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    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. 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 8.3 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
    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/hour
    4. 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
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    Exam Review

    1. A client receives a prescription for a single dose of midazolam 2 mg IV to be administer before a scheduled procedure. The vial is label, "4 mg/2 mL." How many mL should the nurse administer? (Enter numerical value only.)
      Correct Answer:1 mL
    2. The healthcare provider prescribes cefazolin 800 mg IM every 6 hours. The available vial is labeled, "Cefazolin 1 gram," and the instructions for reconstitution state, "For IM use, add 2.5 mL sterile water for injection to provide a total volume of 3.0 mL." How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
      Correct Answer:2.4 mL
    3. 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
    4. A client is receiving IV dextrose 5% in water (DSW) at 125 mL/hour and a secondary infusion of pantoprazole 40 mg IV daily. The pharmacy provides a 110 mL premixed solution of pantoprazole to be infused over 15 minutes. The nurse should program the secondary infusion to deliver how many mL/hour? (Enter numeric value only.)
      Correct Answer:440 mL/hour
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    Exam Review

    1. The healthcare provider prescribes acyclovir 800 mg by mouth (PO) every 6 hours for an adolescent with chicken pox. The medication is available in 400 mg tablets PO. How many tablets should the nurse administer to the client every 24 hours? (Enter the numeric value only.)
      Correct Answer:8 tablets
    2. 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.)
      Correct Answer:60 mg
    3. 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.)
    4. 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 (DSW) 200 mL. How many mL/hr should the nurse program the infusion pump to deliver? (Enter numerical value only)
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    Exam Review

    1. 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).
    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. 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.)
    4. 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.)
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    Exam Review

    1. 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.)
    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. A client is receiving a secondary infusion of azithromycin 500 mg 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.)
    4. 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.)
    Page 5 of 14

    Exam Review

    1. 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.)
    2. 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.)
    3. 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.)
    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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