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    Exam Review

    1. The healthcare provider prescribes amoxicillin 500 mg every 8 hours for a child who weighs 88 pounds. The recommended maximum safe dose is 50 mg/kg/24 hour. The available suspension is labeled, Amoxicillin Suspension 250 mg/5 mL. Based on this child weight, how many mL should the nurse administer ? (Enter numerical value only. (If rounding is required, round to the whole number.)
      Correct Answer:10 mL
    2. The healthcare provider prescribes cefazolin 800 mg IM every six hours. The available vial is labeled, "Cefazolin 1 gram," and the instructions for reconstitution state, For IM use add 2.5 mL sterile water for injection to provide a total volume of 3.0 mL". After reconstitution, the solution contains how many mg/mL? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
      Correct Answer:333 mg/mL
    3. A client receives a prescription for warfarin 2 mg IM daily. The pharmacy delivers a vial labeled, warfarin 5 mg/single-use vial. The instructions read, reconstitute with 2.7 mL of sterile water for injection to yield 2 mg/mL. How many mL should the nurse administer? (Enter the numerical value only.)
      Correct Answer:1 mL
    4. A child who weighs 66 pounds receives a prescription for amoxicillin 80 mg/kg/day by mouth in divided doses every 12 hours. The bottle is labeled, "Amoxicillin for Oral Suspension, USP 400 mg per 5 mL." How many mL should the nurse administer with each dose? (Enter numerical value only.)
      Correct Answer:15 mL
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    Exam Review

    1. The healthcare provider prescribes enoxaparin 1 mg/kg subcutaneously every 12 hours for a client who weighs 132 pounds. The medication is available in 60 mg/0.6 mL prefilled syringe. How many mL should the nurse administer per day? (Enter numerical value only.)
      Correct Answer:1.2 mL
    2. A pediatric client with cerebral palsy receives a prescription for a 75% enteral nutrition formula of 320 mL to infuse at 80 mL/hour via an enteral feeding pump. The formula is available full strength in a 240 mL can. To prepare the solution, the nurse should use how many mL of the enteral nutrition formula? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
      Correct Answer:240 mL
    3. A client is receiving one liter of DW 0.45% normal saline IV every 8 hours by gravity infusion. The IV tubing has a drip factor of 12 gtt/mL. The nurse should regulate the IV to deliver how many drops per minute? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
      Correct Answer:25
    4. A child is to receive vancomycin 40 mg/kg intravenously one hour before a scheduled procedure. The child weighs 44 pounds. How many mg of the medication should the nurse administer? (Enter numeric value only.)
      Correct Answer:798 mg
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    Exam Review

    1. Filgrastim 5 mcg/kg/day subcutaneous is prescribed for a child with cancer who weighs 88 pounds. The medication is labeled 300 mcg/mL. How many mL should the nurse administer daily to this child? (Enter the numerical value only. If rounding required, round to the nearest tenth.)
      Correct Answer:0.7 mL/day
    2. The healthcare provider prescribes lamivudine oral solution 150 mg twice daily for a client who is HIV positive. The available bottle contains 240 mL of lamivudine labeled, "10 mg/mL." How many mL should the nurse administer in a 24 hour period? (Enter numeric value only.)
      Correct Answer:30 mL/24 hours
    3. The healthcare provider prescribes streptomycin 200 mg intramuscularly every 12 hours. The vial is labeled, "Streptomycin 1 gram/2.5 mL. How many milliliters should the nurse administer? (Enter numerical value only. (If rounding is required, round to the nearest tenth.)
    4. The nurse is initiating a 500 mL IV of normal saline at 60 mL/hour for a client with heart failure. How many hours should the IV infuse? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
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    Exam Review

    1. A client who weighs 154 pounds receives a prescription for epoetin alfa 50 units/kg subcutaneously 3 times a week. The medication is available in 2000 units/ml. vial. How many mL should the nurse administer with each dose? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
    2. A client is brought to the emergency center for fluid replacement after running a marathon, and the healthcare provider prescribes a 500 mL bolus of 0.9% normal saline to be administered over 4 hours. The Infusion set delivers 10 gtt/mL, so the nurse should regulate the Infusion to deliver how many gtt/minute? (Enter numerical value only. If rounding is required, round to the nearest whole number.)
    3. A client is receiving a 200 mL bolus of 0.9% normal saline (NS) to be infused over 20 minutes. The nurse should set the Infusion pump to deliver how many mL/hour? (Enter numeric value only.)
    4. A client is receiving a secondary infusion of azithromycin 500 mg in 500 mL of normal saline (NS) to be infused over 2 hours. How many mL/hour should the nurse program the infusion pump? (Enter numerical value only.)
    Page 4 of 14

    Exam Review

    1. A 4-year-old is admitted with croup and receives a prescription for a single dose of dexamethasone 0.6 mg/kg IM. The child weighs 35 pounds. How many mg should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest whole number.)
    2. The healthcare provider prescribes liraglutide 1.2 mg subcutaneously daily for a client with type 2 diabetes mellitus. The liraglutide Pen contains 18 mg of liraglutide and will deliver doses of 0.6 mg, 1.2 mg, or 1.8 mg. When teaching the client about the use of the liraglutide Pen, how many doses should the nurse tell the client is available in each Pen? (Enter the numerical value only.)
    3. A client who weighs 91 kg receives a prescription for a continuous infusion of dopamine at 3 mcg/kg/min. The solution is labeled, "Dopamine 400 mg in 5% Dextrose Injection 250 mL." How many mL/hr should the nurse program the infusion pump to deliver? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
    4. A client is receiving a secondary infusion of vancomycin 1,500 mg in 250 mL to be infused over two hours. The IV administration set delivers 10 gtt/mL. How many gtt/min should the nurse regulate the infusion? (Enter numerical value only. If rounding is required, round to the nearest whole number.)
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    Exam Review

    1. An adult client receives a prescription for diphenhydramine 15 mL by mouth every 12 hours PRN for pruritus. The bottle is labeled, diphenhydramine 12.5 mg/5 mL. What is the total daily dose in mg that the client receives? (Enter numerical value only.)
    2. The healthcare provider prescribes an IV bolus of diltiazem 0.25 mg/kg for a client with atrial fibrillation. The client weighs 178 pounds. How many mg should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
    3. The healthcare provider prescribes 1 liter of lactate Ringers to infuse in 8 hours. The IV administration set delivers 15 gtt/mL. How many mL/hour should the nurse program the infusion pump? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
    4. The healthcare provider prescribes ceftazidime 30 mg/kg/day for an infant weighing 3,500 grams. What dose should the nurse administer daily to this infant? (Enter numeric value only.)
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