SETON HALL UNIVERSITY
COLLEGE OF NURSING
NUTC 3113: NURSING CARE OF ADULTS I
Fall 2023
MEDICATION CALCULATION PRACTICE EXAM
Calculate the dose for each medication based on the information available. With each item, use
the answer space provided. When writing an answer that includes a decimal, be sure to lead with
a zero and exclude a trailing zero.
1. Order: Ampicillin 500 mg PO
Available:
Answer: ____________________ capsule(s)
2. Order: Levothyroxine sodium (Synthroid) 0.05 mg PO
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Available:
Answer: ____________________ tablet(s)
3. Order: Acyclovir (Zovirax) 400 mg PO
Available:
Answer: ___________________ capsule(s)
4. Order: Warfarin sodium (Coumadin) 7.5 mg PO
Available:
Answer: ___________________ tablet(s)
5. Order: Hydralazine (Apresoline) 25 mg PO
Available:
2
Answer: ____________________ tablet(s)
6. Order: Phenobarbital 30 mg PO. Available:
Answer: ____________________ milliliter(s)
7. Order: KCl 80 mEq PO
Available:
3
Answer: _____________________ milliliter(s)
8. Order: Diphenhydramine (Benadryl) 30 mg PO
4
Available:
Answer: ______________________ milliliter(s)
9. Order: Amoxicillin 500 mg by PO three times daily
Available:
Answer: _____________________ milliliter(s) per dose
10. Order: Digoxin (Lanoxin) 250 micrograms PO
Available:
Answer: ______________________ tablet(s)
For items 11-18, use the information provided to calculate the correct dose and answer any
additional questions.
11.
Order: Atropine 0.6 mg IV push STAT for bradycardia. Available:
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How many milliliters will the nurse administer?
Answer: ______________________ milliliters
12. Order: Enoxaparin sodium (Lovenox) 30 mg, subcutaneously, q12h. (Enoxaparin is an anticoagulant)
Available:
How many milliliters will the nurse administer every 12 hours to achieve the correct dose?
Answer: _______________________ milliliters
13. Megestrol acetate (Megace) 40 mg, PO, four times per day
Available:
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A. How many tablet(s) will the client receive per dose?
Answer: _________________________ tablets(s)
B. What is the total daily amount of the drug that the client will receive?
Answer: _________________________ milligrams(s)
14. Order: Phenobarbital 120 mg, PO STAT. Available:
How many tablets will the nurse administer?
Answer: _________________________ tablet(s)
15. Order: Filgrastim (Neupogen) 6 mcg/kg subcutaneously, bid. Client weight: 198 lbs.
a.
How many kilograms does the client weigh? _________________ kilograms
Available:
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b.
How many micrograms does the nurse give? _________________ micrograms
c.
How many milliliters does the nurse give? _________________ milliliters
16. The client is on insulin according to sliding scale. The blood glucose level is 193mg/dl.
A. Based on the following scale below, how much Regular insulin will the client need?
Glucose: 0 – 60 mg/dl: Give 1 amp 50% Dextrose STAT and call health care provider
Glucose: 61 – 150 mg/dl: 0 units Regular insulin subcutaneously
Glucose: 151 – 200 mg/dl: 4 units Regular insulin subcutaneously
Glucose: 201 – 250 mg/dl: 8 units Regular insulin subcutaneously
Glucose: 251 – 300 mg/dl: 12 units Regular insulin subcutaneously
Glucose: Greater than 300 mg/dl: draw STAT serum glucose level and call health care
provider
Answer: _____________ units of Regular insulin
B. Shade in the insulin syringe for the number of units of insulin the nurse will administer.
17. From the following, Calculate the fluid intake for your client for the last 8 hours in milliliters.
Breakfast: 4 oz. apple juice
½ of 8 oz cup of tea
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½ bagel with cream cheese
4 oz of milk for cereal
1 mini box of Special K
Lunch:
6 oz. of chicken broth
½ ham sandwich
4 oz cup of cherry Jell-O
8 oz can of diet ginger ale
I.V.:
Normal Saline @ 50 ml/hour
Output: voided twice: 200 ml and 400 ml
JP wound drain: 50ml.
One formed BM
Answer: Intake = _______________ milliliters
18. For the client in question #17, now calculate the output for this client for the last 8 hours.
Answer: Output = _____________ milliliters
SOLVE THE FOLLOWING
1. 35 G = ______mg
2. 50 mg = ______gm
3. 0.25 mg = _______mcg
4. 0.125 gm = _______mg
5. 3 tsp. = _______mL
6. 0.1 mg = _______mcg
7. 154 lbs = ________kg
8. 600 mcg = _________mg
9. 8 oz = __________mL
10. 3.67 G = _________mg
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11. 0.05 liter = _________mL.
12. 6,000 mcg. = _______mg.
13. 1 G = _________mg
14. 625 mcg = ________mg
15. 12 tsp. = ________T
16. ½ gm = _________mg
17. 60 kg = _________lbs.
18. Order: 1 liter 0.9 NS to infuse over 8 hrs. What is the hourly rate for this infusion?
Answer: _______ mL/hr
19. Order: 1 liter D5W to infuse over 10 hrs
Answer: _______ mL/hr
20. Calculate drops per minute according to the following drop factors with an IV of D5W at
100 mL/hr:
a.
10 gtt/mL = ______________ gtt/minute
b.
15 gtt/mL = ______________ gtt/minute
c.
20 gtt/mL = ______________ gtt/minute
d.
60 gtt/mL = ______________ gtt/minute
21. The client is to receive 50,000 units of heparin in 1 liter of D5W infusing at 45 mL/hour.
What is the concentration of the infusion? ___________________________units/mL
22. Order: Regular humulin insulin, 12 units per hour, via IV
Available: 50 units of regular humulin insulin in 100 mL 0.9% normal saline (NS)
Calculate the concentration of the infusion _______________________________units/mL
What rate (in mL/hour) will infuse 12 units per hour? ________________________ mL/hour
Reviewed and revised, 8/16/2023/mpw
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