ORANGE COUNTY COMMUNITY COLLEGE
Department of Nursing
Advanced Clinical Calculations III
NAME ___________________________
PRACTICE CCS IV EXAM
DIRECTIONS: Solve the following calculation problems and place your answer on the space provided. All
tablets are scored. All syringe sizes are available. Round your answer to the “appropriate level of
significance.” Decimal IV pumps with one decimal place are available and should be used. SHOW ALL
YOUR WORK.
1.
Folic acid 0.4mg has been ordered. You have folic acid 200mcg tablets. How many tablets will
you administer?
=__________ tab
2.
A patient voids 350mL of urine upon awakening and has 4oz of scrambled eggs, 2oz of toast,
4oz of juice and 3 tbsp of tea for breakfast. After breakfast the patient voids 6 oz of urine. How
many milliliters will you record as intake?
=___________mL
3.
The doctor ordered heparin at 10units/kg/hr for a patient weighing 198 pounds. You have
premixed heparin 25,000units in 250mL. At what rate will you set the IV pump?
=___________mL/hr
4. Dopamine 3mcg/kg/min has been ordered for a patient weighing 84.2kg. Dopamine (Intropin)
250mg in 150mL of NSS is available. At what rate do you set the IV pump?
=___________mL/hr
5.
An order for Cefazolin 1,500mg in 100mL of D5W is to be administered over 90 minutes IV. You
have cefazolin (Ancef) vials containing 1 gram. At what rate would you set the IV to run? Drop
Factor = 20drops/mL)
=__________drops/min
-26. Vancomycin 40mg/kg/day in 3 divided doses is ordered for a patient weighing 92 pounds. How
many milligrams will the patient receive daily?
=__________mg/day
7. Cefaclor suspension 300mg orally q 12 h has been ordered. You have cefaclor (Ceclor) oral
suspension 375mg/5mL. How many milliliters will you give?
=__________mL
8. Ringers lactate 1000 mL q12h has been ordered. At what rate would you run the IV? (Drop
factor = 15 drops/mL)
=__________drops/min
9. Dopamine 5mcg/kg/min has been ordered for a patient weighing 162 pounds. Premixed
dopamine containing 400mg/250mL is available. At what rate will you set the IV pump?
=__________mL/hr
10. A loading dose of phenytoin 20 mg/kg in 3 divided doses is to be given to a patient weighing
145 pounds. How many milligrams are to be administered in each dose?
=__________mg/dose
-3-
11. Digoxin 250 mcg orally daily is ordered. You have digoxin 0.125mg tablets. How much do
you administer?
=__________tab
12. A patient vomits 60mL, receives 1 unit of packed cells (300mL), plus 100mL of NSS IV fluids. He
drank sips of gingerale while the blood was running. The 6 oz gngerale container was empty.
He voided 200mL. How many milliliters of intake would be entered on the I&O sheet?
=__________ mL
13. A patient on warfarin comes to the ER with a severe nose bleed. The INR comes back as greater
than 10. Phytonadione 10mg in 100 mL of 0.9% sodium chloride over 40 minutes is ordered.
You have minidrip tubing with a drop factor = 60 drops/milliliters. At what rate do you run the
IV?
=__________drops/min
14. Nitroprusside 1.5mcg/kg/min is ordered for a patient weighing 154 pounds. You have
nitroprusside 50mg in 250 mL of D5W. At what rate will you set the IV pump?
=__________mL/hr
15. An 82 year old male weighing 138 pounds has an acute ST-segment elevation heart attack.
Enoxaparin 0.75mg/kg q12h is ordered for 6 days. You have enoxaparin 100mg/mL. How many
milliliters do you administer?
=__________mL
-416. Dobutamide 4mcg/kg/min IV has been ordered for a patient weighing 76.8kg. you have
dobutamide 250mg/250mL. At what rate do you set the IV pump?
=__________mL/hr
17. Linezolid 300mg IVPB over 90 minutes is ordered q12h. you have linezolid (Zyvox) 300mg in
150mL of NSS. At what rate will you set the IV pump?
=__________mL/hr
18. Intravenous gentamicin 6mg/kg in 3 divided doses is ordered for a patient weighing 132
pounds. How many milligrams will be given daily?
=__________mg/day
19. Dexamethasone 10 mg IV over 15 minutes is ordered. You have IV dexamethasone 4 mg/mL. At
what rate do you set the IV pump?
=__________mL/hr
20. Gabapentin solution 600mg by GT tube q8h is ordered. You have gabapentin 250mg/5mL. How
many milliliters should be given in each dose?
=__________mL
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2 tabs
165 mL
9 mL/hr
9.1 mL/hr
22 drops/min
1672.7 mg/day
4 mL
21 drops
13.8 mL/hr
439.4 mg/dose
2 tabs
580 mL
150 drops
31.5 ml/hr
0.47 mL
18.4 mL/hr
100 mL/hr
360 mg/day
10 mL/hr
12 mL