💊 Med Surg
A client is prescribed acetaminophen 325 mg PO q6h PRN for mild pain. The tablets available are 325 mg each. How many tablets will you give for one dose?
1 tablet/dose
A client is prescribed sertraline 50 mg PO daily. The tablets available are 25 mg each. How many tablets equal one dose?
2 tablets/dose
A postpartum patient is prescribed ibuprofen 600 mg PO q6h. How many mg will she take in 24 hr if she receives every dose?
2400 mg/24 hr
A patient with sepsis is to receive 1 L of LR over 2 hr. What rate (mL/hr) will you set?
500 mL/hr
A 2-year-old weighs 22 lb and has a fever of 38.1 °C. The provider orders acetaminophen 10 mg/kg PO q4h PRN. How many mg will you give per dose?
100 mg/dose
A client weighs 132 lb and is prescribed 30 mcg/kg of a medication IV once. The vial concentration is 100 mcg/mL. How many mL will you give?
18 mL
A nurse must administer lorazepam 1 mg IV q4h PRN. The vial is 2 mg/mL. How many mL will you give?
0.5 mL
A newborn weighs 3.2 kg and needs vitamin K 1 mg IM. The vial reads 2 mg/mL. How many mL should you administer?
0.5 mL
A client requires dopamine 5 mcg/kg/min. They weigh 135 lbs. How many mg/min should they receive? Round to the nearest thousandths.
0.307 mg/min
A 6-year-old with an ear infection is prescribed amoxicillin 40 mg/kg/day divided q8h. They weigh 44 lb. How many mg per dose?
267 mg/dose
A patient on digoxin weighs 70 kg. The provider orders 0.01 mg/kg IV daily. Available: digoxin 0.25 mg/mL. How many mL is one dose?
2.8 mL/dose
A client receives haloperidol 2 mg IM q6h. If they require the maximum of 4 doses in 24 hr, how many mg will they receive in one day?
8 mg/24 hr
A patient in active labor is ordered magnesium sulfate 4 g IV over 30 minutes for seizure prophylaxis. The solution provided is 4 g/100 mL. At what rate (mL/hr) should the nurse set the infusion pump?
200 mL/hr
A patient is prescribed norepinephrine 8 mcg/min. The solution is 4 mg in 250 mL D5W. How many oz would the patient be receiving in an hour?
1 oz/hr
Order: Morphine 0.08 mg/kg IV q4h PRN for pain
Child weighs 6.2 kg. How many mg per dose should this child receive?
The safe IV dose is 80–120 mcg/kg/dose. What is the safe range? Is the ordered dose safe?
Dose: ≈ 0.496 mg
Safe IV dose range: ≈ 0.496–0.744 mg
Ordered dose → safe
You are preparing to administer heparin 5,000 units SQ q8h. The vial is labeled 10,000 units/mL. How many mL should you expect to have been administered after 24 hrs?
1.5 mL total
Lithium is prescribed at 900 mg/day divided q8h. How many mg per dose will the patient take?
300 mg/dose
A patient is prescribed 500 mg of cefazolin IVPB over 30 minutes. The pharmacy sends 500 mg in 100 mL NS. The IV tubing has a drop factor of 15 gtt/mL. How many mL per minute will the IV infuse? How many drops per minute (gtt/min) will the patient receive? (Round to nearest whole number.)
IV infusion: 3.33 mL/min
Drops per minute: 50 gtt/min
A burn patient must receive 4 mL/kg/%TBSA of LR in the first 24 hr. They weigh 70 kg with 20% burns. How many mL is the total fluid for 24 hr?
5600 mL in 24 hr
A child is to receive gentamicin 2 mg/kg IV q8h for 48 hr. They weigh 16 kg. What is the total mg they will get in two days?
192 mg in two days
A patient on warfarin 7.5 mg daily accidentally takes two extra doses in 48 hr. How many total mg did they ingest in that period (including the correct doses)?
30 mg total
A patient with schizophrenia is prescribed clozapine 0.3 mg/kg/day. They weigh 165 lb. Tablets are 25 mg. How many tablets should they receive in 24 hr?
0.9 tablet/day (~1 tablet)
A patient is prescribed misoprostol 50 mcg PO immediately, followed by 100 mcg PO every 4 hours for up to four additional doses for cervical ripening. The supply is 50 mcg tablets. How many tablets will the patient receive over a 12-hour period?
9 tablets over 12-hr period
A patient is ordered propofol 20 mcg/kg/min. They weigh 85 kg. The concentration is 10 mg/mL. How many mL/hr will you infuse?
10.2 mL/hr
A 4-year-old patient weighing 12 kg is admitted for mild dehydration. Using the 100-50-20 rule, calculate the total maintenance fluid for 24 hours. The nurse needs to set the IV pump. What rate (mL/hr) should the pump be programmed to deliver?
46 mL/hr