 250 mL 0.9% NS at 30 mL/hr
a.Determine the infusion time: _____
b.The IV was started at 7:00 PM.When will the infusion be complete? _____
Q2) Directions: Determine the following in drops per minute using the drop factor provided.
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 hours? _____
Q3) Directions: Determine the infusion time for the following IV.State time in both traditional and military time.Round minutes to the nearest whole number of minutes. 500 mL of whole blood to infuse at 130 mL/hr
a.Determine the infusion time: _____
b.The transfusion was started at 2:40 PM.When will the transfusion be completed?
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Chapter 23: Heparin Calculations
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Sample Questions
Q1) Directions: Calculate the following hourly dosage of heparin (units/hr).
A client weighs 70 kg.Heparin infusion: Heparin 25,000 units in 1,000 mL 0.9 % sodium chloride.
Order: Bolus with heparin sodium at 90 units/kg,then initiate drip at 20 units/kg/hr.
a.Calculate the heparin bolus dosage: _____
b.Calculate the infusion rate for the IV dosage: _____
c.Determine the rate in mL/hr at which to set the infusion device: _____
Q2) Directions: Calculate the following hourly dosage of heparin (units/hr). Which solution of heparin is more concentrated: 1,000 units per mL or 10,000 units per mL? _____
Q3) 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 = _____
Q4) 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 = _____
Q5) 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 = _____
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Chapter 24: Critical Care Calculations
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Sample Questions
Q1) 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: _____
Q2) 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.
Q3) Directions: Calculate the dosages as indicated. Nitroglycerine has been ordered to titrate at 10 mcg/min to 30 mcg/min,and the rate should be increased by 5 mcg/min every 3-5 minutes for chest pain.The solution contains 50 mg nitroglycerin in 250 mL D5W.Develop a titration table in 5 mcg increments.The pump delivers in tenths of a milliliter.
Q4) 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: _____
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Chapter 25: Pediatric and Adult Dosage Calculation Based on Weight
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Sample Questions
Q1) 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/m<sup>2</sup>.The client's BSA is 1.67 m<sup>2</sup>.What dosage should the client receive? _____
Q2) 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: _____ m<sup>2</sup>
Q3) 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 hours.The normal dosage range is 1.5 to 3 mcg/kg/hr.The child weighs 5.7 kg.Determine the dosage range per hour.Determine whether the dosage ordered is within normal limits.State your course of action: ______________________________
Q4) 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: _____ m<sup>2</sup>
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