1 Cy Fair College Associate Degree Nursing Program RNSG 1261 PRACTICE MATH QUESTIONS Complete the following dosage and solutions calculations within a 60-minute time frame. You must show ALL calculations to receive credit for EVERY numeric answer. You may use a calculator. NO scientific calculators, cellular phones, PDA’s, etc. will be allowed during the test. No borrowing of calculators during the exam will be allowed. If you do not have a simple calculator, you must do it manually. The answer entered in blank will be taken for grading. ROUNDING RULE: Do not clear your calculator during the problem calculation. Carry out to the hundredth place and round back to the tenth place for the final answer. You will NOT be given credit for those problems missed due to rounding error. Your final answers must not have “trailing zeros” after the decimal point. If the answer is less than one, the answer must have a zero before the decimal. IV drip and IV pump answers should always be whole numbers. Remember you cannot round time-hence leave it to the hundredth place after a decimal! (ex: if the final answer is 24.3333333, round it to 24.33 not 24.3 or 24). Any doses less than 1ml must be loaded in 1 ml syringe, for which rounding must be done to hundredth place for example 0.333333 must be rounded to 0.33ml). READ ALL MEDICATION LABELS VERY CAREFULLY!! Compute the amount of medication you will give to administer one dose of the following medication orders. Assume that all tablets are scored, when necessary. 1. Your diabetic client has orders for NPH Insulin 14 U q am. She also has Regular Insulin per sliding scale ordered. Her blood sugar this morning was 176. Her sliding scale orders are: For BS of: 70-150 151-200 201-250 252-300 301-350 0U 2U 4U 6U 8U How much total insulin will you administer to your client this morning? ____ U 2. The physician orders Clinidamycin 900 mg IVPB q 6 hours. The Clindamycin vial has already been reconstituted to a solution of 2 gram/5ml. How much Ampicillin will you draw up from this vial? ____ml 1 2 3. Methylprednisolone 60 mg IVP is ordered. You have 100mg/ml available. How much will you administer? _____ml 4. Your client’s IV orders state that she is to receive 1000ml q 14 hours. The drip factor is 10 gtts/ml. What is your flow rate? _____ gtt/min 5. Ordered: Ampicillin 250 mg po Available: Give __________mL(s) How much will you administer? ______ml 6. The physician orders 500,000 Units Penicillin IM. The available medication is Penicillin 1,000,000 Units in a 5 ml vial. How many ml will you administer? ______ml 7. Ordered: Cephapirin 200 mg IM q 6 h Available: For IM use, add 1 mL Sterile or Bacterostatic water for injection. USP. Each 1.2 mL contains 500 mg of cephapirin. 2 3 Give: _________________mL(s) per dose 8. The physician orders Vancomycin 1 Gm in 500 ml D5W IV to be infused over 2 hours. The drip factor is 12 gtt/ml. Calculate the IVPB flow rate. ______gtt/min 9. You have an order to run a solution of 500 ml NS with 50,000 Units of Heparin to infuse at 25 ml/hr. What is the hourly dose of the Heparin being infused? _____Units/hr 10. You start an infusion of D51/2 NS at a rate of 30 gtt/min. The infusion’s drip factor is 15 gtt/ml. How many ml will your client receive in 5 hours? ______ml 11. The physician orders 1000 ml D51/2 NS IV to run at 125 ml/hr. How long will this IV last? ______ hours This is only 11 questions of the types that will be on your exam. The exam you are given will have 20 questions with each worth 5 points. You must have a 90% to pass. 3