COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
◉The nurse is preparing the change-of-shift report for a client who
has a 265 ml secondary infusion that was started 2 hours ago at a
rate of 85 ml/hour via an infusion pump. The nurse should report
that how many ml remain to be infused by the on-coming nurse?
(Enter numeric value only.) Answer: 95
◉A child who is scheduled for a kidney transplant receives a
prescription for basiliximab (Simulect) 20 mg IV 2 hours prior to
surgery. The medication is available in a 20 mg vial that is
reconstituted by adding 5 ml sterile water for injection, and
administered as a secondary infusion of normal saline 50 ml to be
infused over 30 minutes. The nurse should program the infusion
pump to deliver how many ml/hour? (Enter the numeric value only
as a whole number.) Answer: 110
◉A client with Mycobacterium avium complex (MAC) is receiving an
infusion of 5 % dextrose in water (D5W)with amikacin (Amikin)
0.572 grams/100 ml every 12 hours. The nurse prepares the dose of
amikacin using a vial labeled, " 250 mg/ml." How many ml should
the nurse add to the infusion? (Enter numeric value only. If rounding
is required, round to the nearest tenth.) Answer: 2.3
,◉A client with septic shock receives a prescription for dDextrose
5% in Water (D5W) 250 ml with dopamine (Intropin) 0.6
grams/250 ml at a rate of 5 mcg/kg/minute. The client's weight is
148 pounds The nurse should set the infusion pump to deliver how
many ml/hour? (Enter numeric value only. If rounding is required,
round to the nearest whole number.) Answer: 8
◉The healthcare provider prescribes a secondary infusion of
Dextrose 5% in Water (D5W) 50 mg IV with magnesium sulfate 4
gram/50 mI to be infused over 30 minutes for a client with
preeclampsia. The nurse should program the infusion pump to
deliver how many ml/hour? (Enter numeric value only. If rounding
is required, round to the nearest whole number.) Answer: 100
◉A healthcare provider prescribes a continuous infusion of 0.9%
sodium chloride 250 ml with pancuronium (Pavulon) 25 mg at a rate
of 0.1 mg/kg/hour for a client with coronary artery bypass grafting.
The client weighs 78 kg. The nurse should program the infusion
pump to deliver how many ml/hour? (Enter numeric value only. If
rounding is required, round to the nearest tenth.) Answer: 78
◉A client is receiving a cephalosporin antibiotic IV and complains of
pain and irritation at the infusion site. The nurse observes erythema,
swelling, and a red streak along the vessel above the IV access site.
Which action should the nurse take? Answer: Initiate an alternate
site for the IV infusion of the medication.
,◉A client is to receive an IV of Sodium Chloride 0.9% Injection
(Normal Saline) 250 ml with KCl 10 mEq IV over 4 hours. What rate
should the nurse program the client's IV infusion pump? Answer: 63
ml/hour. To calculate the infusion rate, the dose of KCl is not used in
the calculation. Using the total volume of Normal Saline solution,
250 ml/4 hours = 63 ml/hour.
◉The healthcare provider prescribes acetazolamide (Diamox) 600
mg/m2/day divided into 3 doses. The nurse calculates the child's
body surface area (BSA) as 0.7 m2 . How many mg should the child
receive per dose? (Enter the numeric value, whole number, only.)
Answer: 140
◉The healthcare provider prescribes trimethoprim-
sulfamethoxazole (Bactrim-DS Oral Suspension) 120 mg BID for a
child with bronchitis. The Bactrim bottle is labeled "200 mg/5ml."
How many ml should the nurse administer at each dose? (Enter the
numeric value, whole number, only. ) Answer: 3
◉A client with cardiogenic shock who weighs 220 pounds is
receiving a solution of Dextrose 5% in Water (D5W) 250 ml with
dopamine 400 mg at the rate of 3 mcg/kg/minute. The nurse should
set the infusion pump to deliver how many ml/hour? (Enter numeric
value only. If rounding is required, round to the nearest tenth.)
Answer: 11.3
, ◉The nurse is administering an intravenous solution 250 ml to be
infused over 2 hours. How many ml/hour should the nurse program
the infusion pump? (Enter numeric value only, whole number.)
Answer: 125
◉The nurse is preparing to administer bumetanide (Bumex) 0.25
mg IV. The medication is available in a vial labeled "1 mg/4 ml." How
many ml of medication should the nurse administer? (Enter numeric
value only.) Answer: 1
◉An IV infusion of terbutaline sulfate 5 mg in 500 ml of D5W,
infusing at a rate of 30 mcg/min, is prescribed for a client in
premature labor. How many ml/hr should the nurse set the infusion
pump? Answer: 180
◉Heparin 20,000 units in 500 ml D5W at 50 ml/hour has been
infusing for 5.5 hours. How many units of heparin has the client
received? Answer: 11,000
◉A male client receives a prescription for ondansetron
hydrochloride (Zofran) 4 mg IV to prevent postoperative nausea
after an inguinal hernia repair. The medication is available in 2
mg/ml. How many ml should the nurse administer? (Enter numeric
value only, whole number). Answer: 2