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    Exam Review

    1. A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25 mg elixir every 4 hr as needed. The amount available is diphenhydramine elixir 12.5 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:10 mL
    2. A nurse is caring for an adolescent client who has pneumonia and a prescription for cefpodoxime 5 mg/kg PO every 12 hr for 5 days. The client weighs 88 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:200 mg
    3. A nurse is calculating the intake of a client during the past hr. The client's intake includes lactated Ringer's IV at 150 mL/hr, cefazolin 2gIV intermittent bolus in 100 mL of 0.9% sodium chloride, two units of packed RBCs of 275 mL and 250 mL: two IV bolus infusions of 250 mL of 0.9% sodium chloride, and famotidine 20 mg IV intermittent bolus in 50 mL of 0.9% sodium chloride. How many mL of intake should the nurse record?
      Correct Answer:1325 mL
    4. A nurse is preparing to administer vancomycin 1000 mg in 100 mL of D5W to infuse over 1.5 hours. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should adjust the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:17 gtt/min
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    Exam Review

    1. A nurse is preparing to administer Ringer's lactate by continuous IV infusion at 120 mL/hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:120 gtt/min.
    2. A client is receiving 500 mg of metronidazole IVPB q8h. The metronidazole has been placed in 100 mL D5W to infuse over 45 minutes. The administration set delivers 10 gtt/mL. At what rate in gtt/min should the IV infuse? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:22 gtt/min
    3. A provider prescribes dextrose 5% in water IV to infuse at 100 mL/hr. The drop factor on the manual IV tubing is 60 gtt/ml. The nurse should set the IV flow rate to deliver how many gtt/min? (Round the answer to the nearest whole number)
      Correct Answer:100 gtt/min
    4. A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:0.8 mL
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    Exam Review

    1. A client weighing 50 kg is to receive a dobutamine infusion at 3 mcg/kg/min. The available medication is 250 mg of dobutamine in 500 mL DSW. How many ml/hr will the nurse program the pump? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:18 mL/hr
    2. The nurse is preparing a heparin drip for a client who weights 176 lb. The available heparin is infusion 20,000 units in 1,000 ml 0.9% sodium chloride. The order is to deliver a bolus then initiate a drip at 18 units/kg/hr. What will the nurse program the infusion pump to deliver? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:72 mL/hr
    3. A nurse is preparing to administer 1 g cefazolin IVPB over 30 minutes. Available is cefazolin 1 g in 100 mL of DSW. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    4. A nurse is preparing to administer Ringer's lactate 500 mL IV bolus to infuse over 3 hr. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    Page 3 of 7

    Exam Review

    1. A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero)
    2. The nurse is preparing a heparin drip for a client who weights 184 lb. The available heparin is infusion 20,000 units in 250 ml 0.9% sodium chloride. The order is to deliver a bolus then initiate a drip at 25 units/kg/hr. What will the nurse program the infusion pump to deliver? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    3. The nurse is preparing to deliver 2.5 mcg/kg/min of nitroprusside. The client weights 154 pounds. Availa ble is 50 mg of nitroprusside in 250 ml DSW. How many mL/hr will the nurse program the pump to deliver? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    4. The nurse is preparing to infuse nitroprusside at 3 mcg/kg/min. The client weighs 132 pounds. Available is 50 mg of nitroprusside in 250 ml D5W How many mL/hr will the nurse program the pump to deliver? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a railing zero.)
    Page 4 of 7

    Exam Review

    1. A nurse is preparing to administer amoxicillin 30 mg/kg/day divided equally every 12 hr to a toddler who weighs 33 lb. Available is amoxicillin 200 mg/5 mL suspension. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    2. A client is to receive 15 mcg/min nitroglycerine IV. The concentration of solution is 50 mg in 250 mL D5W. What should the flow rate be (in mL/hr) to deliver 15 mcg/min? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    3. A nurse is to preparing to administer cefazolin 500 mg by intermittent IV bolus over 30 min. Available is cefazolin 500 mg in 50 mL dextrose 5% in water (DSW). The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    4. The nurse is to administer 250 ml of packed red blood cells over 3 hours. The administration set delivers 20 gtt/mL. At what rate in gtt/min should the IV infuse? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    Page 5 of 7

    Exam Review

    1. A nurse is preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of two tenths of a milligram. Which of the following examples should the nurse use to show appropriate transcription of this dosage?
      A)
      2 mg
      B)
      0.20 mg
      C)
      0.2 mg
      D)
      2.0 mg
    2. A nurse is preparing to administer 0.9% sodium chloride (NS) 3000 mL IV to infuse over 24 hr. The drop factor on the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    3. The nurse receives an order to infuse Lactated Ringer solution 1,000 mL to a client at 80 mL/hr. The administration set delivers 15 gtt/mL. At what rate in gtt/min should the IV infuse? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    4. The nurse is preparing a heparin drip for a client who weights 242 lb. The available heparin is infusion 25,000 units in 500 ml 0.9% sodium chloride. The order is to deliver a bolus then initiate a drip at 14 units/kg/hr. What will the nurse program the infusion pump to deliver? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
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