NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. A client is to receive a continuous infusion of IV Insulin at 6 units per hour. Pharmacy delivers the medication that has a concentration of 200 units of regular insulin in 250 mL of NSS. At what rate should the nurse set the IV pump? (Use a preceding zero If it applies. Do not use trailing zeros. Round to the nearest tenth)
      Correct Answer:7.5 mL/hr
    2. A client is admitted to the unit at 2300 with severe dehydration. The client is to receive IV fluids at 200 mL per hour. The physician prescribes an antibiotic to be administered every 8 hours, in 150 mL of IV fluid, which is started at 0000 (midnight) and run over 1 hour. * At 0100 the IV is infiltrated and not restarted until 0200, and is to run at the previous rate of 200 mL/hr. The client voided a total of 850 mL from 2300 to 0600. Calculate the fluid balance for the 7 shift. it is a positive fluid balance. *Note: For this client the main IV is infusing at the same time as IVPB medications are administered. Hospital policy is that intake/output is calculated at 0600) for the 2300-0700 shift.
      Correct Answer:500 mL
    3. A client is ordered alprazolam 5 mg PO for anxiety. There are 0.5 mg tablets available. How many tablets will the nurse administer? (Use a preceding zero if it applies. Do not use trailing zeros. Round to the nearest whole number)
      Correct Answer:3 tablets
    4. The healthcare provider prescribes metformin 750 mg PO for Type 2 Diabetes Mellitus. Available is 500 mg tablets which are scored. How many tablets should the nurse administer? (Use a preceding, zero if it applies. Do not use trailing zeros. Round to the nearest tenth)
      Correct Answer:1.5 tablets
    Page 1 of 5

    Exam Review

    1. A client is receive a continuous Heparin infusion at 950 units per hour. Pharmacy supplies Heparin in a concentration of 25.000 units per 250mL of IV fluid. Calculate the rate at which the nurse should set the IV pump. (Use a preceding zero if it applies. Do not use trailing zeros. Round to the nearest tenth).
      Correct Answer:9.5 mL/hr
    2. At 2100, a client meets sepsis criteria BP 98/52. HR 132. RR 33, core temp 102.1 (38.9 C) pulse ox 92% on 4L with a serum lactate of 4.5. The patient weighs 176.3 pounds. IV 0.9 NSS is prescribed 30 mL/kg over 3 hours. what is the total volume the patient should receive in 3 hours? Round to the nearest whole number, do not use trailing zeros
      Correct Answer:2403 mL
    3. A client is to receive Valproic Acid 400 mg every 12 hours by mouth. What is the total dosage in milligrams the client should receive in a 24-hour period? (Use a preceding zero if it applies. Do not use trailing, zeros. Round to the nearest whole number)
      Correct Answer:800 mg
    4. A client is to receive 120 mL of IV fluid over a 2-hour period. The drop factor on the IV tubing is 15 gtt/mL. Calculate the rate at which the nurse should regulate the IV (gtt/min).
      Correct Answer:15 gtt/min
    Page 2 of 5

    Exam Review

    1. The healthcare provider prescribes 75 mL of IV fluid to be given over a 30-minute period. At what rate should the nurse set the IV pump?
      Correct Answer:150 mL/hr
    2. A client is prescribed Acyclovir 350 mg IV. The medication available is a 500 mg vial. Package directions states to reconstitute the powder with 20 mL of sterile water and withdraw the desired amount. PART 2: After withdrawing the required dose, add the medication in 100 mL of IV fluid to run over 1 hour. Calculate the rate to set the IV pump.
      Correct Answer:114 mL/hr
    3. A client is to receive drug N at 7.8 mg/hr. The medication is mixed: 100 mg of drug N is added to 250 mL of IV fluid. At what rate should the nurse set the IV pump?
    4. A patient is receiving 750 ml of NSS at 50 mL/hr. How many hours will the bag last?
    Page 3 of 5

    Exam Review

    1. The nurse receives a report at 0700 on a client who has 700 mL of IV fluid left in the bag. The IV is running at 100 mL per hour. At what time should the nurse expect to change the bag (military time)?
      A)
      1400
      B)
      1600
      C)
      1500
      D)
      0200
    2. A client is to receive 150 mL of IV fluid over a 1 hour period. Drop factor on the IV tubing is 12 gtt/mL Calculate the rate which the nurse should regulate the IV (gtt/min).
    3. A physician orders Epoetin 100 units/kg subcutaneously for anemia. The client weighs 99 lbs. The ampule contains Epoetin 3000 units per mL. How many mLs should the nurse administer? (Use a preceding, zero if it applies. Do not use trailing, zeros. Round to the nearest tenth)
    4. Two nurses are confirming the dose of an insulin infusion for a client in DKA. The current rate of the client's infusion is 11 ml/hr. At this Institution, continuous insulin infusions are mixed with 75 units insulin in 150 ml of normal saline. What dose (units/hour) is the client currently receiving? (Round the answer to the nearest tenth Use a leading zero t applies. Do not use trailing zero.)
    Page 4 of 5

    Exam Review

    1. A client is ordered ceftazidime 10 mg/kg for each dose IV. The client weighs 90 kg. The drug is available in vials containing 1 Gram of ceftazidime in 12 mL of sterile water. How many millilitres will the nurse withdraw from the vial? (Use a preceding zero if it applies. Do not use trailing zeros. Round to the nearest tenth)
    2. A client is prescribed Methylprednisolone 5 mg/kg/day in four divided doses. The medication is supplied as 7.5 mg/5 mL. The client weighs 220 lbs. How many mL's will the nurse administer per dose? (Use a preceding zero if it applies. Do not use trailing zeros. Round to the nearest tenth)
    3. A client is to receive Phenobarbital elixir 60 mg PO. The drug is supplied 15 mg per 5mL. How many mLs should the nurse administer? (Use a preceding zero if it applies. Do not use trailing zeros. Round to the nearest whole number)
    4. A client is to receive a continuous infusion of insulin for diabetic ketoacidosis. at 5 units per hour. The medication is mixed: 100 units of Insulin in 100 mL of IV fluid. At what rate should the nurse set the IV pump? (Use a preceding, zero if it applies. Do not use trailing zeros. Round to the nearest tenth)
    Page 5 of 5