Practice Final Exam

1. Convert the following. If the answer contains a decimal, round to the nearest hundredth.

1. 56 kg = _____ lbs 6. 3 oz = ______ mL

2. 500 mg = ______ g 7. 8 TBSP = ______ mL

3. 2 c = ______ mL 8. 13 tsp = _______ mL

4. 45 mL = ______ L 9. 67.8 lbs = ______ kg

5. 4500 mcg = _____ mg 10. 0.125 g = _______ mcg

11. The physician orders 4 g of Lidocaine. The nurse has a 12% solution available. How many mL will the RN
administer?

12. The nurse administers 200 mL of a 8 % solution. How many grams did the nurse administer?

13. Identify the strongest solution:

a. 1:110 b. 10:201 c. 1:300

14. Express the solution strengths as a ratio:

6 parts drug per 200 parts solution

15. What is the generic name for the drug to the right?

16. What is the trade name?

17. What is the dosage strength?

18. What company manufactures the medication?

19. How many tablets are in the container?

20. The physician orders 40 mg of Protonix. How many tablets will the RN administer?

21. What is the dosage strength for metoprolol?

18. What company manufactures the medication?

19. How many tablets are in the container?

20. The physician orders 150 mg of metoprolol TID . How many tablets will the RN administer?

21. If the physician orders 150 mg of metoprolol TID, what is the total daily dose?

22. The physician writes an order for Vancomycin 750mg/250 mL. The vial reads Vancomycin 1000 mg/100 mL. How
many mL of drug are needed? How much diluent needs to be added to get the correct concentration?
23. Lovenox 1 mg/kg. The patient weighs 175 pounds. Lovenox comes 100 mg/2 mL. How many mL will you
administer?

24. The recommended bolus dose of Heparin is 75 units/kg. The patient weighs 256 pounds. Heparin comes in 5000
units/ml vials. How many mL will the nurse administer?

25. Amoxicillin 40 mg/kg/day divided in two equal doses. The patient weighs 176 pounds. Amoxicillin is available in
1.6g tablets. How many tablets should be given with each dose?

26. The recommended bolus dose of Pitocin is 25 units/kg. The patient weighs 212 pounds. Pitocin comes in 220
units/ml vials. How many mL will the nurse administer?

27. Order: 1 grams Calcium chloride/280 mL. Vial reads 2g/6 mL. How many mL of diluent should be added to get the
desired concentration?

28. Order: 70 meq potassium chloride in 180 mL. Vial reads 100 meq/20 mL. How much diluents should be added to
get the desired concentration?

29. Vial reads: “For IV administration, add 280 mL of normal saline.” Vial contains 4 grams of powder. Order: 1 gram IV.
How many mL will the nurse administer?

30. Your patient has consumed the following: 8 oz of chicken broth, 4 oz of jello, ½ c. of coffee with 1 tbsp of cream, 6
oz o f tea with 2 tsp of cream. What is his intake?

31. You receive an order for digoxin 0.125 mg IVP daily for your patient with a rapid heart beat. The vial states 0.25
mg/mL. How many mL will you administer to your patient?

32. Your patient is very agitated and needs a dose of ativan IVP. Ativan comes in a vial 5 mg/2 mL. You dilute it with 8
mL. The MAR reads: Ativan 2 mg IVP q 6 PRN for agitation. How much volume will you administer?
The dosage range for Cefazolin is 50-60 mg/kg/day divided in 3 equal doses. The patient weighs 80 pounds.

33. What is the lower daily dosage range?

34. What is the upper daily dosage range?

35. If a physician orders 650 mg TID is that an acceptable dose?

36. If the physician orders 625 mg BID is that an acceptable dose?

The dosage range for a medication is 0.1-0.15 mg/kg/day in two divided doses. The patient weighs 15 pounds.

37. What is the lower daily dose?

38. What is the upper daily dose?

39. If a physician orders 500 mcg BID is that an acceptable dose?

The dosage range for a medication is 1.5-2.5 mg/m2/day. The patient weighs 17.8 pounds and is 24 inches tall.

40. What is the lower daily dose?

41. What is the higher daily dose?

42. The medication comes in a liquid format with a concentration of 250 mcg/mL. If a physician orders 1 mL TID is that
an acceptable dose?

43. What is the BSA of a patient who is 6’3” and weighs 125 kg?

List the components and % strengths of the following IV solutions:

44. D5.45 with 20 KCl

45. D5 1/2NS
Calculate the gtt/min of the following: Round to the nearest whole number

46. 0.9 NS at 100 mL/hr using 10gtt/mL tubing

47. 0.9 NS at 225 mL/hr using 20gtt/mL tubing

48. Infuse 1 liter over 12 hours using 10 gtt/mL tubing

49. Infuse 300 mL over 30 minutes using 15 gtt/mL tubing

Write the answers in military time.

50. If a one liter bag is hung at 1030 and is to infuse over 8 hours, at what time will it be complete?

51. An infusion starts at 2230 and is to run for 4 hours, what time will it be complete?

52. If one liter is to run at a rate of 120 ml/hr, what is the infusion time?

53. An IV medication of 250 mL is to run at a rate of 80 mL per hour. The infusion started at 2130, what time will it be
complete?

54. Physician Order: Given a 500mL bolus of 0.9 NS over one hour then run the remainder of the liter in over 6
hours. If the bolus is started at 1130, what time will the infusion be complete?

55. An IV of one liter was scheduled to run in 10 hours. After 5 hours, only 300 mL has infused. The tubing is
10 gtt/min. Recalculate the gtt rate for the remaining solution.

Choose the highest number.

56 0.1 0.21 0.0902

57. 0.153 0.122 0.005

58. 0.03 0.217 0.154

59. The nurse is giving 1.8 mL of Erythromycin. The vial reads 250 mg/5mL. What is the total dose given?

Write the appropriate abbreviation:

60. milligram ___________

61. Kilogram _________________

62. Microgram _____________

63. millimeter ________________

64. milliequivalent____________________

Write the following numerals in decimal form.

65. eight hundredths of a mg _________________________

66. four hundredth of a mg ___________________________

67. four and eighty-two hundredths of a milligram _____________________

68. MD Order: Penicillin 400 mg over 30 minutes IVPB.

2 mg/mL Penicillin
________ mL/Hr
400 mg/200 mL

4 mL 120 mg
69. MD Order: Solu-Cortef 60 mg IVP q 8 hours
Solu-Cortef
______ mL Hydrocortisone sodium
For injection

70. MD Order: 80 meq of Potassium IVPB Potassium Chloride

Standard Rate: 10 meq/hr 80 meq/160 mL
Concentration 0.5 meq/mL
_______ mL/hr

71. You need to give 3 mg of Lopressor IVP. The vial reads 5 mg/2ml. How many mL will you administer?

72. Your patient’s IV antibiotic is due. The label reads Vancomycin 1 gm/280 ml. The rate at which you need to run the
Vancomycin is 200 mg/hr. At what rate will you program the IV pump?

73. Your patient’s potassium is low at 2.5 meq. The physician orders an IV infusion of potassium to go in 10 meq/hr.
The potassium bag is 80 meq/500 ml. At what rate will you program the IV pump?

74. The physician orders Dopamine at 5 mcg/kg/min. The patient weighs 124 pounds and the bag reads 400 mg/250
mL. What rate in mL/hr will you run the pump?

75. MD Order: Primaxin 500 mg IVPB over 40 minutes. Label reads: Primaxin 500 mg in 60 mL of D5W

_______ mL/hr

76. Physician Order: 0.9 NS at 8 hour rate. You hang a new bag at 1800. At what time will you need to hang a new bag?
77. Physician Order: 0.9 NS 500 mL bolus over one hour, then 125 ml/hr. You start the bolus at 1400. At what time
will you need to hang a new bag?