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    Exam Review

    1. The healthcare provider prescribes one liter of 1/4 strength saline in 5% dextrose solution (D5 1/4 NS) to infuse at a keep-open rate over 24 hours. The IV administration set delivers 15 gtt/mL. The nurse should regulate the infusion pump to deliver how many mL/hr? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
      Correct Answer:42 mL/hr
    2. The nurse is preparing to administer enoxaparin 90 mg SUBQ daily to a client admitted with a pulmonary embolism. The pharmacy provides a prefilled syringe labeled, “Enoxaparin 100 mg/1 mL.” How many mL should the nurse administer? (Enter numeric value only.)
      Correct Answer:0.9 mL
    3. The nurse is preparing a change of shift report for a client who has an IV infusion of 1000 mL of 0.9% sodium chloride. The infusion was started 5 hours ago at a rate of 125 mL/hour via an infusion pump. The nurse should report how many mL remain to be infused to the oncoming nurse? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
      Correct Answer:375 mL
    4. A client is receiving phenytoin 0.2 gram PO twice daily. The medication is available in 100 mg capsules. How many capsules should the nurse administer? (Enter numeric value only.)
      Correct Answer:2 capsules
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    Exam Review

    1. A client is receiving a secondary IV infusion of potassium chloride (KCl) 30 mEq at a rate of 10 mEq an hour. The pharmacy dispenses a 100 mL of 0.9% normal saline (NS) containing KCl 30 mEq. 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.)
      Correct Answer:33 mL/hour
    2. The healthcare provider (HCP) prescribes lorazepam 50 mcg/kg IM two hours before a scheduled procedure for a client who weighs 74 kg. The medication is available as "Lorazepam 2 mg/mL vial." How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
      Correct Answer:1.9 mL
    3. The healthcare provider prescribes ganciclovir 375 mg 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
    4. A client with cachexia is receiving 3/4 strength of a liquid nutritional supplement 360 mL every 6 hours via nasogastric tube. Full strength of the nutritional supplement is available in a 240 mL can. How many mL of the nutritional supplement should the nurse use to prepare the feeding? (Enter numerical value only. If rounding is required, round to nearest whole number if needed.)
      Correct Answer:270 mL
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    Exam Review

    1. The healthcare provider prescribes filgrastim 410 mcg SUBQ every day for a client post bone marrow transplant. The medication available dose is, "Filgrastim 600 mcg/mL." How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth).
      Correct Answer:0.7 mL
    2. A client receives a prescription for lactated Ringer’s 2 liters IV to be infused over 20 hours. How many mL should the nurse program the infusion pump to deliver? (Enter numerical value only.)
      Correct Answer:100 mL/hour
    3. The healthcare provider prescribes epinephrine 0.01 mg/kg intramuscularly (IM) for a child with asthma who weighs 55 pounds. The available medication is labeled, “1 mg/mL.” Based on the child’s weight, how many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest hundredth.)
    4. A client receives a prescription for oxytocin 2 milliunits/min IV for labor augmentation. The IV bag contains oxytocin 20 units in 1 liter of lactated Ringer's. How many mL/hour should the nurse program the infusion pump to deliver? (Enter numerical value only.)
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    Exam Review

    1. A client with peptic ulcer disease receives a prescription for dicyclomine 20 mg PO four times daily. The medication is available in 10 mg tablets. How many tablets should the nurse administer in a 24 hour period? (Enter numeric value only.)
    2. The nurse is initiating a 500 mL IV of normal saline at 60 mL/hour for a client with heart failure. How many hours should the IV infuse? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
    3. A 4-year-old is admitted with croup and receives a prescription for a single dose of dexamethasone 0.6 mg/kg IM. The child weighs 35 pounds. How many mg should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest whole number.)
    4. A continuous infusion of heparin 10 unit/kg/hour is prescribed for a client with deep vein thrombosis (DVT) who weighs 165 pounds. The IV bag is labeled Heparin Sodium 25,000 Units in 5% Dextrose Injection 500 mL. The nurse should program the infusion pump to deliver how many mL/hour? (Enter numeric value only.)
    Page 4 of 10

    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. The nurse is preparing to administer a prescription for cefazolin 600 mg IM every six hours. The available vial is labeled, "Cefazolin 1 gram," and the instructions for reconstitution state, "For IM use add 2 mL sterile water for injection. Total volume after reconstitution equals 2.5 mL." When reconstituted, how many milligrams are in each mL of solution? (Enter numeric value only.
    3. The healthcare provider prescribes 0.9% normal saline intravenous (IV) to infuse at a keep-open rate of 70 mL per hour. How many mL of the medication should the nurse prepare to administer over 24 hrs? (Enter numeric value only.)
    4. The healthcare provider prescribes 0.9% normal saline intravenous (IV) to infuse at a keep-open rate of 70 mL per hour. The drop factor is 15 drops per mL. The nurse should regulate the infusion to administer how many drops per minute? (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 a continuous infusion of labetalol HCl at 2 mg/minute. "Labetalol HCl Injection USP 200 mg in 200 mL of 5% Dextrose Injection," is delivered to the unit. How many mL/hour should the nurse program the infusion pump? (Enter numerical value only.)
    2. A child with a seizure disorder receives a prescription for phenytoin 20 mg by mouth (PO) every 8 hours. The suspension is available in 125 mg/5 mL. How many mL should the nurse administer? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)
    3. A client receives a prescription for hydromorphone 1 mg IV every 2 to 3 hours PRN for pain. The medication is available in a 2 mg/mL vial. How many mL should the nurse administer? (Enter numerical value only.)
    4. A client is receiving a secondary infusion of azithromycin 500 mg in 500 mL of normal saline (NS) to be infused over 2 hours. How many mL/hour should the nurse program the infusion pump? (Enter numerical value only.)
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