Sem 4 Math Test

Math Test
Chapter 12
1. Order: Infuse LR 500 mL over 4 hours
Drop factor: On electronic infusion device
Calculate the rate. Round to the nearest whole number
a. 125 mL/h
2. Order: Give D5LR 1 L over 12 hours

Calculate the rate. Round to the nearest whole number.
a. 83 mL/h
3. Order: IV Ampicillin 500 mg dissolved in 0.9% NaCl 150 mL to infuse over 30 minutes
a. 300 mL/h
4. Order: Give IV Cipro 200 mg dissolved in D5W 200 mL over 1 hour

a. 200 mL/h
5. Order: D51/2 NS 1000 mL over 10 hours
a. 100 mL/h
6. Order: Give D5NS 1 L at 125 mL per hour

Drop factor: 20 gtt per mL
a. 42 gtt/min
7. Order: NS 1000 mL at 75 mL per hour

a. 19 gtt/min
8. Order: Infuse LR 1 L at 200 mL per hour
a. 33 gtt/min
9. Order: Cefazolin 1 g dissolved in D5W 50 mL to infuse over 40 minutes

a. 25 gtt/min
10. Order: D51/3NS to infuse at 60 mL per hour

a. 60 gtt/min
11. Order: Give Zosyn 3.375 g in NS 50 mL over 30 minutes

a. 25 gtt/min
12. Order: Infuse D5W 250 mL at 40 mL per hour
a. 40 gtt/min
13. Order: Administer D5NS at 90 mL per hour

a. 40 gtt/min
14. Order: Infuse D51/2NS 500 mL at 100 mL per hour

Calculate the rate.
a. 17 gtt/min
15. Order: RL at 150 mL per hour
a. 38 gtt/min
16. Order: Give NS 1 L over 6 hours

a. 56 gtt/min
17. Order: Administer D50.225NS 500 mL over 8 hours

a. 16 gtt/min
18. Order: Give LR 750 mL over 5 hours

a. 25 gtt/min
19. Order: Administer D5W 250 mL over 5 hours

a. 50 gtt/min
20. Order: Administer D5NS 500 mL over 5 hours
a. 33 gtt/min
21. Order: NS 600 mL of for 8 hours at 75 mL per hour

a. 19 gtt/min
22. Order: NS 600 mL over 8 hours at 75 mL per hour (19 gtt/min)
After 3 hours, there are 525 mL remaining in the IV.
How much time is left for the infusion?
a. 8 h
8h−3h=5h
After 3 hours, there are 525 mL remaining in the IV.
Recalculate the mL per hour flow rate. Round to the nearest whole number.
a. 105 mL/h

After 3 hours, there are 525 mL remaining in the IV. Recalculate the gtt per min flow rate.
Round to the nearest whole number.
a. 26 gtt/min
After 3 hours, there are 525 mL remaining in the IV. Calculate the percentage of
variation. Round gtt/min and the percent to the nearest whole number.
a. 37%
After 3 hours, there are 525 mL remaining in the IV. You have determined the IV needs to
run at 26 gtt/min to complete the infusion on time. This is a 37% variation.
What should you do next?
a.
27. J
28. J
29. Jj
30. J
31. J
32. J
33. J
34. Jj
35. J
36. J
37. J
38. J
39. J
40. Jj
41. J
42. J
43. J
44. J
45. J
46. j
Chapter 13
1. Use the metric BSA formula to calculate the BSA of a child who is 88 cm and 22 kg.
Round to nearest the hundredth.
a. 0.73 m2
2. Use the BSA formula based on household measurements to calculate the BSA of an infant
who weighs 14 lbs and is 18 inches long.
a. 0.28 m2
3. Use the West Nomogram chart to determine the BSA for a child of normal height and
weight who weighs 70 lbs.
a. 1.1 m2
4. Use the household BSA formula to calculate the recommended dose of methotrexate for a
client who weighs 146 lbs and is 5 feet 7 inches tall. The recommended dose is 12 g per
m2 by IV infusion over 4 hours. Round to the nearest tenth.
a. 21.2 g
5. Order: Videx 50 mg po q12h for a client who is 50 cm and 15 kg

Supply: Videx 100 mg per 10 mL oral solution with an insert that says, "Dosage for BSA
less than 0.4 m2 is 25 mg q12h; BSA of 0.4-0.7 m2 is 50 mg q12h"
Is this dose safe?
a. Yes
6. Order: 50 mg of Videx po q12h for a client who is 50 cm and 15 kg
Videx 100 mg per 10 mL oral solution with an insert that says, "Dosage for BSA less than
0.4 m2 is 25 mg q12h; BSA of 0.4-0.7 m2 is 50 mg q12h"
How much is one dose?
a. 5 mL
7. Order: acyclovir 230 mg IV q8h

Supply: acyclovir 100 mg per 10 mL with an insert that says, "recommended dose 250-
500 mg/m2 q8h"
Is this dose safe for a child who is 25 lbs and 27 inches tall?
a. Yes
8. Order: daunorubicin 25 mg IV this AM
Supply: daunorubicin 2 mg per mL with an insert that says, "Recommended dose 25
mg/m2 once a week"
Is this order safe for a client who weighs 19 kg and is 100 cm tall?
a. No
9. Order: cytarabine 100 mg per m2 IV for a child who is 65 cm and 20 kg.
Supply: cytarabine 100 mg per 4 mL
Calculate the appropriate dose. Round to the nearest whole number.
a. 60 mg
10. Order: cytarabine 100 mg per m2 IV for a child who is 65 cm and 20 kg
Supply: cytarabine 100 mg per 4 mL
How much will you prepare for one dose? Round to the nearest tenth.
a. 2.4 mL
11. Order: cefuroxime sodium 500 mg IV q6h in 50 mL D50.225%NaCl over 30 min flush
with 15 mL (using a volume control set with a drop factor of 60 gtt per mL).
Supply: cefuroxime sodium 750 mg vial; reconstitute with 8 mL with sterile water for
injection to yield 90 mg/mL solution
What is the total volume to be administered over the 30 minutes?
a. 65 mL
50 mL + 15 mL = 65 mL
12. Order: cefuroxime sodium 500 mg IV q6h in 50 mL D50.225%NaCl over 30 min flush with
15 mL (using a volume control set with a drop factor of 60 gtt per mL)
Supply: cefuroxime sodium 750 mg vial; reconstitute with 8 mL for injection to yield 90
mg/mL solution
What is the flow rate?
a. 130 gtt/min
13. Order: cefuroxime sodium 500 mg IV q6h in 50 mL D5 0.225% NaCl over 30 min flush
with 15 mL (using a volume control set with a drop factor of 60 gtt per mL)
mg/mL solution
Calculate the volume of medication needed. Round to the nearest tenth.
a. 5.6 mL
14. Order: cefuroxime sodium 500 mg IV q6h in 50 mL D5 0.225% NaCl over 30 min flush
with 15 mL (using a volume control set with a drop factor of 60 gtt per mL)
mg/mL solution
65 mL total is to be infused at 130 gtt per min. What should you do next?
a. a. Add cefuroxime sodium 5.6 mL to the chamber followed by D50.225%NaCl b.
to a final volume of 65 mL. Set the flow rate at 130 gtt-per min to administer
the medication, and then follow it with the 15 mL flush. Detach the IV tubing,
and follow the saline lock policy.
c.
d. e. b. Add cefuroxime sodium 5.6 mL to the chamber followed by the addition of f.
D50.225%NaCl to a final volume of 50 mL. Set the flow rate at 130 gtt-per min
to administer the medication, and then follow it with the 15 mL flush. Detach
the IV tubing, and follow the saline lock policy.
g.
h. i. c. Add cefuroxime sodium 5.6 mL to the chamber followed by D50.225%NaCl
50 mL. Set the flow rate at 130 gtt-per min for the medication, and then
recalculate the flow rate to administer the 15 mL flush. Detach the IV tubing,
and follow the saline lock policy.
j.
15. Order: D51/4NS + 20 mEq KCl at 35 mL/h (continuous infusion) and 150 mg Ancef IV
over 40 min q8h (using an electronic infusion device with volume control set)
Supply: Ancef 250 mg per 5 mL
Calculate the dilution volume required to administer the Ancef at the prescribed
continuous flow rate of 35 mL per hour. Round to the nearest whole number.
a. 23 mL
16. Order: D51/4NS + 20 mEq KCl at 35 mL/h (continuous infusion) and 150 mg Ancef IV
over 40 min q8h (using an electronic infusion device with volume control set)
Supply: Ancef 250 mg per 5 mL
23 mL of IV fluids are needed to administer the Ancef over 40 minutes at the continuous
infusion rate of 35 mL per hour. Calculate how much Ancef to add to the volume control
chamber. Round to the nearest whole number.
a. 3 mL
17. Order: Methylprednisolone 10 mg IVPB q4h in D51/4NS 50 mL over 20 minutes using an
electronic infusion device with a volume control set, followed by a 20 mL flush
Calculate the total volume to be infused for one dose.
a. 70 mL
50 mL + 20 mL = 70 mL
18. Order: Methylprednisolone 10 mg IVPB q4h in D51/4NS 50 mL over 20 minutes using an
electronic infusion device with a volume control set, followed by a 20 mL flush
Calculate the flow rate.
a. 210 mL/h
19. Order: D51/2NS at 40 mL/h with Fortaz 500 mg q8h over 30 min
Supply: Fortaz 90 mg per mL
How much IV fluid is needed to dilute the Fortaz and administer it at the prescribed flow
rate of 40 mL per hour?
a. 20 mL
How much Fortaz is needed for one dose? Round to the nearest tenth.
a. 5.6 mL
How much fluid will the patient receive in a 24-hour period?
a. 960 mL
40 mL × 24 h = 960 mL
22. Order: Gentamycin 100 mg IV in 0.9% NaCl 50 mL q8h; administer over 1 hour using a
volume control set and a 15 mL flush
Calculate the total volume for infusion of one dose.
a. 65 mL
50 mL + 15 mL = 65 mL
23. Order: Gentamycin 100 mg IV in 0.9% NaCl 50 mL q8h; administer over 1 hour using a
volume control set and a 15 mL flush
a. 65 gtt/min
24. Order: D51/2NS at 70 mL/h with Claforan 250 mg IV q4h to infuse by volume control set
Supply: Claforan 300 mg per mL
How much Claforan do you add to the chamber? Round to the nearest tenth.
a. 0.8 mL
25. Order: D51/2NS at 70 mL/h with Claforan 250 mg IV q4h over 30 min to infuse by
volume control set
Supply: Claforan 300 mg per mL
How much IV fluid (for dilution) is required to administer the Claforan at the rate of 70
mL per hour?
a. 35 mL
26. Order: D50.225%NaCl + 30 mEq KCl per L to infuse at 20 mL/h for a child who weighs
15 kg and is 60 cm long
The recommended dosage for KCl is up to 40 mEq per m2 per day.
Should you use a 1-L or 500-mL bag of IV fluid?
a. 500 mL
You are preparing the order using a 500-mL bag of IV fluids. How many mEq of KCl do
you add to the bag?
a. 15 mEq
You need to add 15 mEq of KCl to a 500-mL bag. How many mL do you add? You have
KCl 2 mEq per mL. Round to the nearest tenth.
a. 7.5 mL
The recommended dosage for KCl is up to 40 mEq per m2 per day. You have KCl 2 mEq
per mL.
How much KCl will the child receive per hour? Round to the nearest tenth.
a. 0.6 mEq
Is this order safe?
a. Yes
31. Order: Ceftin 150 mg IV q8h
The recommended safe concentration is 1.5-3 mg per mL to infuse over 15-60 minutes.
What is the minimum amount of IV fluid in which the Ceftin can be safely diluted?
a. 50 mL
32. Order: Ceftin 150 mg IV q8h

The recommended safe concentration is 1.5-3 mg per mL to infuse over 15-60 minutes.
What is the maximum amount of IV fluid in which the Ceftin can be safely diluted?
a. 100 mL
33. Order: chloramphenicol 275 mg IV q6h

The recommended concentration range for administration is 50-100 mg per mL.
What is the minimum volume of fluid required for dilution? Round to the nearest tenth.
a. 2.8 mL
34. Order: chloramphenicol 275 mg IV q6h
The recommended concentration range for administration is 50-100 mg per mL.
What is the maximum volume of fluid recommended for dilution? Round to the nearest
tenth.
a. 5.5 mL
35. The recommended concentration range for bleomycin is 1-3 units per mL. A dose is
reconstituted to a concentration of 3 units per mL. This request is the:
a. maximal safe concentration
36. The recommended concentration range for bleomycin is 1-3 units per mL. A dose is
reconstituted to a concentration of 1 unit per mL. This request is the:
a. minimal safe concentration
37. Order: 250 mg vancomycin IV q6h
Supply: 250 mg vancomycin in 100 mL of 0.9% NaCl with the recommended
concentration no more than 10 mg per mL
Is this medication safe to give at this concentration?
a. Yes
38. Order: miconazole 180 mg IV q8h over 60 minutes
Supply: miconazole 200 mg per 20 mL vial with drug insert that states, "Dilute with D5W
or 0.9% NaCl to provide maximum concentration of 1 mg per mL"
What is the minimum amount of fluid needed for safe dilution of one dose of this
medication?
a. 180 mL
39. Calculate, using the following formula, the amount of maintenance IV fluids an 8 kg
child should receive a day:
100 mL/kg/day for first 10 kg of body weight
50 mL/kg/day for next 10 kg of body weight
20 mL/kg/day for each kg above 20 kg of body weight
a. 800 mL/day
40. Calculate the amount of maintenance IV fluids an 8-kg child should receive each hour
using this formula:
20 mL/kg/day for each kg above 20 kg of body weight.
a. 33 mL/h
41. Calculate the amount of maintenance IV fluids a 14-kg child should receive each day
using this formula:
a. 1200 mL/day
42. Calculate the amount of maintenance IV fluids a 33-kg child should receive each hour
using this formula:
a. 73 mL/h
43. You are verifying the admission order for a child who weighs 44 lbs.
D51/4NS with KCl is ordered.
Calculate the expected hourly rate for maintenance IV fluids for this client using this
formula:
a. 63 mL/h
44. You are verifying the admission orders a child who weighs 44 lbs.
D51/4NS with 20 mEq of KCl per L is ordered at 60 mL/h for maintenance IV fluids.
You have a 1-L bag of IV fluid, and a vial of 20 mEq KCl per 10 mL with an insert that
says, "The recommended dose is up to 3 mEq/kg/day." For maintenance fluids, this
formula is used:
What is your next step?
a. b. a. Contact the physician because too much IV fluid was ordered for this client c.
d.
e. f. b. Prepare the IV fluid as ordered because the order follows the recommended g.
amounts for both maintenance IV fluids and KCl added
h.
i. j. c. Contact the physician because too much KCl was ordered for this client k.
l.
45. You are verifying the admission orders for a child who weighs 44 lbs.
D5¼NS with 20 mEq of KCl per L is ordered at 60 mL/h for continuous infusion.
Ampicillin 500 mg IV q4h is also ordered, and you are preparing the first dose using a
vial of 500 mg per 5 mL with an insert that says, "The recommended dose is 100-200
mg/kg/day in divided doses q4h; dilute with 50-100 mL of IV fluid for administration
over 20-30 minutes."
Is the ordered amount of Ampicillin safe to give?
a. Yes
Ampicillin 500 mg IV q4h is ordered, and you are preparing the first dose using a vial of
500 mg per 5 mL with an insert that says, "The recommended dose is 100-200 mg per kg
per day in divided doses q4h; dilute with 50-100 mL of IV fluid for administration over
60 minutes."
How much Ampicillin do you inject into the fluid chamber of the volume control set?
a. 5 mL
Ampicillin 500 mg IV q4h is ordered, and you are preparing the first dose using a vial of
500 mg per 5 mL with an insert that says, "The recommended dose is 100-200 mg/kg/day
in divided doses q4h; dilute with 50-100 mL of IV fluid for administration over 60
minutes."
You inject the Ampicillin into the fluid chamber of the volume control device. How much
IV fluid do you add to dilute it?
a. 55 mL
48. You are verifying the following admission order for a child who weighs 44 lbs and is 32
inches tall.
Videx 75 mg po q12h with an insert that says, "BSA 1.1-1.4 m2: 100 mg q12h; BSA 0.8-
1.0 m2: 75 mg q12h; BSA 0.4-0.7 m2: 50 mg q12h."
Use the household BSA formula to calculate the child's BSA. Round to the nearest
hundredth.
a. 0.67 m2
49. You are verifying the following admission order for a child who weighs 44 lbs and is 32
inches tall:
1.0 m2: 75 mg q12h; BSA 0.4-0.7 m2: 50 mg q12h."
Is the Videx order safe to administer?
a. No
50. You are verifying the admission order for a child who weighs 44 lbs and is 32 inches tall.
1.0 m2: 75 mg q12h; BSA 0.4-0.7 m2: 50 mg q12h."
What is the recommended dose of Videx for this client?
a. 50 mg q12h
51. Using the West Nomogram chart, find the BSA for a child who weighs 80 lbs and is 60
inches tall.
a. 1.24 m2
52. Using the West Nomogram chart, find the BSA for a child who weighs 6 kg and is 60 cm
tall.
a. 0.32 m2
Chapter 14
1. Order: heparin 25 000 units in D5W 500 mL to infuse at 800 units/h on an electronic
infusion device
a. 16 mL/h
X = 16 mL/h
2. Order: heparin 25 000 units in D5W 250 mL D5 W to infuse at 900 units/h on an

electronic infusion device
a. 9 mL/h
25 000X = 225 000
X = 9 mL/h
3. Refer to the heparin protocol to calculate the initial bolus for a client weighing 176 lb.
a. 6400 units
4. Refer to the heparin protocol to calculate the amount to prepare for the initial bolus.
Patient weight is 176 lb. Round to the nearest tenth.
a. 6.4 mL
5. Refer to the heparin protocol to calculate the initial units per hour flow rate for a client
weighing 176 lb.
a. 1440 units/h
6. Refer to the heparin protocol to calculate the initial mL per hour flow rate for a client
weighing 176 lb. Round to the nearest whole number.
a. 14 mL/h
1 kg = 2.2 lb
176 lb ÷ 2.2 lb/kg = 80 kg
18 units/kg/h × 80 kg = 1440 units/h
25 000 units ÷ 250 mL = 100 units/mL
25 000X = 360 000
X = 14.4 = 14 mL/h
7. An 80-kg client is on continuous heparin infusion at 1440 units per hour. The aPTT is 42
seconds. What do you do now?
a. a. Rebolus the client with 40 units/kg and increase the rate by 2 units/kg/h. b.
c.
d. e. b. Rebolus the client with 80 units/kg and increase the rate by 4 units/kg/h. f.
g.
h. i. c. Continue the current rate.
j.
8. An 80-kg client is on continuous heparin infusion at 1440 units per hour. The latest aPTT
result is 88 seconds. What do you do now?
a. a. Hold the infusion for 1 hour, and then decrease the rate to 1360 units/h b.
c.
d. e. b. Decrease the rate to 1440 units/h. f.
g.
h. i. c. Decrease the rate to 1280 units/h. j.
k.
l. m. d. Continue the current rate.
n.
9. Order: lidocaine 3 mg per min IV continuous infusion

Supply: lidocaine 2 g in D5W 500 mL on an infusion pump
Calculate the rate.
a. 45 mL/h
10. Order: nitroglycerin 50 mcg per min IV continuous infusion

Supply: nitroglycerin 250 g in D5 W 500 mL on an infusion pump
Calculate the rate.
a. 6 mL/h
11. Order: magnesium sulfate 10 mg per min IV continuous infusion

Supply: magnesium sulfate 4 g in D5 W 500 mL on an infusion pump
a. 75 mL/h
12. Order: Tridil 70 mcg per min IV continuous infusion
Supply: Tridil 125 mg in 500 mL D5 W on an infusion pump
a. 17 mL/h
13. Order: lidocaine 1 mg per min IV continuous infusion

Supply: lidocaine 2 g in 500 mL D5W on an infusion pump
Calculate the rate.
a. 15 mL/h
14. Order: Bretylol 20 mg per min bolus infusion over 8 minutes

Supply: Bretylol 500 mg in 250 mL D5W on an infusion pump
Calculate the rate.
a. 600 mL/h
15. Order: Cordarone 0.5 mg per min IV continuous infusion
Supply: Cordarone 1000 mg in D5W 500 mL on an infusion pump
Calculate the rate.
a. 15 mL/h
16. Order: Dopamine 10 mcg/kg/min for a 187-lb client

Supply: Dopamine 200 mg in 250 mL D5W on an electronic infusion pump
Calculate the dose.
a. 850 mcg/min
17. Order: Dopamine 10 mcg per kg per min for a 187-lb client
Supply: Dopamine 200 mg in D5W 250 mL on an electronic infusion device
a. 64 mL/h
18. Order: Nipride 2 mcg/kg/min for a 100-kg client
Supply: Nipride 50 mg in D5 W 500 mL on an electronic infusion device
Calculate the rate.
a. 120 mL/h
2 mcg/kg/min x 100 kg = 200 mcg/min
mL/min x 60 min/h = mL/h
2 x 60 = 120 mL/h
19. Order: Dobutamine 8 mcg/kg/min IV for a 90-kg client

Supply: Dobutamine 500 mg in D5W 250 mL on an IV pump
a. 22 mL/h
8 mcg/kg/min x 90 kg = 720 mcg/min
mL/min x 60 min/h = mL/h
0.36 x 60 = 21.6 = 22 mL/h

20. Order: Dopamine 2 mcg/kg/min for a 50–kg client
Supply: Dopamine 200 mg in D5W 250 mL on an electronic infusion device
a. 8 mL/h
21. Order: Nipride 5 mcg/kg/min for a 60–kg client

Supply: Nipride 50 mg in D5W 500 mL on an electronic infusion device
Calculate the rate.
a. 180 mL/h
22. Order: Dobutamine 10 mcg/kg/min IV for a 70–kg client

Supply: Dobutamine 500 mg in D5W 250 mL on an IV pump
Calculate the rate.
a. 21 mL/h
23. Order: Aggrastat 0.1 mcg/kg/min IV for a 100–kg client
Supply: Aggrastat 25 mg in D5W 500 mL on an electronic infusion device
Calculate the rate.
a. 12 mL/h
24. Order: Oxytocin 2 mU per min for labour induction; increase by 1 mU per min q15–30
min to a maximum of 20 mU per min
Supply: LR 1000 mL IV with Oxytocin 20 units on an IV pump
Calculate the initial rate.
a. 6 mL/h
Calculate the maximum flow rate.
a. 60 mL/h
1 units = 1000 milliunits
20 x 1000 = 20 000 milliunits

After 15 minutes, the initial rate is increased by 1 milliunit per minute. Calculate the new
rate.
a. 9 mL/h
After 3 hours, the drip is titrated to 14 milliunits per minute. Calculate the rate.
a. 42 mL/h
28. Order: Levophed 1 mcg/min to maintain systolic BP of 110 mmHg; increase by 1
mcg/min up to 12 mcg/min maximum dose
Supply: Levophed 4 mg in D5W 250 mL on an electronic infusion device
Calculate the initial rate. Round to the nearest whole number.
a. 4 mL/h

Calculate the maximum rate.
a. 45 mL/h
The infusion has been titrated up to 5 mcg per minute. Calculate the mL per hour rate.
a. 19 mL/h
31. A client is receiving a lidocaine infusion (1 g in 500 mL) at 20 mL per hour. The
recommended range is 1–4 mg per minute.
How much lidocaine is the client receiving? Round to the nearest tenth.
a. 0.7 mg/min
32. A client is receiving a lidocaine infusion (1 g in 500 mL) at 20 mL per hour. The
recommended range is 1–4 mg per minute.
Is this dose within the recommended range?
a. No
33. The client is on a continuous IV infusion of Isuprel at 40 mL per hour (2 mg in 500 mL).
The safe range is 2–20 mcg per minute.
How much Isuprel is the client receiving? Round to the nearest whole number.
a. 3 mcg/min
34. A client is on a continuous IV infusion of Isuprel at 40 mL per hour (2 mg in 500 mL).

The safe range is 2–20 mcg per minute.
Is this dose within the safe range?
a. Yes
35. Order: Levophed 10 mcg per min IV infusion (4 mg in 250 mL) via pump
The client is receiving 37 mL per hour. Is this dose correct? Round to the nearest whole
number.
a. Yes
36. A 65 kg client is receiving a dopamine infusion (200 mg in 250 mL) at 25 mL per hour.
The safe dosage range is 1–20 mcg per kg per minute. How much dopamine is the client
receiving? Round to the nearest whole number.
a. 333 mcg/min
37. A 65 kg client is receiving a dopamine infusion (200 mg in 250 mL) at 25 mL per hour on
an IV pump. The safe dosage range is 1–20 mcg per kg per minute. What is the minimum
safe dose for this client?
a. 65 mcg/min
1 mcg/kg/min × 65 kg = 65 mcg/min
an IV pump. The safe dosage range is 1–20 mcg per kg per minute. What is the maximum
safe dose for this client?
a. 1300 mcg/min
20 mcg/kg/min × 65 kg = 1300 mcg per min
an IV pump. The safe dosage range is 1–20 mcg per kg per minute. Is the dose safe?
a. Yes
40. 90 kg client is receiving Dobutrex (500 mg in 250 mL) at 8 mL per hour by electronic
infusion device. The recommended dosage range is 2.5–10 mcg per kg per minute. Is the
client receiving a safe dose?
a. Yes
41. A 50 kg client is on a nitroprusside infusion (50 mg in 500 mL) at 40 mL per hour. The
recommended range is 0.3–10 mcg per kg per minute. Is this dose safe?
a. Yes
42. A 80 kg client is on an infusion of Brevibloc IV (5 g in 500 mL) at 50 mL per hour. The

recommended range is 50-200 mcg per kg per minute. Is the client receiving a safe
amount?
a. Yes
43. A 105 kg client is on an Aggrastat infusion of (25 mg in 500 mL) at 60 mL per hour. The
recommended range is 0.1–0.4 mcg per kg per minute. Is the client receiving a safe dose?
a. No
44. A 55 kg client is on a continuous infusion of Intropin (200 mg in 250 mL) at 75 mL per
hour on an IV pump. The recommended range is 1–20 mcg per kg per minute. Is the
client receiving a safe dose?
a. Yes
45. Order: 1/2 NS at 100 mL/h with an antibiotic administered IVPB q6h (100 mL over 30
minutes); limit IV fluids to 2400 mL in 24 h
Drop factor: 15 gtt/mL
Calculate the flow rate of the IVPB.
a. 50 gtt/min
minutes); limit IV fluids to 2400 mL over a 24-hour period.
Calculate the total infusion times (in hours) for the IVPB.
a. 2 h
30 min × 4 doses in 24 h = 120 min or 2 h
minutes); limit IV fluids to 2400 mL over a 24-hour period.
Drop Factor: 15 gtt/mL
Calculate the total volume for the IVPB.
a. 400 mL
100 mL × 4 doses in 24-h = 400 mL
Calculate the volume of the regular IV fluids.
a. 2000 mL
Calculate the total regular IV fluid infusion time (in hours).
a. 22 h
Calculate the flow rate of the regular IV fluid infusion. Round to the nearest whole
number.
a. 23 gtt/min
30 min × 4 doses in 24 h = 120 min or 2 h total IVPB infusion time
24 h – 2 h = 22 h total regular IV infusion time
100 mL × 4 doses in 24 h = 400 mL total volume IVPB
2400 mL – 400 mL = 2000 mL total volume regular IV

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2. Order: Give D5LR 1 L over 12 hours

4. Order: Give IV Cipro 200 mg dissolved in D5W 200 mL over 1 hour

6. Order: Give D5NS 1 L at 125 mL per hour

7. Order: NS 1000 mL at 75 mL per hour

9. Order: Cefazolin 1 g dissolved in D5W 50 mL to infuse over 40 minutes

10. Order: D51/3NS to infuse at 60 mL per hour

11. Order: Give Zosyn 3.375 g in NS 50 mL over 30 minutes

13. Order: Administer D5NS at 90 mL per hour

14. Order: Infuse D51/2NS 500 mL at 100 mL per hour

16. Order: Give NS 1 L over 6 hours

17. Order: Administer D50.225NS 500 mL over 8 hours

18. Order: Give LR 750 mL over 5 hours

19. Order: Administer D5W 250 mL over 5 hours

21. Order: NS 600 mL of for 8 hours at 75 mL per hour

24. Order: NS 600 mL over 8 hours at 75 mL per hour (19 gtt/min)

5. Order: Videx 50 mg po q12h for a client who is 50 cm and 15 kg

7. Order: acyclovir 230 mg IV q8h

32. Order: Ceftin 150 mg IV q8h

33. Order: chloramphenicol 275 mg IV q6h

2. Order: heparin 25 000 units in D5W 250 mL D5 W to infuse at 900 units/h on an

25 000X = 225 000

176 lb ÷ 2.2 lb/kg = 80 kg

18 units/kg/h × 80 kg = 1440 units/h

25 000 units ÷ 250 mL = 100 units/mL

25 000X = 360 000

9. Order: lidocaine 3 mg per min IV continuous infusion

10. Order: nitroglycerin 50 mcg per min IV continuous infusion

11. Order: magnesium sulfate 10 mg per min IV continuous infusion

13. Order: lidocaine 1 mg per min IV continuous infusion

14. Order: Bretylol 20 mg per min bolus infusion over 8 minutes

16. Order: Dopamine 10 mcg/kg/min for a 187-lb client

mL/min x 60 min/h = mL/h

19. Order: Dobutamine 8 mcg/kg/min IV for a 90-kg client

mL/min x 60 min/h = mL/h

0.36 x 60 = 21.6 = 22 mL/h

21. Order: Nipride 5 mcg/kg/min for a 60–kg client

22. Order: Dobutamine 10 mcg/kg/min IV for a 70–kg client

20 x 1000 = 20 000 milliunits

29. Order: Levophed 1 mcg/min to maintain systolic BP of 110 mmHg; increase by 1

34. A client is on a continuous IV infusion of Isuprel at 40 mL per hour (2 mg in 500 mL).

42. A 80 kg client is on an infusion of Brevibloc IV (5 g in 500 mL) at 50 mL per hour. The

24 h – 2 h = 22 h total regular IV infusion time

100 mL × 4 doses in 24 h = 400 mL total volume IVPB

2400 mL – 400 mL = 2000 mL total volume regular IV

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