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    Exam Review

    1. 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:1.2 mL
    2. The healthcare provider prescribes enoxaparin 1 mg/kg SUBQ 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:1.20 mL
    3. The healthcare provider prescribes 2 L of 5% dextrose in water (DW).IV to infuse in 24 hours. The 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.)
      Correct Answer:21 gtt/min
    4. 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
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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. A premature infant with a birth weight of 1,200 grams is receiving beractant 120 mg intratracheal every 6 hours. Single use vials of beractant are labeled, "100 mg/4 mL." How many mL should the nurse administer? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)
      Correct Answer:4.8 mL
    3. The healthcare provider prescribes cefixime oral suspension 200 mg PO twice a day for an older adult who has difficulty swallowing tablets. The bottle is labeled, "Cefixime for Oral Suspension, USP 100 mg per 5 mL." How many mL should the nurse administer daily? (Enter numerical value only.)
      Correct Answer:20 mL
    4. 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 ampule is labeled 10 mg/mL, and the hydroxyzine is labeled 50 mg/mL. 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
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    Exam Review

    1. The healthcare provider prescribes ganciclovir 375 mg intravenous (IV) every 12 hour 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.)
      Correct Answer:17 drops/minute
    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.)
      Correct Answer:7.5 mg/mL
    3. An adult client receives a prescription for diphenhydramine 15 mL by mouth (PO) every 12 hours as needed (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.)
    4. 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.)
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    Exam Review

    1. 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.)
    2. A client receives a prescription for 1 liter of lactated Ringer's IV to be infused over 8 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.)
    3. 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 (DW) 200 mL. How many mL/hr should the nurse program the infusion pump to deliver? (Enter numerical value only.)
    4. A client with human immunodeficiency virus (HIV) begins active labor at 38 weeks gestation and receives a prescription for zidovudine 2 mg/kg intravenous (IV), to be administered over 1 hour. The client weighs 185 pounds. Based on the client's weight, how many mg should the nurse prepare to administer? (Enter numerical value only. If rounding is required, round to the nearest whole number.)
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    Exam Review

    1. A client retums from the post anesthesia care unit (PACU) with a bag of intravenous (IV) fluids that has 630 mL remaining in the 1,000 mL bag. The prescription reads, "Continue the present IV over the next 7 hours." The IV administration set delivers 10 gtt/mL. The nurse should regulate the infusion to deliver how many drops/minute to accomplish the new prescription? (Enter numeric value only).
    2. A client who weighs 132 pounds receives a prescription for dalteparin 200 units/kg SUBQ once a day for a month. The medication is available in 25,000 units/mL vial. How many mL should the nurse administer? (Enter numerical value. If rounding is required, round to the nearest tenth.)
    3. A child with growth failure is receiving somatropin (rDNA origin) 1.25 mg subcutaneously (subQ) daily. The nurse reconstitutes the vial with 5 mL of bacteriostatic water for injection to yield a solution concentration of 5 mg/mL. How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest hundredth.)
    4. The healthcare provider prescribes an intravenous (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.)
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    Exam Review

    1. The healthcare provider prescribes epinephrine 0.01 mg/kg IM for an adolescent with an acute asthma episode who weighs 110 pounds. The available medication is labeled, 1 mg/mL. Based on the client's weight, how many mL should the nurse administer to this client? (Enter numerical value only, rounded to the nearest tenth.)
    2. A client is receiving a secondary intravenous (IV) infusion of azithromycin 500mg in 500 mL of normal saline (NS) to be infused over 2 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.)
    3. 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.)
    4. 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.)
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