Name:____________________________________________________________

Score:_______________

PART I. Multiple Choice. Write the CAPITAL letter that corresponds to your answer before each number. NO
ERASURES. Any erasure/superimposition shall be considered wrong. 2 points each
1. The physicians order reads Administer 1 g cefazolin sodium (Ancef) in 150 ml of normal saline
solution in 60 minutes. What is the flow rate if the drop factor is 10 gtt = 1 ml?
a. 25 gtt/minute
b. 37 gtt/minute

c. 50 gtt/minute
d. 60 gtt/minute

2. A patient must receive 50 units of Humulin regular insulin. The label reads 100 units = 1 ml. How
many milliliters should the nurse administer?
a. 0.5 ml
b. 0.75 ml

c. 1 ml
d. 2 ml

3. 1800 ml is equal to how many liters?

a. 1.8
b. 18000

c. 180
d. 2800

4. 20 cc is equal to how many ml?

a. 2
b. 20

c. 200
d. 2000

5. The physician orders dextrose 5 % in water, 1,000 ml to be infused over 8 hours. The I.V. tubing
delivers 15 drops/ml. Nurse John should run the I.V. infusion at a rate of:
a. 30 drops/min
b. 32 drops/min

c. 20 drops/min
d. 18 drops/min

6. Nurse Oliver measures a clients temperature at 102 F. What is the equivalent Centigrade
temperature?
a. 40.1C
b. 38.9C

c. 45C
d. 38C

7. The physician prescribes meperidine (Demerol), 75 mg I.M. every 4 hours as needed, to control a
clients postoperative pain. The package insert is Meperidine, 100 mg/ml. How many milliliters of
meperidine should the client receive?
a. 0.75
b. 0.6

c. 0.5
d. 0.25

8. What unit should be used in for drop factor?

a. gtts/min
b. gtts/L

c. ml/hr
d. gtts/ml

9. A child of 10 years old is to receive 400 cc of IV fluid in an 8 hour shift. The IV drip factor is 60. The
IV rate that will deliver this amount is:
a. 50 cc/hr
b. 55 cc/hr

c. 24 cc/hr
d. 66cc/hr

10. The physician orders DS 500 cc with KCl 10 mEq/liter at 30 cc/hr. The nurse in-charge is going to
hang a 500 cc bag. KCl is supplied 20 mEq/10 cc. How many ccs of KCl will be added to the IV
solution?
a. 0.5 cc
b. 5 cc

c. 1.5 cc
d. 2.5 cc

11. What is the drop factor of a microdrip?

a. 60gtts/ml
b. 20gtts/ml

c. 15gtts/ml
d. 40gtts/ml

12. 1 teaspoon is how many drops?

a. 15

b. 60

c. 10

d. 30

13. Ordered: Atropine 0.6 mg IM. Label reads 0.3 mg per 0.5 mL. How many milliliters will you give per
dose?
a. 1.5ml
b. 2ml

c. 1ml
d. 0.5ml

14. The physician ordered: Digoxin 250 mcg po qid. The label reads 1 tablet equals 0.25 mg. How many
tablets will you administer to your patient?
a. 2 tablets
b. 1.5 tablets

c. 1 tablet
d. tablet

15. The physician ordered 120 mcg of medication. Onquid suspension of 0.06 mg/ml. How many ml will
the nurse administer?
a. 1 ml
c. 2 ml
b. 0.5 ml
d. 1.5 ml
16. A patient weighing 88 lbs must be given cefotaxime sodium (Claforan) 180 mg/ kg IM. The drug
stock is 500 mg/ ml vial. The nurse will give:
a. 6ml
c. 12ml
b. 8ml
d. 14ml
17. The order was for benzylpenicillin procaine (Wycillin) 4,800,000 units I.M. as a single dose to treat
uncomplicated gonorrhea. The available stock was 2.4 million units/ ml. The nurse will give:
a. ml
c. 1 ml
b. 2 ml
d. 2.5 ml
18. The doctor ordered phenobarbital sodium (Luminal Sodium) 60 mg PO in divided doses tid. The
available dosage forms are 30 mg/ ml injection vials, 16 mg capsules, 20 mg/ 5 ml elixir and 15 mg
tablets. The therapeutic level is 15 to 40 mcg/ml. The patient's phenobarbital level is 0.035 mg/ml.
What should the nurse do? (3 points)
a. Hold the medication because of a potential overdose
b. Administer 2 ml via deep injection
c. Administer 4 tablets per schedule
d. Administer 5 ml elixir per schedule
19. Ordered: 20 mg/ kg of Drug X for a child weighing 50 lb. How many mg of the drug will the nurse
administer to the child?
a. 400 mg
c. 500 mg
b. 454 mg
d. 1000 mg

20. A patient who weighs 132 lbs is scheduled for an endoscopy at 9:00 AM tomorrow. A dose of
midazolam 7.5 mg IM is scheduled to be administered for a few hours before the procedure. The
normal midazolam dose is 0.1 - 0.15 mg/ kg. The nurse knows that the midazolam dose: (3 points)
a. is within the safe dose range
b. is an overdose
c. is an underdose
d. must be clarified with the ordering physician
21. The doctor ordered diclofenac sodium 0.05 g t.i.d. for a patient with athritis. How many mg would
the nurse have given for a 24-hour period? (3 points)
a. 150
b. 100
c. 50
d. 65
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33. COMPUTATION. Write your solution and encircle your FINAL answer. (Write your solution at the back
of this page)
34.
1. The doctors order reads 5-FU 15mg/kg/day IV not to exceed 750mg/day. The clients weight is 125
lbs. how many mg
of 5-FU IV should you
administer in a
day? (3pts)
2. The order is to give
600 mg of Ampicillin IM
q8h. The directions
for dilution on the 2 gm
vial reads:
Reconstitute with 4.8 mL
of sterile water to
obtain a concentration of
400 mg per mL.
How many mL will you
administer per
dose? (3 points)
3. You are receiving a
client from the 7-3 shift.
At 3pm, his IV
reads 1L PNSS x 10 hours
at 450 cc level. His
IV to follow is PNSS 1L x
20gtts/min. the
drop factor is 20gtts/ml.
a. You will
regulate the first IV at
what drop rate?
(2points)
b. What time are you expected to change his IV? (2points)
c. What is the flow rate of the next IV? (2 points)
d. What is the total IVF input of your client and how many ml will you be endorsing to the next
shift? (3pts)
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