Surgical Proctored Exam New Latest Version
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Question 1:
A nurse is preparing to administer enoxaparin 40 mg subcutaneous for
prevention of deep vein thrombosis. Available is enoxaparin 100 mg/mL. How
many mL should the nurse administer?
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not
use a trailing zero.)
, Show correct answer and explanation
Explanation
To calculate the dose of enoxaparin, use the formula: Dose (mg) / Concentration
(mg/mL)
= Volume (mL)
Plug in the values from the question: 40 mg / 100 mg/mL = 0.4 mL
Round the answer to the nearest tenth: 0.4 mL
The nurse should administer 0.4 mL of enoxaparin subcutaneously for prevention
of deep vein thrombosis.
Question 2:
A nurse is preparing to administer amikacin 5 mg/kg via intermittent IV bolus
to a client who weighs 219 lb. Available is amikacin 10 mg/mL. How many mL
should the nurse administer?
(Round the answer to the nearest whole number. Use a leading zero if it applies.
Do not use a trailing zero.)
Show correct answer and explanation
Explanation
Convert the client's weight from pounds to kilograms: 219 lb / 2.2 = 99.55 kg
Calculate the dose of amikacin in milligrams: 5 mg/kg x 99.55 kg = 497.75 mg
Calculate the volume of amikacin in milliliters: 497.75 mg / 10 mg/mL = 49.775 mL
Round the answer to the nearest whole number: 50 mL
The nurse should administer 50 mL of amikacin via intermittent IV bolus.
Question 3:
A nurse is preparing to administer calcitonin 8 units/kg IM to a client who
weighs 130 lb.
, Available is calcitonin 200 units/mL for injection. How many mL should the
nurse administer? (Round the answer to the nearest tenth. Use a leading zero if
it applies. Do not use a trailing zero.)
Show correct answer and explanation
Explanation
Convert the client's weight from pounds to kilograms: 130 lb / 2.2 = 59.09 kg
Calculate the dose of calcitonin in units: 8 units/g x 59.09 kg = 472.72 units
Calculate the volume of injection in mL: 472.72 units / 200 units/mL = 2.36 mL
Round the answer to the nearest tenth: 2.4 mL
The nurse should administer 2.4 mL of calcitonin IM to the client.
Question 4:
A nurse is preparing to administer lactated Ringer’s 250 mL IV to infuse over 15
min. The nurse should set the IV pump to deliver how many mL/hr?
(Round the answer to the nearest whole number. Use a leading zero if it applies.
Do not use a trailing zero.)
Show correct answer and explanation
Explanation
To calculate the infusion rate, use the formula: mL/hr = (mL x drop factor) / time
in minutes
In this case, mL = 250, drop factor = 60 (assuming microdrip tubing), and time =
15 minutes
Plug in the values and simplify: mL/hr = (250 x 60) / 15 - mL/hr = 1000
The nurse should set the IV pump to deliver 1000 mL/hr
Question 5:
A nurse is preparing to administer phenytoin extended release 300 mg PO
daily. Available is phenytoin 100 mg capsules. How many capsules should the
nurse administer?