SUNY ORANGE
DEPARTMENT OF NURSING
NURSING IV CCS EXAM (MATH GAS PREVIEW) KEY
DIRECTIONS: Solve the following calculation problems and place your answer on the
space provided. All the tablets are scored. All syringe sizes are available. IV pumps
with one decimal place are available. Round to the appropriate level of significance.
YOU MUST SHOW THE EQUATION ON YOUR ANSWER SHEET USING
DIMENSIONAL ANALYSIS OR IT WILL BE MARKED WRONG.
1. Synthroid 75mcg daily at 0600 for a patent with hypothyroidism. You have
Synthroid 50mcg tabs available. How many tabs would you administer?
Tab = 1tab x 75mcg = 1.5tab
Dose 50mcg 1
2. An IV of 1000mL NS is initiated for a patient 2 days post-op open
cholecystectomy with episodes of emesis to be infused over 5 hours. At what
rate would you set the pump?
mL = 1000mL = 200mL/hr
hr
5hrs
3. Mr. Johnson is in afib with rapid ventricular response. The doctor orders
Cardizem to run at 15mg/hr IV. You have 125mg in 125mL 0.9%NS. At what rate
do you set the IV pump?
mL = 125mL x 15mg = 15mL/hr
hr
125mg
hr
4. Mrs Foster has an acute GI bleed. She is ordered for Protonix 80mg IVPB in
100mL D5W to infuse over 30 mins. The drop factor is 60 drops per mL. At what
rate would you set the IV.
Drops = 60drops x 100mL = 200drops/min
Min
1 mL
30min
SUNY ORANGE
DEPARTMENT OF NURSING
5. Pt presents to the ER with acute onset mid-sternal chest pain and SOB. He is
scheduled for cardiac catheterization. The doctor orders Plavix 300mg by mouth
x 1 dose STAT. On hand you have Plavix 75mg tabs. How many tabs would you
administer?
Tab = 1tab x 300mg = 4tabs
Dose 75mg
1
6. At the start of your shift at 0700 you hang 1L of NS and set the pump for 50mL/h.
At 0800 the patient has 8oz of coffee and 6oz of orange juice. For lunch the
patient has 180mL of chicken broth and 4oz of diet Pepsi. At 1500 the patient is
transferred off your unit. What do you document for total intake on your SBAR
NS
=
50mL x 8hr = 400mL
Hr
1
mL (coffee)
=
30mL x 8oz = 240mL
1oz
1
mL (OJ)
=
30mL x 6oz = 180mL
1oz
1
mL (broth)
=
180mL
mL (pepsi)
=
30mL x 4oz = 120mL
1oz
1
1120mL
7. Pt in vasodilatory shock has persistent hypotension. The doctor orders an
increase in Vasopressin infusion to 0.07u/min. The bag currently hanging has a
concentration of 1u/mL. What will be the new infusion rate?
mL = 1mL x 0.07u x 60min = 4.2mL/hr
h
1u
min
1hr
8. Vancomycin 1000mg in 250mL D5W is ordered every 12 hours to be infused
over 2 hours. At what rate will you set the pump?
mL = 250mL = 125mL/hr
hr
2hr
SUNY ORANGE
DEPARTMENT OF NURSING
9. Order: dopamine 3mcg/kg/min
Pts weight: 155lb
Available: 400mg in 250mL D5W
What rate will you set the pump? (decimal pump to the 10th)
mL = 250mL x 1mg x
3mcg x 1kg x 155lb x 60min = 7.926 = 7.9ml/hr
hr
400mg 1000mcg kg/min 2.2lb 1
hr
10. Mr Jones was diagnosed with Pulmonary Embolism. He received a bolus of
heparin followed by a continuous infusion of 18u/kg/hr. He weighs 200lbs. On
hand you have 25, 000u in 250mL D5W. At what rate will you set the IV pump?
mL = 250mL x 18u x 1kg x 200lb = 16.36 = 16.4mL
hr
25000u
kg/hr
2.2lb 1
11. Mrs. Winter has new onset seizures. She is ordered for Dilantin 10mg/kg/day.
She weighs 166lbs. How many mg does she receive daily?
Mg = 10mg x 1kg x 166lb = 754.5mg
Day
kg/d
2.2lb
1
12. Order: Ceclor suspension 375mg every 8 hours
Available: Ceclor suspension 125mg/5ml
How many tablespoons will you administer?
Tbs = 1tbs x 5mL x 379mg = 1tbs
15mL
125mg
1
13. Order: Zosyn 3.375mg in 100mL 0.9% NS over 4 hours
Drop Factor: 60 drops per mL
How many drops per minute will you infuse?
Drops = 60drops x 100mL x 1hr = 25drops/min
Min
1mL
4hrs
60min
SUNY ORANGE
DEPARTMENT OF NURSING
14. Mr Smith is ordered for tacrolimus 0.15mg/kg/day orally in 2 divided doses. He
weighs 120lbs. How many mg should he receive in each dose? Round to one
decimal place.
Mg = 0.15mg x 1kg x 120lb = 4.09 = 4.1mg/dose
Dose kg/d
2.2lb
2doses
15. Order: 1000mL of 0.9%NS over 12 hours. DF is 15drops per mL. What rate
would you administer the fluids?
Drops = 15drops x 1000mL x 1hr = 20.8 = 21drops/min
Min
1mL
12hrs
60mins
16. Order: Cefizox 0.4gm IM
Label Cefizox 2gm in dry form
Reconstitution: Add 6mL of sterile diluent to yield 240mg per mL
How many mL will you administer?
mL = 1mL x 1000mg x 0.4g = 1.66 = 1.7mL
1
240mg 1g
1
17. Mrs Obama visits your booth at the Health Fair. She tells you that she plans to
start a healthy low fat diet by eliminating 60grams of fat in her daily food intake.
How many calories will be omitted every day?
Cal = 9cal x 60g (fat) = 540 calories
G
1
18. Sarah has lost some weight during the second semester. She weighed 60 kg in
December at the end of Nursing I. When she weighed herself today, she found
that she weighs 56.4 kg. How many pounds did she lose?
60 - 56.4 = 3.6kg
Lb = 2.2lb x 3.6kg = 7.92 = 7.9lb
1kg
1
SUNY ORANGE
DEPARTMENT OF NURSING
19. The doctor orders Epogen 75 units/kg subcut to an adult weighing 140 lbs. The
label reads Epogen 2000 units/ mL. How many mLs will you administer per
dose?
mL = 1mL x 75u x 1kg x 140lb = 2.386 = 2.4mL
dose 2000u kg
2.2lb
1
20. Order: Ampicillin Sodium 250 mg IVPB in 50 mL D5W to infuse in 30 minutes
Label: Ampicillin Sodium 1 Gm in dry form
Reconstitution: Add 3.5 mL sterile water to yield 1 Gm per 4 mL
(A) How many mL do you add to the IVPB bag?
mL = 4mL x 1g x
250mg = 1mL
1g
1000mg
1
(B) What should the flow rate be?
mL = 50mL x 60min = 100mL/hr
hr
30min
1hr