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Gray Morris's Calculate with Confidence, 2nd Edition Canadian Edition
By Tania N Killian BScN BEd MEd CN
Email: richard@qwconsultancy.com
Chapter 01: Fractions Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition COMPLETION 1. Reduce the following fraction to its lowest terms.
54/81 = _____ ANS: 2/3 2. Reduce the following fraction to its lowest terms.
105/135 = _____ ANS: 7/9 3. Reduce the following fraction to its lowest terms.
39/65 = _____ ANS: 3/5 4. Change the following improper fraction to a whole or mixed number. If the answer is a
mixed number, put a space between the whole number and the fraction. 325/16 = _______ ANS: 5. Change the following improper fraction to a whole or mixed number. If the answer is a
mixed number, put a space between the whole number and the fraction. 1,500/100 = _____ ANS: 15 6. Change the following improper fraction to a whole or mixed number. If the answer is a
mixed number, put a space between the whole number and the fraction. 193/62 = _______ ANS: 7. Change the following mixed number to an improper fraction.
= _______ ANS: 97/8 8. Change the following mixed number to an improper fraction.
= _____
ANS: 89/3 9. Perform the indicated operation and reduce the result to its lowest terms.
1/12 + 6/12 + 5/12 = ____ ANS: 1 10. Perform the indicated operation and reduce the result to its lowest terms.
3/8 – 1/3 = _____ ANS: 1/24 11. Perform the indicated operation and reduce the result to its lowest terms.
4/5 5/16 = _____ ANS: 1/4
12. Perform the indicated operation and reduce the result to its lowest terms.
1/12 1/15 = ______ ANS: 1/180
13. Perform the indicated operation and reduce the result to its lowest terms.
3/5 ÷ 5 = ______ ANS: 3/25 14. Perform the indicated operation and reduce the result to its lowest terms.
1/100 ÷ 1/200 = _____ ANS: 2 15. Indicate which fraction is the largest.
1/100, 1/150, 1/200: ________ ANS: 1/100 16. Arrange the following fractions from smallest to largest. After each fraction place a
comma followed by a space. 1/6, 1/5, 1/8, 1/4, 1/3: ____________________________ ANS: 1/8, 1/6, 1/5, 1/4, 1/3 17. Perform the indicated operation with fractions. Reduce each to its lowest terms.
1/5 + 1/2 + 1/4 = ______ ANS: 19/20 18. Perform the indicated operation with fractions. Reduce each to its lowest terms. If the
answer is a mixed number, put a space between the whole number and the fraction.
–
= ________
ANS: 19. Perform the indicated operation with fractions. Reduce each to its lowest terms. If the
answer is a mixed number, put a space between the whole number and the fraction. 15/3 = ________ ANS: 20. Perform the indicated operation with fractions. Reduce each to its lowest terms. If the
answer is a mixed number, put a space between the whole number and the fraction. 56 ÷ 9/20 = _________ ANS: 21. Indicate the largest number in the following set.
5/6, 5/8: ______ ANS: 5/6 22. Indicate the largest number in the following set.
1/30, 1/4, 1/150: _____ ANS: 1/4 23. Reduce the following fraction to its lowest terms.
34/102 = _____ ANS: 1/3 24. Reduce the following fraction to its lowest terms.
60/1200 = _____ ANS: 1/20 25. Express the following improper fraction as a mixed number. Reduce it to its lowest terms.
With a mixed number, put a space between the whole number and the fraction. 24/18 = ______ ANS: 26. Express the following improper fraction as a mixed number. Reduce it to its lowest terms.
With a mixed number, put a space between the whole number and the fraction. 15/13 = ______
ANS: 27. Change the following mixed number to an improper fraction.
= _____ ANS: 82/9 28. Change the following mixed number to an improper fraction.
= _____ ANS: 67/10 29. Perform the indicated operation with fractions. Reduce each to its lowest terms. If the
answer is a mixed number, put a space between the whole number and the fraction. +
= ______
ANS: 30. Perform the indicated operation with fractions. Reduce each to its lowest terms. If the
answer is a mixed number, put a space between the whole number and the fraction. +
= _____
ANS: 31. Perform the indicated operation with fractions. Reduce each to its lowest terms. If the
answer is a mixed number, put a space between the whole number and the fraction. = _______ ANS: 32. Perform the indicated operation with fractions. Reduce each to its lowest terms. If the
answer is a mixed number, put a space between the whole number and the fraction. = _____ ANS: 33. Perform the indicated operation with fractions. Reduce the result to its lowest terms.
15/21 – 10/21 = _____
ANS: 5/21 34. Perform the indicated operation with fractions. Reduce the result to its lowest terms.
8/16 – 1/4 = _____ ANS: 1/4 35. Perform the indicated operation with fractions. Reduce the result to its lowest terms. If the
answer is a mixed number, put a space between the whole number and the fraction. 14 – 5/9 = _____ ANS: 36. Perform the indicated operation with fractions. Reduce the result to its lowest terms. If the
answer is a mixed number, put a space between the whole number and the fraction. = _____ ANS: 37. Perform the indicated operation with fractions. Reduce the result to its lowest terms. If the
answer is a mixed number, put a space between the whole number and the fraction. = ______ ANS:
38. A patient received
pills at breakfast and
pills at lunch. How many pills has the
patient received? If the answer is a mixed number, put a space between the whole number and the fraction. _____ pills ANS:
39. A patient who weighed
kilograms (kg) lost
kg due to illness. How many
kilograms does the patient now weigh? If the answer is a mixed number, put a space between the whole number and the fraction. ____ kg ANS: 40. A patient drank 1/2 of a 1-litre can of seltzer water. How many millilitres (mL) of seltzer
water did the patient drink? ______ mL ANS: 500
41. A patient is supposed to drink a 300-millilitre (mL) bottle of magnesium citrate before an
X-ray study. The patient was able to drink 120 mL. How much of the magnesium citrate remains? Express the answer as a fraction reduced to its lowest terms. ______ mL ANS: 2/5 42. The nurse is instructed to give a patient 2/3 of a 240-millilitre (mL) cup of solution. How
many mL should the nurse administer? _____ mL ANS: 160
Chapter 02: Decimals Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition COMPLETION 1. Change the following to a decimal. Express the answer to the nearest thousandth, do not
round; if the answer is less than 1, place a 0 to the left of the decimal. 1/64 = _______ ANS: 0.015 2. Change the following to a decimal. Express the answer to the nearest thousandth, do not
round; if the answer is less than 1, place a 0 to the left of the decimal. 5/18 = ______ ANS: 0.277 3. Change the following decimal to a fraction. Reduce to the lowest terms. If the answer is a
mixed number, place a space between the whole number and the fraction. 7.025 = ______ ANS: 4. Change the following decimal to a fraction. Reduce to the lowest terms. If the answer has
a number greater than 999, a space is to be put after the thousands place, for example 6 000 or 30 000. 0.0001 = ________ ANS: 1/10 000 5. Identify the decimal with the largest value in the following set.
0.6, 0.128 = _____ ANS: 0.6 6. Identify the decimal with the largest value in the following set.
0.7, 0.67, 0.86: _____ ANS: 0.86 7. Round off the following decimal to the nearest tenth.
3.539 = _____ ANS: 3.5 8. Round off the following decimal to the nearest thousandth; if the answer is less than 1,
place a 0 to the left of the decimal. 0.6253 = ______
ANS: 0.625 9. Perform the indicated operation with decimals. Express the answer to the nearest
thousandth. 64.1 – 0.009 = _______ ANS: 64.091 10. Perform the indicated operation with decimals. Express the answer to the nearest
thousandth; if the answer is less than 1, place a 0 to the left of the decimal. 0.123 + 0.4 = ______ ANS: 0.523 11. Perform the indicated operation with decimals. Express the answer to the nearest
thousandth; if the answer is less than 1, place a 0 to the left of the decimal. 0.46 0.17 = ________ ANS: 0.078 12. Divide the following decimal. Express the answer to the nearest hundredth; if the answer is
less than 1, place a 0 to the left of the decimal. 0.1 ÷ 0.375 = _____ ANS: 0.27 13. Change the following to a decimal. Express the answer to the nearest ten-thousandth; if the
answer is less than 1, place a 0 to the left of the decimal. 1.25% = ________ ANS: 0.0125 14. Indicate the largest number in the following set. If the answer is less than 1, place a 0 to
the left of the decimal. 0.75, 0.749: _____ ANS: 0.75 15. Indicate the largest number in the following set.
0.001, 1.25, 1.09: _____ ANS: 1.25 16. Perform the indicated operation with decimals. Express the answer to the nearest
hundredth. 0.98 + 0.76 = _____ ANS: 1.74
17. Perform the indicated operation with decimals. Express the answer to the nearest
thousandth. 9.123 – 6.055 = _______ ANS: 3.068 18. Perform the indicated operation with decimals. If the answer has a number greater than
999, a space is to be put after the thousands place, for example 6 000 or 30 000. 60 ÷ 0.012 = _______ ANS: 5 000 19. Perform the indicated operation with decimals. Express the answer to the nearest
thousandth. 66.66 3.33 = __________ ANS: 221.978 20. Change the following decimal to a fraction. Reduce the result to its lowest terms.
0.010 = _____ ANS: 1/100 21. Change the following decimal to a fraction. Reduce the result to its lowest terms.
0.006 = _______ ANS: 3/500 22. Round off the following decimal to the nearest tenth. If the answer less than 1, place a 0 to
the left of the decimal. 0.52 = _____ ANS: 0.5 23. Round off the following decimal to the nearest hundredth.
2.457 = ______ ANS: 2.46 24. Round off the following decimal to the nearest tenth.
28.66 = _____ ANS: 28.7 25. Round off the following decimal to the nearest tenth.
1.45 = _____ ANS: 1.5
26. Round off the following decimal to the nearest thousandth. If the answer is less than 1,
place a 0 to the left of the decimal. 0.3333 = _______ ANS: 0.333 27. A patient weighed 75.4 kilograms (kg) in February. In March the patient gained 1.6 kg. In
April the patient gained 2.2 kg. How much did the patient weigh in April? Express the answer to the nearest tenth. ______ kg ANS: 79.2 28. A patient weighed 55.4 kilograms (kg) before getting ill. After a lengthy recovery, the
patient weighed 49.7 kg. How many kilograms did the patient lose? Express the answer to the nearest tenth. _____ kg ANS: 5.7 29. A medication vial holds 7 millilitres (mL) of medication. If 1.4 mL are withdrawn from
the vial, how many mL are left in the vial? ____ mL ANS: 5.6 30. A patient is brought into the emergency department with a body temperature of 35.6C. If
the normal body temperature is 37C, how many degrees Celsius below normal is the patient’s temperature? Express answer to the nearest tenth. _____C ANS: 1.4 31. A patient received 25.2 milligrams (mg) of medication in tablet form. Each tablet
contained 4.2 mg of medication. How many tablets (tabs) were given to the patient? ____ tablet(s) ANS: 6 32. A patient received 0.375 mg of a medication for 2 days, 0.125 mg for 3 days, and 0.0625
mg for 4 days. What is the total mg of medication taken? Express the answer to the nearest thousandth. ________ mg ANS: 1.375 33. The health care provider ordered 1.5 tablets of a medication to be given to a patient four
times a day for 21 days. How many tablets were prescribed? ______ tablet(s) ANS: 126 34. One dose of vaccine is 1.25 mL. How many mL of vaccine is needed to vaccinate 55
patients in a clinic? Express the answer to the nearest tenth. ______ mL ANS: 68.8
35. The health care provider has ordered a 2 200-calorie (cal) diet for a patient. If the calories
are spread evenly among three meals, how many calories will the patient be allowed to have at each meal? Express the answer as a whole number; do NOT include a decimal. ______ cal ANS: 733
Chapter 03: Ratio and Proportion Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition COMPLETION 1. Solve for x in the following.
11:121 = 3:x x = _____ ANS: 33 2. Solve for x in the following. Round to the nearest hundredth.
4/2.6 = 5/x x = _____ ANS: 3.25 3. Solve for x in the following.
0.5/0.125 = x/4 x = _____ ANS: 16 4. Solve for x in the following. Round to the nearest tenth.
500:3 = 350:x x = _____ ANS: 2.1 5. Express the following dosage as a ratio. Use only numbers; no spaces, for example 5:5.
A capsule that contains 450 mg of medication: ________ ANS: 1:450 6. Express the following dosage as a ratio of mg:mL. Use only numbers; no spaces, for
example 3:5; if a number is less than 1, place a 0 to the left of the decimal. An injectable solution contains 500 mg in each 0.7 mL: _________ ANS: 500:0.7 7. Solve for x.
2.2:1 = x:145 x = _____ ANS: 319 8. Solve for x. Express the answer in the nearest thousandth; if the answer is less than 1,
place a 0 to the left of the decimal. 2.8:9 = x:2
ANS: 0.062 9. Solve for x. Express the answer to the nearest tenth.
1:3.6 = x:170 x = _____ ANS: 47.2 10. Solve for x.
0.5:5 = 7:x x = _____ ANS: 70 11. Solve for x.
1/0.05 = x/0.1 x = _____ ANS: 2 12. Solve for x.
42:7 = 48:x x = ______ ANS: 8 13. Solve for x.
16/40 = x/55 x = _____ ANS: 22 14. Solve for x.
2:9 = x:27 x = _____ ANS: 6 15. If one glass of milk contains 300 milligrams (mg) of calcium, how many mg of calcium
are in 3 1/2 glasses of milk? If the answer is greater than 999, place a space after the thousands, for example 26 081. _________ mg ANS: 1 050 16. A nurse counts a patient’s pulse, which is regular for 15 seconds (sec) and gets 19 beats. If
the nurse counts the pulse for 60 sec, how many beats should there be? _____ beats ANS: 76
17. If three tablets (tabs) contain 60 mg, how many tabs would need to be given for 80 mg?
______ tabs ANS: 4 18. If there are 2.5 centimetres (cm) to an inch, and if a patient is 70 inches (in) tall, how tall is
the patient in cm? ____ cm ANS: 175 19. If 1 ounce (oz) is equal to 30 millilitres (mL), how many mL are there in 4 3/4 oz? Express
answer in tenth. ______ mL ANS: 142.5 20. If 5 millilitres (mL) of a solution contains 4 mL of water, how many mL of water are in 20
mL of solution? _______ mL ANS: 16 21. If 100 grams (g) of ice cream contain 20 g of fat, how many g of fat are there in 300 g of
ice cream? ______ g ANS: 60 22. A low-fat cheese has 40 calories (cal) per 30 mL. A patient eats 80 mL of the low-fat
cheese. How many cal has the patient eaten? Express the answer as a whole number. _____ cal ANS: 107 23. Two tabs contain a total of 50 mg of a medication. How many mg of medication are
present in 15 tabs? _______ mg ANS: 375 24. A patient must take four tabs per day for 14 days. How many tablets should the pharmacy
supply to fill this order? ______ tab(s) ANS: 56 25. The nurse is instructed to administer 500 mL of a solution every 8 hours (hr). How many
hr will be needed to administer 1 500 mL of solution? _____ hr ANS: 24
Chapter 04: Percentages Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition COMPLETION 1. Change the following percentage to a fraction. Reduce the result to its lowest terms.
37.5% = _____ ANS: 3/8 2. Find the following percentage. Round the answer to tenths.
26% of 133 _____ ANS: 34.6 3. Find the following percentage.
16% of 79 = _____ ANS: 12.64 4. Find the following percentage. Express the answer in hundredths.
8% of 32 = _____ ANS: 2.56 5. Change the following percentage to a ratio. Express the answer in hundredths; there are no
spaces between the numbers in a ratio, for example 8:63. 8% = ______ ANS: 2:25 6. Change the following percentage to a ratio. There are no spaces between the numbers in a
ratio, for example, 8:63. 45% = ______ ANS: 9:20 7. Change the following percentage to a ratio. There are no spaces between the numbers in a
ratio, for example, 8:63. 30% = _____ ANS: 3:10 8. Change the following percentage to a ratio. There are no spaces between the numbers in a
ratio, for example, 8:63. 0.4% = _______ ANS: 1:250
9. Convert 84.75% to decimal form. Express the answer in thousandths; if the answer is less
than 1, place a 0 to the left of the decimal. _________ ANS: 0.848 10. Convert 42.5% to decimal form. Express the answer in thousandths; if the answer is less
than 1, place a 0 to the left of the decimal. _______ ANS: 0.425 11. Convert 2.96 to a percent.
_______ ANS: 296 12. Convert 0.925 to a percent. Express the answer in tenths.
_______ ANS: 92.5 13. A patient drank 90 millilitres (mL) of a glass of apple juice. This was 75% of the full
amount. How many mL was the full amount of apple juice? _______ mL ANS: 120 14. A patient is responsible for 30% drug prescription costs from their extended health care
insurance. The patient sees a specialist and the prescription drugs cost $240. How much money will the patient be responsible for? Express the answer as a whole number with no decimal. $_______ ANS: 72 15. A patient was able to drink 85% of a 1 litre (L) bottle of an X-ray prep. How many mL did
the patient drink? _______ mL ANS: 850 16. A patient has a 2 500-mL bag of irrigation solution hanging. 750 mL of the solution have
infused. What percent of the irrigation solution has infused? _______ mL ANS: 30 17. A patient consumed 30% of a bowl of broth. The bowl held 360 millilitres (mL). How
many mL of the broth did the patient consume?
_______ mL ANS: 108 18. A patient who weighed 62 kilograms (kg) lost 7 kg. What was the percent of decrease in
the patient’s weight? Express the answer as a whole number. _______% ANS: 11 19. Following exercise, a patient’s pulse rate increased from 80 to 95. What is the percent of
increase in the patient’s pulse rate? Express the answer to the nearest tenth. _______% ANS: 18.8 20. A patient has received 45% of a 500-mL bag of intravenous (IV) solution. How many mL
of IV solution has the patient received? _______ mL ANS: 225 21. Change the following percentage to a decimal equivalent. Express the answer in
hundredths; if the answer is less than 1, place a 0 to the left of the decimal. 8% = ______ ANS: 0.08 22. Change the following percentage to its decimal equivalent. Express the answer in
hundredths; if the answer is less than 1, place a 0 to the left of the decimal. 45% = ______ ANS: 0.45
Chapter 05: Standardizing Measurement Systems Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition MULTIPLE CHOICE 1. 0.6 mg is equivalent to a. 600 mcg. b. 6 mcg. c. 60 mcg. d. 0.0006 mcg. ANS: A 2. The metric prefix for 0.001 is a. micro. b. centi. c. kilo. d. milli. ANS: D 3. 60 mg is equivalent to a. 6 g. b. 0.6 g. c. 0.06 g. d. 0.0006 g. ANS: C 4. For the following, select the correct metric notation. Three and one-half kilograms a. 3.5 KG b. 3.05 kg c. 3 1/2 kg d. 3.5 kg ANS: D 5. For the following, select the correct metric notation. Eight-tenths of a millilitre a. 8/10 ml b. .8 mL c. 0.8 mL d. ml 0.8 ANS: C 6. For the following select the correct metric notation. Six-tenths of a litre a. 0.6 L b. 6/10 L c. 0.60 L d. 0.60 l ANS: A
7. For the following, select the correct metric notation. One hundred forty-five micrograms a. 145 mg b. 0.145 mcg c. 145.0 mg d. 145 mcg ANS: D 8. 1 oz is equivalent to a. 4 mL. b. 5 mL. c. 15 mL. d. 30 mL. ANS: D 9. The correct abbreviation for teaspoon is a. Tsp. b. tsp. c. tbs. d. Tbs. ANS: B MULTIPLE RESPONSE 1. The metric system (Select all that apply.) a. is also called the fractional system. b. is used most often in medication administration. c. has units of measure such as grain and drop. d. is based on the decimal system. e. has mostly replaced the apothecary and household systems. f. expresses quantities using Arabic numbers and decimals. ANS: B, D, E 2. The litre is (Select all that apply.) a. a unit of volume in the metric system. b. smaller than a millilitre. c. equivalent to 1 000 millilitres. d. abbreviated using a small case l. e. abbreviated with a capital L. f. the basic unit for weight. ANS: A, C, E 3. The household system (Select all that apply.) a. is more accurate than the metric system. b. expresses quantities using Arabic numbers and decimals. c. is primarily used for dosages at home. d. expresses quantities in fractions and Arabic numbers.
e. is preferred for medication administration. f. has measures such as tbs and tsp. ANS: C, D, F COMPLETION 1. Complete the following sentence with the correct word(s). The units of the metric system
are as follows: _______ (length), ______ (volume), and ______ (weight). ANS: metre; litre; gram 2. Name the metric units commonly used in medication administration, from smallest to
largest. (Use the correct abbreviations.) Volume: a. ______ b. ______. ANS: mL; L 3. Name the metric units commonly used in medication administration, from smallest to
largest. (Use the correct abbreviations.) Weight: a. ______ b. ______ c. ______ d. ______. ANS: mcg; mg; g; kg 4. Write the equivalent indicated. Express an answer greater than 999 with a space after the
thousands number. 1 L = _______ mL ANS: 1 000 5. Write the equivalent indicated. Express an answer greater than 999 with a space after the
thousands number. 1 kg = _______ g ANS: 1 000 6. Write the equivalent indicated.
3 120 mcg = _____ mg ANS: 3.12 7. Write the equivalent indicated.
1 mg = _______ g ANS: 0.001 8. Write the equivalent indicated. Express an answer greater than 999 with a space after the
thousands number. 5.2 kg = ________ g ANS: 5 200 9. Write the equivalent indicated. Express the answer to hundredths.
3,550 mL = _______ L ANS: 3.55 10. Write the equivalent indicated. Express an answer greater than 999 with a space after the
thousands number. 15 mg = _________ mcg ANS: 15 000 11. Write the equivalent indicated. Express an answer less than 1 with a 0 to the left of the
decimal; express the answer to ten-thousandths. 25.6 mg = __________ g ANS: 0.0256 12. Write the equivalent indicated.
0.075 mg = _____ mcg ANS: 75 13. Write the equivalent indicated. Express an answer below 1 with a 0 to the left of the
decimal. 7.45 mL = ____________ L ANS: 0.00745 14. Write the equivalent indicated. Express an answer greater than 999 with a space after the
thousands number. 1.57 kg = _________ g ANS: 1 570 15. Write the equivalent indicated. Express an answer below 1 with a 0 to the left of the
decimal. 26 mcg = _________ mg ANS: 0.026 16. Write the equivalent indicated. Express an answer greater than 999 with a space after the
thousands number. 8.3 L = _________ mL ANS: 8 300 17. Write the equivalent indicated. Express an answer less than 1 with a 0 to the left of the
decimal. 54.6 g = __________ kg ANS: 0.0546
18. Write the equivalent indicated. Express an answer less than 1 with a 0 to the left of the
decimal. 450 mL = _______ L ANS: 0.45 19. Write the equivalent indicated.
0.081 g = _____ mg ANS: 81 20. Write the equivalent indicated. Express an answer less than 1 with a 0 to the left of the
decimal. 44 mL = __________ L ANS: 0.044 21. Write the equivalent indicated.
0.008 L = _______ mL ANS: 8 22. Write the equivalent indicated. Express an answer less than 1 with a 0 to the left of the
decimal. 25.5 mcg = _________ mg ANS: 0.0255 23. Write the equivalent indicated. Express an answer greater than 999 with a space after the
thousands number. 3.5 g = __________ mg ANS: 3 500 24. Write the equivalent indicated. Express an answer greater than 999 with a space after the
thousands number. 9.5 mg = _________ mcg ANS: 9 500 25. Write the equivalent indicated. Express answer less than 1 with a 0 to the left of the
decimal. 20 mg = ________ g ANS: 0.02 26. Write the equivalent indicated.
6,724 g = _________ kg ANS: 6.724
27. Write the equivalent indicated.
0.007 kg = _______ g ANS: 7 28. Write the equivalent indicated. Express an answer greater than 999 with a space after the
thousands number. 21 L = ____________ mL ANS: 21 000 29. Write the equivalent indicated.
350 000 mcg = ________ mg ANS: 350 30. Write the equivalent indicated. Express an answer less than 1 with a 0 to the left of the
decimal. 48.5 mcg = _________ mg ANS: 0.0485 31. Write the equivalent indicated. Express an answer less than 1 with a 0 to the left of the
decimal. 873 mL = _________ L ANS: 0.873 32. Apply the guidelines relating to the use of leading and trailing zeros and express the
following metric notation correctly. Express the answer as a number with NO units of measure. 02.05 kg ________ kg ANS: 2.05 33. Apply the guidelines relating to the use of leading and trailing zeros and express the
following metric notation correctly. Express the answer as a number with NO units of measure. 65 mL _______ mL ANS: 0.65 34. Apply the guidelines relating to the use of leading and trailing zeros and express the
following metric notation correctly. Express the answer as a number with NO units of measure. 8.0 L _______ L ANS: 8 35. Write the abbreviation for the term drop: _____
ANS: gtt 36. Write the abbreviation for the term teaspoon: _____ ANS: tsp 37. Write the abbreviation for the term ounce: _____ ANS: oz 38. Write the equivalent indicated.
30 mL = _____ oz ANS: 1 39. Write the equivalent indicated.
13 tsp = _______ mL ANS: 65 40. Write the equivalent indicated.
15 mL = _____ oz ANS: 1/2 41. Write the equivalent indicated.
C = ______ mL ANS: 687.5 42. Write the equivalent indicated.
10 tbsp = _____ mL ANS: 150 43. Write the equivalent indicated.
50 mL = _____ tsp ANS: 10 44. Write the equivalent indicated.
5 tsp = _____ mL ANS: 25 45. Write the equivalent indicated.
240 mL = _____ oz ANS: 8
46. Write the equivalent indicated. Express an answer greater than 999 with a space after the
thousands number. 6 L = _________ mL ANS: 6 000 47. Write the equivalent indicated. Express an answer greater than 999 with a space after the
thousands number. C = _______ mL ANS: 1 260 48. Write the equivalent indicated.
16 T = _____ mL ANS: 240 49. Write the equivalent indicated.
750 mL = _____ oz ANS: 25 50. Write the equivalent indicated.
C = ______ mL ANS: 540 51. Write the equivalent indicated. Express the answer as a mixed number with a space
between the whole number and the fraction, for example,
.
195 mL = ________ oz ANS: 52. Write the equivalent indicated.
tbsp = _______ mL ANS: 155 53. Write the equivalent indicated. Express the answer as a mixed number with a space
between the whole number and the fraction, for example, 277.5 mL = _________ oz ANS:
.
54. Write the equivalent indicated. Express the answer as a mixed number with a space
between the whole number and the fraction, for example,
.
43.75 mL = ________ tsp ANS: 55. Write the equivalent indicated. Express the answer to the tenths.
tsp = _________ mL ANS: 82.5 56. Write the equivalent indicated.
6 oz = ______ mL ANS: 180 57. Write the equivalent indicated. Express the answer to the tenths.
2.75 oz = ______ mL ANS: 82.5 58. Express the following value correctly. Express the answer as a number followed by a
space, then the abbreviation. 17 U ANS: 17 units 59. Express the following value correctly. Express the answer as a number followed by a
space, then the abbreviation. 18.0 Tbs ANS: 18 tbsp TRUE/FALSE 1. Trailing zeros should be placed on quantities to avoid the misinterpretation of a value. ANS: F 2. Gram is the basic unit of weight in the metric system. ANS: T 3. The drop is a standardized unit of measure. ANS: F
4. Use of the apothecary system has been identified as a source of error in medication
administration. ANS: T 5. A capital “U” is an acceptable abbreviation for units. ANS: F 6. The household system expresses values using roman numerals and Arabic numbers. ANS: F
Chapter 06: Converting Within and Between Systems Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition COMPLETION 1. A patient’s intake was the following:
3/4 cup of coffee (1 cup = 8 oz) 1 can of ginger ale (1 can = 12 oz) 1/2 glass of cranberry juice (1 glass = 6 oz) How many millilitre (mL) will you record as the patient’s intake? _____ mL ANS: 630 2. Write the equivalent indicated. Express a number less than 1 with a 0 to the left of the
decimal. 1 mg = ______ g ANS: 0.001 3. Write the equivalent indicated.
1 200 mL = ______ oz ANS: 40 4. Write the equivalent indicated. Express a number greater than 999 with a space after the
thousands number. 4.3 L = ______ mL ANS: 4 300 5. Write the equivalent indicated.
oz = _______ mL ANS: 345 6. Write the equivalent indicated. Express the answer to nearest tenth.
28.3 kg = _____ lb ANS: 62.3 7. Write the equivalent indicated. Express answer to nearest hundredth.
4 176 g = _____ kg ANS: 4.18 8. Write the equivalent indicated. Express answer to nearest tenth.
59 lb = _____ kg
ANS: 26.8 9. Write the equivalent indicated.
0.005 g = _____ mg ANS: 5 10. Write the equivalent indicated. Express a number less than 1 with a 0 to the left of the
decimal. 0.3 mg = _______ g ANS: 0.0003 11. Write the equivalent indicated.
2 oz = _____ tbsp ANS: 4 12. Write the equivalent indicated.
45 kg = ______ lb ANS: 99 13. Write the equivalent indicated.
56 in = ______ cm ANS: 140 14. Write the equivalent indicated. Express the answer to nearest hundredth.
2 575 mL = ______ L ANS: 2.58 15. Write the equivalent indicated.
125 mL = ______ tsp ANS: 25 16. Calculate the patient’s intake in mL.
Apple juice 2 oz Chicken broth 4 oz Gelatin dessert 3 oz Hot tea 5 oz Total intake = _____ mL ANS: 420 17. A patient’s intake was the following:
cup of coffee (1 cup = 8 oz)
4 oz cranberry juice bowls of chicken broth (1 bowl = 6 oz) glasses of water (1 glass = 6 oz) Calculate the patient’s intake in mL. Express a number greater than 999 with a space after the thousands number. Total intake = _______ mL ANS: 1 320 18. A patient’s intake was the following:
0.2 L of milk cup of coffee (1 cup = 6 oz) 3 oz water 2 oz of chicken broth Calculate the patient’s intake in mL. Total intake = ______ mL ANS: 530 19. A patient drinks 300 mL of magnesium citrate. How many ounces did the patient
consume? _____ oz ANS: 10 20. A patient has an order for Maalox 30 mL PO at bedtime. How many tbsp will the nurse
instruct the patient to take? _____ tbsp ANS: 2 21. A patient received 5.4 litres of IV fluid during a surgical procedure. How many mL of IV
fluid did the patient receive? Express a number greater than 999 with a space after the thousands number. _______ mL ANS: 5 400 22. A patient drinks
cups (1 cup = 8 oz) of a liquid. How many mL did the patient drink?
Express a number greater than 999 with a space after the thousands number. ______ mL ANS: 1 140 23. A patient had a physical a year ago and weighed 85 kg. The patient tells you he lost 11 lb.
What is the patient’s current weight in kg?
_______ kg ANS: 80 24. A patient reports drinking 48 oz of water on a visit to the clinic. How many mL did the
patient drink? Express a number greater than 999 with a space after the thousands number. _________ mL ANS: 1 440 25. A patient needs to drink
oz of an elixir per day. How many tsp would this be
equivalent to? ______ tsp ANS: 9 26. A patient voided urine as follows: 260 mL, 180 mL, 500 mL, and 425 mL. Calculate the
patient’s output in mL. Express a number greater than 999 with a space after the thousands number. ______ mL ANS: 1 365 27. A patient’s intake was the following:
0.2 L of milk cup of coffee (1 cup = 6 oz) 3 oz water 2 oz of chicken broth. Calculate the intake in litres (L). Express a number less than 1 with a 0 to the left of the decimal. Total intake = _______ L ANS: 0.53
Chapter 07: Additional Conversions Useful in the Health Care Setting Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition MULTIPLE CHOICE 1. In military (international time), 4:08 PM is a. 0408 hours. b. 1508 hours. c. 1608 hours. d. 1708 hours. ANS: C 2. In traditional time, 0518 is a. 5:18 AM. b. 5:18 PM. c. 1718 AM. d. 1718 PM. ANS: A COMPLETION 1. Write the equivalent indicated.
1 kg = _____ lb ANS: 2.2 2. Write the equivalent indicated.
1 cm = _____ mm ANS: 10 3. Write the equivalent indicated.
1 inch = _____ cm ANS: 2.5 4. Write the equivalent indicated.
16 oz = _____ lb ANS: 1 5. Write the equivalent indicated.
40.5 cm ______ mm ANS: 405 6. Convert the following temperature as indicated. Express the answer to the nearest tenth.
18C = _____F
ANS: 64.4 7. Convert the following temperature as indicated. Express the answer to the nearest tenth.
39C = _____F ANS: 102.2 8. Convert the following temperature as indicated. Express the answer to the nearest tenth.
102F = _____C ANS: 38.9 9. Convert the following temperature as indicated.
212F = _____C ANS: 100 10. Convert the following temperature as indicated.
41F = _____C ANS: 5 11. Convert the following temperature as indicated. Express the answer as a whole number.
12.8C = _____F ANS: 55 12. Convert the following temperature as indicated. Express the answer to nearest tenth.
82.8F = ______C ANS: 28.2 13. Convert the following weight as indicated. Round the weight to the nearest tenth.
8 lb, 12.2 oz = _____ kg ANS: 4 14. Convert the following weight as indicated. Round the weight to the nearest tenth.
9 lb, 9 oz = _____ kg ANS: 4.4 15. Convert the following weight as indicated. Round the weight to the nearest tenth.
134 lb = _____ kg ANS: 60.9 16. Convert the following weight as indicated. Round the weight to the nearest tenth.
6.4 lb = _____ kg
ANS: 2.9 17. Convert the following weight as indicated. Round the weight to the nearest tenth.
7.6 kg = _____ lb ANS: 16.7 18. Convert the following weight as indicated. Round the weight to the nearest tenth.
63 kg = _____ lb ANS: 138.6 19. Convert the following weight as indicated. Round the weight to the nearest tenth.
18 lb, 12 oz = _____ kg ANS: 8.5 20. Convert the following weight as indicated. Round the weight to the nearest tenth.
41 lb, 2 oz = _____ kg ANS: 18.7 21. Convert the following weight as indicated. Round the weight to the nearest tenth.
14 lb, 4 oz = _____ kg ANS: 6.5 22. Convert the following weight as indicated. Round the weight to the nearest tenth.
39 3/4 lb = _____ kg ANS: 18.1 23. Convert the following weight as indicated. Round the weight to the nearest tenth.
82 1/2 lb = _____ kg ANS: 37.5 24. Convert the following weight as indicated. Round the weight to the nearest tenth.
20.8 kg = _____ lb ANS: 45.8 25. Convert the following weight as indicated. Round the weight to the nearest tenth.
43.5 kg = _____ lb ANS: 95.7 26. Convert as indicated. Express the answer to the nearest tenth.
34 mm = _____ cm
ANS: 3.4 27. Convert as indicated. Express the answer to the nearest tenth.
16.2 in = _____ cm ANS: 40.5 28. Convert as indicated. Express the answer to the nearest tenth.
27 cm = _____ in ANS: 10.8 29. A patient’s rash measures 4 cm. How much does this measure in inches? Express the
answer to the nearest tenth. _____ in ANS: 1.6 30. A wound measures 4.2 cm in length. How many mm is this? _____ mm ANS: 42 31. An IV started at 3:10 AM is to be completed in 12 hr 30 min. Determine the completion
time (traditional time). _____ ANS: 3:40 32. An IV started at 0550 is to be completed in 5 hr 10 min. Determine the completion time
(international time). ______ ANS: 1100 33. A patient is to take a medication every 6 hours. The first dose is at 6:30 AM. What time
will the patient take the third dose? (International time) ______ ANS: 1830 34. Convert the following time to international time.
2:35 AM _________ ANS: 0235 35. Convert the following time to international time.
10:19 PM ________ ANS: 2219 36. Convert the following time to international time.
12:19 AM ________ ANS: 0019
37. Convert the following time to international time.
9:46 PM ________ ANS: 2146 38. Convert the following time to international time.
11:59 PM ________ ANS: 2359
Chapter 08: Medication Administration Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition MULTIPLE CHOICE 1. Traditionally the “five rights” of medication administration are a. medication, dosage, route, time, patient. b. medication, solution, doctor, shift, time. c. medication, order, signature, time, route. d. medication, patient, signature, time, documentation. ANS: A 2. After administering a medication, the nurse should a. pour the medications for the next administration time. b. document medication given prior to administering. c. order the next dosage needed from the pharmacy. d. document the time of administration. ANS: D 3. A nurse is administering a medication at the bedside. Which of the following actions
should be the first priority? a. Document the administration of the medication. b. Establish the identity of the patient. c. Recheck the medication label. d. Obtain orange juice for the patient to take with the medication. ANS: B 4. A patient has a gastrostomy tube (GT) in place. The health care provider ordered the
medication PO. What action would be appropriate for the nurse to take? a. Dilute the PO medication with water and administer by GT. b. Administer the medication PO as ordered. c. Clarify the order with the health care provider who wrote the order. d. Clarify the order with the charge nurse. ANS: C 5. A patient refuses a PO medication and provides the nurse with a reason for refusing the
medication. What should the nurse’s action be? a. Inform the patient they cannot refuse a medication. b. Report it to the nurse manager. c. Administer the medication by an injectable route. d. Document the refusal and inform the prescriber. ANS: D MULTIPLE RESPONSE 1. Medication errors (Select all that apply.)
a. b. c. d. e. f.
are preventable. are less prevalent in children and elderly. cause an increase in health care costs. can occur when the rights of medication administration are not adhered to. can result in tragic outcomes, including death. occur in the hospital setting only.
ANS: A, C, D, E 2. Which of the following are considered unique identifiers in addition to the full name of a
patient when establishing the identification of a patient? (Select all that apply.) a. Room number of the patient. b. Patient’s medical record number. c. Initials of the patient’s name. d. Patient’s date of birth. e. Name of the patient’s medication. ANS: B, D COMPLETION 1. For the following scenario, identify which of the traditional “five rights” of medication
administration has been violated. A nurse enters a room to administer medications to a patient. The order is for Prednisolone 2.5 mg PO BID. The nurse administers prednisone 25 mg PO. Express your answer with one word each, ______________. ANS: dose 2. For the following scenario, identify which of the “fifteen rights” of medication
administration has been violated. A nurse charts medications at 1000 hours on October 2 that she administered at 1000 hours on October 1. Express your answer with one word only _______________. ANS: documentation 3. For the following scenario, identify which of the “fifteen rights” of medication
administration has been violated. A nurse has an order for heparin 5 000 units SUBCUT for a patient in room 407 whose name is Henry Jones (initials HJ). The nurse enters room 408 and administers the medication to Horace Jackson (initials HJ). Express your answer with one word only_______________. ANS: patient 4. Medication ________________ prevents errors and assists in obtaining accurate
medication histories of a patient at transition points (admission, transfer, discharge). ANS: reconciliation 5. Complete the following sentence with the correct words or numbers
If it is not documented, it is ______.
ANS: not done 6. Complete the following sentence with the correct word or number.
The use of mixed case or enlarged, bolded lettering to differentiate medications with look-alike names is called ___________ lettering. ANS: Tall Man 7. Complete the following sentence with the correct word or number. Do not use hyphens,
commas, or periods in your answer. Administration of medications within 30 minutes of the scheduled time is referred to as the ____________ rule. ANS: 30 minutes TRUE/FALSE 1. Medication errors can result in prolonged hospitalization for a patient. ANS: T 2. Technological advances have eliminated the occurrence of medication errors. ANS: F 3. A nurse who administers a medication that is unsafe is liable for the error. ANS: T 4. The nurse can safely administer medications that are prepared by another nurse. ANS: F 5. A dropper is safe to use when administering medications when it is used for the specific
medication it is calibrated to. ANS: T
Chapter 09: Understanding and Interpreting Medication Orders Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition MULTIPLE CHOICE 1. The use of a computer to order medications: a. increases patient confidentiality. b. lessens the work of checking orders. c. helps to identify errors in writing orders. d. decreases the problems associated with illegible handwriting. ANS: D 2. “Administer Colace 100 mg by mouth three times a day.” Which of the following correctly
indicates the order? a. Colace 100 mg PO TID b. Colace 100 mg PO BID c. Colace mg 100.0 PO BID d. Colace MG 100 PO QID ANS: A 3. What would be the appropriate interpretation for the following order? Demerol 50 mg IM
stat? Administer: ___________________ a. Demerol 50 mg IM when needed b. Demerol 50 mg IM as desired c. Demerol 50 mg IM on call to OR d. Demerol 50 mg IM immediately ANS: D 4. A medicine ordered q6h would be given how many times a day? _____ a. 4 b. 6 c. 8 d. 12 ANS: A 5. A client has an order for micafungin 50 mg IM. You note that the medication can only be
administered IV. What action would be appropriate for the nurse to take? a. Give the medication IM as recommended b. Administer the medication IV as ordered. c. Clarify the order with the health care provider who wrote the order. d. Clarify the order with the charge nurse. ANS: C 6. What would be the appropriate interpretation for the following order? Demerol 50 mg IM
PRN x 1 dose? Administer: ________________________ a. Demerol 50 mg IM when needed
b. Demerol 50 mg IM as desired c. Demerol 50 mg IM on call to OR d. Demerol 50 mg IM immediately ANS: A 7. A medicine ordered q8h would be given how many times a day? _____ a. 3 b. 4 c. 8 d. 12 ANS: A MULTIPLE RESPONSE 1. The health care provider writes medication orders at 0800 on March 10, 2021, for a client
and signs the orders. Which order(s) should the nurse question? (Select all that apply.) a. Lasix 20 mg PO daily b. Digoxin 0.125 mg PO every day c. Ampicillin 250 mg q6h d. Multivitamin daily e. Colace 200 mg PO TID f. Tylenol 650 mg prn for pain ANS: C, D, F COMPLETION 1. Give the abbreviation for the following.
Every 12 hours: ________ ANS: q12h 2. Give the abbreviation for the following.
Twice a day: _____ ANS: BID 3. Give the abbreviation for the following.
Every hour: _____ ANS: qh 4. Give the abbreviation for the following.
Every 4 hours: _____ ANS: q4h 5. Give the abbreviation for the following.
Immediately: _____
ANS: STAT 6. Complete the following sentence with the correct words or numbers (spelled out). To
ensure accuracy and prevent misinterpretation, place a _____________ zero before the decimal point. ANS: leading 7. Complete the following sentence with the correct word or number. A medication order is
written without a frequency. The nurse should ___________ the order. ANS: clarify 8. Verbal orders should be accepted only in _____________ situations. ANS: emergency 9. IVPB is an abbreviation for _______. ANS: intravenous piggyback 10. For the following medication order, indicate what component of the order is missing.
Morphine 5 mg IM prn. ANS: Frequency 11. For the following medication order, indicate what component of the order is missing.
Solu-Medrol 50 mg PO. ANS: Frequency 12. For the following medication order, indicate what component of the order is missing.
Trental 400 mg QID. ANS: Route 13. For the following medication order, indicate what component of the order is missing.
Timoptic 0.5% 1 gtt both eyes ANS: Frequency 14. Which part of the following medication order uses an abbreviation that is on ISMP
Canada’s “Do Not Use” List? Ambien 5 mg PO QD prn ANS: QD 15. Which part of the following medication order uses an abbreviation that is on ISMP
Canada’s “Do Not Use” List? Robitussin 15 cc PO q6h prn ANS: cc
16. Which part of the following medication order uses an abbreviation that is on ISMP
Canada’s “Do Not Use” List? Lasix 40 mg PO QD ANS: QD 17. Which part of this order is incorrect? Heparin 5 000 units sq daily ANS: Subcut 18. Directions: If the order reads: Doxycycline 100 mg PO BID pc. How much medication
will the patient receive each day? ________________mg. ANS: 200 19. Directions: What route is the following medication given? Motrin 400 mg PO q6h prn for
back pain. By _____________. (Do not use abbreviations in your answers). ANS: mouth TRUE/FALSE 1. A prn order must indicate the minimum time between dosages such as q4h. ANS: T 2. The nurse is responsible for determining the times for a medication ordered TID at an
institution. ANS: F 3. Trailing zeros are necessary to avoid misinterpretation of a value. ANS: F 4. The abbreviation OD should not be used to indicate right eye in a medication order. ANS: T 5. To indicate a medication is to be administered every day, the recommended abbreviation is
QD. ANS: F
Chapter 10: Medication Administration Records and Drug Distribution Systems Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition MULTIPLE CHOICE 1. Refer to the portion of the MAR provided below to answer the question(s).
The patient’s medication allergy is (are) a. penicillin. b. codeine. c. Robitussin. d. none known. e. Tylenol. ANS: D MULTIPLE RESPONSE
1. Technology in relation to medication administration (Select all that apply.) a. eliminates all sources of error. b. substitutes for the knowledge of the practitioner. c. eliminates the need for patient identification checks by the nurse. d. provides safeguards that are not possible with manual medication administration
systems. e. has been shown to decrease the number of medication errors. ANS: D, E 2. Characteristics of unit dose dispensing systems include (Select all that apply.) a. medications being dispensed by the nurse. b. bulk availability of medications on the unit. c. medications being placed in a patient-identified drawer. d. medications labelled with generic and trade names. e. all medications can be dispensed as unit dose. ANS: C, D 3. Characteristics of computerized patient order entry (CPOE) include (Select all that apply.) a. reduction in transcription errors. b. inability to initial when a medication is administered. c. increase in patient injury. d. lower prescription errors. e. automatic identification of medication incompatibilities. ANS: A, D, E 4. Essential components of a medication administration record include the (Select all that
apply.) a. date the order was written. b. time of medication administration. c. hospital unit. d. initials of person transcribing the order. e. number of doses left on hand. ANS: A, B, D 5. Refer to the portion of the MAR provided below to answer the question(s).
The patient’s vital signs are: temperature 38.2C, pulse 104, respirations 22. Which medications will you administer to this patient at 0900 hours? (Select all that apply.) a. Colace b. Furosemide c. K-Dur d. Digoxin e. Tylenol ANS: A, B, C 6. Refer to the portion of the MAR provided below to answer the question(s).
The medications ordered to be administered “as needed” are (Select all that apply.) a. penicillin. b. codeine. c. Robitussin. d. Percocet. e. Tylenol. ANS: C, D, E COMPLETION 1. Refer to the portion of the MAR provided below to answer the question(s).
If the patient receives the Percocet at 1000 hours on 04/13/2020, what time can the next dose be given? (State the time in international time.) _________ hours ANS: 1400 2. How many hours are between the scheduled times for Robitussin?
_______ hours
ANS: 12 3. Refer to the portion of the MAR provided below to answer the question(s).
By what route will the K-Dur be administered? By _______________ ANS: mouth 4. What dose of digoxin is to be administered? Do not include units in answer
_____________
ANS: 0.125 5. K-Dur 10 mmol is ordered. What does mmol mean? _______________
ANS: Millimole 6. What are the scheduled times for administering K-Dur? (State in international time)
_______________ hours, _______________ hours.
ANS: 0900, 1700 7. How many times in a 24-hour period will K-Dur be administered? Provide your answer as
a whole number. __________
ANS: 2 8. You work from 1500 hours to 2300 hours on 04/02/2020. Which standing medication(s)
will you administer to the patient, in the order specified on the MAR? If more than one medication, answer in alphabetical order _______________, _______________.
ANS: Colace, K-Dur TRUE/FALSE 1. A medication administration record (MAR) cannot be handwritten. ANS: F
Chapter 11: Reading Medication Labels Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition MULTIPLE CHOICE 1. If a medication label reads “Ambien (zolpidem tartrate) 5 mg tablets, Searle,” the
medication’s generic name is a. Ambien. b. Searle. c. zolpidem tartrate. d. tablets. ANS: C 2. A medication label reads “Isoptin SR (verapamil hydrochloride) 240 mg caplets.” The
form is a. tablets. b. sustained-release caplets. c. 240 mg. d. verapamil hydrochloride. ANS: B COMPLETION 1. Use the label to identify the information requested.
The generic name is ________________ and the trade name is ______________. ANS: allopurinol; Apo-allopurinol 2. Use the label to identify the information requested.
The dosage strength is _________ mg per tablet and there are _______ tablets in a bottle. ANS: 100; 100 3. Use the label to identify the information requested. Do not use any capital letters.
The trade name is ________________ and the generic name is _________________. ANS: sulfasalazine; salazopyrin 4. Use the label to identify the information requested.
For a patient to take 2 g of salazopyrin PO daily, the nurse would administer: __________ tablet(s) ANS: 4 5. Use the label to identify the information requested. Do not use any capital letters in your
answer.
The trade name is: ____________________ and each tablet contains ___________ mg. ANS: apo-metoprolol; 100 6. Use the label to identify the information requested.
The total amount of tablets in the container is: _______ and the SR stands for _________________: ANS: 100; sustained release 7. Use the label to identify the information requested. Do not use any capital letters.
The generic name is _______________ ANS: ranitidine 8. Use the label to identify the information requested.
The strength is ________ mg/mL and the total amount is _________ mL. ANS: 25; 2 9. Use the label to identify the information requested. Do not use any capital letters.
The form is: _______________. ANS: liquid 10. Use the label to identify the information requested. Do not use any capital letters.
The medication form is: ________________ and DS is the abbreviation for: ___________________. ANS: tablet; double strength 11. Use the label to identify the information requested.
The lowest temperature at which the medication can be stored is ___C and the highest temperature at which the medication can be stored is _____C. ANS: 15; 30 12. Use the label to identify the information requested.
The trade name is: _________________. ANS: Kaletra 13. Use the label to identify the information requested. Do not include units of measure in
your answer.
The strength of lopinavir is: _______ mg/mL and ritonavir is: _______ mg/mL. ANS: 80; 20 14. Use the label to identify the information requested. Do not use any capital letters.
The form of this medication is: _______________ and special instructions include to: _______________. ANS: solution; refrigerate 15. Use the label to identify the information requested. Do not use any capital letters.
The generic name is: _______________________ and the medication form is: ______________. ANS: donepezil hydrochloride; tablet 16. Use the label to identify the information requested. Do not use any capital letters.
The total amount is: ___________ mg and the maximum daily dose is: _________ mg. ANS: 150; 10 17. Use the label to identify the information requested. Do not use any capital letters.
The generic name is: _________________ and each tablet contains: __________ mg. ANS: warfarin sodium; 5 18. Use the label to identify the information requested. Do not use any capital letters.
The medication form is: ____________ and the total number of tablets is: _______. ANS: tablet; 100 19. Use the label to identify the information requested. Do not use any capital letters.
The trade name is: _______________ and the generic name is: ____________. ANS: humira; adalimumab 20. Use the label to identify the information requested. Do not use any capital letters.
The drug identification number is: ___________ and the form is: ___________. ANS: 02258595; solution 21. Use the label to identify the information requested. Do not use any capital letters.
When administering 120 mg to a patient, the nurse will draw up ________ mL of solution. ANS: 2.4 22. Use the label to identify the information requested. Do not use any capital letters.
The trade name is: _____________ and the form is: __________________. ANS: clavulin; powder 23. Use the label to identify the information requested.
To reconstitute the medication, add ____________ mL of water and each 5 mL of solution will contain ___________ mg of clavulanic acid. ANS: 64; 419 24. Use the label to identify the information requested.
The reconstituted solution is stable for _________ days when kept in the refrigerator. ANS: 7
Chapter 12: Dosage Calculation Using the Ratio and Proportion Method Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition COMPLETION 1. Calculate the following dosage using the ratio and proportion method. Round mL answers
to the nearest tenth unless otherwise indicated. Do not include units of measure in your answer. Order: Amoxil 0.5 g PO q6h Available: Amoxil capsules labeled 250 mg per capsule Administer ________ capsule(s). ANS: 2 2. Calculate the following dosage using the ratio and proportion method. Round mL answers
to the nearest tenth unless otherwise indicated. Do not include units of measure in your answer. Order: Raloxifene HCl 60 mg PO BID Available: Raloxifene HCl tablets labelled 60 mg per tablet Administer _________ tablet(s) ANS: 1 3. Calculate the following dosage using the ratio and proportion method. Round mL answers
to the nearest tenth unless otherwise indicated. Do not include units of measure in your answer. Order: Zofran 7 mg PO BID Available: Zofran oral solution labelled 4 mg per 5 mL Administer __________ mL ANS: 8.8 4. Calculate the following dosage using the ratio and proportion method. Round mL answers
to the nearest tenth unless otherwise indicated. Do not include units of measure in your answer. Order: Thorazine 25 mg PO TID Available: Thorazine syrup labelled 10 mg per 5 mL Administer _________ mL ANS: 12.5 5. Calculate the following dosage using the ratio and proportion method. Round mL answers
to the nearest tenth unless otherwise indicated. Do not include units of measure in your answer. Order: Compazine 8 mg PO stat Available: Compazine syrup labelled 5 mg per 5 mL Administer ___________ mL ANS: 8
6. Calculate the following dosage using the ratio and proportion method. Round mL answers
to the nearest tenth unless otherwise indicated. Do not include units of measure in your answer. Order: Thorazine 15 mg IM stat Available: Thorazine 25 mg per mL Administer _________ mL ANS: 0.6 7. Calculate the following dosage using the ratio and proportion method. Round mL answers
to the nearest tenth unless otherwise indicated. Do not include units of measure in your answer. Order: Clindamycin 0.6 g IV q12h Available: Clindamycin 300 mg per 2 mL Administer _________ mL ANS: 4 8. Calculate the following dosage using the ratio and proportion method. Round mL answers
to the nearest tenth unless otherwise indicated. Do not include units of measure in your answer. Order: Ketorolac 15 mg IV q6h prn for pain Available: Ketorolac 30 mg per mL Administer _________ mL ANS: 0.5 9. Calculate the following dosage using the ratio and proportion method. Round mL answers
to the nearest tenth unless otherwise indicated. Do not include units of measure in your answer. Order: Calcijex 1.5 mcg IV daily on Mon., Wed., Fri. Available: Calcijex 1 mcg per mL Administer ________ mL for the dose on Wednesday ANS: 1.5 10. Calculate the following dosage using the ratio and proportion method. Round mL answers
to the nearest tenth unless otherwise indicated. Do not include units of measure in your answer. Order: Ampicillin 0.375 g IM q6h Available: Ampicillin 250 mg per mL Administer ________ mL ANS: 1.5 11. Calculate the following dosage using the ratio and proportion method. Round mL answers
to the nearest tenth unless otherwise indicated. Do not include units of measure in your answer. Order: Heparin 2 000 units SUBCUT daily
Available: Heparin 10 000 units per 2 mL Administer __________ mL ANS: 0.4 12. Calculate the following dosage using the ratio and proportion method. Round mL answers
to the nearest hundredth unless otherwise indicated. Do not include units of measure in your answer. Order: Heparin 2 500 units SUBCUT stat Available: Heparin 10 000 units per mL Administer __________ mL ANS: 0.25 13. Calculate the following dosage using the ratio and proportion method. Round mL answers
to the nearest tenth unless otherwise indicated. Do not include units of measure in your answer. Order: Cialis 15 mg PO daily Available: Cialis 5 mg per tablet Administer _______ tablet(s) ANS: 3 14. Calculate the following dosage using the ratio and proportion method. Round mL answers
to the nearest tenth unless otherwise indicated. Do not include units of measure in your answer. Order: Ketorolac 35 mg IM q6h prn for severe pain Available: Ketorolac 15 mg per mL Administer __________ mL ANS: 2.3 15. Calculate the following dosage using the ratio and proportion method. Round mL answers
to the nearest tenth unless otherwise indicated. Do not include units of measure in your answer. Order: Ativan 3.5 mg IM stat Available: Ativan 2 mg per mL Administer __________ mL ANS: 1.8
Chapter 13: Dosage Calculation Using the Formula Method Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition COMPLETION 1. Calculate the following dosage using the formula method. Round mL answers to the
nearest tenth unless otherwise indicated. Order: Amoxil 0.5 g PO q6h Available: Amoxil capsules labelled 250 mg per capsule. Administer _______ capsules ANS: 2 2. Calculate the following dosage using the formula method. Round mL answers to the
nearest tenth unless otherwise indicated. Order: Raloxifene HCl 60 mg PO BID Available: Raloxifene HCl tablets labelled 60 mg per tablet Administer ________ tablet(s) ANS: 1 3. Calculate the following dosage using the formula method. Round mL answers to the
nearest tenth unless otherwise indicated. Order: Zofran 7 mg PO BID Available: Zofran oral solution labelled 4 mg per 5 mL Administer _________ mL ANS: 8.8 4. Calculate the following dosage using the formula method. Round mL answers to the
nearest tenth unless otherwise indicated. Order: Thorazine 25 mg PO TID Available: Thorazine syrup labelled 10 mg per 5 mL Administer _________ mL ANS: 12.5 5. Calculate the following dosage using the formula method. Round mL answers to the
nearest tenth unless otherwise indicated. Order: Dilantin 45 mg PO stat Available: Dilantin-30 suspension labelled 30 mg per 5 mL Administer __________ mL ANS: 7.5 6. Calculate the following dosage using the formula method. Round mL answers to the
nearest tenth unless otherwise indicated. Order: Thorazine 15 mg IM stat Available: Thorazine 25 mg per mL
Administer _________ mL ANS: 0.6 7. Calculate the following dosage using the formula method. Round mL answers to the
nearest tenth unless otherwise indicated. Order: Clindamycin 0.6 g IV q12h Available: Clindamycin 150 mg per mL Administer _________ mL ANS: 4 8. Calculate the following dosage using the formula method. Round mL answers to the
nearest tenth unless otherwise indicated. Order: Ketorolac 16 mg IV q6h prn for pain Available: Ketorolac 30 mg per mL Administer _________ mL ANS: 0.5 9. Calculate the following dosage using the formula method. Round mL answers to the
nearest tenth unless otherwise indicated. Order: Calcijex 1.5 mcg IV daily on Mon., Wed., Fri. Available: Calcijex 1 mcg per mL Administer _________ mL ANS: 1.5 10. Calculate the following dosage using the formula method. Round mL answers to the
nearest tenth unless otherwise indicated. Order: Ampicillin 0.375 g IM q6h Available: Ampicillin 250 mg per mL Administer __________ mL ANS: 1.5 11. Calculate the following dosage using the formula method. Round mL answers to the
nearest hundredth. Order: Heparin 2 500 units SUBCUT stat Available: Heparin 10 000 units per mL Administer __________ mL ANS: 0.25 12. Calculate the following dosage using the formula method. Round mL answers to the
nearest tenth unless otherwise indicated. Order: Diphenhydramine HCl 35 mg IM q6h PRN for itching Available: Diphenhydramine HCl 50 mg per mL Administer _________ mL
ANS: 0.7 13. Calculate the following dosage using the formula method. Round mL answers to the
nearest tenth unless otherwise indicated. Order: Levothyroxine sodium 150 mcg PO daily Available: Levothyroxine sodium 75 mcg per tab Administer _________ tablet(s) ANS: 2 14. Calculate the following dosage using the formula method. Round mL answers to the
nearest tenth unless otherwise indicated. Order: Sandostatin 200 mcg SUBCUT daily Available: Sandostatin 500 mcg per mL Administer ___________ mL ANS: 0.4
Chapter 14: Dosage Calculation Using the Dimensional Analysis Method Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition COMPLETION 1. Calculate the following dosage using the dimensional analysis method. Round mL answers
to the nearest tenth unless otherwise indicated. Order: Amoxil 0.5 g PO q6h Available: Amoxil capsules labelled 250 mg per capsule Administer _________ capsule(s) ANS: 2 2. Calculate the following dosage using the dimensional analysis method. Round mL answers
to the nearest tenth unless otherwise indicated. Order: Raloxifene HCl 60 mg PO BID Available: Raloxifene HCl tablets labelled 60 mg per tablet Administer _________ tablet(s) ANS: 1 3. Calculate the following dosage using the dimensional analysis method. Round mL answers
to the nearest tenth unless otherwise indicated. Order: Zofran 7 mg PO BID Available: Zofran oral solution labelled 4 mg per 5 mL Administer ________ mL ANS: 8.8 4. Calculate the following dosage using the dimensional analysis method. Round mL answers
to the nearest tenth unless otherwise indicated. Order: Thorazine 25 mg PO TID Available: Thorazine syrup labelled 10 mg per 5 mL Administer ________ mL ANS: 12.5 5. Calculate the following dosage using the dimensional analysis method. Round mL answers
to the nearest tenth unless otherwise indicated. Order: Dilantin 45 mg PO stat Available: Dilantin-30 suspension labelled 30 mg per 5 mL Administer _______ mL ANS: 7.5 6. Calculate the following dosage using the dimensional analysis method. Round mL answers
to the nearest tenth unless otherwise indicated. Order: Thorazine 15 mg IM stat Available: Thorazine 25 mg per mL
Administer ________ mL ANS: 0.6 7. Calculate the following dosage using the dimensional analysis method. Round mL answers
to the nearest tenth unless otherwise indicated. Order: Clindamycin 0.475 g IV q12h Available: Clindamycin 150 mg per mL Administer ________ mL ANS: 3.2 8. Calculate the following dosage using the dimensional analysis method. Round mL answers
to the nearest tenth unless otherwise indicated. Order: Ketorolac 16 mg IV q6h prn for pain Available: Ketorolac 15 mg per mL Administer ________ mL ANS: 1.1 9. Calculate the following dosage using the dimensional analysis method. Round mL answers
to the nearest tenth unless otherwise indicated. Order: Calcijex 1.5 mcg IV daily on Mon., Wed., Fri. Available: Calcijex 1 mcg per mL Administer ________ mL ANS: 1.5 10. Calculate the following dosage using the dimensional analysis method. Round mL answers
to the nearest tenth unless otherwise indicated. Order: Ampicillin 0.375 g IM q6h Available: Ampicillin 250 mg per mL Administer ________ mL ANS: 1.5 11. Calculate the following dosage using the dimensional analysis method. Round mL answers
to the nearest hundredth. Order: Heparin 3 250 units SUBCUT daily Available: Heparin 5 000 units per mL Administer _________ mL ANS: 0.65 12. Calculate the following dosage using the dimensional analysis method. Round mL answers
to the nearest hundredth. Order: Heparin 5 500 units SUBCUT stat Available: Heparin 10 000 units per mL Administer ________ mL
ANS: 0.55
Chapter 15: Oral Medications Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition COMPLETION 1. Complete with the correct word(s). An elongated tablet that is coated for easy swallowing
is referred to as a __________. ANS: caplet 2. Complete with the correct word(s). Enteric-coated tablets and time-release tablets should
not be _________. ANS: crushed 3. Disintegrating tablets dissolve __________, usually within _______________ of being
placed on the tongue. ANS: rapidly; seconds 4. Complete with the correct number. The nurse should question and check any calculation
that indicates you should administer more than _______ tablets or capsules to achieve a single dose. ANS: 3 5. Complete with the correct word(s). The solid form of medication that contains granules
that delays the release of the medication is referred to as a _______________. ANS: spansule 6. Complete with the correct word(s). The most common form of oral medication is the
__________. ANS: tablet 7. Calculate the following dosage.
Order: Ranitidine 300 mg PO daily at bedtime Available: Ranitidine 150 mg per tablet Administer _______ tablet(s) ANS: 2 8. Calculate the following dosage.
Order: Evista 60 mg PO daily Available: Evista 60 mg per tablet Administer _______ tablet(s) ANS: 1
9. Calculate the following dosage.
Order: Tegretol 0.2 g PO BID Available: Tegretol 10 mg per tablet Administer _______ tablet(s) ANS: 2 10. Calculate the following dosage. Round oral liquids to the nearest tenth as indicated.
Order: Biaxin 175 mg PO q12h Available: Biaxin 50 mg per mL Administer _________ mL ANS: 3.5 11. Calculate the following dosage.
Order: Cardura 8 mg PO daily Available: Cardura 2 mg per tablet and Cardura 4 mg per tablet The dosage strength of Cardura that would be most appropriate to use is the ______ mg tablets and you would administer _______ tablet(s). ANS: 4; 2 12. Calculate the following dosage.
Order: Synthroid 0.3 mg PO daily Available: Synthroid 0.15 mg per tablet Administer ________ tablet(s) ANS: 2 13. Calculate the following dosage.
Order: Atorvastatin calcium 20 mg PO every day Available:
The patient needs to take ______ tablet(s) per day and will need a total of ______ tablets per week. ANS: 2; 14
14. Calculate the following dosage. Round oral liquids to the nearest tenth as indicated.
Include units of measure in your answer. Order: Diazepam 4 mg via nasogastric tube TID Available: Diazepam oral solution 5 mg per 5 mL You will administer _____ mL per dose and the patient will receive _______ mg each day. ANS: 4; 12 15. Calculate the following dosage. Round oral liquids to the nearest tenth as indicated.
Order: Ceftin 500 mg PO q12h Available: Ceftin 1 g per 20 mL Administer ________ mL ANS: 10 16. Calculate the following dosage.
Order: Erythromycin DR 333 mg PO q8h Available:
Administer _______ capsule(s) ANS: 1 17. Calculate the following dosage.
Order: Celecoxib 200 mg PO daily Available:
Administer ________ tablet(s) ANS: 2 18. Calculate the following dosage.
Order: Ampicillin 1 g PO as an initial dosage and then 500 mg PO QID for 7 days thereafter Available: Ampicillin capsules labelled 500 mg per capsule For the initial dose you will administer _______ capsule(s) and will need a total of _________ capsules for the subsequent dosages for 7 days. ANS: 2; 28 19. Calculate the following dosage.
Order: Feldene 20 mg PO daily Available: Feldene 10 mg per capsule Administer ________ capsule(s) ANS: 2 20. Calculate the following dosage. Round oral liquids to the nearest tenth as indicated.
Order: Azithromycin 56 mg PO daily Available:
Administer _________ mL ANS: 1.4
21. Calculate the following dosage. Round oral liquids to the nearest tenth as indicated.
Order: Amoxicillin 400 mg and Clavulanate potassium 57 mg susp PO q12h Available:
Reconstitute with _______ mL of sterile water and administer _______ mL per dose. ANS: 64; 10 22. Calculate the following dosage. Round oral liquids to the nearest tenth as indicated.
Order: Fluconazole 125 mg susp PO daily Available:
Reconstitute with ________ mL of sterile water and administer _______ mL per dose. ANS: 24; 12.5 23. Calculate the following dosage. Round oral liquids to the nearest tenth as indicated.
Order: Azithromycin 160 mg susp PO daily Available:
Administer ________ mL ANS: 8 24. Calculate the following dosage.
Order: Sertraline hydrochloride 200 mg PO daily Available:
Administer _______ capsule(s) ANS: 2
25. Calculate the following dosage. Answer in decimal form rounding to the nearest tenth if
applicable. Order: Methadone hydrochloride 25 PO daily Available: Methadone hydrochloride 10 mg per scored tablets Administer _______ tablet(s) ANS: 2.5 tablet(s) 26. Calculate the following dosage.
Order: Carvedilol 12.5 mg PO BID Available:
Administer _______ tablet(s) per dose and the patient will receive a total daily dose of ________ mg. ANS: 2; 25 27. Calculate the following dosage. Answer in decimal form to the nearest tenth.
Order: Prednisone 7.5 mg PO QID Available:
Administer __________ tablet(s) per dose and tell the patient that this bottle will last ___________ days. ANS: 1.5; 16
28. Calculate the following dosage.
Order: Clozapine 75 mg PO daily Available:
Administer _______ ANS: 3 29. Calculate the following dosage. Round oral liquids to the nearest tenth as indicated.
Order: Cefprozil 400 mg susp PO q12h Available:
Administer _______ mL ANS: 16 30. Calculate the following dosage. Round oral liquids to the nearest tenth as indicated.
Order: Phenytoin 70 mg PO TID Available:
Administer ________ mL ANS: 11.7 31. Calculate the following dosage.
Order: Minoidil 20 mg BID for 14 days Available:
Administer _______ tablet(s) per dose and the total number of tablets that the patient will take in 14 days is _______ tablets. ANS: 2; 56 32. Calculate the following dosage.
Order: Ziprasidone 40 mg PO daily Available:
Administer ________ capsule(s) each day ANS: 2 33. Calculate the following dosage.
Order: Warfarin 5 mg PO daily Available:
The patient will take _______ tablets per week. ANS: 7 34. Calculate the following dosage.
Order: Cimetidine 400 mg PO BID Available:
Administer ________ tablets per dose with a total daily dosage of _______ mg. ANS: 1; 800 35. Calculate the following dosage.
Order: Enalapril maleate 7.5 mg PO BID Available:
Administer _________ tablet(s) per dose with a total daily dosage of ________ mg. ANS: 3; 15
Chapter 16: Parenteral Medications Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition MULTIPLE CHOICE 1. A 3-mL syringe is calibrated in which of the following increments? a. 0.01 mL b. 0.1 mL c. 0.2 mL d. 1 mL ANS: B 2. If the dose calculated is 0.78 mL, and a 1-mL syringe is used, how many millilitres will
the nurse administer? a. 0.75 mL b. 0.78 mL c. 0.8 mL d. 0.85 mL ANS: B 3. Refer to the diagram of the syringe provided. The nurse needs to withdraw 1.7 mL of
medication into a syringe. The nurse fills the medication to which area on the syringe?
a. b. c. d.
1 2 3 4
ANS: B 4. Refer to the diagram of the syringe provided. The nurse needs to withdraw 0.65 mL of
medication into a syringe. The nurse fills the medication to which area on the syringe?
a. b. c. d.
1 2 3 4
ANS: C
5. Refer to the diagram of the syringe provided. The nurse needs to withdraw 5.6 mL of
medication into a syringe. The nurse fills the medication to which area on the syringe?
a. b. c. d.
1 2 3 4
ANS: A 6. Refer to the diagram of the syringes provided. The nurse needs to administer 31 units of
Humulin Regular U-100. Indicate the correct syringe the nurse should choose to accurately withdraw the dosage. The correct syringe to use is ________. Answer either A or B as your choice. a.
b.
ANS: B COMPLETION 1. Calculate the dosage, use labels where provided. Round answers to the nearest tenth.
How many milligrams of naloxone are contained in 2.5 mL? _____ mg ANS: 6.25 2. Calculate the dosage.
Order: Atropine 0.5 mg IM stat Available: Atropine 1 mg per 2 mL Administer _____ mL ANS: 1 3. Calculate the dosage. Round answers to the nearest tenth.
Order: Aminophylline 150 mg IV stat Available:
Administer _____ mL ANS: 6 4. Calculate the dosage.
Order: Morphine 60 mg IV q4h Available:
Administer ________________ mL ANS: 12 5. Calculate the dosage. Round to the nearest tenth.
Order: Ranitidine 35 mg IM daily Available:
Administer _____________ mL ANS: 1.4 6. Calculate the dosage. Round answers to the nearest tenth.
Order: Enoxaparin sodium 60 mg SUBCUT BID Available:
Administer _______________ mL ANS: 0.6
7. Calculate the dosage. Round answers to the nearest hundredth.
Order: Insulin glargine 125 units daily Available:
Administer __________ mL ANS: 1.25 8. Calculate the dosage. Round answers to the nearest tenth.
Order: Thiamine hydrochloride 330 mg IM daily Available:
Administer _____ mL ANS: 3.3 9. Calculate the dosage. Round answers to the nearest tenth.
Order: Levothyroxine sodium 0.3 mg IV daily Available: Levothyroxine sodium 200 mcg per 5 mL How many millilitres will you add to the IV? _____ mL
ANS: 7.5 10. Calculate the dosage.
Order: Medroxyprogesterone acetate 150 mg IM every 3 months Available:
Administer _____ mL ANS: 3 11. Calculate the dosage. Round answers to the nearest tenth.
Order: Heparin 17 000 units SUBCUT daily Available:
Administer _____ mL ANS: 3.4 12. Calculate the dosage. Round answers to the nearest tenth.
Order: Pancuronium 1.6 mg IV stat Available: Pancuronium labeled 2 mg per mL Administer _____ mL ANS: 0.8 13. Calculate the dosage.
Order: Vancomycin 0.6 g IV q12h Available: Vancomycin after reconstitution: 50 mg per mL Administer ______________ mL ANS: 12 14. Calculate the dosage. Round answers to the nearest tenth;
Order: Meperidine (Demerol) 65 mg and promethazine 25 mg IM q4h prn for pain Available: Meperidine 75 mg per mL and promethazine 50 mg per mL Administer ________ mL of meperidine and ________ mL promethazine. ANS: 0.9; 0.5 15. Calculate the dosage. Round answer to nearest tenth.
Order: Methotrexate 40 mg IM BID Available:
Administer _______________ mL ANS: 1.6 16. Calculate the dosage. Round answer to nearest tenth.
Order: Leuprolide acetate 0.8 mg SUBCUT daily Available:
ANS: 0.2 17. Calculate the dosage. Round answers to the nearest tenth.
Order: Heparin 2 500 units SUBCUT q8h Available:
Administer _____ mL
ANS: 2.5 18. Calculate the dosage, use labels where provided. Round answers to the nearest tenth.
Order: Heparin 45 000 units IV in 500 mL D5W Available:
How many millilitres will you add to the IV? _____ mL ANS: 45 19. Complete the following statement with the correct word(s). The calibrations on a syringe
that indicate the capacity can be found on the _______________. ANS: barrel 20. Complete the following statement with the correct word(s). The term used for injectable
medications is _______________. ANS: parenteral 21. Complete the following statement with the correct word(s). The route that is used for
diagnostic purposes is called _______________. ANS: intradermal 22. Complete the following statement with the correct number(s). Do not indicate units of
measure in your answer. If a nurse calculates a dosage of 3.39 mL of medication, the nurse will select a _____________ mL syringe to use and the nearest measurable dose on the syringe would be _________ mL. ANS: 5; 3.4 23. Calculate the dosage. Round answers to the nearest tenth.
Order: Hydromorphone 3 mg IM q4h prn for pain
Available: Hydromorphone 2 mg per mL Administer _____ mL ANS: 1.5 24. Calculate the dosage.
Order: Fentanyl 0.05 mg IV stat Available: Fentanyl 50 mcg per mL Administer _____ mL ANS: 1
Chapter 17: Reconstitution of Solutions Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition COMPLETION 1. Use the label to obtain the necessary information. Round answers to the nearest tenth.
Order: Cefotaxime 0.375 g IM q6h Available:
Add _______ mL of diluent for this IM order to make a dosage strength of ______ mg per mL and you will administer _________ mL. ANS: 3; 300; 1.3 2. Use the label to obtain the necessary information. Round answers to the nearest tenth;
Order: Fluconazole 325 mg PO daily Available:
Add _______ mL of diluent for this PO order to make a dosage strength of ______ mg per mL and you will administer ________ mL. ANS: 24; 10; 32.5 3. Use the label to obtain the necessary information. Round answers to the nearest tenth.
Order: Hydrocortisone sodium succinate 400 mg IV q8h
Available:
After reconstitution, the dosage strength is ______ mg per mL and you will administer _______ mL. ANS: 125; 3.2 4. Use the label to obtain the necessary information.
Order: Vancomycin 0.85 g IV q12h Available:
Add _______ mL of diluent for this IV order to make a dosage strength of ______ mg per mL and you will administer ________ mL. ANS: 10; 50; 17 5. Calculate the dosage. Round answer to the nearest tenth.
Order: Ceftriaxone 0.5 g IV q12h Available: Ceftriaxone 200 mg per mL Administer _______ mL q12h ANS: 2.5 6. Use the label to obtain the necessary information.
Order: Clindamycin phosphate 1.5 g IV q12h Available:
After reconstitution, the dosage strength is ________ mg per mL and you will administer _______ mL. ANS: 150; 10 7. Calculate the following amounts.
Order: 3/4 strength Sustacal 800 mL via gastrostomy over 6 h Add ________ mL of water to ________ mL of Sustacal. ANS: 200; 600 8. Prepare the following strength solutions. Place a space before the hundreds position, e.g., 8
555. Order: 1/4 strength Ensure 8 oz PO q4h for 24 hours Add __________ mL of water to ________ mL of Ensure and administer _________ mL every 24 hours ANS: 1 080; 360; 1 440 9. Prepare the following strength solutions.
Order: Amoxicillin 175 mg PO q8h Available: Amoxicillin 50 mg per 2 mL after reconstitution Administer ________ mL per dose with a total of _______ mL every 24 hours. ANS: 7; 24 10. Calculate the following oral solution. Round to the nearest tenth; place a space before the
hundreds position, e.g., 8 555. Order: Penicillin V potassium 175 000 units PO BID Available:
Add ______ mL of water for reconstitution for a solution strength of _________ units per mL and administer _______ mL per dosage. ANS: 69; 96 000; 1.8 11. Prepare the following strength solutions.
Prepare irrigant 250 mL 1/2 strength solution. Add ________ mL of water to _________ mL of irrigant solution. ANS: 125; 125 12. Prepare the following strength solutions.
360 mL of 1/4 strength Ensure percutaneous endoscopic (PEG) tube over 4 hours Add _________ mL of water to __________ mL of Ensure. ANS: 270; 90 13. Prepare the following using full-strength hydrogen peroxide (solute) and normal saline
(solvent). 300 mL of 3/4 strength hydrogen peroxide for skeletal pin care Add _________ mL of normal saline to ________ mL of full-strength hydrogen peroxide. ANS: 75; 225 14. Prepare the following using full-strength hydrogen peroxide (solute) and normal saline
(solvent). 240 mL of 1/2 strength for wound care. Add _______ mL of normal saline to _______ mL of full-strength hydrogen peroxide. ANS: 120; 120 15. Prepare the following using full-strength hydrogen peroxide (solute) and normal saline
(solvent). 0.24 L of 1/3 strength for wound care Add _________ mL of normal saline to ________ mL of full-strength hydrogen peroxide.
ANS: 160; 80
Chapter 18: Insulin Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition COMPLETION 1. Calculate the dosage.
Order: Novolin ge Toronto U-100 12 units SUBCUT stat Available:
a.
b. Using the syringe in a above, you will administer ______units and using the syringe in b above, you will administer ______ units. ANS: 12; 12 2. Calculate the dosage.
Order: Novolin ge 30/70 U-100 27 units SUBCUT at 7:30 AM
Available:
Administer ______ units with this syringe. ANS: 27 3. Calculate the dosage. A patient has a correction dose insulin order: Humulin Regular
U-100 SUBCUT ac meals as follows: Blood Glucose Level (mmol/Lw) Regular Insulin <4 Call Health Care Provider 4.1–10.0 0 units 10.1–13.0 2 units 13.1–16.0 4 units 16.1–19.0 6 units > 19.0 Call Health Care Provider When the patient’s blood sugar is 18.8 mmol/L, administer _______ units and when the patient’s blood sugar is 13.3 mmol/L administer ________ units. ANS: 6; 4
4. Calculate the dosage.
Order: Novolin Regular U-100 10 units SUBCUT and Novolin NPH U-100 18 units SUBCUT stat Administer ________ units of insulin in total. ANS: 28 5. Use the label to fill in the following blanks. Separate your answers with a comma followed
by a period.
This is a _____________ (rapid or long)-acting insulin with the total volume of the vial _______ mL and the dosage strength is _______ units per mL. ANS: rapid, 10; 100 6. Use the label to fill in the following blanks. Separate your answers with a comma followed
by a period.
The trade name is ___________ and the generic name is ___________; this is a _____________ (rapid or long)-acting insulin with a strength of ______ units per mL. ANS: Levemir; detemir; long; 100 7. Fill in the correct number or word(s). U-100 on the label of an insulin vial means:
___________________. ANS: 100 units per mL 8. Fill in the correct numbers.
The calibration of units on the 1-mL insulin syringe is _________ unit(s) and on the Lo-Dose syringe is ________ unit(s). ANS: 2; 1 9. Fill in the correct number.
Order: Lantus U-100 insulin 68 units SUBCUT daily at 8:00 AM Available:
Administer ______ units ANS: 68 10. Fill in the correct number or word(s). Round answer to nearest tenth.
Order: NovoRapid U-100 240 units SUBCUT stat Available:
The concentration of this insulin is _______ units per mL and you will administer _______ mL for 240 units. ANS: 100; 2.4 11. Pat is a 75-year-old patient with a history of Type 2 diabetes. They take Tresiba 28 units
SUBCUT daily to control their diabetes. At the pharmacy Pat picks up three 3-mL Tresiba FlexTouch pens 100 units/mL? Calculate the days’ supply that Pat is picking up: _______ days. ANS: 32
Chapter 19: Intravenous Solutions and Equipment Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition MULTIPLE CHOICE 1. What IV solution is shown here?
a. b. c. d.
D5NS NS RL D5 0.45% NS
ANS: A 2. What IV solution is shown here?
a. D5NS b. NS
c. D5 0.45% NS d. D5 0.45% NS with 20 mmol KCl ANS: D 3. What solution is shown below?
a. b. c. d.
D5NS RL NS D5 0.45% NS
ANS: C MULTIPLE RESPONSE 1. The IV line that can be used to administer medications and solutions and can be connected
to a port on the main infusion is called a ______________ line. (Select all that apply.) a. secondary b. piggy back c. piggy-back d. multi line e. upper line ANS: A, B, C COMPLETION 1. The name for the main infusion administration set is a _____________ line. ANS: primary 2. In IV fluid abbreviations, D5NS identifies what IV fluid? 5% _____________ in
________ saline. ANS: dextrose; normal
3. An IV pump is an example of a(n) ___________ infusion device. ANS: electronic 4. ________________________-controlled devices allow a patient to self-administer pain
medication. ANS: Patient 5. List the components and percentage strengths of the following IV solution.
D51/4S ______. This solution contains __________% of dextrose in ___________% saline. ANS: 5; 0.225 6. Calculate the number of grams of dextrose in the following solution.
5 L D10W contains __________ g of dextrose ANS: 500 7. Calculate the number of grams of NaCl in the following solution. Round answer to nearest
hundredth. 500 mL 1/2 NS sodium chloride contains _______ g of NaCl. ANS: 2.25 8. Calculate the number of grams of NaCl and dextrose in the following solution. Round
answers to nearest hundredth. 250 mL D5NS contains ______ g dextrose and ______ g NaCl. ANS: 12.5; 2.25 9. Calculate the number of grams of NaCl and dextrose in the following solution. Round
answer to nearest thousandth. 0.5 L D51/4NS contains ______ g dextrose and ________ g NaCl. ANS: 25; 1.125 10. List the components and percentage strengths of the following IV solution.
D5NS 10 mEq KCl This solution contains _________% of dextrose in _______% saline with ________ mEq potassium chloride. ANS: 5; 0.9; 10 11. Complete the following.
When administering a heparin lock flush, the average dosage of heparin is _____ units and never to exceed _________ units.
ANS: 10; 1000
Chapter 20: Intravenous Calculations Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition COMPLETION 1. Determine the infusion time for the following IV. State answer in military time.
1 000 mL D5W infusing at 90 mL/h If the IV was started at 1400 hours, the infusion will be completed by _______________ hours and the total infusion time is ___ hours and ___ minutes. ANS: 1307; 11; 7 2. Determine the infusion time for the following IV. State answer in military time.
750 mL lactated Ringer solution at 80 mL/h If the IV was started at 0700 hours, the infusion will be completed by _________ hours and the total infusion time is ___ hours and ___ minutes. ANS: 1623; 9; 23 3. Determine the infusion time for the following IV. State answer in military time.
250 mL 0.9% NS at 30 mL/h If the IV was started at 0700 hours, the infusion will be completed by __________ hours and the infusion total time is _________ hours and __________ minutes. ANS: 0320; 8; 20 4. Determine the infusion time for the following IV. State answer in military time.
100 mL D5 1/2/2 NS at 40 mL/h If the IV was started at noontime, the infusion will be completed by __________ hours and the total infusion time is ____ hours and ____ minutes. ANS: 1430; 2; 30 5. Determine the infusion time for the following IV.
150 mL D5W 1/2 NS infusing at 20 macrogtt/min. Drop factor is 15 gtt/mL. The total infusion time is ______ hours and _____ minutes. ANS: 1; 55 6. Determine the infusion time for the following IV.
60 mL of IV fluid with medication infusing at 50 macrogtt/min. Drop factor is 10 gtt/mL. The total infusion time is ______ hours and _____ minutes. ANS: 0; 12 7. Determine the infusion time for the following IV.
Total parenteral nutrition (TPN) solution of 1 000 mL at 30 mL/h The total infusion time is _______ hours and _____ minutes.
ANS: 33; 20 8. Determine the infusion time for the following IV.
D5 1/3 NS 1 000 mL at 45 mL/h The total infusion time is _______ hours and _____ minutes. ANS: 22; 13 9. Determine the infusion time for the following IV. State answer in military time.
500 mL of whole blood to infuse at 130 mL/h If the infusion was started at 1440, the infusion will be completed by _________ hours and the total infusion time is ____ hours and ___ minutes. ANS: 1830; 3; 50 10. Determine the following in drops per minute using the drop factor provided.
0.45% NS at 30 mL/h Drop factor of 10 gtt/mL = ______ gtt/min; drop factor of 15 gtt/mL = ______ gtt/min; drop factor of 20 gtt/mL = _____ gtt/min; and drop factor of 60 gtt/mL = ______ gtt/min. ANS: 5; 8; 10; 30 11. Determine the following in drops per minute using the drop factor provided.
3 000 mL D5W at 125 mL/h Drop factor of 10 gtt/mL = _____ gtt/min; drop factor of 15 gtt/mL = _____ gtt/min; drop factor of 20 gtt/mL = ______ gtt/min; and drop factor of 60 gtt/mL = ______ gtt/min. ANS: 21; 31; 42; 125 12. Determine the following in drops per minute using the drop factor provided.
2 500 mL RL in 12 h Drop factor of 10 gtt/mL = _____ gtt/min; drop factor of 15 gtt/mL = ______ gtt/min; drop factor of 20 gtt/mL = _____ gtt/min; and drop factor of 60 gtt/mL = _____ gtt/min. ANS: 35; 52; 69; 208 13. Determine the following in drops per minute using the drop factor provided.
0.33% NS at 200 mL/h Drop factor of 10 gtt/mL = ______ gtt/min; drop factor of 15 gtt/mL = ______ gtt/min; drop factor of 20 gtt/mL = ______ gtt/min; and drop factor of 60 gtt/mL = _____ gtt/min. ANS: 33; 50; 67; 200 14. Calculate the following using the drop factor 20 gtt/mL.
250 mL of packed cells in 4 hours The infusion is regulated at ________ mL/h, which is ________ gtt/min. ANS: 63; 21
15. 500 mL D5W is infusing at a rate of 25 macrogtt/min. The drop factor is 10 gtt/mL.
The total infusion time is ______ hours and ______ minutes. ANS: 3; 20 16. An IV of 1 000 mL 0.9% NS is infusing at 18 macrogtt/min. The drop factor is 15 gtt/mL.
The total infusion time is ______ hours and ______ minutes. ANS: 13; 53 17. D5 1/2 NS is infusing at 28 macrogtt/min. The drop factor is 10 gtt/mL. Place a space
before the hundreds place in your answer, e.g., 5 555. The patient will receive a total of ______ mL in 8 hours. ANS: 1 344 18. Lactated Ringer solution is infusing at 45 microgtt/min. The drop factor is 60 gtt/mL.
The patient will receive a total of _________________ mL in 5 hours. ANS: 225 19. Determine the flow rate for the following IV being administered by infusion pump. 500
mL of Intralipid in 6 hours: _____ mL/h ANS: 83 20. Determine the flow rate for the following IV being administered by infusion pump.
Ampicillin 1.5 g in 100 mL 0.9% NS over 45 minutes: _____ mL/h ANS: 133 21. Determine the flow rate for the following IV being administered by infusion pump.
Zosyn 2 g in 100 mL D5W over 40 minutes: _____ mL/h ANS: 150 22. Determine the flow rate for the following IV being administered by infusion pump.
Clindamycin 600 mg in 100 mL D5W over
hours: _____ mL/h
ANS: 67 23. Recalculate the IV flow rate and determine the percentage of change. Assume that hospital
policy permits recalculation of rates when rates are off schedule and patients are stable. 250 mL were to infuse in 8 hours at 31 microgtt/min. The drop factor is 60 gtt/mL. After 4 hours, you notice that 100 mL have infused. The recalculated rate is _________ gtt/min which represents a _____ % of change. ANS: 38; 23
24. Recalculate the IV flow rate and determine the percentage of change. Assume that hospital
policy permits recalculation of rates when rates are off schedule and patients are stable. 2 000 mL of 0.9% NS were to infuse in 12 hours at 28 macrogtt/min. The drop factor is 10 gtt/mL. After 8 hours, 900 mL remain. The recalculated rate is _________ gtt/min which represents a _____ % of change. ANS: 38; 36 25. Recalculate the IV flow rate and determine the percentage of change. Assume that hospital
policy permits recalculation of rates when rates are off schedule and patients are stable. 500 mL of D5 0.45% NS were to infuse in 5 hours at 33 macrogtt/min. The drop factor is 20 gtt/mL. After 2 hours, you notice 250 mL remaining. The recalculated rate is _______ gtt/min which represents a ________ % of change. ANS: 28; 15 26. 100 units of regular Humulin insulin in 250 mL 0.9% NS were to infuse at 4 mL/h. How
many units per hour will be delivered? _____ units ANS: 1.6 27. 40 units of regular Humulin insulin in 100 mL 0.9% NS were to infuse at 10 mL/h. How
many units per hour will be delivered? _____ units ANS: 4 28. Calculate the following:
Order: Regular Humulin insulin 10 units/h IV Available: 40 units of insulin in 100 mL 0.9% NS To infuse 10 units/h, the rate will be ____________ mL/h ANS: 25 29. Calculate the following:
Order: Regular Humulin Insulin 8 units/h IV Available: 50 units of insulin in 150 mL 0.9% NS To infuse 8 units/h, the rate will be ____________ mL/h ANS: 24 30. Calculate the following:
10% calcium chloride (10 mL) over 5 minutes IV push How many mL will be injected per minute? _____ mL ANS: 2 31. Calculate the following:
Order: Digoxin 0.25 mg IV push. Infuse slowly over 5 minutes. Available: Digoxin 0.5 mg/2 mL How many mL should be infused per minute? _____ mL
ANS: 0.2 32. Calculate the following. Round answers to nearest tenth.
Order: Cardizem 0.25 mg/kg IV bolus. Infuse over 2 minutes. Patient weighs 50 kg. Available: Cardizem 25 mg (5 mg/mL) The patient is to receive __________ mg, which is a dose of _________ mL, and an infusion rate of _________ mL/min. ANS: 12.5; 2.5; 1.25 33. Calculate the following. Round answers to nearest tenth.
Order: Integrilin 180 mcg/kg IV bolus initially. Infuse over 2 minutes. Patient weighs 70 kg. Available: Integrilin 2 mg/mL The patient will receive ___________ mg and the infusion rate is _________ mL/min. ANS: 12.6; 3.2 34. The type of administration set that will be selected for an IVPB solution is
_______________. ANS: secondary 35. Drop factor of 15 on the package of a continuous IV administration set indicates that the
tubing delivers 15 _________ per mL. ANS: drops 36. The type of administration set that delivers the smallest drops is called _______________. ANS: microdrop 37. When an IV medication is injected directly into a vein, the procedure is referred to as
________________. ANS: IV push
Chapter 21: Heparin Calculations Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition MULTIPLE CHOICE 1. A patient weighs 158.4 lb and is on an IV infusion of heparin. The PTT is reported as 88.
Based on the PTT result you will decrease the IV infusion rate by __________ units per hour. a. 2 units per hour b. 3 units per hour c. 4 units per hour d. no change ANS: A 2. A patient weighs 158.4 lb and is on an IV infusion of heparin. The PTT is reported as 88.
Based on the PTT result you will decrease the IV infusion rate by 2 units per hour. When would you check the next PTT? a. 4 hours after rate increase b. 6 hours after rate increase c. Next morning d. 6 hours after rate decrease ANS: C COMPLETION 1. Calculate the following hourly dosage of heparin (units/h). Place a space before the
hundreds place in your answer, e.g., 8 888. Order: 50 000 units of heparin in 1 L D5 0.9% NS to infuse at 40 mL/h Administer ________ units/h ANS: 2 000 2. Calculate the following hourly dosage of heparin (units/h).
Order: 30 000 units of heparin in 500 mL D5W to infuse at 15 mL/h Administer ________ units/h ANS: 900 3. Calculate the following hourly dosage of heparin (units/h).
Order: 25 000 units of heparin in 250 mL D5W to infuse at 8 mL/h Administer ________ units/h ANS: 800 4. Calculate the following hourly dosage of heparin (units/h). Place a space before the
hundreds place in your answer, e.g., 8 888. Order: 10 000 units of heparin in 500 mL 0.9% NS to infuse at 120 mL/h
Administer ________ units/h ANS: 2 400 5. Calculate the following hourly dosage of heparin (units/h). Place a space before the
hundreds place in your answer, e.g., 8 888. Order: 45 000 units of heparin in 1 000 mL D5 1/2/2 NS at 25 mL/h Administer ________ units/h ANS: 1 125 6. Order: Infuse heparin at 2 000 units/h IV from a solution containing 20 000 units of
heparin in 500 mL D5W. How many mL will infuse per hour? _____ mL ANS: 50 7. Order: Infuse heparin at 800 units/h IV from a solution containing 40 000 units in 1 000
mL D5W. How many mL will infuse per hour? _____ mL ANS: 20 8. Order: 25 000 units heparin IV in 250 mL 0.9% NS to infuse at 20 units/kg/h. The patient
weighs 165 lb. Place a space before the hundreds place in your answer, e.g., 8 888. The patient’s weight is ________ kg and the patient will receive ________ units per hour. ANS: 75; 1 500 9. Order: 40 units/kg/h heparin IV. The patient weighs 50 kg. Place a space before the
hundreds place in your answer, e.g., 8 888. The patient will receive _________ units per hour. ANS: 2 000 10. Order: 40 units/kg/h heparin IV. The patient weighs 116 lb. Place a space before the
hundreds place in your answer, e.g., 8 888. The patient will receive _________ units per hour. ANS: 2 109 11. A patient weighs 165 lb. Place a space before the hundreds place in your answer, e.g., 8
888. Order: Administer a bolus of heparin sodium IV. The hospital protocol is 80 units/kg. The patient will receive _________ units. ANS: 6 000 12. A patient weighs 220 lb. The hospital protocol for IV heparin drip is 14 units/kg/h. Place a
space before the hundreds place in your answer, e.g., 8 888.
The patient will receive _________ units per hour. ANS: 1 400 13. Which solution of heparin is more concentrated: 1 000 units per mL or 10 000 units per
mL? Place a space before the hundreds place in your answer, e.g., 8 888. The ______________ per mL is more concentrated. ANS: 10 000 14. If a U for units was misread as a zero by the nurse for a heparin dose, the consequences to
the patient receiving the heparin could be _________________. ANS: hemorrhage 15. A patient weighs 70 kg. Heparin infusion: Heparin 25 000 units in 1 000 mL 0.9% sodium
chloride. Place a space before the hundreds place in your answer, e.g., 8 888. Order: Bolus with heparin sodium at 90 units/kg, then initiate drip at 20 units/kg/h. The heparin bolus dosage is ________ units and the maintenance dose will infuse at ________ units per hour regulated on the IV infusion device at _______ mL per hour. ANS: 6 300; 1 400; 56 16. A patient weighs 88 kg. Place a space before the hundreds place in your answer, e.g., 8
888. Order: Bolus with heparin at 80 units/kg; initiate drip at 18 units/kg/h. Heparin infusion 25 000 units in 500 mL 0.9% sodium chloride. The heparin bolus dosage is _________ units and the maintenance IV infusion rate is _________ units per hour. ANS: 7 040; 1 584 17. Calculating Subcutaneous Dosages
Order: Heparin 4 600 units SUBCUT at 1700hrs Available:
You will administer ________ mL. ANS: 0.92 18. Calculating Subcutaneous Dosages
Order: Heparin 1 600 units SUBCUT stat Available:
You will administer ________ mL. ANS: 1.6
19. Use the following weight-based heparin protocol for the following problem. Place a space
before the hundreds place in your answer, e.g., 8 888.
A patient weighs 158.4 lb. Determine the bolus dose of heparin and the initial infusion rate. The patient’s heparin bolus dosage is __________ units and the initial IV infusion rate is __________ mL/h. ANS: 5 760; 13 20. Use the following weight-based heparin protocol for the following problem. Place a space
before the hundreds place in your answer, e.g., 8 888.
A patient weighs 81 kg. Determine the bolus dose of heparin, the initial infusion rate, and then adjust the hourly infusion rate up or down on the basis of the APTT results. APTT is reported as 43. The IV pump is calibrated in tenths of an mL. The patient’s heparin bolus dosage is __________ units and the initial IV infusion rate is __________ mL/h. ANS: 6 480; 14.6 21. Use the following weight-based heparin protocol for the following problem. Place a space
before the hundreds place in your answer, e.g., 8 888.
A patient weighs 81 kg and is on an IV infusion of heparin. The PTT is reported as 43. The IV pump is calibrated to deliver in tenths of an mL/h. Based on the PTT result you will administer an IV heparin bolus of ___________ units and you will increase the IV infusion rate by _______ units per hour. ANS: 3 240; 162
Chapter 22: Pediatric and Adult Dosage Calculations Based on Weight Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition MULTIPLE CHOICE 1. An IV medication of 50 mcg in 200 mL is ordered to infuse over 2 hours. The normal
dosage range is 1.5 to 3 mcg/kg/h. The child weighs 5.7 kg. What would the nurses actions be: a. Call the prescriber. b. Administer the dose as ordered. ANS: B COMPLETION 1. Round dosage and weight to the nearest tenth as indicated.
Order: Erythomycin ethylsuccinate 62.5 mg PO q6h is ordered for an infant weighing 10 lb 4 oz. The recommended safe dosage is 30 to 50 mg/kg/24 h divided q6h. The infant’s weight is _______ kg and the safe dosage range is from ______ mg/day to ______ mg/day; you would a. Administer or b. Call the prescriber (answer a or b) ______. ANS: 4.7; 141; 235; b 2. Round dosage and weight to the nearest tenth as indicated.
Order: Cefaclor (Ceclor) 100 mg PO q8h is ordered for a child weighing 32 lb. The recommended dosage is 20 to 40 mg/kg/day divided q8h. Available: Cefaclor 50 mg per 2 mL suspension The child’s weight is _______ kg and the safe dosage range is from ______ mg/day to _______ mg/day; administer ______ mL. ANS: 14.5; 290; 580; 4 3. Round dosage and weight to the nearest tenth as indicated.
Order: Phenobarbital 45 mg PO BID is ordered for a child with seizures weighing 35 lb. The recommended dosage is 6 to 8 mg/kg/24 h, given every day or DID. The child’s weight is _____ kg and the safe dosage range is from _______ mg/day to _______ mg/day; you would a. Administer or b. Call the prescriber (answer a or b) _______. ANS: 15.9; 95.4; 127.2; b 4. Round dosage and weight to the nearest tenth as indicated.
Order: Gentamicin 45 mg IV q8h for a child weighing 45 lb. The recommended dosage is 6 to 7.5 mg/kg/day in three to four divided dosages. The child’s weight is _____ kg and the divided dosage range is from _______ mg/day to _______ mg/day; you would a. Administer or b. Call the prescriber (answer a or b) _______. ANS: 20.5; 41; 51.3; a
5. Round dosage and weight to the nearest tenth as indicated.
Order: Albuterol 1.2 mg PO TID is ordered for a child weighing 27 lb. The recommended dosage is 0.3 mg/kg/24 h divided q8h. Available: Albuterol 4 mg per 10 mL The child’s weight is _____ kg and the divided dose is ______ mg every 8 hours; administer ______ mL per dose. ANS: 12.3; 1.2; 3 6. Round dosage and weight to the nearest tenth as indicated.
The recommended dosage of Mezlin for an adult with a serious infection is 200 to 300 mg/kg/day given in four to six divided dosages. The adult weighs 175 lb. The adult’s weight is ________ kg and the 24-hour dosage range is _____ g/day to _____ g/day. ANS: 79.5; 15.9; 23.9 7. Round dosage and weight to the nearest tenth as indicated.
Order: Ticar 4 g IV q6h The recommended dosage of Ticar for an adult with a complicated urinary tract infection is 150 to 200 mg/kg/day IV in divided dosages every 4 or 6 hours. The adult weighs 194 lb. The 24-hour dosage range is from _______ g/day to _______ g/day; you would a. Administer or b. Call the prescriber (answer a or b) _______. ANS: 13.2; 17.6; a 8. Using the West nomogram, determine the body surface area (BSA) for a child with the
height and weight given. 32 inches and 25 lb.
The BSA is _____ m2. ANS: 0.52 9. Using the West nomogram, determine the body surface area (BSA) for a child with the
height and weight given. 80 cm and 11 kg.
The BSA is _____ m2. ANS: 0.5 10. Using the West nomogram, determine the body surface area (BSA) for a child with the
height and weight given. 22 inches and 10 lb.
The BSA is _____ m2. ANS: 0.27 11. Using the West nomogram, determine the body surface area (BSA) for a child with the
height and weight given. 170 cm and 50 kg.
The BSA is _____ m2. ANS: 1.55 12. Use the appropriate formula to determine BSA. Express answer to the nearest hundredth.
An adult who measures 175 cm and weighs 85 kg. The BSA is _____ m2. ANS: 2.03 13. Use the appropriate formula to determine BSA. Express answer to the nearest hundredth.
An adolescent who measures 157.5 cm and weighs 59.1 kg. The BSA is _____ m2. ANS: 1.61
14. Use the appropriate formula to determine BSA. Express answer to the nearest hundredth.
A child who measures 26 inches and weighs 36 lb. The BSA is _____ m2. ANS: 0.55 15. Use the appropriate formula to determine BSA. Express the answer to the nearest
hundredth. An adult who is 67 inches tall and weighs 175 lb. The BSA is _____ m2. ANS: 1.94 16. Using the formula when indicated, calculate the following dosages. Express the answer to
the nearest tenth. The recommended dosage of acyclovir is 250 mg/m2 and the child has a BSA of 0.27 m2. Administer _______ mg ANS: 67.5 17. Using the formula when indicated, calculate the following dosages. Express the answer to
the nearest tenth. The recommended dosage of methotrexate is 25 to 75 mg/m2/wk. The child’s height is 30 inches and the weight is 25 lb. The child’s BSA is ________ m2 and the recommended dosage range is from ____________ mg per week to _______ mg per week. ANS: 0.49; 12.3; 36.8 18. Using the formula when indicated, calculate the following dosages. Express the answer to
the nearest tenth. The recommended dosage of Paraplatin for ovarian cancer is 360 mg/m2. The client’s BSA is 1.67 m2. Administer _____ mg ANS: 601.2 19. Using the formula when indicated, calculate the following dosages. Express the answer to
the nearest tenth. The recommended dosage of Zovirax for a child who is immunosuppressed and has a varicella-zoster infection is 500 mg/m2. The child weighs 26.5 lb and is 58 inches tall. The child’s BSA is ________ m2 and the recommended dosage is __________ mg. ANS: 0.7; 350 20. Determine the volume of solution that must be added to the burette in the following
problem. Determine the rate in gtt/min for each IV when a microdrop is used, then the rate in mL/h for a controller. The volume of a 75-mg dosage of medication is 3 mL. Dilute to 55 mL and infuse over 45 minutes. The dilution volume is ________ mL and the IV device is regulated at ____________ gtt/min, totalling ____________ mL/h of medication.
ANS: 52; 73; 73 21. Determine the volume of solution that must be added to the burette in the following
problem. Determine the rate in gtt/min for each IV when a microdrop is used, then the rate in mL/h for a controller. A medication of 1 g in 4 mL is to be diluted to 60 mL and infused over 90 minutes. The dilution volume is ________ mL and the IV device is regulated at ________ gtt/min, totalling __________ mL/h of medication. ANS: 56; 40; 40 22. Determine the normal dosage range to the nearest tenth.; place a space after the thousands
place, e.g., 8 888. A child weighing 16.4 kg is to receive a medication IV with a dosage range of 100 to 150 mg/kg/day. The order is for 600 mg in 75 mL D5W q6h. The normal dosage range is from ________ mg/day to ________ mg/day and you would a. Administer or b. Call the prescriber (answer a or b) ________. ANS: 1 6400; 2 460; a 23. Determine the normal dosage range to the nearest tenth; place a space after the thousands
place, e.g., 8 888. A child weighs 10 kg and is to receive 0.5 g of nafcillin in 100 mL D5W q6h. The dosage range is 100 to 200 mg/kg/day. The normal dosage range is from ________ mg/day to ________ mg/day and you would a. Administer or b. Call the prescriber (answer a or b) ________. ANS: 1 000; 2 000; a 24. Determine the normal dosage range to the nearest tenth.
An IV medication of 50 mcg in 200 mL is ordered to infuse over 2 hours. The normal dosage range is 1.5 to 3 mcg/kg/h. The child weighs 5.7 kg. The dosage is _________ mcg/h and the dosage range is from _______ mcg/h to _______ mcg/h. ANS: 15; 8.55; 17.1 25. Calculate the following children’s dosages.
Order: Garamycin 15 mg IV q8h Available: Garamycin 10 mg/mL Administer _____ mL ANS: 1.5 26. Calculate the following children’s dosages.
Order: Kantrex 65 mg IV q8h Available: Kantrex 40 mg/mL Administer _____ mL
ANS: 1.6 27. Calculate the following children’s dosages.
Order: Epinephrine 0.25 mg IV stat Available: Epinephrine 0.1 mg/mL Administer _____ mL ANS: 2.5 28. Calculate the following children’s dosages.
Order: Lanoxin (digoxin) elixir 0.1 mg PO daily Available: Lanoxin 0.05 mg per mL Administer ______ mL ANS: 2 29. Calculate the following children’s dosages.
Order: Amoxil 75 mg PO q8h Available: Amoxil 25 mg per mL Administer _____ mL ANS: 3 30. Calculate the following children’s dosages.
Order: Nebcin 35 mg IV q8h Available: Nebcin 10 mg/mL Administer _____ mL ANS: 3.5 31. Calculate the following children’s dosages.
Order: Kefzol 185 mg IV q6h Available: Kefzol 250 mg per 2 mL Administer _____ mL ANS: 1.5
Chapter 23: Critical Care Calculations Killian: Gray Morris’s Calculate with Confidence, 2nd Canadian Edition COMPLETION 1. Calculate the dosages as indicated. A patient is receiving procainamide 1 g in 500 mL
D5W at 120 mL/h. Administer _______ mg/min ANS: 4 2. Calculate the dosages as indicated. A patient is receiving dopamine 800 mg in 500 mL
D5W infusing at a rate of 30 mL/h. Administer _____ mg/h, which is ______ mcg/min ANS: 48; 800 3. Calculate the dosages as indicated. Round to the nearest tenth.
Order: Dobutamine 2.5 mcg/kg/min for a patient who weighs 193 lb Available: Dobutamine 250 mg in 250 mL D5W The patient weighs ________ kg and the rate to infuse 2 mcg/kg/min is _________ mL/h. ANS: 87.7; 11 4. Calculate the dosages as indicated. Round to the nearest tenth
Esmolol is ordered for a patient. The solution available is 2.5 g in 250 mL D5W. The order is to infuse 32 mL/h. Administer _____ mg/h, which is ______ mg/min ANS: 320; 5.3 5. Calculate the dosages as indicated.
A patient weighing 80 kg has an order for Intropin to infuse at 8 mcg/kg/min. The solution available is 800 mg Intropin in 500 mL D5W. Administer _____ mcg/min, which is ______ mL/h ANS: 640; 24 6. Calculate the dosages as indicated. Round to the nearest tenth.
Dopamine 4 mcg/kg/min is ordered for a patient who weighs 165 lb. The solution available is 400 mg of Dopamine in 250 mL D5W. To infuse by infusion pump that delivers in tenths of an mL. Administer ______ mg/min, which is ______ mL/h ANS: 0.3; 11.3 7. Calculate the dosages as indicated.
Lidocaine to infuse at 3 mg/min. The solution available is 2 g of lidocaine in 500 mL D5W. Determine the IV flow rate.
The IV flow rate is ______ mL/h. ANS: 45 8. Nitroglycerine has been ordered to titrate at 10 mcg/min to 30 mcg/min, and the rate
should be increased by 5 mcg/min every 3 to 5 minutes for chest pain. The solution contains 50 mg nitroglycerin in 250 mL D5W. From a titration table in 5-mcg increments, indicate the lowest and the highest flow rate. The pump delivers in tenths of an mL. The lowest is _______ mL/h and the highest is ______ mL/h. ANS: 3; 9