Medication Administration Practice
Questions
Course Introduction
Medication Administration provides students with the essential knowledge and skills required for safely preparing and administering medications across various healthcare settings. The course covers routes of medication delivery, dosage calculations, legal and ethical considerations, documentation procedures, and strategies for minimizing medication errors. Emphasis is placed on the nurses role in patient education, assessing patient responses, and adhering to safety protocols such as the Six Rights of medication administration. Through theoretical instruction and practical exercises, students develop competence in ensuring effective and safe pharmacological interventions for diverse patient populations.
Recommended Textbook
Calculate with Confidence 5th Edition by Deborah C. Gray Morris
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25 Chapters
409 Verified Questions
409 Flashcards
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Page 2
Chapter 1: Roman Numerals
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Sample Questions
Q1) Perform the indicated operation and record the result in Roman numerals.(Use lowercase letters.) 7 \(\times\) 2 = _____
Answer: xiv
Q2) Write the following Arabic number as a Roman numeral.(Use lowercase letters.)18 =
Answer: xviii
Q3) Write the following Arabic number as a Roman numeral.(Use lowercase letters.)11 1/2 = _____
Answer: xiss
Q4) Write the following Arabic number as a roman numeral.(Use lowercase letters.)21 =
Answer: xxi
Q5) Perform the indicated operation and record the results in lowercase Roman numerals.6 \(\times\)3 = _____
Answer: xviii
Q6) Perform the indicated operation and record the result in Roman numerals.(Use lowercase letters.)10 + 2 = _____
Answer: xii
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Chapter 2: Fractions
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Sample Questions
Q1) Express the following improper fraction as a mixed number.Reduce to lowest terms.24/18 = _____ Answer: 1 1/3
Q2) Change the following mixed number to an improper fraction.12 1/8 = _____ Answer: 97/8
Q3) Change the following improper fraction to a whole or mixed number.1500/100 = Answer: 15
Q4) Reduce the following fraction to lowest terms.54/81 = _____ Answer: 2/3
Q5) Change the following mixed number to an improper fraction.6 7/10 = _____ Answer: 67/10
Q6) Perform the indicated operation and reduce to lowest terms.1/12 \(\times\) 1/15 = Answer: 1/180
Q7) Change the following mixed number to an improper fraction.9 1/9 = _____ Answer: 82/9
Q8) Perform the indicated operation and reduce to lowest terms.3/5 \(\times\) 5 = Answer: 3/25
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Chapter 3: Decimals
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Sample Questions
Q1) Perform the indicated operation with decimals. Answer: 1.74
Q2) Change the following to a decimal.Carry division three places as indicated.Do not round off.1/64 = _____ Answer: 0.015
Q3) Divide the following decimal.Express answer to nearest hundredth. Answer: 0.27
Q4) Round off the following decimal to the nearest thousandth. Answer: 0.625
Q5) Round off the following decimal to the nearest tenth. Answer: 1.5
Q6) Round off the following decimal to the nearest tenth. Answer: 28.7
Q7) Change the following to a decimal. Answer: 0.0125
Q8) Round off the following decimal to the nearest thousandth. Answer: 0.333
Q9) Perform the indicated operation with decimals. Answer: 0.523
Chapter 4: Ratio and Proportion
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Sample Questions
Q1) Solve for x.
2.2:1 = x:145
x = _____
Q2) Solve for x in the following.500:3 = 350:x
x = _____
Q3) Express the following dosage as a ratio.A capsule contains 450 mg of medication:
Q4) Solve for x in the following.4/2.6 = 5/x
x = _____
Q5) Solve for x.Round to the nearest tenth.1:3.6 = x:170
x = _____
Q6) Express the following dosage as a ratio.An injectable solution contains 500 mg in each 0.7 mL: _____
Q7) Solve for x.1/0.05 = x/0.1
x = _____
Q8) Solve for x in the following.11:121 = 3:x
x = _____
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Chapter 5: Percentages
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Sample Questions
Q1) Change the following percentage to a ratio and its decimal equivalent.8% = _____;
Q2) Find the following percentage.16% of 79 = _____
Q3) Change the following percentage to a fraction. Reduce to lowest terms. 37.5% = _____
Q4) Change the following percentage to a fraction.Reduce to lowest terms.
Q5) Find the following percentage.8% of 32 = _____
Q6) Change the following percentage to a ratio and its decimal equivalent.45% = _____; _____
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Chapter 6: Metric System
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Sample Questions
Q1) 25.6 mg = _____ g
Q2) Complete the following sentence with the correct word(s).The units of the metric system are as follows: ____________________ (length),____________________ (volume),and ____________________ (weight).
Q3) 1 L = _____ mL
Q4) 3,120 mcg = _____ mg
Q5) 1 kg = _____ g
Q6) 8.3 L = _____ mL
Q7) 1.57 kg = _____ g
Q8) 1 mg = _____ g
Q9) 0.075 mg = _____ mcg
Q10) 0.081 g = _____ mg
Q11) 15 mg = _____ mcg
Q12) 3,550 mL = _____ L
Q13) 5.2 kg = _____ g
Q14) 450 mL = _____ L
8
Q15) 26 mcg = _____ mg
Q16) 7.45 mL = _____ L
Q17) 54.6 g = _____ kg
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Page 9
Chapter 7: Apothecary and Household Systems
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Sample Questions
Q1) The correct abbreviation for teaspoon is:
A) Tsp
B) tsp
C) Tbs
D) tbs
Q2) teaspoon: _____
Q3) 6 1/4 qt = _____ mL
Q4) 5 t = _____ mL
Q5) 10 tbs = _____ mL
Q6) 750 mL = _____ pt
Q7) drop: _____
Q8) 60 mg = gr _____
Q9) 15 mL = _____ oz
Q10) 2 1/4 cup = _____ mL
Q11) gr 4 1/4 = _____ mg
Q12) 1 oz is equivalent to:
A) 4 mL
B) 5 mL
C) 15 mL Page 10
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Chapter 8: Converting Within and Between Systems
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Sample Questions
Q1) 0.005 g = _____ mg
Q2) A client has an order for Maalox 30 mL p.o.at bedtime.How many tablespoons will the nurse instruct the client to take? _____ tablespoons
Q3) 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 intake and output in mL.
a.Intake: _____ mL
b.Output: _____ mL
Q4) 1 mg = _____ g
Q5) 630 mg = gr _____
Q6) 0.3 mg = _____ g
Q7) 59 lb = _____ kg (Round answer to the nearest tenth)
Q8) 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 milliliters will you record on the intake and output (I&O)sheet? _____ mL
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Chapter 9: Additional Conversions Useful in the Health Care Setting
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Sample Questions
Q1) 102S1U1P1\(\circ\)S1S1P0 F = _____ S1U1P1\(\circ\)S1S1P0 C
Q2) 63 kg = _____ lb
Q3) 39S1U1P1\(\circ\)S1S1P0 C = _____ S1U1P1\(\circ\)S1S1P0 F
Q4) 212S1U1P1\(\circ\)S1S1P0F = _____ S1U1P1\(\circ\)S1S1P0 C
Q5) 16 oz = _____ lb
Q6) 8 lb 12.2 oz = _____ kg
Q7) 82 1/2 lb = _____ kg
Q8) 16.2 in = _____ cm
Q9) 6.4 lb = _____ kg
Q10) 14 lb 4 oz = _____ kg
Q11) 43.5 kg = _____ lb
Q12) A wound measures 4.2 cm in length.How many mm is this? _____ mm
Q13) 20.8 kg = _____ lb
Q14) 34 mm = _____ cm
Q15) 18 lb 12 oz = _____ kg
Page 13
Q16) 1 inch = _____ cm
Q17) 7.6 kg = _____ lb
Q18) 1 cm = _____ mm
Q19) 27 cm = _____ in
Q20) 1 kg = _____ lb
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Chapter 10: Medication Administration
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Sample Questions
Q1) Technological advances have eliminated the occurrence of medication errors._____
A)True
B)False
Q2) 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): _______________
Q3) Medication errors can result in prolonged hospitalization for a client._____
A)True
B)False
Q4) The "six rights" of medication administration are the right:
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
Q5) A nurse who administers a medication that is unsafe is liable for the error._____
A)True
B)False
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Chapter 11: Understanding and Interpreting Medication
Orders
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Sample Questions
Q1) The nurse is responsible for determining the times for a medication ordered t.i.d.at an institution._____
A)True
B)False
Q2) CPOE is an abbreviation for _______________.
Q3) Every four hours: _____
Q4) 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.
Q5) Immediately: _____
Q6) "Administer Colace 100 mg by mouth three times a day" can be written on an order sheet as:
A) Colace 100 mg p.o.t.i.d.
B) Colace 100 mg p.o.
C)i.d.
D) Colace mg 100.0 p.o.q.i.d.
E) Colace MG 100 p.o.t.i.d.
Q7) Twice a day: _____ Page 16
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Chapter 12: Medication Administration Records and Drug Distribution Systems
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Sample Questions
Q1) What are the client's medication allergies? ______________
Q2) How many times a day is Lasix administered? _______________
Q3) When is the next dose of Tylenol for pain available on 1/16/09 for the client if needed?
Q4) Which medications are ordered to be administered "as necessary"?
Q5) A medicine ordered q6h would be given how many times a day? _____
A) 4
B) 6
C) 8
D) 12
Q6) 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
18
Q7) Identify the place on the MAR where the stat IV Lasix was charted._______________
Q8) K-Dur 20 mEq is ordered.What does mEq mean? _______________
Q9) How many times in a 24-hour period will Colace be administered?
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Page 19
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) Order: Thorazine 25 mg p.o.t.i.d.Available: Thorazine syrup labeled 10 mg per 5 mL
Q2) Order: Clindamycin 0.6 g IV q12h
Available: Clindamycin 300 mg per 2 mL
Q3) Order: Heparin 2,500 units subcut stat
Available: Heparin labeled 10,000 units per mL (Express answer in hundredths.)
Q4) Order: Amoxil 0.5 g p.o.q6h
Available: Amoxil capsules labeled 250 mg per capsule
Q5) Order: Ampicillin 0.375 g IM q6h
Available: Ampicillin 250 mg per mL
Q6) Order: Zofran 7 mg p.o.
b.i.d.
Available: Zofran oral solution labeled 4 mg per 5 mL
Q7) Order: Ketorolac 16 mg IV q6h p.r.n.for pain
Available: Ketorolac 30 mg per mL
Q8) Order: Compazine 8 mg p.o.stat
Available: Compazine syrup labeled 5 mg per 5 mL
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Q9) Order: Calcijex 1.5 mcg IV daily on Mon.,Wed.,Fri.Available: Calcijex 1 mcg per mL
Chapter 15: Dosage Calculation Using the Formula Method
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Sample Questions
Q1) Order: Heparin 2,000 units subcut daily
Available: Heparin labeled 5,000 units per mL
Q2) Order: Thorazine 15 mg IM stat
Available: Thorazine 25 mg per mL
Q3) Order: Zofran 7 mg p.o. b.i.d.
Available: Zofran oral solution labeled 4 mg per 5 mL
Q4) Order: Heparin 2,500 units subcut stat
Available: Heparin labeled 10,000 units per mL (Express answer in hundredths.)
Q5) Order: Calcijex 1.5 mcg IV daily on Mon.,Wed.,Fri.Available: Calcijex 1 mcg per mL
Q6) Order: Clindamycin 0.6 g IV q12h
Available: Clindamycin 300 mg per 2 mL
Q7) Order: Raloxifene HCl 60 mg p.o. b.i.d.
Available: Raloxifene HCl tablets labeled 60 mg per tablet
Q8) Order: Ampicillin 0.375 g IM q6h
Available: Ampicillin 250 mg per mL
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Q9) Order: Thorazine 25 mg p.o.t.i.d.Available: Thorazine syrup labeled 10 mg per 5 mL
Chapter 16: Dosage Calculation Using the Dimensional Analysis
Method
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Sample Questions
Q1) Order: Heparin 2,000 units subcut daily
Available: Heparin labeled 5,000 units per mL
Q2) Order: Zofran 7 mg p.o.
b.i.d.
Available: Zofran oral solution labeled 4 mg per 5 mL
Q3) Order: Clindamycin 0.6 g IV q12h
Available: Clindamycin 300 mg per 2 mL
Q4) Order: Heparin 2,500 units subcut stat
Available: Heparin labeled 10,000 units per mL (Express answer in hundredths.)
Q5) Order: Thorazine 25 mg p.o.t.i.d.Available: Thorazine syrup labeled 10 mg per 5 mL
Q6) Order: Raloxifene HCl 60 mg p.o.
b.i.d.
Available: Raloxifene HCl tablets labeled 60 mg per tablet
Q7) Order: Calcijex 1.5 mcg IV daily on Mon.,Wed.,Fri.Available: Calcijex 1 mcg per mL
Q8) Order: Ketorolac 16 mg IV q6h p.r.n.for pain
Available: Ketorolac 30 mg per mL
Q9) Order: Thorazine 15 mg IM stat
Available: Thorazine 25 mg per mL Page 23
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Page 24
Chapter 17: Calculation of Oral Medications
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Sample Questions
Q1) Order: Potassium chloride 40 mEq p.o.every day
Available: Potassium chloride 20 mEq per 15 mL
How many milliliters would the client receive? _____ mL
Q2) Enteric-coated tablets and time-release tablets should never be _______________.
Q3) 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
Q4) Order: Coreg 6.25 mg p.o.
a.How many tablets should the client receive per dosage? _____ tab(s)
b.How many milligrams will the client receive per day? _____ mg
b.i.d.
Available: Coreg tablets labeled 3.125 mg
Q5) Order: Pindolol 5 mg p.o.
a.How many tablets will the client need for the first week? _____ tab(s)
b.How many tablets will the client need for the second week? _____ tab(s)
b.i.d.for 1 week; then increase to 10 mg
b.i.d.the second week
Available: Pindolol tablets labeled 5 mg
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Q6) An elongated tablet for easy swallowing is referred to as a _______________.
Chapter 18: Parenteral Medications
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Sample Questions
Q1) The term used for injectable medications is _______________.
Q2) 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
Q3) If a nurse calculates a dosage of 3.39 mL of medication,which size syringe should the nurse select? _____ What would be the nearest measurable dose on the syringe?
Q4) Order: Furosemide 15 mg IM every day
Available: Furosemide labeled 20 mg per 2 mL
How many milliliters will you administer? _____ mL
Q5) The route that is used for diagnostic purposes is called _______________.
Q6) The calibrations on a syringe that indicate the capacity can be found on the _______________.
Q7) Order: Heparin 45,000 units IV in 500 mL D5W
Available: Heparin labeled 10,000 units per mL
How many milliliters will you add to the IV? _____ mL
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Chapter 19: Reconstitution of Solutions
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Sample Questions
Q1) 360 mL of 1/4 strength Ensure percutaneous endoscopic (PEG)tube over 4 hours
Q2) 1/4 strength Ensure 8 oz p.o.q4h for 24 hours
Q3) Prepare irrigant 250 mL 1/2 strength solution:
Q4) a.Total dosage of vial: _____
b.Type of diluents specified: _______________
c.How much diluent must be added to reconstitute the medication? _____
d.What will be the volume of the reconstituted solution? _____
e.Dosage strength of the reconstituted solution: _______________
Q5) 800 mL of 3/4 strength Sustacal via gastrostomy over 6 hours
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Chapter 20: Insulin
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Sample Questions
Q1) U-100 on the label of an insulin vial means:
Q2) What is the difference between the calibration of units on the 1-mL insulin syringe and on the Lo-Dose syringe? ______________________________
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Chapter 21: Intravenous Solutions and Equipment
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Sample Questions
Q1) The name for the main infusion administration set is _______________.
Q2) The IV line that can be used to administer medications and solutions and can be connected to a port on the main infusion is called _______________.
Q3) _______________ devices allow a client to self-administer pain medication.
Q4) 1,000 mL (1 L)of Lactated Ringer solution every 8 hours
Q5) 500 mL 1/2 NS sodium chloride (NaCl): _____
Q6) 5 L D10W dextrose: _______________
Q7) In IV fluid abbreviations,D5NS identifies what IV fluid? _______________
Q8) An electronic infusion control device used to administer IV fluids is referred to as a _______________.
Q9) 1,000 mL (1 L)of 5% dextrose in water to infuse at a rate of 100 mL per hour
Q10) List the components and percentage strengths of the following IV solutions.
a.D5¼S
b.D5NS 10 mEq KCl
c.D5RL
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Chapter 22: Intravenous Calculations
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Sample Questions
Q1) D5 1/3 NS 1,000 mL at 45 mL/hr
Determine the infusion time: _____
Q2) Drop factor of 15 on the package of a continuous IV administration set indicates what? ______________________________
Q3) The type of administration set that delivers the smallest drops is called _______________.
Q4) 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? _____
Q5) An IV of 1,000 mL 0.9 % NS is infusing at 18 macrogtt/min.The drop factor is 15 gtt/mL.How long will it take for the IV to infuse? (Express time in hours and minutes.):
Q6) 750 mL Ringer lactate at 80 mL/hr
a.Determine the infusion time: _____
b.The IV was started at 7:00 AM.When will the infusion be complete? _____
Q7) When an IV medication is injected directly into a vein,the procedure is referred to as ________________.
Q8) The type of administration set that will be selected for an IVPB solution is _______________.
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Chapter 23: Heparin Calculations
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Sample Questions
Q1) Order: 45,000 units of heparin in 1,000 mL D5 ½/2 NS at 25 mL/hr units/hr = _____
Q2) Which solution of heparin is more concentrated: 1,000 units per mL or 10,000 units per mL? _____
Q3) Order: 50,000 units of heparin in 1 L D5 0.9% NS to infuse at 40 mL/hr units/hr = _____
Q4) Order: 25,000 units of heparin in 250 mL D5W to infuse at 8 mL/hr units/hr = _____
Q5) A client weighs 88 kg.Order: Bolus with heparin at 80 units/kg; initiate drip at 18 units/kg/hr.Heparin infusion 25,000 units in 500 mL 0.9 % sodium chloride.
a.Calculate the heparin bolus dosage: _____
b.Calculate the infusion rate for the IV dosage: _____
Q6) Order: 30,000 units of heparin in 500 mL D5W to infuse at 15 mL/hr units/hr = _____
Q7) 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? _____
Q8) 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? _____
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Chapter 24: Critical Care Calculations
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Sample Questions
Q1) 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: _____
Q2) 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: _____
Q3) 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: _____
Q4) A client is receiving procainamide 1 g in 500 mL D5W at 120 mL/hr
a.mg/hr: _____
b.mg/min: _____
Q5) 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: _____
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Chapter 25: Pediatric and Adult Dosage Calculation Based on
Weight
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Sample Questions
Q1) An adult who is 67 inches tall and weighs 175 lb: _____ m<sup>2</sup>
Q2) 170 cm and 50 kg: _____ m<sup>2</sup>
Q3) A child who measures 26 inches and weighs 36 lb: _____ m<sup>2</sup>
Q4) 80 cm and 11 kg: _____ m<sup>2</sup>
Q5) 22 inches and 10 lb: _____ m<sup>2</sup>
Q6) The recommended dosage of Mezlin for an adult with a serious infection is 200 to 300 mg/kg/day given in four to six divided dosages.The adult weighs 175 lb.
a.What is the adult's weight in kilograms? _____
b.What is the 24-hour dosage range for the 175-lb adult in milligrams? _____
c.What is the dosage range in grams? _____
Q7) Order: Epinephrine 0.25 mg IV stat
Available: Epinephrine 0.1 mg/mL
How many milliliters will you prepare to administer? _____ mL
Q8) 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: ______________________________
Q9) An adolescent who measures 157.5 cm and weighs 59.1 kg: _____ m<sup>2</sup> Page 33
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