Medical Dosage Calculations 11th

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 Giangrasso/Shrimpton, Dosage Calculations: A Dimensional Analysis Approach

Chapter 7

Question 1
Type: MCSA/Hot-Spot
The nurse is preparing an injection for a patient. Which part is the considered the needle hub?
D
B
A

C
1. A
2. B
3. C
4. D

Correct Answer: A

Rationale 1: Label A indicates the the hub of the needle. The hub is the plastic piece that
attaches to the Luer-LocTM tip of the syringe barrel.

Rationale 2: Label A indicates the the hub of the needle. The hub is the plastic piece that
attaches to the Luer-LocTM tip of the syringe barrel.

Rationale 3: Label A indicates the the hub of the needle. The hub is the plastic piece that
attaches to the Luer-LocTM tip of the syringe barrel.

Rationale 4: Label A indicates the the hub of the needle. The hub is the plastic piece that
attaches to the Luer-LocTM tip of the syringe barrel.

Global Rationale: Label A indicates the the hub of the needle. The hub is the plastic piece that
attaches to the Luer-LocTM tip of the syringe barrel.

Cognitive Level: Understanding

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Identify the parts of a syringe and needle.

Question 2
Type: MCSA/Graphic
The nurse is determining the type of syringe to use for a client’s injection. What is the type of
this syringe?

1. 1 mL
2. 5 mL
3. Insulin
4. Heparin

Correct Answer: 3

Rationale 1: This is an insulin syringe. Insulin is measured in units and the word “units” is
printed at the base of the calibrations on the needle barrel.

Rationale 2: This is an insulin syringe. Insulin is measured in units and the word “units” is
printed at the base of the calibrations on the needle barrel.

Rationale 3: This is an insulin syringe. Insulin is measured in units and the word “units” is
printed at the base of the calibrations on the needle barrel.

Rationale 4: This is an insulin syringe. Insulin is measured in units and the word “units” is
printed at the base of the calibrations on the needle barrel.

Global Rationale: This is an insulin syringe. Insulin is measured in units and the word “units” is
printed at the base of the calibrations on the needle barrel.

Cognitive Level: Understanding

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: Identify various types of syringes.

Question 3
Type: MCSA/Hot-Spot
How many mL of medication will be provided if the syringe is filled to the solid black line?

1. 2.2
2. 2.4
3. 22
4, 24

Correct Answer: 22 mL

Rationale 1: The solid black line is on the second smaller line between the number 20 and 25.
Each smaller line is 1 mL. The solid black line is on 22 mL.

Rationale 2: The solid black line is on the second smaller line between the number 20 and 25.
Each smaller line is 1 mL. The solid black line is on 22 mL.

Rationale 3: The solid black line is on the second smaller line between the number 20 and 25.
Each smaller line is 1 mL. The solid black line is on 22 mL.

Rationale 4: The solid black line is on the second smaller line between the number 20 and 25.
Each smaller line is 1 mL. The solid black line is on 22 mL.

Global Rationale: The solid black line is on the second smaller line between the number 20 and
25. Each smaller line is 1 mL. The solid black line is on 22 mL.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementatio
Learning Outcome: Read the calibrations on syringes of various sizes.

Question 4
Type: MCSA/Hot-Spot
A client is prescribed to receive 0.68 mL of a medication. Which syringe should the nurse use to
provide this medication?

Correct Answer: 4

Rationale 1: The nurse chooses the 1 mL syringe because it provides markings so that a small
dose of medication can be measured and provided correctly. The other syringes will not allow a
proper dosage of medication to be measured and administered.

Rationale 2: The nurse chooses the 1 mL syringe because it provides markings so that a small
dose of medication can be measured and provided correctly. The other syringes will not allow a
proper dosage of medication to be measured and administered.

Rationale 3: The nurse chooses the 1 mL syringe because it provides markings so that a small
dose of medication can be measured and provided correctly. The other syringes will not allow a
proper dosage of medication to be measured and administered.

Rationale 4: The nurse chooses the 1 mL syringe because it provides markings so that a small
dose of medication can be measured and provided correctly. The other syringes will not allow a
proper dosage of medication to be measured and administered.
Global Rationale: The nurse chooses the 1 mL syringe because it provides markings so that a
small dose of medication can be measured and provided correctly. The other syringes will not
allow a proper dosage of medication to be measured and administered.
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Select the appropriate syringe to administer prescribed doses.

Question 5
Type: MCSA/Hot-Spot
A client is prescribed to receive 17 units of insulin. How much medication should the nurse place
in this syringe?
C
A B D
Correct Answer:

1. A
2. B
3. C
4. D

Rationale 1: Every single marking on this syringe is 1 unit. The nurse should give 2 markings
after the number 15 or a total of 17 units of medication to the patient. The other options do not
indicate 17 units of insulin.

Rationale 2: Every single marking on this syringe is 1 unit. The nurse should give 2 markings
after the number 15 or a total of 17 units of medication to the patient. The other options do not
indicate 17 units of insulin.

Rationale 3: Every single marking on this syringe is 1 unit. The nurse should give 2 markings
after the number 15 or a total of 17 units of medication to the patient. The other options do not
indicate 17 units of insulin.

Rationale 4: Every single marking on this syringe is 1 unit. The nurse should give 2 markings
after the number 15 or a total of 17 units of medication to the patient. The other options do not
indicate 17 units of insulin.
Global Rationale: Every single marking on this syringe is 1 unit. The nurse should give 2
markings after the number 15 or a total of 17 units of medication to the patient. The other options
do not indicate 17 units of insulin.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Measure single insulin dosages.

Question 6
Type: MCSA/Hot-Spot
A client is prescribed to receive 20 units of NPH insulin and 11 units of Regular insulin. How
much total insulin will the nurse place in this syringe?
D
A B C

1. A
2. B
3. C
4. D
Correct Answer: C

Rationale 1: Each of the markings on this insulin syringe is for 2 units. The markings are odd
numbers so the nurse needs to identify the 3 marking down from 25 or two markings up from 35.

Rationale 2: Each of the markings on this insulin syringe is for 2 units. The markings are odd
numbers so the nurse needs to identify the 3 marking down from 25 or two markings up from 35.

Rationale 3: Each of the markings on this insulin syringe is for 2 units. The markings are odd
numbers so the nurse needs to identify the 3 marking down from 25 or two markings up from 35.

Rationale 4: Each of the markings on this insulin syringe is for 2 units. The markings are odd
numbers so the nurse needs to identify the 3 marking down from 25 or two markings up from 35.

Global Rationale: Each of the markings on this insulin syringe is for 2 units. The markings are
odd numbers so the nurse needs to identify the 3 marking down from 25 or two markings up
from 35.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Measure combined insulin dosages.
Question 7
Type: MCSA
The nurse is preparing to provide 23 units of Humulin N and 17 units of Humulin R to a client.
How many total units of insulin will the nurse prepare in the syringe?

1. 17 units
2. 23 units
3. 40 units
4. 50 units

Correct Answer: 3

Rationale 1: The nurse will place 27 + 13 = 40 total units of insulin in the syringe.

Rationale 2: The nurse will place 27 + 13 = 40 total units of insulin in the syringe.

Rationale 3: The nurse will place 27 + 13 = 40 total units of insulin in the syringe,

Rationale 4: The nurse will place 27 + 13 = 40 total units of insulin in the syringe.

Global Rationale: The nurse will place 27 + 13 = 40 total units of insulin in the syringe.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Measure combined insulin dosages.

Question 8
Type: Hot-Spot
A client is prescribed to receive 5 mg of morphine. The nurse has the following medication
available: 10 mg/1 mL. How much medication will the nurse administer to this client?
B C
A D

1. A
2. B
3. C
4. D

Rationale 1: mL = 1 mL/10 mg x 5 mg/1 dose. Multiply the numerators (1 x 5 = 5). Multiply

the denominators (10 x 1 = 10). 5/10 = ½ or 0.5 mL which is indicated by the line on 0.5mL on
the syringe.
Rationale 2: mL = 1 mL/10 mg x 5 mg/1 dose. Multiply the numerators (1 x 5 = 5). Multiply
the denominators (10 x 1 = 10). 5/10 = ½ or 0.5 mL which is indicated by the line on 0.5mL on
the syringe.

Rationale 3: mL = 1 mL/10 mg x 5 mg/1 dose. Multiply the numerators (1 x 5 = 5). Multiply

the denominators (10 x 1 = 10). 5/10 = ½ or 0.5 mL which is indicated by the line on 0.5mL on
the syringe.

Rationale 4: mL = 1 mL/10 mg x 5 mg/1 dose. Multiply the numerators (1 x 5 = 5). Multiply

the denominators (10 x 1 = 10). 5/10 = ½ or 0.5 mL which is indicated by the line on 0.5mL on
the syringe.

Global Rationale: mL = 1 mL/10 mg x 5 mg/1 dose. Multiply the numerators (1 x 5 = 5).

Multiply the denominators (10 x 1 = 10). 5/10 = ½ or 0.5 mL which is indicated by the line on
0.5mL on the syringe.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Select the appropriate syringe to administered prescribed doses.

Question 9
Type: MCSA/Hot-Spot
A client is prescribed to receive 40,000 Units of epoetin alfa (Epogen) now. The nurse has the
following medication available:

Which syringe should the nurse use to provide the client with this medication?
Correct Answer: 3

Rationale 1: Since the client is to receive 3 mL of medication, the 3 mL syringe is the most
appropriate.

Rationale 2: Since the client is to receive 3 mL of medication, the 3 mL syringe is the most
appropriate.

Rationale 3: Since the client is to receive 3 mL of medication, the 3 mL syringe is the most
appropriate.

Rationale 4: Since the client is to receive 3 mL of medication, the 3 mL syringe is the most
appropriate.

Global Rationale: Since the client is to receive 3 mL of medication, the 3 mL syringe is the most
appropriate.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Select the appropriate syringe to administered prescribed doses.

Question 10
Type: FIB
A client is prescribed to receive 33 units of Novolin N insulin and 14 units of Novolin R insulin.
How much total insulin will the nurse place in the insulin syringe?

Standard Text: Record answer using a whole number.

Correct Answer: 47 units

Global Rationale: The nurse is combining 33 units of Novolin N and 14 units of Novolin R in
one syringe. The total amount of insulin is 33 + 14 = 47 units.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Combine two different types of insulin in one syringe.

Revised Questions

Question 11
Type: FIB
The nurse has filled an insulin syringe to the following amount. How much insulin is the nurse
providing to the client?

Standard Text: Record answer using a whole number.

Correct Answer: 28 units

Global Rationale: Each marking on the insulin syringe is for 2 units. Since the syringe is filled 4
markings after the number 20, the total number of units of insulin being prepared is 28.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Interpret the calibrations on syringes of various sizes.

Question 12
Type: MCSA/Hot-Spot
The client is prescribed 0.47 mL of a medication. On the following syringe, identify the amount
of medication that the nurse will prepare for this client?
 A B D
C

1. A
2. B
3. C
4. D

Correct Answer: C

Rationale 1: The small markings between 0.4 and 0.5 are each one one-hundredth. To fill the
syringe at 0.47 mL the nurse should count to the seventh marking after the marking for 0.4.

Rationale 2: The small markings between 0.4 and 0.5 are each one one-hundredth. To fill the
syringe at 0.47 mL the nurse should count to the seventh marking after the marking for 0.4.

Rationale 3: The small markings between 0.4 and 0.5 are each one one-hundredth. To fill the
syringe at 0.47 mL the nurse should count to the seventh marking after the marking for 0.4.

Rationale 4: The small markings between 0.4 and 0.5 are each one one-hundredth. To fill the
syringe at 0.47 mL the nurse should count to the seventh marking after the marking for 0.4.

Global Rationale: The small markings between 0.4 and 0.5 are each one one-hundredth. To fill
the syringe at 0.47 mL the nurse should count to the seventh marking after the marking for 0.4.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Interpret the calibrations on syringes of various sizes.

Question 13
Type: MCSA/Hot-Spot
A client is prescribed 21 units of Humulin R insulin. Which marking indicates the appropriate
dose to be administered to this client?
 A B
C D

1. A
2. B
3. C
4. D

Correct Answer: B

Rationale 1: Each marking after the printed numbers is equal to 1 unit. The nurse should fill the
syringe to the first line after the number 20.

Rationale 2: Each marking after the printed numbers is equal to 1 unit. The nurse should fill the
syringe to the first line after the number 20.

Rationale 3: Each marking after the printed numbers is equal to 1 unit. The nurse should fill the
syringe to the first line after the number 20.

Rationale 4: Each marking after the printed numbers is equal to 1 unit. The nurse should fill the
syringe to the first line after the number 20.

Global Rationale: Each marking after the printed numbers is equal to 1 unit. The nurse should fill
the syringe to the first line after the number 20.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Measure single insulin dosages.

Question 14
Type: Hot-Spot
The nurse needs to provide a client with 1.4 mL of medication. Which syringe is the most
appropriate for the nurse to use when administering this medication?
 A

1. A
2. B
3. C

Correct Answer: B

Rationale 1: The 3 mL syringe is calibrated to administer the prescribed dose of medication. The
1 mL syringe is not large enough. The other syringe is an insulin syringe and is also not
appropriate to administer the prescribed dose.

Rationale 2: The 3 mL syringe is calibrated to administer the prescribed dose of medication. The
1 mL syringe is not large enough. The other syringe is an insulin syringe and is also not
appropriate to administer the prescribed dose.

Rationale 3: The 3 mL syringe is calibrated to administer the prescribed dose of medication. The
1 mL syringe is not large enough. The other syringe is an insulin syringe and is also not
appropriate to administer the prescribed dose.

Global Rationale: The 3 mL syringe is calibrated to administer the prescribed dose of

medication. The 1 mL syringe is not large enough. The other syringe is an insulin syringe and is
also not appropriate to administer the prescribed dose.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Select the appropriate syringe to administer prescribed doses.
Question 15
Type: Hot-Spot
A patient is prescribed to receive 0.87 mL of medication. Click on the syringe the nurse should
use to provide this medication.

1. A
2. B
3. C

Correct Answer: A

Rationale 1: The 1 mL syringe is the only one that is calibrated to a one-hundredth of a mL. The
other syringes cannot be used to administer the prescribed doe of medication.

Rationale 2: The 1 mL syringe is the only one that is calibrated to a one-hundredth of a mL. The
other syringes cannot be used to administer the prescribed doe of medication.

Rationale 3: The 1 mL syringe is the only one that is calibrated to a one-hundredth of a mL. The
other syringes cannot be used to administer the prescribed doe of medication.
Global Rationale: The 1 mL syringe is the only one that is calibrated to a one-hundredth of a mL.
The other syringes cannot be used to administer the prescribed doe of medication.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Select the appropriate syringe to administer prescribed doses.

Question 16
Type: FIB

What type of syringe is pictured in this image?

Correct Answer: 1 mL syringe

Global Rationale: The syringe that is pictured in the image is a 1 mL syringe.

Cognitive Level: Remembering

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Identify various types of syringes.

Question 17
Type: FIB

What type of syringe is pictured in this image?

Correct Answer: 3 mL syringe

Global Rationale: The syringe that is pictured in the image is a 3 mL syringe.
Cognitive Level: Remembering
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Identify various types of syringes.

Question 18
Type: FIB

What type of syringe is pictured in this image?

Correct Answer: 5 mL syringe

Global Rationale: The syringe that is pictured in the image is a 5 mL syringe.

Cognitive Level: Remembering

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Identify various types of syringes.

Question 19
Type: FIB

What type of syringe is pictured in this image?

Correct Answer: Insulin Syringe

Global Rationale: The syringe that is pictured in the image is an insulin syringe.

Cognitive Level: Remembering

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Identify various types of syringes.

Question 20
Type: MCSA/Hot Spot

The client is prescribed 15 mg morphine sulfate for pain. The medication is available in a 10
mg/mL vial. How much medication will the nurse draw up in the syringe?

1. A
2. B
3. C
4. D
A B C
D

Correct Answer: 2

Rationale 1: The nurse would draw up 1.5 mL of medication to administer to the client. Each
calibration on this syringe is 0.1 mL. The arrow indicating 1 ½ is the correct medication to
administer.

Rationale 2: The nurse would draw up 1.5 mL of medication to administer to the client. Each
calibration on this syringe is 0.1 mL. The arrow indicating 1 ½ is the correct medication to
administer.

Rationale 3: The nurse would draw up 1.5 mL of medication to administer to the client. Each
calibration on this syringe is 0.1 mL. The arrow indicating 1 ½ is the correct medication to
administer.

Rationale 4: The nurse would draw up 1.5 mL of medication to administer to the client. Each
calibration on this syringe is 0.1 mL. The arrow indicating 1 ½ is the correct medication to
administer.
Global Rationale: The nurse would draw up 1.5 mL of medication to administer to the client.
Each calibration on this syringe is 0.1 mL. The arrow indicating 1 ½ is the correct medication to
administer.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Interpret the calibrations on syringes of various sizes.