WGU D441 (PRACTICE EXAM 1) MEDICAL DOSAGE &
CALC QUESTIONS WITH VERIFIED ANSWERS
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 at this time?
A. Administer the medication more rapidly using the same IV site.
B. Initiate an alternate site for the IV infusion of the medication.
C. Notify the healthcare provider before administering the next dose.
D. Give the client a PRN dose of aspirin while the medication infuses. - Answers -
Initiate an alternate sit for the IV infusion of the medication
A client with hypertension receives a prescription for carteeolol (cartel) 7.5 mg PO daily.
The drug is available in 2.5 mg tablets. How many tablets should the nurse administer?
- Answers - 3 tablets
A male client receives a prescription for condensation hydrochloride (zofran) 4 mg IV to
prevent postoperative nausea after an initial hernia repair. The medication is available in
2 mg/ml. How many ml should the nurse administer? - Answers - 2 mL
A client who has been NPO for 3 days is receiving an infusion of Dextrose 5% in 0.45%
Sodium Chloride (D5 1/2 NS) with potassium chloride (KCL) 20 mEq at 83 ml/hour. The
clients 8 hour urine output is 400 ml, blood urea nitrogen (BUN) is 15 mg/dl (5.355
mmol/L), lungs are clear bilaterally, serum glucose is 110 mg/dl (6.1 mmol/L), and
serum potassium is 3.7 mEq/L (3.7mmol/L). Which action should the nurse implement?
a. Obtain potassium chloride 20 mEq in anticipation of a prescription to add to present
IV
b. Decrease in the infusion rate of the current IV and report to the healthcare provider.
c. Notify healthcare provider and request to change the IV infusion to hypertonic D10W.
D. Document in the medical record that these normal findings are expected outcomes. -
Answers - D. Document in the medical record that these normal findings are expected
outcomes.
A client receives a prescription for dexamethasone4.5 mg PO. The nurse accesses the
Pyxis MedStation M medication dispensing unit that provides a unit dose of 1.5
mg/tablet. How many tablets should the nurse retrieve for administration? (Enter the
numerical value only.) - Answers - 3 tab
, 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.) - Answers - 78 mL/hour
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 clients IV
infusion pump?
a. 13 ml/hr
b. 80 ml/he
c. 125 ml/hr
d. 63 ml/hr - Answers - 63 ml/hr
The nurse prepares 5% Dextrose Injection, USP, 1,000 ml IV to be infused over 8
hours. The infusion set delivers 10 drops per milliliter. The nurse should regulate the IV
to administer how many drops per minute? (Round to nearest whole number.)
a. 8
b. 80
c. 21
d. 25 - Answers - 21 drops per min
An IV infusion of terbutaline sulfate 5 mg in 500 ml of D,W, 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?
a. 120
b. 30
c. 60
d. 180 - Answers - 180 ml/hr
The healthcare provider prescribes furosemide 30 mg IM STAT. The available ampule
is labeled, furosemide 10 mg/ml. How many mililiters should the nurse administer?
(Enter numerical value only, round to a whole number.) - Answers - 3 mL
A client is receiving dantrolene sodium (Dantrium) PO for malignant hyperthermia. The
maximum safe dose is 8 mg/kg/day in 4 divided doses. The client currently weighs
48.5kg. What is the maximum safe dose the nurse should administer? (Enter numeric
value only. If rounding is required, round to the nearest whole number.) - Answers - 97
mg
The nurse is caring for a client who is receiving 24-hour total parenteral nutrition (TPN)
via a central line at 54 ml/hr. When initially assessing the client, the nurse notes that the
TPN solution has run out and the next TPN solution is not available. What immediate
action should the nurse take?
A Infuse 10% dextrose and water at 54
ml/hour.
CALC QUESTIONS WITH VERIFIED ANSWERS
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 at this time?
A. Administer the medication more rapidly using the same IV site.
B. Initiate an alternate site for the IV infusion of the medication.
C. Notify the healthcare provider before administering the next dose.
D. Give the client a PRN dose of aspirin while the medication infuses. - Answers -
Initiate an alternate sit for the IV infusion of the medication
A client with hypertension receives a prescription for carteeolol (cartel) 7.5 mg PO daily.
The drug is available in 2.5 mg tablets. How many tablets should the nurse administer?
- Answers - 3 tablets
A male client receives a prescription for condensation hydrochloride (zofran) 4 mg IV to
prevent postoperative nausea after an initial hernia repair. The medication is available in
2 mg/ml. How many ml should the nurse administer? - Answers - 2 mL
A client who has been NPO for 3 days is receiving an infusion of Dextrose 5% in 0.45%
Sodium Chloride (D5 1/2 NS) with potassium chloride (KCL) 20 mEq at 83 ml/hour. The
clients 8 hour urine output is 400 ml, blood urea nitrogen (BUN) is 15 mg/dl (5.355
mmol/L), lungs are clear bilaterally, serum glucose is 110 mg/dl (6.1 mmol/L), and
serum potassium is 3.7 mEq/L (3.7mmol/L). Which action should the nurse implement?
a. Obtain potassium chloride 20 mEq in anticipation of a prescription to add to present
IV
b. Decrease in the infusion rate of the current IV and report to the healthcare provider.
c. Notify healthcare provider and request to change the IV infusion to hypertonic D10W.
D. Document in the medical record that these normal findings are expected outcomes. -
Answers - D. Document in the medical record that these normal findings are expected
outcomes.
A client receives a prescription for dexamethasone4.5 mg PO. The nurse accesses the
Pyxis MedStation M medication dispensing unit that provides a unit dose of 1.5
mg/tablet. How many tablets should the nurse retrieve for administration? (Enter the
numerical value only.) - Answers - 3 tab
, 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.) - Answers - 78 mL/hour
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 clients IV
infusion pump?
a. 13 ml/hr
b. 80 ml/he
c. 125 ml/hr
d. 63 ml/hr - Answers - 63 ml/hr
The nurse prepares 5% Dextrose Injection, USP, 1,000 ml IV to be infused over 8
hours. The infusion set delivers 10 drops per milliliter. The nurse should regulate the IV
to administer how many drops per minute? (Round to nearest whole number.)
a. 8
b. 80
c. 21
d. 25 - Answers - 21 drops per min
An IV infusion of terbutaline sulfate 5 mg in 500 ml of D,W, 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?
a. 120
b. 30
c. 60
d. 180 - Answers - 180 ml/hr
The healthcare provider prescribes furosemide 30 mg IM STAT. The available ampule
is labeled, furosemide 10 mg/ml. How many mililiters should the nurse administer?
(Enter numerical value only, round to a whole number.) - Answers - 3 mL
A client is receiving dantrolene sodium (Dantrium) PO for malignant hyperthermia. The
maximum safe dose is 8 mg/kg/day in 4 divided doses. The client currently weighs
48.5kg. What is the maximum safe dose the nurse should administer? (Enter numeric
value only. If rounding is required, round to the nearest whole number.) - Answers - 97
mg
The nurse is caring for a client who is receiving 24-hour total parenteral nutrition (TPN)
via a central line at 54 ml/hr. When initially assessing the client, the nurse notes that the
TPN solution has run out and the next TPN solution is not available. What immediate
action should the nurse take?
A Infuse 10% dextrose and water at 54
ml/hour.
