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    Exam Review

    1. Order: Levaquin 350 mg is added to 500 mL D5W to infuse over 8 hours. Drop factor: 10 gtt/mL. For IV reconstitute with 1o mL. of diluent to get 100 mg per 10 mL. (Consider the medication added in the volume of fluid.) Calculate the rate in gtt/min at which the IV should infuse
      A)
      7 gtt/min
      B)
      11 gtz/min
      C)
      10 gtt/min
      D)
      100 gtt/min
    2. Calculate the flow rate in gtt/min using the formula method. Administer 2.500 mL. D5 0.33% NS in 8 hr. The drop factor is 15 grt/mL
      A)
      78 gtt/min
      B)
      65 gtt/min
      C)
      70 grimin
      D)
      60 git/min
    3. Samantha Hudson a two-year-old child in the ER with parents at the bedside. She came in not feeling well, irritable, crying all night, and not eating or drinking. Orders: Vistaril 15 mg IM q4h, Stat x 1 for nausea. Available: Vistaril 50 mg/ml How many mL will you administer to Samantha now?
      A)
      1 mL
      B)
      0.5 mL
      C)
      0.3 mL
      D)
      0.2 mL
    4. A person with digoxin toxicity would have which of these symptoms? (Select All that Apply)
      (SATA)
      A)
      Vomiting
      B)
      Nausea
      C)
      Blurred Vision
      D)
      Headache
      E)
      Muscle aches
    Page 1 of 12

    Exam Review

    1. A patient asks the nurse to explain the medications they are taking. Which medication would be considered an angiotensin converting enzyme inhibitor?
      A)
      simvastatin
      B)
      losartan
      C)
      Quinapril
      D)
      Metoprolol
    2. A doctor orders nine units /kg/hr for a Heparin infusion. The patient weighs 76 kg. You're supplied with a Heparin bag that reads 50 untis/mL. How many mL/hr will you administer? |Round your answer to the nearest tenths)
      A)
      13 mL/hr
      B)
      13.66 mL/hr
      C)
      13.6 mL/hr
      D)
      13.7 mL/hr
    3. Nonpharmacological treatment of heart failure includes:
      A)
      High protein diet
      B)
      Limit salt intake
      C)
      50 pound weight loss
      D)
      Decrease Water intake
    4. Order: Zosyn 1.3g in 100mL. D5W IVPB q8h to infuse over 30 min. Drop factor: 60 gtt/mL. Determine rate in gtt/min.
      A)
      75 gtt/min
      B)
      150 gtt/min
      C)
      100 gt/min
      D)
      200 gtt/min
    Page 2 of 12

    Exam Review

    1. Calculate the flow rate in mL/hr. (Equpment used is programmable in whole mL/hr) 180 mL 0.45% NS in 40 min by infusion group
      A)
      4.5 mL/hr
      B)
      270 mL/hr
      C)
      180 mL/hr
      D)
      200 mL/hr
    2. Before administering digoxin, it is Important for the nurse to do which of the following?
      A)
      Check the weight of the patient
      B)
      Check the skin for bruising
      C)
      Check the apical pulse
      D)
      Check the temperate of the patient
    3. Order: Augmentin 625 mg IVP8 in 50 mL 0,9% NS q8h over 1hr. Drop factor: 15 gtt/min. Determine rate in ett/min.
      A)
      14 gtt/min
      B)
      13 gtt/min
      C)
      12 gtt/min
      D)
      15 gtt/min
    4. Calculate the flow rate in ml/hr and gtt/min using the formula method 500 mL D5W in 6hr. Drop factor: 15 gtt/mL.
      A)
      84 mL/hr and 20 gtt/min
      B)
      70mL/hr and 15 gtt/min
      C)
      65 mL/hr and 10 gtt/min
      D)
      83 mL/hr and 21 gtt/min
    Page 3 of 12

    Exam Review

    1. What is a common side effect of taking ibuprofen to treat pain?
      A)
      Nausea and vomiting
      B)
      Drowsiness
      C)
      Blurred vision
      D)
      Increased heart rate
    2. When a nurse reinforces teaching a patient about the nonpharmacologic control of heart disease, which of the following should be included?
      A)
      High protein diet
      B)
      Decrease exercise
      C)
      Smoking cessation
      D)
      Increase water intake
    3. A patient is ordered to receive digoxin to treat congestive heart failure. The nurse is most concerned about which assessment finding.
      A)
      RR 18 bpm
      B)
      1+ pitting edema of the lower extremities
      C)
      BP 138/90 mm Hg
      D)
      Heart rate 54 beats/min
    4. Calculate the flow rate in mL/hr. (Equipment used is programmable in whole m/hr) 500 mL LR in 12 hr by Infusion pump
      A)
      40 ml/hr
      B)
      43 mL/hr
      C)
      42 mL/hr
      D)
      44 mL /hr
    Page 4 of 12

    Exam Review

    1. Calculate the rate in gtt/min for the following medications being administered IVPB. Order: Doxycycline 25 mg IVPB D5W 50 mL over 1 hr. Drop factor: 15 gtt/mL
      A)
      6 gtt/min
      B)
      20 gtt/min
      C)
      25 gtt/min
      D)
      13 gtt/min
    2. A nurse administered nitroglycerin sublingually to client who has angina pectoris and experienced chest pain. The client states that his chest pain is relieved but now he has a headache. Which of the following responses by the nurse is appropriate?
      A)
      A headache indicates tolerance to the medication
      B)
      It sounds as if you are allergic to this medication
      C)
      Your headache is probably a result of anxiety about the chest pain
      D)
      A headache is a common adverse effect of this medication, but it will probably occur less often over time
    3. A doctor orders 12 mg/kg of Acyclovir, the patient weighs 115 lbs. Acyclovir is supplied as 100 mg/2mL. How many mL will you administer per dose?
      A)
      12.5 mL/dose
      B)
      12 mg/dose
      C)
      12.5 mL/hr
      D)
      12 mL/dose
    4. The doctor orders Augmentin 250 mg po q6h. The drug comes in a 2 gram vial. Directions say to reconstitute with 77.2 mL of sterile water to yield a solution of 125 mg/5 mL. How many mL will you administer to the client for the correct dose?
      A)
      2 mL
      B)
      8 mL
      C)
      10mL
      D)
      15 mL
    Page 5 of 12

    Exam Review

    1. Order: Ampicillin 2 is added to 50 mL D5W to infuse over 40 minutes. Drop factor: 15gtt/mL. For IV reconstitute with 10 mL of diluent to 1g per 10 mL. (Consider the medication added in the volume of fluid) Calculate the rate in gtt/min at which the IV should infuse?
      A)
      23 gtt/min
      B)
      26 gtt/min
      C)
      25 gtt/min
      D)
      22 gtt/min
    2. Order: Ampicillin 1 g is added to 50 mL DSW to infuse over 45 minutes. Drop factor: 10 gtt/mL. For IV reconstitute with 10 mL of diluent to get 1 g per 10 mL. (Consider the medication added in the volume of fluid.) Calculate the rate in gtt/min at which the should infuse
      A)
      18 gtt/min
      B)
      11 gtt/min
      C)
      15 gtt/min
      D)
      13 gtt/min
    3. A patient with chronic obstructive pulmonary disease asks the nurse what the albuterol he is taking does. The nurse should inform the patient that albuterol is used to
      A)
      prevent respiratory infections
      B)
      decrease mucus production in the lungs
      C)
      reduce inflammation in the airways
      D)
      Improve airflow and relieve bronchospasms
    4. Calculate the flow rate in ml/hr. (Equipment used is programmable in whole mL/hr) 30 mL of antibiotic in 0.99% NS in 20 min by infusion pump.
      A)
      60 m/hr
      B)
      90 ml/hr
      C)
      175 mi/hr
      D)
      80 ml/h
    Page 6 of 12