Exam Review
- A client with neuroleptic malignant syndrome receives a prescription for dantrolene 1.5 mg/kg IV. The client weighs 198 pounds. The label on 250 mg vial reads, "Reconstitute with 5 mL sterile water for injection, USP. Reconstitution yields 50 mg/mL." How many mg should the nurse administer? (Enter numeric value only.)Correct Answer:135 milligrams
- The healthcare provider prescribes filgrastim 5 mcg/kg/day subcutaneously (SubQ) for a client who weighs 132 pounds and has just completed chemotherapy. The medication is available in 480 mcg/0.8 mL. How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth).Correct Answer:0.5 mL
- The healthcare provider prescribes penicillin G benzathine 1,800,000 units intramuscular (IM) for a client with a bacterial infection. The prefilled syringe is labeled, "Penicillin G benzathine 1,200,000 units/2 mL." How many mL should the nurse administer to this client? (Enter numerical value only, rounded to the nearest whole number.)Correct Answer:3 mL
- The healthcare provider prescribes ampicillin 140 mg intravenously (IV) every 8 hours for a child with meningitis. The vial is labeled, "Ampicillin 250 mg for reconstitution with 83 mL sterile normal saline for injection to yield a total solution concentration of 30 mg/mL." How many mL should the nurse administer? (Enter the numeric value only. If rounding is required, round to the nearest tenth.)Correct Answer:4.7 mL
Exam Review
- The healthcare provider prescribes a loading dose of digoxin 0.6 mg intravenously (IV) for a client with heart failure (HF). The nurse obtains digoxin injection 500 mcg in 2 mL vial from the electronic medication system. How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)Correct Answer:2.4 mL
- The nurse is preparing a client's dose of an IM analgesic in a single syringe. The prescription is hydromorphone 4 mg and hydroxyzine 25 mg. The hydromorphone is available in a 10 mg/mL ampule, and the hydroxyzine is available in a 50 mg/mL vial. How many total mL should the nurse administer? (Enter the numeric value only. If rounding is required, round to the nearest tenth.)Correct Answer:0.9 mL
- Ceftazidime 750 mg IV every 12 hours is prescribed for a client with an infection. The directions on the label of the 750 mg vial instruct the nurse to reconstitute with 100 mL sterile water. The reconstituted medication provides how many mg/mL? (Enter numeric value only. If rounding is required, round to the nearest tenth.)Correct Answer:7.5 mg/mL
- A client receives a prescription for oxytocin 2 milliunits/min intravenously (IV) for labor augmentation. The IV bag contains oxytocin 20 units in lactated Ringer's 1 liter. How many mL/hour should the nurse program the infusion pump to deliver? (Enter numerical value only.)Correct Answer:6 mL/hour
Exam Review
- The pharmacy delivers an IV infusion of sodium chloride 100 mL with regular insulin 50 units for a client in diabetic ketoacidosis. The prescription rate is 10 units/hour. How many mL/hour should the nurse program the infusion pump? (Enter numeric value only.)Correct Answer:20 mL/hour
- The healthcare provider prescribes furosemide 120 mg intravenously (IV) for a client with fluid overload. Furosemide is available in a vial labeled 10 mg/mL, and the recommended rate for IV administration is 40 mg/minute. The nurse should administer the medication over what length of time in minutes? (Enter numeric value only.)Correct Answer:3 minutes
- The healthcare provider prescribes furosemide 120 mg intravenously (IV) for a client with fluid overload. Furosemide is available in a vial labeled 10 mg/mL, and the recommended rate for IV administration is 40 mg/minute. The nurse should administer the medication over what length of time in minutes? (Enter numeric value only.)
- The healthcare provider prescribes filgrastim 5 mcg/kg subcutaneous (SubQ) for a client who weighs 176 pounds. The available vial is labeled, "Filgrastim 300 mcg/mL." Based on the client's weight, how many milliliters should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
Exam Review
- A 9-year-old child who weighs 66 lb is to receive gentamicin sulfate 2 mg/kg/dose every 8 hours for an Escherichia coli urinary tract infection. How many mg per dose should this child receive? (Enter numeric value only.)
- A client with chronic constipation reports taking 2 ounces of magnesium hydroxide at bedtime. The bottle is labeled "Magnesium hydroxide saline laxative, USP 400 mg per 5 mL." How many mL should the nurse document in the medical record? (Enter numerical value only.)
- The healthcare provider prescribes dobutamine 6 mcg/kg/min IV for a client who weighs 140 pounds. The IV bag contains dobutamine 250 mg in 250 mL dextrose 5% in water (D5W). 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.)
- A client receives a prescription for IV ciprofloxacin 400 mg every 12 hours, which is to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D5W) 200 mL. How many mL/hour should the nurse program the infusion pump to deliver? (Enter numerical value only.)
Exam Review
- The nurse is reconstituting a powdered medication that is labeled, "Add 2.5 mL of normal saline to make 1 gram per mL." The client's prescription is for 500 mg of the medication. How many mL should the nurse administer to this client? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
- A client scheduled for coronary artery bypass surgery is to receive an intravenous (IV) infusion of 1 gram cefazolin in 50 mL 0.9% sodium chloride, USP over 30 minutes. The nurse should program the infusion pump to deliver how many mL/hour? (Enter numeric value only, as a whole number.)
- At 1530 the nurse observes 550 mL of IV fluid is yet to be infused for a client receiving 1,000 mL dextrose 0.5% and 0.25% sodium chloride at 88 mL/hour. At what time should the nurse calculate the fluid will be infused based on the 24-hour clock?
- The healthcare provider prescribes epoetin alfa 8,200 units SUBQ for a client with chronic kidney disease (CKD). The 2 mL multidose vial is labeled, "Each 1 mL of solution contains 10,000 units of epoetin alfa." How many mL should the nurse administer? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)
Exam Review
- A child who weighs 30 kg is experiencing a grand mal seizure. The healthcare provider prescribes diazepam 0.3 mg/kg/dose IV STAT. The medication is available in 5 mg/mL vials. How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
- The healthcare provider prescribes ganciclovir 375 mg IV every 12 hours to infuse over 90 minutes. The pharmacy delivers ganciclovir 375 mg in a 150 mL IV bag. How many drops/minute should the nurse regulate the gravity infusion using a drip chamber that delivers 10 drops/mL? (Enter numerical value only. If rounding is required, round to the nearest whole number.)
- A client is receiving a secondary infusion of vancomycin 1,500 mg in 250 mL to be infused over two hours. The intravenous (IV) administration set delivers 15 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.)
- A client receives a prescription for a single dose of midazolam 2 mg IV to be administered before a scheduled procedure. The vial is labeled, "4 mg/2 mL." How many mL should the nurse administer? (Enter numerical value only.)