Dosage Calculation Assessment : NUR240/ NUR 240 (Questions and Answers/ answer key at the last page) - SCCC.

Suffolk County Community College School of Nursing NUR 240 Dosage Calculation Assessment Questions w/ Answers The DCA exam is constructed in a format that you have seen in your other nursing courses: it is a 10-question exam with each question constructed as a word problem. You will be given 30 minutes to complete the exam, and calculators will be available for your use. Remember Joint Commission requirements regarding trailing zeros and leading zeros with decimal calculations. Students should review related readings/calculations in the Henke dosage calculation text, all ATI pharmacology/calculation resources, and the attached practice math questions in preparation for the assessment. All content covered in prior courses, except for pediatric calculations, are source questions for the exam and include IV calculations, conversions and weight-adjusted dosing for oral and parenteral routes. You will also need to accurately interpret medication labels. All answers must be rounded to the appropriate decimal place for parenteral doses: <1mL round final answer to the nearest hundredth decimal place; >1mL round final answer to the nearest tenth decimal place. If the calculation is for an infusion pump, remember that the infusion pump can be programmed to the tenths. Academic Integrity Statement I have not cheated on this exam. Academic integrity requires individuals to:  Tell the truth  Be accountable  Refuse to collude in lying or cheating behaviors with others  Be accountable for the known actions of others (duty to report)  Consistently abide by this honor code in all circumstances; no exceptions  Use of any electronic device during an exam is prohibited. Only calculators provided by the School of Nursing may be used during an exam. Wearable technology, including but not limited to electronic ear plugs and smartwatches, are to be placed in backpacks and/or placed on desktop and cannot be accessed.  Any deviation from this policy will be interpreted as cheating. Cheating results in a zero on this exam and an academic dismissal process will be initiated. I understand and agree to comply with the testing policy of the School of Nursing (see Student Handbook). I feel mentally and physically well enough to take the exam. SIGNED DATE PRINT NAME Directions:  Solve the following problems and place your answer in the corresponding blank space.  Show your work (when applicable) in the blank space provided between questions, and if you need more room use the reverse side of the page.  Remember to LABEL your answers with the appropriate unit of measure (i.e., tablets, mL, mL/hr, mL/h, gtt/minute, units, capsules, etc.), as answers are incorrect without this.  Round all answers to the appropriate decimal place for the calculation.  Consider all tablets to be scored and able to be broken in half.  Consider all electronic infusion pumps programmable to the tenths.  No partial credit will be given. When called for, use the medication labels supplied with this test sheet. 1. The nurse practitioner orders Metoprolol 25 mg PO daily. The drug packaging reads Metoprolol 50 mg/tablet. How many tablets does the nurse prepare to administer? Show your work: 2. The nurse practitioner prescribes Metoprolol 2.5 mg IV push. The drug packaging reads Metoprolol 5 mg/5 mL. How many mL should the nurse prepare to administer? Show your work: 3. 1000 mL 0.45% NS at 42 mL/hr has been ordered. The drop factor of the IV administration set is 60 gtts/mL. The nurse should set the intravenous flow rate to deliver how many gtt/min? Show your work: 4. The physician orders Ertapenem 1g IVPB in 50 mL NS daily to be infused over 30 minutes. An infusion pump programmable to the tenths is available. The nurse should set the intravenous pump to deliver how many mL/hr? Show your work: 5. Potassium Chloride 40 mEq PO daily has been prescribed. The drug packaging reads 20 mEq/tab. How many tablets does the nurse prepare to administer? Show your work: 6. Digoxin 0.375 mg PO daily has been ordered. The drug packaging reads Digoxin 250 mcg/ tablet. How many tablets does the nurse prepare to administer? Show your work: 7. The nurse practitioner orders Phenytoin elixir 200 mg via nasogastric tube daily. The drug packaging reads Phenytoin elixir 125 mg/5mL.How many mL does the nurse prepare to administer? Show your work: 8. The nurse practitioner orders Ondansetron 4 mg IV push. The drug packaging reads Ondansetron 2 mg/ mL. How many mL does the nurse prepare to administer? Show your work: 9. The health care provider has ordered Heparin 70 units/kg IV push, and the client weighs 65 kg. The drug packaging reads Heparin 10,000 units/mL. How many mL does the nurse prepare to administer? Show your work: 10. The health care provider has ordered Heparin 80 units/kg IV push, and the client weighs 90 kg. The drug packaging reads Heparin 10,000 units/mL. How many mL does the nurse prepare to administer? Show your work: 11. 1000mL D5NS over 8 hours has been ordered. An infusion pump programmable to the tenths is available. The nurse should set the intravenous pump to deliver how many mL/hr? Show your work: 12. D5/NS at 125 mL/hr is ordered. The drop factor of the IV administration set is 15 gtts/mL. The nurse should set the intravenous flow rate to deliver how many gtt/min? Show your work: 13. The physician orders Linezolid 200 mg in 100 mL D5W over 2 hours. An infusion pump programmable to the tenths is available. The nurse should set the intravenous pump to deliver how many mL/hr? Show your work: 14. Verapamil 100 mcg/kg IVP is ordered. Your client weighs 75 kg. The drug packaging reads Verapamil 2.5 mg/mL. How many mL does the nurse prepare to administer? Show your work: 15. The physician has ordered Lidocaine 1 mg/kg IV push. Your client weighs 70 kg. The vial of Lidocaine reads 10mg/mL. How many mL does the nurse prepare to administer? Show your work: 16. Levothyroxine 0.125 mg IVP is ordered. Final concentration after reconstitution is 40 mcg/mL. How many mL does the nurse prepare to administer? Show your work: 17. Levothyroxine 50 mcg IV daily is ordered. Final concentration after reconstitution is 20 mcg/mL. How many mL does the nurse prepare to administer? Show your work: 18. The Nurse Practitioner prescribes Metoclopramide 10mg/50mL D5W over 15 minutes. The drop factor of the IV administration set is 15 gtts/mL. The nurse should set the intravenous flow rate to deliver how many gtt/min? Show your work: 19. The nurse practitioner orders Morphine 30mg PO stat. The drug packaging reads 20 mg/mL. How many mL should the nurse prepare to administer? Show your work 20. An order is written for Heparin 15 units/kg/hr, and your client weighs 80 kg. You have available Heparin 25,000 units in 250 mL D5W. An infusion pump programmable to the tenths is available. The nurse should set the intravenous pump to deliver how many mL/hr? Show your work: 21. An order is written for Heparin 18 units/kg/hr, and your client weighs 92 kg. You have available Heparin 25,000 units in 250 mL D5W. An infusion pump programmable to the tenths is available. The nurse should set the intravenous pump to deliver how many mL/hr? Show your work: 22. An order is written for Heparin 17 units/kg/hr, and your client weighs 60 kg. You have available Heparin 25,000 units in 250 mL D5W. An infusion pump programmable to the tenths is available. The nurse should set the intravenous pump to deliver how many mL/hr? Show your work: 23. Levothyroxine 250mcg PO stat is ordered. Available are 0.125 mg tablets. How many tablets does the nurse prepare to administer? Show your work: 24. The physician orders Atropine 0.4 mg IV Push stat. You obtain the vial of medication labeled below. How many mL should the nurse prepare to administer? Show your work: 25. The nurse practitioner orders Furosemide 20mg IV push. You obtain the vial below from the medication cart: How many mL should the nurse prepare to administer? Show your work: