Written
You have an ampule containing 250mcg/mL of Fentanyl and the ordered dose is 50mcg, how much would you draw up?
0.2mL
Your patient has a fever of 102.3F and you have orders to give 650mg Tylenol Q4H PRN for fevers. You open up the omnicell and find 325mg tablets of Tylenol. How many pills do you give your patient?
2 tablets
Calculate your patients intake in mL in accordance to the doctors I&O order
4oz gelatin
2oz water
12oz apple juice
100mL IV Zosyn
640mL
You are about to hang your 0900 4.5g/100 mL Zosyn that infuses at 25mL/hour. How long does it take to infuse?
4 hours
Your patient reports being 262lbs, how many kg are they?
119.09kg
Amoxicillin and Clavulanate Potassium 300mg PO is to be given Q8H. You have Amoxicillin and Clavulanate Potassium 200mg/5mL. How much will you administer?
7.5mL
How much fluid intake did this patient have for breakfast in cc?
Breakfast:
8oz OJ
1 cup of oatmeal
400cc of water
600mL foley
240mL cranberry juice
Lunch:
24oz of tea
1 sandwich
880cc
Your patient is on a strict I&O. How much intake have they had?
12oz OJ
2cups of oatmeal
8oz ice cream
10cc flush
50mL IV Zosyn
600mL Foley
660mL
You have an order for 0.9% Sodium Chloride IV to infuse at 60mL/hr how long does it take to infuse?
16.7 hours
You are giving Retrovir to an adult who weighs 110lbs. It recommended to give 2mg/kg to be infused over 2 hours BID. How much would you give per dose?
100mg
The physician has ordered Heparin 300,000units/mL you have 500,000units/mL on hand. How much Heparin should the nurse draw up? Round to the nearest 10th.
0.6mL
You come onto your shift at 0700 and are given report that the night nurse started the IV abx at 0600, but she is unsure when it will be done. She informs you that it is running at 100mL/hr and it is a 2g/250mL bag. At what time will the abx be completed?
0830
Calculate the I&O in cc from 1500-2300:
Lunch:
1 cup of black tea
1/2 of a sandwich
1/2 cup of ice cream
Dinner:
1 cup tomato soup
8oz of sierra mist
2 cups of salad
IV:
100mL/hr
1640cc
You are starting Cefepime 2g/100mL IV at 1400. You program the pump to run at 200mL/hr. When will the bag be done?
1430
There is an order for Heparin 50/units/kg/dose subQ daily. Your patient weighs 93kg. The vial reads 5,000 units/mL. How many mLs will you administer per dose?
0.9mL
Your patient has Cipro 0.75 g IV Q12H for 7 days. You have Cipro 400mg/40mL. How much would the patient receive in total?
525mL
Your patient comes in for their wellness checkup. When you check to see what their weight was on their first visit you found that they weighed 62kg. The patient reports that they have lost 20lbs since then. How many kg dose your patient weigh now?
52.91kg
The physician wants to know how much intake (mL) the patient has had over the past 24 hours. You pull all of the meal tickets and add up the IV fluids to report back to the physician.
Breakfast:
2 eggs
1/2 cup OJ
9oz of milk
1 cup of cereal
Lunch:
12oz of water
2 cups of soup
240mL of diet coke
Dinner:
1 piece of fish
2/3 cup of broccoli
240cc of diet coke
IV:
100cc Zosyn
500mL 0.9 NS
2,310mL
Your patient comes from the ER at 0330 with a 1L fluid bolus running at 400mL/hr that was started at 0300. At what time will the bolus be completed?
0530
You have a Lidocaine infusion running 30mcg/kg/min and your patient weighs 298lbs. The bag just ran out and you are replacing it with a bag that reads 4mg/mL. How many mL/hr will you program the pump for?
61 mL/hr
You have an order for Lanoxin tablets 0.375mg PO once. They come in 125mcg, 250mcg, and 500mcg. What tablets would you use to prepare this dose?
1 tablet of 250mcg and 1 tablet of 125mcg
Calculate the daily fluid maintenance and hourly IV rate for a child that weighs 70.4lbs using the following formulas:
100mL/kg/day for the first 10kg of body weight
50mL/kg/day for the next 10kg of body weight
20mL/kg/day for each kg of body weight above 20kg
Childs weight 32kg
100mL/kg/day * 10kg = 1000mL/day
50mL/kg/day * 10kg = 500mL/day
20mL/kg/day * 12kg = 240mL/day
Answer: 1,740mL/day
Answer: 72.5mL/hr
You notice new swelling in your patient and assessed their I&Os. You found that the patient had a higher intake of fluids than that of the output. What is the difference between the fluid intake and output in mL?
8oz cranberry juice
100cc Vanco
600mL foley
1 cup of broccoli
1 sandwich
500mL 0.9 fluid bolus
2 cups of tea
1 piece of chicken
Intake: 1,320mL
Output: 600mL
Difference: 720mL
You check your patient's 1L IV fluid bag and find that there is 675cc left. The pump is running at 75mL/hr, how much has infused already infused (mL) and how long until it runs out?
325mL infused
9 hours
The physician just placed an order for 10mcg/kg/min of Dopamine IV. The patient weighs 170 lbs. It is supplied as 500mg/500mL. How many mL/hr will you administer?
46.4mL/hr