McMaster/Mohawk/Conestoga BScN Program

Level 3 IV Medication Practice Quiz 1

Student Name:
Tutor Name:
McMaster ID #:

Show ALL your calculations.

1. Ordered: Gravol (dimenhydrinate) 30 mg IV stat. Refer to the label below.

1a. Calculate the volume you will administer for 1 dose.

  2 mL vial  

Lot: xxx
Gravol ®

Dimenhydrinate
Exp: xxx IM/IVSOLUTION
  50 mg / mL
  DIN: xxxxxxxx

1b. Your IV drug guide states that Gravol should be further diluted in NS to a maximum
concentration of 0.6 mg/ml. What minimum volume of fluid should this dose be diluted in?

1c. You add the Gravol to a 50mL minibag for administration. The recommended rate of
infusion is 15 minutes. If the infusion set has a drop factor of 15 gtt/ml, calculate the drip rate
per minute.

2. Ordered: Morphine 1.5 mg IV q4h prn

Supply: Morphine 2 mg / mL
2a. Calculate the correct volume to be administered for one dose.

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2b. Morphine needs to be added to a 25ml minibag for administration. The recommended
infusion time is 15 minutes. What hourly rate would you set on an infusion pump to administer
this medication? (1 mark)

3. Jenny has been ordered Zofran (ondansetron) 4mg IV prn. Refer to the label below.

  4ml 
Lot:
xxx
Zofran
Exp:
xxx ondansetron
2mg/ml
   
Parenteral Use only
  Sterile Injection USP
   

3a. Calculate the volume to administer. (1 mark)

3b. Ondansetron (Zofran) needs to be further diluted in a 50 mL minibag of 0.9% Sodium

Chloride solution. The recommended infusion time is 15 minutes.
Using the infusion set provided, calculate the rate of flow in drops per minute (1 mark)

10 gtts/mL
CLEARLINK SYSTEM
Continu-Flo
Solution Set

110’ (2.8 m)
3 Luer Lock Adapter

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3c. If you administer the ondansetron (Zofran) to Jenny using an infusion pump, you need to set
an hourly rate. In order to infuse the 50 ml minibag in 15 minutes, what would be the hourly
rate you set on the pump?

4. Ordered: Cefotaxime 1.25 grams IV q8h. Refer to the label below. Calculate the
volume to administer for 1 dose.

     

Lot: xxx CLAFORAN® Antibiotic for Reconstitution:

Sterile cefotaxime sodium
Exp: xxx i.m. / i.v. use For IV use: Add 9.5 mL Sterile Water for Injection
  2000 mg / vial Provides 200 mg cefotaxime / mL
  Antibiotic Use within 24 hours of reconstitution.

   

4b. Your IV drug guide states that IV cefotaxime should be further diluted in NS to a maximum
concentration of 50 mg/ml. What minimum volume of fluid should the cefotaxime be
diluted in?

4c. You select a 25ml minibag to administer the cefotaxime in. The recommended infusion time
is 20 minutes. If the drop factor of your IV piggyback set is 10 gtt/ml, calculate the flow rate
in drops per minute.

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4d. If you use an infusion pump instead for the cefotaxime in question 4c., what would you set
the hourly rate to?

5. John is a 9 year old who weighs 25.5 kg. The doctor’s order reads: Morphine 4mg SC q4h
prn. The available drug is Morphine 10 mg/mL. The safe dosage range for a child is 0.1 –
0.2 mg/kg body weight per dose q4h prn.

5a. Is this dose within the safe range for John? Explain your answer.
YES NO

5b. How many mL of Morphine should you administer for 1 dose? Refer to the label below.

  1 mL  
Lot: xxx MORPHINE
Exp: xxx Sulphate
  Injection USP
  10 mg / mL
  S.C., I.M. or I.V.
     

6. Mr. McMaster’s blood sugar is low. His last Capillary Blood Glucose result was 4.0 and he is
currently asymptomatic. The doctor has ordered a bolus infusion of Dextrose 10% (D10)
50mL IV to be given over 5 minutes.
6a. As the RN student assigned to this client, which IV administration method should you use?
Explain your answer.

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7. Ordered: Morphine 1.5 mg IV q4h prn for pain. Supplied: Morphine 2mg/ml ampule.

7a. Calculate the correct volume to be administered for one dose

7b. Choose the correct syringe size to draw up this dose of medication
100 unit Insulin syringe 1.0 mL syringe 3.0 mL syringe

7c. Which volume of minibag is the best IV minibag to infuse this medication? Explain your
answer.
25mL NS 100mL NS 250 mL NS No Minibag is needed

7d. This dose will result in unused medication in the ampule. Another nurse on the unit you
are assigned to suggests that you tape the top of the ampule and store the unused
medication in the locked drawer for use next time. What should your response/actions be?

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 Answer KEY Practice Quiz 1

1. a. 0.6ml
b. 50ml
c. 50 gtt/min

2. a. 0.75 mL
b. 100 ml/hour

3. a. 2ml
b. 33.3 = 33 gtt per minute OR 34.6 = 35 gtt per minute if calculation included syringe
volume for a total of 52 mL
c. 200 mL per hour OR 208 mL if calculation based on volume of 52 ml

4. a. 6.3 ml
b. 25ml
c. 12.5=13 gtt/min OR 15.6=16 gtt.min if included syringe for total volume of 31.25ml
d. 75 ml/hr (if used total volume of 25ml) OR 94 ml/hr if used total volume of 31.25 ml

5. a. Yes (safe dose range is 2.55-5.10 mg)

b. 0.4 ml

6. See Page 45 of IV lab manual – IV Medication Administration Guidelines – to explain your

answer.

7. a. 0.75 mL
b. 1.0 mL Syringe
c. 25 mL NS – smallest volume for dilution preferred for bolus infusion
d. See Administering Medications Standards review in IV med lab manual to explain your
answer

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