NUR 207 Med Math Fall 2020

Completion
Complete each statement. PRACTICE QUESTIONS

1. The physician orders famotidine 20 mg direct IV for the patient with an active duodenal ulcer. The drug
reference manual states the following about famotidine: Direct IV: Rate: Administer at a rate of 10 mg / min.
Rapid administration may cause hypotension. The nurse will administer the famotidine over ______ minutes.

2. The physician writes an order for a primary IV of 1 L D5NS with 30 mEq KCl q.12h. The IV tubing set has a
drop factor of 12 gtt / mL. What is the flow rate for the gravity IV? ( Round your answer to a whole
number)

3. The order is for an IV of 500 mL D5/0.225 NS with 20 mEq KCl q.10h. The nurse has a microdrip IV tubing
set. The flow rate for the IV is ______ gtt / min.

4. The physician orders 300 mg cimetidine IV q.6h. The pharmacy sends the medication in a 50 mL bag of NS
with the directions to infuse the IV over 15 minutes. The nurse is correct in setting the IV infusion pump to
____ mL / hr.

5. The physician orders a unit of packed red blood cells to infuse in 2 hours. The unit contains 250 mL. The
blood tubing administration set has a drop factor of 10 gtt / mL. The flow rate for the infusion of packed red
blood cell is _____ gtt / min.( Round your answer to a whole number)

6. 500 mL of 0.9% Normal Saline was started at 1830 to infuse at 50 mL / hr. Calculate the completion time for
this IV. Enter answer in military time.
_________________

7. Depo-Medrol 120 mg IM is ordered q.AM. Available is a 5 mL vial of Depo-Medrol 80 mg / mL. How many
mL will the nurse administer to the patient? __________ mL

8. Ketoraolac 20 mg direct IV injection is ordered q.6h. for 24 hours. A vial of ketorolac 15 mg / mL is

available. How many mL will the nurse administer to the patient? _________ mL
( round your answer to the nearest tenth)

9. Heparin 4500 units is ordered subcut q.12h. A 2 multidose vial labeled heparin 5000 units / mL is available.
How many mL will the nurse administer to the patient? ________ mL
( Don’t round your answer)

10. The physician’s order is for Calcitriol 0.001 mg direct IV stat. Calcitriol 1 mcg / mL is available. How many
mL will the nurse administer to the patient? _________ mL

11. A vial of ampicillin 1 g is reconstituted with 3.4 mL of diluent. The resulting dosage strength is 250 mg / mL.
The nurse has an order to administer 0.5 g IM q.12h. The nurse will give _____ mL.
12. The physician orders 250 mg of an antibiotic q.12h. The medication is available in a 2 g vial with the
following directions for reconstitution: Add 5 mL sterile water for injection. Shake vial well. Resulting
solution contains 300 mg / mL. How many mL of the mixed medication will the nurse administer to the
patient? _____

13. The order is for 2 million units of penicillin G potassium IV q.6h. The nurse reconstituted the 5,000,000-unit
vial of penicillin G potassium with 8.2 mL. How many mL of penicillin G potassium will the nurse administer
to the patient? __________

14. The order is for heparin 300 units / hr. The pharmacy sends an IV of 250 mL D5W with 25,000 units of
heparin. How many mL / hr should the nurse set on the IV pump? ___________ mL / hr

15. The patient is to receive IV aminocaproic acid 1 – 1.25 g / hr. An IV of 5 g aminocaproic acid in 250 mL NS
is infusing at 55 mL / hr. How many g of the medication is the patient receiving each hour?                  _____ g /
hr ( round to the nearest tenth)

16.
The order is for doBUTamine 5 – 15 mcg / kg / min for a patient who weighs 176 lb. An IV of 1 g
doBUTamine in 250 mL D5W is available. How many mL / hr should the nurse set on the IV pump to
administer 10 mcg / kg / min to the patient? _________ mL / hr

17. The order is for IV nitroglycerine 20 mcg / min for a patient with an acute myocardial infarction. An IV of
200 mg nitroglycerine in 500 mL NS is sent to the unit by the pharmacy. How many mL / hr will the nurse set
on the IV pump? _________ mL / hr

18. An IV of 250 mL    NS with 25,000 units of heparin is infusing at 8 mL / hr. How many units of heparin is the
patient receiving each hour? ____________

19. The physician orders fluconazole 200 mg twice a day. The fluconazole is available as shown below
and be infused over 45 minutes. Using tubing with a drop factor of 10 gtt/mL, how many mL/hour
should be infused? __________
Round to a whole number. No label.

20. Begin heparin according to the protocol shown below. The patient’s weight is 76 kg. What is the
bolus? __________ What is the infusion rate? ___________
Use the following Nomograms for adjusting Heparin Drip Rates:
Initial heparin dosing:
(1) Give a bolus of 80 units per kilogram
(2) Start an infusion of 18 units per kilogram per hour
(3) Order an aPTT 6 hours after heparin bolus given.

Initial heparin bolus (at 80 units/kg    rounded to the nearest 100 units)
( Heparin drip is available in 25,000 units/250 mL D5W), round    infusion rate to the nearest
tenth.
STANDARD BLEEDING RISK PATIENTS: Goal PTT 79-118 seconds
NUR 207 DSC Test Last Attempt fall 2018
Answer Section

COMPLETION

1. ANS:
2
Two
2 minutes

PTS: 1
2. ANS: 17 gtt / minute

PTS: 1
3. ANS: 50

PTS: 1
4. ANS: 200

PTS: 1
5. ANS: 21

PTS: 1
6. ANS: 04:30

PTS: 1
7. ANS:
1.5
1 1/2
One And A Half
1.5 mL
1    1/2 mL

PTS: 1
8. ANS:
1.33
1.33 mL
1.3 mL

PTS: 1
9. ANS: 0.9

PTS: 1
10. ANS:
1
One
 1 mL

PTS: 1
11. ANS:
2
Two
2 mL

PTS: 1
12. ANS: 0.83 mL

PTS: 1
13. ANS:
4 mL
Four

PTS: 1
14. ANS: 3 mL / hr

PTS: 1
15. ANS:
1.1
1.1 g / hr

PTS: 1
16. ANS:
12
Twelve
12 mL / hr

PTS: 1
17. ANS:
3
Three
3 mL / hr

PTS: 1
18. ANS: 800

PTS: 1
19. ANS: 133

PTS: 1
20. ANS: 6000 , 13.7

PTS: 1