Math Final

1. A diagnosis of hypthyroidism was made and the healthcare provider prescribes levothyroxine (Synthroid)
150 mcg daily. The medication available is 0.05mg per tablet. How many tablets should be administered to the
client..

convert .05mg to 50mcg 150/50=3

A. 2 tab
B. 1 tab
C. 1/2 tab
D. 3 Tab *

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3. A physician writes orders to increase a magnesium sulfate drip to 1g/h for a patient in labor. The medication
has a concentration of 10g magnesium sulfate in 200ml of lactated ringer's solution. The IV pump should be
programmed for how many millimeters per hour

10/10 = 1g 200/10= 1g = 20mL

A. 40
B.30
C. 0.20
D. 20 *

4. A physician orders an increase in magnesium sulfate drop to 2 g/h for a apteint in labor. The medication has
a concentration of 10 g magnesium sulfate in 200 ml of lactated ringers solution. The IV pump should be
programmed for how many millimeters per hour? Round to the nearest whole number.

10/10 = 1g 200/10= 1g = 20mL so 2g = 40mL

A. 10
B. 30
C. 40 *
D. 0.40

5. Nesiritide is infusing at 18 mL/h for a patient with congestive heart failure The nesiritide bag has a 1.5
mg/250 mL concentration. How many micrograms per kilogram per minute is the nesiritide infusing for a 70-kg
patient? Round your final answer to the nearest hundredth.

1500 mcg/70kg = ans/250 then times that by 18 and divide by 60 for final answer

a.0.03 *
b.0.025
c. 0.02
d. 0.25

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9. During your morning assessment , you note that a patient in hypovolemic shock has a norepinephrine drip
infusing at 7 mL/h. With a concentration of norepinephrine 8 mg/250 mL. How many micrograms per minute is
the patient recieving? Round to the nearest tenth.

8000mcg/250 = 32 them x 7 = 224 then divide by 60 = 3.7mcg/min

A. 3
B. 3.7 *
C. 3.3
D. 3.73

10. Patients weight is 66 kg. Heparin protocol . Bolus 80 units/kg . Heparin 18 units/ kg/h using concentration
of 25,000 unites in 250 ml of NS. Calculate the units of heparin required for the bolus dose . round to nearest
hundreths units

66kg x 80units = 5280 > 5300

A. 5,300 *
B. 5,380
C. 5,280
D. 5,200

11. Patients weight is 66 kg, Heparin protocol. Bolus Heparin 80 units/ kg . Continuos infusion, Heparin 18
units/kg/hr

66kg x 18 = 1188

A. 1,190
B. 1,188 *
C. 1,198
D. 1,180

12. Heparin bolus , weight 76kg, bolus 70 infuse at 17 units

76kg x 70 = 5320 > 5300

Answer 5,300

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14. Order: Begin a heparin drip per the facility's protocol. The patient's weight is 84 kg Heparin Protocol: Bolus:
Heparin 70 units/kg. Infusion Rate: Heparin 17 units/kg/hr using a concentration of heparin 25,000 units in 250
ml of NS. Calculate the units of heparin required for the bolus dose. Round the final answer to the nearest
hundred units

84kg x 70units = 5880 > 5900

a. 5,880
b. 6000
c. 5900 *
d. 5800

15. Piperacillin 4.5g once a day ordered/ dissolved in 100 ML of NS and should infuse over 4 hours. How many
mL/hr should be infused. Round to whole number.

100mL/4hr = 25mL/hr

ANSWER 25

16. The patient has vancomycin 1,250 mg ordered IV once daily for an infection. The vancomycinis avalaible in
250 mL of NS and should infuse over 2 hours
with a 20 gtt/ml drop factor, how many drops per minute should the vancomycin be infused? round the final
answer to the nearest whole number?

250mL/120min = ans then x by 20 = 41.66 round to 42

A. 41
B. 41.6
C. 42 *
D. 41.66

17. The physician orders flucanazle 200mg twice a day. The fluconazole dissolved in 100 ml per hour at 20 gtt/
mL how many drops per minute should be infused? Round the final answer to the nearest whole number

100mL/60min = ans then x by 20 = 33.3 round to 33

A. 34
B. 33.33
C. 33 *
D. 33.3

18. Albumin 25 %is ordered IV now. The albumin is available in 100 ml bottles and is to infuse over 30 minute.
Using an IV controller, how many milliliters per hour would the albumin be infused? Round the final answer to
the nearest whole number.

100mL x 2 = 200mL

a. 200 *
19. The nurse observes 280 ML of D5 rl left in an IV that is infusing at 50 macro gtt/min. The drop factor
is 20 gtt/min. How many hours will the fluid last? answer to nearest whole number

280mL x 20 = 5600 divided by 50gtt x 60min= 3000 5600/3000 = 1.866 = 1 hour .86 x 60mins = 52mins

A. 1 hr and 86 min
B. 1 hr and 50 min
C. 1 hr and 52 min*
D. 1 hr and 51.9 min

20. 0.9 % NS is infusing at 45 macrogtt. The drop factor is 20 gtt/ml. How many milliliters(ML) of fluid will the
client receive in 5 hours? Round to the nearest tenths place.

45x60x5 = 13,500/20gtt/mL = 675mL

a. 655
b. 675 *
c. 685
d. 665

21. The physician orders Neupogen 400 mcg subcutaneous daily for neutropenia. The medication is supplied
in 300 mcg/ml. How many ML will the nurse administer? Round the final answer to the nearest tenths place

400/300 = 1.33 > 1.3

a. 1.3 *
b.2.3
c.1.33
d.1

22. The physician orders furosemide 60 mg IV push stat for edema. Available: 10 mg/mL. How many milliliters
will the nurse administer? _________________ mL

60mg/10mg/mL = 6mL

A. 5
B. 6 *
C. 4
D. 8
23. The physician orders Imitrex 4 mg subcutaneous for migraine headache. The medication is supplied in 12
mg/mL. How many millisers (mL) wil the more administer? Round the final answer to the nearest hundredths
place

4/12 = .3333 > .33

a. 0.34
b. 0.333
c. 0.33 *
d. 0.36

24. The physician orders morphine 9 mg IM q4 h for pain. Available: 15mg/mL. How many milliliters will the
nurse administer? ____________________

9/15 = 0.6mL

A. 0.5
B. 0.4
C. 0.6 *
D 0.8

25. Arixtra 2.5 mg subcutaneous evert morning is ordered for prevention of deep vein thrombosis.
The Aixtra is available in 5mg per 0.4mL vials. How many mL would the nurse administer with each dose.
round to nearest 10th

0.4/2 = 0.2

A. 2
B. 0.3
C. 0.2 *
D. 3

26. The physician has torsemide 60 mg oral every morning ordered for a patient with heart failure.
The medication is supplied as torsemide 20 mg per tablet. How many tablets of Digitek would the patient
recieve with each dose?

60/20 = 3

A. 3 *
B. 2
C. 6
D. 5
27. Patient with Gerd has reglaan 5 mg every 6 hours per gastric tube ordered. The reglan syrup is supplioed
in 10 mg per 10 mL concentration. How many millitmeters would the nurse administer each dose?
10/2 = 5

A. 5 *
B. 7
C. 6
D. 3

28. A patient has acetaminophen 650 mg ordered every 4 hours per gastric tube supplied in 160mg per 5 mL.
How many mL per dose.

5/160mg = ans x 650 = 20.3

ANSWER 20.3

29. A patient with dysphagic has omeprazole 40 mg twice a day ordered. The omeprazole is supplied in 20 mg
capsules. How many capsules would the nurse administer in each dose.?
40/20 = 2

a. 1
b. 2 *
c. 0.2
d. 3

30. Vitamin D 5,000 international units (5,000 IU) oral every day is ordered. The vitamin D is supplied in 1,000
international unit (1000) IU pre capsule. How many capsules would the nurse administer with each dose?

5000/1000= 5

a. 0.5
b. 4
c. 6
d. 5 *

31. Change degrees Farenheit to degrees centigrade. Round to nearest tenth place
97.8 F = ___ C

97.8 – 32/1.8 = 36.55

A. 36.55
B. 36.7
C. 36.6
D. 36.5*

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33. 12 HR shift patient cosumes 120 ml of OJ 120 ml of Milk 260 ML OF coffee 90mL of ** 120mL of Ice
Cream. What is total intake.
ANSWER 710

34. A patient consumes 2 oz of an ice pop and 30 mL of ice chips during the shift. Intravenous fluids infused at
125 mL/h during the shift. The Foley catheter was emptied of 800 mL at 6 am. 80 mL were emptied from a
drain at 6 pm. Calculate the output for the 6 am to 6 pm shift.

A. 880 *
B. 1,095
C. 215
D. 1,037

35. The recommend safe dosage of erythromycin for a child is 20mg/kg/day in four equal doses. The childs
weight is 33 lb. The medication is supplied in 125mg/ml. What is the childs weight in kilograms
33/2.2 = 15

a. 15.2
b.16
c.15 *
d.0.15

36. MISSING

37. The recommended safe dosage of erythromycin for a child is 20 mg/kg/day in four equal doses. The
child’s weight is 33lb. The medication is supplied in 125 mg/ml. How many milliliters will be administered for
each dose?

15x20= 300 then 300/4= 75 then 75/125= 0.6

A. 6
B. 0.6 *
C. 0.7
D. 0.4

38. Rifampin is also known as rifampicin is an antibiotics used to treat bacterial infections.
Dose - 5 mg/kg/ dose. Availablity is -- 10 mg/ml. Weight is -- 11 lb (pound)

5kg x 5mg = 25mg/10 = 2.5mL

ANSWER 2.5

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