Colorado State University-Pueblo Department of Nursing NSG 322L IV Calculation Practice Exam (key) 1. Order: Ancef 1 g in 100 cc D5W IVPB to be infused over 30 minutes. Drop factor: 60 gtt/ml Flow rate: _____________gtt/min 200 2. Order: Geopen (carbenicillin disodium) 2 g IVPB diluted in 150ml D5W to infuse in 30 min. Drop factor: 10 gtt/ml Flow rate: ____________ gtt/min 50 3. Order: Zosyn 3 g in 250 ml D5W IVPB to be infused over 1 hour Drop factor: 10 gtt/ml Flow rate: ______________gtt/min 41.67-42 4. Order: 50 ml IVPB antibiotic solution to infuse in 30 minutes Drop factor: 60 gtt/ml Flow rate: ____________gtt/min 100 5. Keflin 500mg in 150 ml NS IVPB to be infused over 30 minutes Drop factor: 15 gtt/ml Flow rate: __________________ gtt.min 75 6. Order: Unasyn 1.5 g in 50ml D5W IVPB to be infused over 15 min Drop factor: 15 gtt/ml Flow rate: _______________ gtt/min 50 1 7. Order: Merram 1 g in 100ml D5W IVPB to be infused over 30 min Use infusion pump. Flow rate: _____________ml/hr 200 8. Oxacillin Sodium 900mg in 250 ml D5W IVPB to be infused over 2 hours. Use infusion pump. Flow rate: _________________ ml/hr 125 9. Order: Merram 1 g in 50 ml D5W IVPB to be infused over 30 min. Use infusion pump. Flow rate: _______________ ml/hr 100 10. Order: 500 ml NS IV to be infused over 6 hr. Use infusion pump. Flow rate: _______________ml/hr 83.33 or 83 11. Order: Ancef 1 g in 100cc D5W IVPB to be administered by electronic infusion controller to infuse in 45 min. Flow rate: _____________ ml/hr 133 12. Order: Oxacillin Sodium 900 mg in 200ml D5W IVPB to be infused over 2 hours Drop factor: 20 gtt/ml Flow rate: __________________gtt/min 33.33 or 33 2 13. You are to administer D5LR at 125 ml/hour. The drop factor is 10 gtt/ml. Calculate the flow rate in gtt/min. 20.83 or 21 14. Infuse 2500 ml D5W in 12 hours. The drop factor is 20 gtt/ml. a. How many ml's per hour will you administer? 208.33 or 208 b. How many drops per minute will you calculate? 69.44 or 69 15. Order: Gentamycin 100mg/100ml IVPB every 8 hours. The IV handbook states it should be given over 90 minutes. What rate do you set the IV pump? Flow rate: ____________ml/hr 66.7 or 67 16. The patient is to receive 1250ml of D10%W over 24 hours. The nurse should administer ________ ml per hour. 52 17. An IV of 75 mg nitroglycerin in 200 mL D5W is infusing at 5 mL/hr. How many mg is the client receiving in one hour? 1.875 or 1.9 mg/hr 18. Determine the amounts of dextrose in 1000ml of D5% NS 50 19. Order: Zosyn 3 g in 100 ml D5W IVPB to be infused over 40 min Drop factor: 10 gtt/ml Flow rate: ______________gtt/min 25 3 20. Order: 500 mg of acyclovir in 100 ml of 5% dextrose over 1 hour. Drop factor: 20 Flow rate:_______________gtt/min. 33 21. Order: Dilantin 150mg IV push STAT Supply: Dilantin 250mg/5ml with drug insert, which states, “IV infusion not to exceed 50 mg/min.” Given: _______________ml. 3 22. Infuse 1200 ml D5W in 8 hours. The drop factor is 20 gtt/ml. a. How many ml's per hour will you administer? 150 b. How many drops per minute will you calculate? 50 23. Order: Give 1 L of D5W to infuse at 100 mL/hr. You have microdrip tubing available How many drops per min will you administer? ____________________ 100 24. The patient is receiving lidocaine at 15 mL/hr by infusion pump. The lidocaine concentration is 1 g in 250 ml of 0.9% NS. Calculate the milligrams per minute. _________________________ 1 mg/min. 25. Order: Lasix 40 mg IV push STAT Supply: Lasix 10mg/ml with drug insert, which states, “IV infusion not to exceed 40 mg/min.” Give: _________________ ml Given over: ____________________minutes. 4 1 4 26. The dosage strength available is 125,000 U/ 1.5 ml in a 10 cc bottle. Your order reads 175,000 U. How many mL’s will you give? 2.1mL 27. Order is for Motrin (Ibuprofen) 3.2 g over 24 hour period in four equally divided doses. How many mg will you administer for each dose? 800 milligrams 28. Order: Heparin 1250 U SC q 6hours. Available is Heparin 5000 U/1mL. What amount will you give? 0.25mL 29. Order: Ancef 600 mg IM q 6h for a 90.2 pound teenager. Recommended dosage from the package insert is 25-50 mg/kg/day in four equal doses. a. What is the safe individual dose range for this child? 256.25 – 512.5 per dose b. Is this order safe? No, too high 30. You are instructed to administer Aricept, 10mg. Your vial label reads Aricept 5mg tablets. You should administer ________ tabs. 2 tabs 5