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    Exam Review

    1. 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).
      Correct Answer:0.8 mL
    2. 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
    3. A child who weighs 44 pounds with otitis media receives a prescription for azithromycin 10 mg/kg once, then 10 mg/kg daily for 4 days. The medication is available in a solution containing 200 mg/5mL. How many mL should the nurse administer on the first day of the treatment regimen? (Enter numeric value only.)
      Correct Answer:5 mL
    4. A client is receiving heparin IV at a rate of 1,800 units/hour. The IV solution is labeled, "Heparin sodium 20,000 units in 5% dextrose Injection 500 mL." After receiving the partial thromboplastin time (PTT) result, the healthcare provider prescribes an increase of 5 ml/hour in the IV rate. The nurse should set the infusion pump to deliver how many ml/hour? (Enter numeric value only.)
      Correct Answer:50 mL/hr
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    Exam Review

    1. 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/hr
    2. The healthcare provider prescribes cyanocobalamin injection 100 mcg IM every 3 days for a client with pernicious anemia. The vial is labeled, "1 mg/mL." How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
      Correct Answer:0.1 mL
    3. The healthcare provider prescribes ganciclovir 375 mg intravenously (IV) every 12 hours to infuse over 90 minutes. The pharmacy delivers ganciclovir 375 mg in a 150 mL IV bag. How many mL/hour should the nurse program the infusion pump? (Enter a whole number only.)
      Correct Answer:100 mL/hr
    4. The healthcare provider prescribes 0.075 mg of levothyroxine PO daily. The medication is labeled, "50 mcg tablets." How many tablets should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
      Correct Answer:1.5 tablets
    Page 2 of 14

    Exam Review

    1. Heparin 5,000 units IV is prescribed as a loading dose, to be administered over 5 minutes for a client with thrombophlebitis. The vial is labeled, "10,000 units/mL." How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
      Correct Answer:0.5 mL
    2. An adolescent with meningococcal meningitis is receiving a continuous IV infusion of penicillin G, which is prescribed as 20 million units in a total volume of 2 liters of normal saline every 24 hours. The pharmacy delivers 10 million units/liter of normal saline. 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.)
      Correct Answer:83 mL/hr
    3. The nurse is reconstituting a powdered medication that is labeled, "Add 2.5 mL of normal saline to make 1 gram per mL." The dient'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.)
    4. 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 (DW). 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.)
    Page 3 of 14

    Exam Review

    1. The healthcare provider prescribes a liter of normal saline IV to be infused over 9 hours for a client who is NPO. The nurse should program the infusion pump to deliver how many mL/hour? (Enter numeric value only. If rounding is required, round to the nearest whole number).
    2. A client with deep vein thrombosis (DVT) is receiving a continuous IV infusion of heparin sodium 20,000 units in 5% dextrose injection 500 mL at the rate of 25 mL/hour. How many units of heparin should the client receive in 12 hours? (Enter numeric value only.)
    3. The nurse is preparing to administer methylprednisolone 40 mg IV. The medication vial is labeled, "125 mg per 2 mL." How many ml of medication should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest hundredth.)
    4. The healthcare provider prescribes interferon beta-1b 0.0625 mg SUBQ every other day for a client with multiple sclerosis. The nurse reconstitutes the single-use vial of powder labeled, "0.3 mg with 1.2 mL of sterile water." How many mL should the nurse administer to the client? (Enter the numerical value only. If rounding is required, round to the nearest hundredth.)
    Page 4 of 14

    Exam Review

    1. he nurse is preparing to administer methylprednisolone 40 mg IV. The medication vial is labeled, "125 mg per 2 mL. How many mLs of medication should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest hundredth
    2. 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.)
    3. The healthcare provider prescribes epoetin alfa 50 units/kg subcutaneously (SubQ) twice daily (BID) for a client who weighs 126 pounds. The available vial is labeled, "10,000 Units/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 hundredth.)
    4. A client who weighs 154 pounds receives a prescription for levothyroxine 1.6 mcg/kg by mouth (PO) daily. The medication is available in 112 mcg scored tablets. How many tablets should the nurse administer? (Enter numerical value only.)
    Page 5 of 14

    Exam Review

    1. 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.)
    2. 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).
    3. A client with an extrapyramidal reaction receives a prescription for diphenhydramine 35 mg IM. The medication is supplied as 50 mg/mL in a 1 mL prefilled single use syringe. How many mL should the nurse give? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)
    4. The healthcare provider prescribes heparin 1,400 units/hour intravenously (IV). The IV bag contains "Heparin 20,000 units in 250 mL dextrose 5% in water." 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 whole number.)
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