Medical dosage & calc D441 (Practice Exam
1) Questions With Correct Answers
A client is receiving a cephalosporin antibiotic IV and complains of pain
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and irritation at the infusion site. The nurse observes erythema,
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swelling, and a red streak along the vessel above the IV access site.
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Which action should the nurse take at this time?
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A. Administer the medication more rapidly using the same IV site.
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B. Initiate an alternate site for the IV infusion of the medication.
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C. Notify the healthcare provider before administering the next dose.
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D. Give the client a PRN dose of aspirin while the medication infuses. -
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CORRECT ANSWER✔✔-Initiate an alternate sit for the IV infusion of the
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medication
A client with hypertension receives a prescription for carteeolol (cartel)
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7.5 mg PO daily. The drug is available in 2.5 mg tablets. How many
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tablets should the nurse administer? - CORRECT ANSWER✔✔-3 tablets
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A male client receives a prescription for condensation hydrochloride
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(zofran) 4 mg IV to prevent postoperative nausea after an initial hernia
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repair. The medication is available in 2 mg/ml. How many ml should the
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nurse administer? - CORRECT ANSWER✔✔-2 mL
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,A client who has been NPO for 3 days is receiving an infusion of
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Dextrose 5% in 0.45% Sodium Chloride (D5 1/2 NS) with potassium
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chloride (KCL) 20 mEq at 83 ml/hour. The clients 8 hour urine output is
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400 ml, blood urea nitrogen (BUN) is 15 mg/dl (5.355 mmol/L), lungs
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are clear bilaterally, serum glucose is 110 mg/dl (6.1 mmol/L), and
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serum potassium is 3.7 mEq/L (3.7mmol/L). Which action should the
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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
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hypertonic D10W. |
D. Document in the medical record that these normal findings are
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expected outcomes. - CORRECT ANSWER✔✔-D. Document in the
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medical record that these normal findings are expected outcomes.
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A client receives a prescription for dexamethasone4.5 mg PO. The nurse
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accesses the Pyxis MedStation M medication dispensing unit that
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provides a unit dose of 1.5 mg/tablet. How many tablets should the
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nurse retrieve for administration? (Enter the numerical value only.) -
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CORRECT ANSWER✔✔-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
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mg/kg/hour for a client with coronary artery bypass grafting. The client
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, weighs 78 kg. The nurse should program the infusion pump to deliver
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how many ml/hour? (Enter numeric value only. If rounding is required,
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round to the nearest tenth.) - CORRECT ANSWER✔✔-78 mL/hour
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A client is to receive an IV of sodium chloride 0.9% Injection (normal
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saline) 250 ml with KCL 10 mEq IV over 4 hours. What rate should the
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nurse program the clients IV infusion pump?
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a. 13 ml/hr
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b. 80 ml/he
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c. 125 ml/hr
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d. 63 ml/hr - CORRECT ANSWER✔✔-63 ml/hr
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The nurse prepares 5% Dextrose Injection, USP, 1,000 ml IV to be
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infused over 8 hours. The infusion set delivers 10 drops per milliliter.
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The nurse should regulate the IV to administer how many drops per
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minute? (Round to nearest whole number.) | | | | |
a. 8 |
b. 80|
c. 21
|
d. 25 - CORRECT ANSWER✔✔-21 drops per min
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An IV infusion of terbutaline sulfate 5 mg in 500 ml of D,W, infusing at a
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rate of 30 mcg/min, is prescribed for a client in premature labor. How
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many ml/hr should the nurse set the infusion pump?
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1) Questions With Correct 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. -
| | | | | | | | | | | | | |
CORRECT ANSWER✔✔-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? - CORRECT ANSWER✔✔-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? - CORRECT ANSWER✔✔-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. - CORRECT ANSWER✔✔-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.) -
| | | | | | | | | |
CORRECT ANSWER✔✔-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.) - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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?
| | | | | | | |