Associate Degree Nursing Program

**Exam III- Fall 2020**

NAME______________________________________ DATE__________________________

**DIRECTIONS: After reading each item in its entirety, **perform accurate dosage calculations. For problems that may result in decimal form, record at the tenths place, **unless instructed otherwise.** Follow any specific instructions that may be given. **DO NOT ROUND**. Be certain to document the amount/quantity of the supply to be given.

1. Order: Nembutal 100 mg orally qn prn

Have: Nembutal 50 mg/gel caps

Give: __100MG DIVED BY 50MG TIMES PER CAP = _2 CAPS______________________

2. Order: Scopolamine 0.08 mg subcutaneously x 1 dose now

Have: Scopolamine 80 mcg/ml

Give: _0.08mg is equivalent to 80 mcg, therefore we divide 80 by 80 x 1 dose = 1ml________________________

3. Order: Ascorbic Acid 250 mg twice daily by mouth

Have: Ascorbic Acid 100 mg/scored tablet

Give: _divide 250mg by 100mg times per tablet = 2.5 tablets__________________________

4. Order: Digoxin EL 0.75 mg po TID

Have: Digoxin EL 0.25 mg/5ml

Give: ____divide 0.75mg by 0.25 mg times 5 ml = 15ml________________________

5. Order: Kaochlor 45 mEq po q12h

Have: Kaochlor 15 mEq/caplets

Give: __45 divided by 15 times times per caplets = 3 caplets_______________________

6. A client with hypertension has been prescribed clonidine 400 mcg po bid. Pharmacy provides clonidine 0.2 mg/tablets. After careful calculations are completed, how much should the nurse administer for the first dose?_____________ How much of the supply will be given in a 24hr period?_____________________ = for first dose, total dose required 400mcg, tablet content =0.2 mg= 200mcg , no. of tablets for 400mcg = 400/200 = 2 tablets.

for 24 hr supply , total dose required = 400 mcg + 400mcg = 800mcg, tablets content = 0.2 mg = 200 mcg , no of tablets required = 800/200 =4 tablets, so the answer is 2 tablets , 4 tablets.

7. A client with uncontrolled seizures has been prescribed Dilantin suspension 0.25 gram po BID. Dilantin suspension 50 mg/2ml arrives in a light resistant bottle. How much should be poured from the bottle to obtain a single dose?___=50mg is in 2ml so, for so 250 mg (250 x 2 /50= 10ml , for 24 hr =10 x2 = 20ml_______________ How much of the supply will be given in a 24hr period? ___________________________ answer is 7.5ml , 20ml

8 Diphenhydramine 50mg/2ml is sent to the unit to fulfill an order for Diphenhydramine

35mg IM q4h prn. Upon request from the client, the nurse should withdraw____________ for injection. = we divide 35mg by 50mg times 2ml =1.4 ml

9. Have: Librium 100mg/5ml

Order: Librium 25mg IM NOW

Give: _______________________(record at the hundredths place)= we divide 25mg by 100mg times 5ml = 1.25 ml

10. Order: Heparin 1500 units subcutaneously three times daily

Have: Heparin 2500 units/0.5ml

Give: _we divide 1500 units by 2500 units times 0.5ml = 0.3 ml___________________________________

11. The physician has ordered magnesium sulfate 400mg IVPB STAT. The label reads magnesium sulfate 1% solution. How much magnesium sulfate should injected into a mini-bag for administration? _= we change 1% to be 10% , then we divide 400mg by 10% times 1 = 40ml_________________________________________

12. An order reads: Lidocaine 25 mg subcutaneously for one dose only prior to a lumbar puncture. Available: Lidocaine 2.5% solution. How much should be given?= change 2.5mg to be 25% then we divide 25mg by 25% times 1= 1ml

______________________________________

13. Pharmacy provides Antabuse 0.2:10 solution to fulfill an order which reads: Antabuse 150 mg IVP q6h prn. How much should the nurse administer with each requested dose? = 200gm is in 10ml , so for 150mg =(150×10) / 200 =7.5ml___________________________________

14. Megastrol 25mg po is to be given. The vial is labeled Megastrol 1%. The nurse should pour ________________________________ to be administered.= first we going to change 1% into 10, then we divide 25mg by 10 times 1 = 2.5 ml

15. Depo-Provera 1 gram is ordered for IM administration. Pharmacy provides Depo-Provera 2:10 solution. The nurse will administer ______________________ to the client.

16. A medication label reads aldosterone 50 mg/scored tablets. The doctor has ordered 75 mg three times a day. How much will the nurse administer for the first dose? =_______we__divide 75mg by 50mg times per tablet = 1.5 tablets__________________________________

17.** **A licensed care provider has prescribed tagamet 400 milligrams orally. The medication label reads tagamet liquid 200 milligrams per 5 ml. How much should be administered? = we divide 400ml by 200ml times 5ml =10ml_______________________________________________

18.** **Gantrisin 0.75g by mouth is ordered. On hand is gantrisin 250 mg capsules. How much should be given? _= 0.75 g is equivalent of 750mg, therefore we divide 750mg by 250mg times per capsules = 3 capsules __________________________________

19.** **A physician’s assistant orders 125 mg of liquid cough syrup. The bottle of cough syrup is labeled 100 mg in 5 ml. How much should the client receive? _______________________(record at the hundredths place)= we divide 125mg by 100mg times 5ml = 6.25ml

20. A client needs to receive 60 mEq of potassium chloride by mouth. On hand is 20 mEq/capsule. How much does the client receive? __= we divide 60 by 20 times per caps = 3 capsules_______________

21. Wellcovorin 1mg subcutaneously has been ordered. The medication comes in powder form. The directions for reconstitution are: Add 5mL of diluent for a final concentration of 10mg/1mL. After reconstituting, how much should be withdrawn for administration? = 1mg divide by 10mg times 1ml = 0.1ml________________________________________________________

22. Nafcillin 500mg IV piggyback has been ordered. The medication arrives in powdered form. When reconstituted with 3.5ml of diluent to the vial, 250 mg/ml is yielded. How much should be withdrawn to add to a mini-bag? = 500mg divide by 250mg times per ml= 2 ml _________________________________________

23. A nurse receives an order to administer solu-cortef 150 mg intravenously. A powder form is available with instructions to add 1.8mL of sterile water to yield a solution of 250mg/ml. How much should be administered by the nurse? ___150mg divide by 250mg times per ml =0.6 ml________________________

24. Order: claforan 665 mg via minibag. Available: A vial of claforan powder with the directions to reconstitute with 10mL of bacteriostatic water to yield a concentration of 95mg/ml. The nurse should withdraw _divide 665mg by 95mg times per ml = 7 ml______________ to be added to the mini-bag for administration

25. Order: penicillin 900,000 units IVPB. Available: A vial of penicillin powder. Directions: Add 1.6 mL of sterile water to give a concentration of 300,000 units/2ml. The nurse must withdraw___divide 900,000 by 300,000 times 2ml = 6ml______________________ for administration.

26. Order: streptomycin 0.25 grams. Available: streptomycin powder which reads reconstitute with 9mL of sterile water for a concentration of 400mg/2mL. Give: _________0.25g is equivalent to 250mg , therefore, we divide 250 by 400mg times 2ml = 1.25ml________________________________ (record at the hundredths place)

27. Available: A vial of tazicef powder with the directions to add 10 ml of sterile water which

will yield 200mg/ml. The nurse must withdraw_____________________________________ to satisfy an order for tazicef 0.6grams.= 0.6grams is equivalent to 600mg, therefore we divide 600mg by 200mg times per ml = 3ml

28. A healthcare provider orders Maxipime 0.75g IV. A vial of maxipime powder is available. Directions: Add 2.6mL of sterile water to yield 200mg/2mL. How much should the nurse administer? __0.75g is equivalent to 750mg, therefore we divide 750mg by 200mg times 2ml = 7.5 ml______________________________________

29. Order: Dexamethasone 3mg intravenously once daily

Supply: Dexamethasone 4mg/ml

Administer: _we divide 3mg by 4mg times per ml = 0.75ml___________________________ (record at the hundredths place)

30. Have: Lorazepam 2mg/scored tablets

Order: Lorazepam 1mg po q4h prn

_{ } Administer: __we divide 1mg by 2mg times per tablet = 0.5 tablet__________________

31. Supply: Digoxin 500mcg/scored tablets

Order: Digoxin 0.125 mg po once daily

Administer:__convert 0.125 mg to mcg, therefore 1250mcg divide by 500mcg times per tablets = 2.5 tablets_________________________

32. Order: Ibuprofen 0.6 g po q8h prn

Available: Ibuprofen 300mg EC caplets

Administer: ______0.6 g in equivalent 600mg, therefore we divide 600 by 300 time per caplets = 2 ec caplets____________________

33. Order: Isuprel 0.01g IVP q8h for apical heart rate < 50

Have: Isuprel 1:175

Administer: _____________________ (record at the hundredths place)

34. Have: Calcium gluconate 10 %

Order: Calcium gluconate 0.3g IV x1 dose STAT

Administer: __0.3 g is equivalent 30, therefore we divide 30 by 10 times per dose =3 ml________________________

35. Supply: Phenytoin suspension 75 mg/7.5ml

Order: Phenytoin suspension 150 mg po TID

How much will be administered in a single dose?____________________

How much of the supply will be administered within 24 hrs?_________________

Answer Key

- 2 gel caps
- 1 ml
- 2
^{½}_{ }or 2.5 or 2 and one-half scored tablets - 15 ml
- 3 caplets
- 2 tablets, 4 tablets
- 10 ml 20 ml
- 1.4 ml
- 1.25 ml
- 0.3 ml
- 40 ml
- 1 ml
- 7.5 ml
- 2.5 ml
- 2.5 ml
- 1.5 or 1
^{½}_{ }or 1 and one-half scored tablets - 10 ml
- 3 capsules
- 6.25 ml
- 3 capsules
- 0.1 ml
- 2 ml
- 0.6 ml
- 7 ml
- 6 ml
- 1.25 ml
- 3 ml
- 7.5 ml
- 0.75 ml
- ½ or 0.5 or one-half scored tablet
- 2 ½ or 2.5 or 2 and one-half scored tablets
- 2 EC caplets or 2 enteric coated caplets
- 1.75 ml
- 3 ml
- 15 ml, 45 ml

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