INTERMEDIATE MATH FOR NURSES WORKBOOK

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Sample exam directions: PLEASE read each question carefully. Show all work either on this paper or on a separate piece of paper. No work; no credit. Your work must logically lead to your answer to receive credit. You must round according to the BC rounding rules and adhere to the JCAHO Do Not Use list. For example, leading zeros are required before a decimal point and no trailing zeros are allowable. Clearly identify your answers on the exam form (this paper). Blanks and unlabeled answers will be scored as incorrect. The exam booklet is only to be used for the taking and reviewing of the test. It is not to be taken out of the classroom. Any other use or removal from the classroom constitutes unauthorized possession of an examination and will be considered a violation of academic honesty. 1 Mrs. Solomon is allergic to penicillin but needs to have an antibiotic prophylactically prior to a dental cleaning. Erythromycin 1 gram is ordered. Her pharmacy gives her 500 mg capsules. You instruct her to take ____. You receive an order for 0.2 g of Tigan on your post C-section patient. The floor stock is a 5 ml vial labeled 100 mg / ml. How many ml should you give? ____ The order reads gr iiss and you have on hand tablets labeled 300 mg. Each. The dose of gr iiss is how many mg.? ______ The patient is to receive gr 1/4. You have a 10 mL vial labeled 30 mg / ml. The patient should receive _____? Ordered: Aquachloral 15 gr po Have: Aquachloral 0.5 g caps How many capsules will you give? _____ Dr. Samet has ordered Lanoxin 0.75 mg IV push as an initial dose for Mr. Sanzabrino. You have Lanoxin 0.25 mg / ml on hand. Give: ______ Ordered: Prostaphalin 350 mg q 4 h IV Have: Prostaphalin for IV use Add 5.7 mL diluent to vial. This yields 250 mg / 1.5 mL. Give _______? Mr. Powers is back from surgery and in complaining of operative pain. You check the post-op orders and find that gr 1/6 Morphine Sulfate is ordered. You have on hand: Morphine Sulfate gr 1/8 mL. How many mL will you give? ________

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Brickman RVSD 3-09

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Aluminum Hydroxide 30 ml is ordered po before meals and at bedtime for Mrs. Patrick at home. How many tablespoons should she take for each dose? ________ Jennifer is going to have surgery for an exploratory laparotomy. The physician orders atropine gr 1/150 to be given preop on call. Atropine comes in an ampule containing 1 mg/mL. How many mL would you give? ______ Dr. Valteck has ordered Heparin 6,500 units sc to be given every 8 hours for the prevention of DVT following a major abdominal procedure. You have Heparin 10,000 units / mL on hand. Give ________ Ordered: Streptokinase 1.5 million units IV drip Supply: Streptokinase 500,000 units / 2 mL Give ____________ A physician orders 500,000 units IM of Penicillin. The vial label reads: Add 8.2 ml of NS to this vial to yield 300,000 units / mL. How many ml will you give? ______ Ordered: PCN 1 million units IM daily X 3 days Supply: PCN 1 g vial. Directions on vial read: Add 1.8 mL NS to yield 500,000 units / 2 mL. Give ________ Mrs. Sherlock had a nephrectomy. Dr. Smith orders 6,000 UNITS Heparin SubQ q6h prophylactically. The pharmacy sends a vial labeled 10,000 UNITS Heparin in 1 mL. You will give __ each dose. The doctor ordered 0.0005 mg intradermally. The medication is labeled each 1 mL contains 0.005 mg. You would give _____. The doctor ordered 0.0025 mg of a medication. On hand are tablets of 0.005 mg each. You would give _____ The doctor has ordered 75 mg of a medication. You have one grain tablets on hand. You would give _____ The doctor ordered gr 1/300 to be given as an IM injection every four hours. On hand you have medication labeled gr 1/100 per mL. You would give _____ for each dose. To give gr 1/6 from a 2 mL vial labeled 20 mg/ml, you would give ______ .

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Ordered: RBCs (250 mL) to infuse in 2 hours. Drop factor: 10 gtts / 1 mL. How many gtts / min?_______ At 2 pm an IV was started with 1,000 mL in the bag. The IV is to be completed by 12 midnight. Drop factor: 30 gtts / mL. At what rate would you set this IV? _______ An infant needs IV fluids. The physician orders 300 mL of fluid every 8 hours. The IV set delivers 60 gtts/mL. How many gtt/min? 9 % NS is to run at 175 mL / h. Drop factor: 10 gtts = l mL. The IV bag has 750 mL remaining. How many gtts / minute will you set the set to deliver?______________ Ordered: Aminophylline 75 mg in 20 mL D5W IV q 6 h. Administer over 20 minutes. Microdrip delivers 60 gtts / mL. How many gtts/min?__________

27 500 mg is mixed in 100 mL D5W. Label reads to infuse over 2/3 h. 10 gtts / 1 mL. How many drops per minute? _______ 28 29 Solumedrol 1 G is ordered to be added to 100 mL D5W. Run this over 2/3 h. 1 mL = 12 gtts. How many gtts/min? _________ Zenophell 650 mg is mixed in 250 mL of NS. Orders instruct that the drug should be delivered over 50 minutes. Drop factor is 15. How many drops per minute will you regulate the IV set to deliver? ________ Ampicillin 1 g in 100 mL D5W is to infuse over 45 min via pump. At what rate do you set the pump in mL/hr? ________ A Heparin solution of 25,000 units in 500 mL of NS is infusing into your patient at a rate of 10 ml/hr. How many units of Heparin is the patient receiving each hour? ______ The IV has 250 mL of NS with 1 gram Aminophylline that is infusing at 15 mL/hr. How many mg/hr is the patient receiving? _____ A patient should be given 2 grams of Magnesium Sulfate via IV per hour. The IV bottle has 20 grams in 1,000 mL. How many mL per hour will the patient receive? ______ The physician orders Heparin continuous drip to be started at 800 units/hr. The pharmacy sends up Heparin 25,000 units in 500 mL D5W. How many mL/hr would you set the pump to deliver? ______

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A premixed solution of Heparin 25,000 units in 500 mL of NS is infusing into your patient at a rate of 10 mL/hr. How many units of Heparin is the patient receiving each hour? ________ A Lidocaine drip is ordered for a patient. The pharmacy adds 2 grams of Lidocaine to 250 mL D5W. The drop factor is 60. The drug is to be administered at 2 mg/minute. How many gtts/minute will you set the IV? _______ Aminophylline 750 mg in 250 mL D5W is ordered to infuse at 16 mL/hr. Drop factor is 20. How many mg/hr is this patient to receive? How many gtts/min would you set the IV at? _______________ 30,000 units of Heparin is added to 150 mL of NS. The order is to infuse at 1,400 units/hr. Drop factor is 60. How many gtts/minute? _______________ 50,000 units of Heparin is added to 250 mL of NS. The physician order reads to infuse at 1,600 units/h. 60 gtts = 1 mL. How many gtts/min will you set the IV set? ______ Mr. Jones is to receive 625 units of Heparin per hour for the next 8 hours. Pharmacy supplied Heparin 5000 units in 1000 mL D5W. The drop factor of the set is 60 gtts/mL. Hourly rate is _________mL/hr Flow rate is ___________gtts/min An infant weighing 6.6 lb. is receiving 80 ml. per kilogram of body weight per day via IV. Drop factor is 60. Give how many gtts/min? _______________ An infant weighing 9 pounds is receiving 80 ml per Kilogram of body weight per day via IV. How many drops per minute is needed? The drop factor is 60. ______________ Mr. Smith, a 150 pound male, is in shock. Dextran 40 is ordered to be given at 1g / kg/ 24 hours. The infusion contains 10g / 100 ml. The drop factor is 15. What amount is infused per hour? _____ Dr. Palsey ordered 1000 D5 NS with 30 meq of KCL to infuse @ 100cc / hr. You are to add the KCL to the liter. The pharmacy supplies 20 meq in 10 ml. The drop factor is 15 gtts/ml. How many mL of KCL do you add?_____ How many gtts / min? ___ The physician orders KCL 60 mEq per 1,000 mL NS. You have 550 mL left to count in the remaining bag of NS. How many mEq would you add to this amount of IV fluid?___ Tagamet 25 mg is ordered to infuse via IVPB. Available is Tagamet 300 mg/2cc. How many mL of the medication will you add to the IV bag? ______

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Mr. Jones is on a fluid restricted treatment plan. The doctor has ordered ten million units of Penicillin G in 500 mL D5W to run over the next 16 hours. The Penicillin G is available as 250,000 units per ml and is to be added to the IV. The drop factor is 15. Set the IV at ____ gtts per minute. LEFT INTENTIONALLY BLANK Dr. Kline has ordered 500 mg of a drug to be added to 100 ml of D5W and administered over 45 minutes. The drug is available as 250 mg / 20 ml. The drop factor is 12 gtts/mL. You set the IV for ____ gtts / min. LEFT INTENTIONALLY BLANK John is to receive 15 mg/Kg/day of a drug which is labeled gr 1 / 10 mL. (gr one in ten mL). John weight 35# and is 30 tall. The drug is given qid. How much is given per day? __________ If the dosage regimen for bleomycin sulfate is 0.25 to 0.50 units/kg IM, what is the minimum dosage for a patient weighing 145 lb? ______ What is the maximum dosage? _______ A 16 # 3 oz. Child is to receive IV fluids at the rate of 100 ml/Kg/day. (drop factor of 60) How many ml per hour? ________ What is the flow rate? ___________ Ordered: Ampicillin bid for a child weighing 15 kg. PDR recommends 75 mg / kg / day. How many mg in a single dose? __________ Ordered: Carbenicillin sodium 100 mg / kg / day IM in equally divided doses qid. The child weighs 11 kg. How much do you give a 9 a.m.? _______ Nitride is ordered for a child weighing 15.4 kg. The recommended dose for this drug is 30 mg / kg / day. This is to be given in equally divided doses q 8 hours around-the-clock. The 9 am dose should contain A 5 year old child is to receive gr 1/10 kg (grain one-tenth) of a drug. The child weighs 44 #. The bottle reads gr 1 per 5 ml. He should receive __________ Bretylium tosylate undiluted 5 mg / kg by rapid injection IV is ordered for an individual weighing 60 kg. Vials containing 50 mg/ml are available. Amount to give in ml? _____

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Ordered: Digoxin. PDR instructions: 0.0045 mg / kg / daily. Child's weight: 52 lb. Give ________________daily. Panadol 10 mg / kg IM q4h prn for pain is ordered for a 70.4 lb child. The drug is available as 160 mg / 1 mL. How many mL do you give in a single dose? _______ The child weighs 20 lbs. Calculate the correct range for a medication to be given at 1.4 to 3.0 mg/kg/day. _______ daily The child weighs 40 lbs. Calculate the correct range for a medication to be given at 10 to 12 mg/kg/day. _______ daily The child weighs 14 kg. Calculate the correct range for a medication to be given at 1.0 to 2.0 mg/kg/day. _______ daily Zinacef 400 mg tid is ordered for a 43 lb child. The literature states the safe dose is 200 mg/kg/day. Is the dose safe? Yes or no. Timmy, age 3 years, weighs 42 pounds. His doctor has ordered Prednisone 2.5 mg q8h. The recommended dos for the drug is 0.5 mg. to 1.0 mg/kg/day. Whats the single dose range? Is the ordered dose therapeutic? Yes or no. LEFT INTENTIONALLY BLAN K Sammy is receiving Claforan 700 mg every 8 hours. He weights 27 kg. The safe dose for Claforan is 50 mg/kg/day. What is the highest safe amount Sammy should receive in a 24 hour period?_____ Is Sammys current dose safe?________________

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For m ADVANCED 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 rvsd

2 caps 2 mL 150 mg 0.5 mL 2 caps 3 mL 2.1 mL 1.3 mL 2 tbsp 0.4 mL 0.65 mL 6 mL 1.7 mL 4 mL 0.6 mL 0.1 mL 0.5 tabs 1.25 tabs 1 mL 0.33 mL 9/5/2005

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0.5 mL 21 gtts 50 gtts 38 gtts 29 gtts 60 gtts 25 gtts 30 gtts 75 gtts 133.3 mL 500 units 60mg 100 mL 16 mL 500 units 15 gtts 48/5 gtts 7 gtts 8 gtts 125 mL/125 gtts

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10 gtts 14 gtts 28.4 mL 15mL/25gtts 33 mEq 0.17 mL 8 gtts 37 gtts 40 mL 16units/33 units 30.8 mL/31 gtts 562.5 mg 275 mg

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154 mg 10 mL 6 mL 0.106 mg 2 mL 12.7-27.3 mg 182-218.4 mg 14-28 mg YES 3.2-6.4 mg /NO 1350 mg / NO

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