MEDICAL SURGICAL MEDICATION TEST 1. Your patient is 5 feet 7 inches tall. What is the height in inches? a. 62 C. 67 D. 76 E. 54 2. Your patient weighs 140 pounds. What would be the weight in kilograms? a. 82 b. 60.8 c. 74.2 d. 63.6 3. How many grams are equivalent to 2 milligrams? a. 0.2 b. 0.02 c. 0.002 4. Which of the following doses is the largest? a. 3mg b. 0.3gm c..03mg 5. Which needle would have the larger lumen? a. 21-gauge b. 25-gauge 6. What are the six rights that need to be checked before administering any medication? a. patient, date, drug, dose and volume, route b. patient, dose, route, time and site, number of pills c. patient, time, drug, date and dose, diagnosis d. patient, drug, dose, route and time, documentation 7. Single-dose vial means: a. it should be used only once b. the entire dose is in the vial c. you can enter the vial with the same syringe more than once d. it contains no more than 5ml of medication
8. When reconstituting drugs for injection, it is essential for the nurse to take which of these actions? a. use the type of dilutent recommended by the drug manufacturer b. use only an isotonic solution in the preparation of the drug c. add exactly the number of millimeters of dilutent that will be administered to the patient 9. Which of these solutions should be used in starting a blood transfusion? a. physiologic saline b. sterile distilled water c. dextrose 5% in water 10. According to federal law, which of these statements about Schedule II (Class II) drugs is correct? a. when a part of a vial or ampule of the drug is administered, the remainder must be returned to the pharmacy b. the physician s order for the drug is valid for only 24 hours c. discarding of an unused dose of the drug must be verified by a witness in writing 11. You are to hand a small volume parenteral (SVP) of Ceftazidime via infusion pump. The dosage is Ceftazidime 1 Gram diluted in 50cc of 0.9%NS. This is to infuse over 20 minutes. What is the rate of infusion? a. 122 ml/hr b. 148 ml/hr c. 150 ml/hr d. 88 ml/hr 12. Referring to the question above, If you were hanging this by gravity, what is the rate of infusion in drops per minute? (The tubing drip factor is 15 drops/ml) a. 37.5 b. 74.8 c. 62 d. 27 13. Mr. Trooper is receiving a heparin drip of 12,500 units in 250ml of 0.45% sodium chloride injection. He s supposed to receive 1,000 units per hour. At what rate should you infuse the drug? a. 2ml/hour b. 8ml/hour c. 12.5ml/hour d. 20ml/hour
14. A child is to receive 300mg of Erythromycin (Erythrocin). The medication is supplied as an oral suspension containing 200mg per 5ml. How many milliliters should the child receive? a. 3.0 b. 5.5 c. 7.5 15. Sulfisoxazole (Gantrisin) 1.5 gm is ordered for a patient. Gantrisin is available in 500mg tablets. How many tablets should be administered to the patient? a. 2 b. 3 c. 5 16. A patient is to receive 0.5 mg of Digoxin (Lanoxin) intravenously. Lanoxin is available in ampules containing 0.25mg/ml. How many milliliters should be administered? a. 0.5 b. 1.0 c. 2.0 17. A patient is to receive 2,000ml of fluids intravenously during a 24-hour period. How many cc s per hour would you deliver? a. 84ml b. 100ml c. 250cc 18. A patient is to begin treatment with Trazodone hydrochloride (Desyrel) for depression. The patient tells the nurse, I can t take this medication. When I took an antidepressant in the past, I think I was allergic to it. After determining what antidepressant the patient had received in the past, which of these actions should the nurse take next? a. tell the patient that Desyrel is chemically unrelated to the type of antidepressant used in the past b. chart the patient s statements about being allergic to an antidepressant c. ask the patient to describe the reactions to the previously used antidepressant 19. One evening a patient who has been receiving Nifedipine (Procardia) refuses the medication saying, Thank you, but I would rather not take it. Which of these actions should the nurse take initially? a. emphasize to the patient the importance of continuing the medication b. ask the patient the reason for refusing the medication c. chart the patient s refusal
20. You are to administer 75mg Meperidine. You have 100mg/2ml. How many ml(s) will you give? a. 4 ml b. 16ml c. 1.5 ml d. 2.2 ml 21. You are to administer Heparin 3500 units subcutaneously. Pharmacy sends 5000 units/ml. How many ml will you give? a..007ml b..07 ml c..70ml d. 7 ml 22. The physician orders Aminophylline 15mg/hr. Pharmacy sends you 500ml D5W with 1Gm Aminophylline. How many ml/hr will you infuse this at? a. 10 or (11) ml b. 7.5 (or 8) ml c. 8.6 or (9) ml d. 3.7 or (4) ml 23. The physician orders lidocaine 3mg/min. Pharmacy sends you 2gms Lidocaine in 250ml D5W. What is the rate of infusion? a. 23 (24) ml/hr b. 18 (19) ml/hr c. 40 (41) ml/hr d. 22.5 (23) ml/hr 24. The physician orders 55mg Lasix to be given IV. Pharmacy sends you 10mg./ml/hr. How many ml s will you administer? a. 6.3 b. 12 ml c. 5.5 ml 25. The physician orders Digoxin 0.375mg IM. Pharmacy sends you 500 mcg/2ml. How many ml will you administer? a. 1.5 ml b. 3.0 ml c. 2.6 ml d. 1.9 ml
Common Calculations NOT A TEST Print and use if you wish 1. To calculate mls(cc) per hour: total number of cc s in the bag # of hours the IV is to run = # of cc/hr 2. To calculate drops per minute: gtt/ml of set X total hourly volume (in mls./hr.) = gtts / min 60 min. / hr (Our Abbott macro drip IV sets deliver 15 gtt/ml.) 3. To calculate the amount of medicine in 1 cc: total amount of drug in the bag = amount of drug in 1 cc total volume 4. To calculate the amount of drug infusing per hour: amount of drug infusing/cc X amount of cc infusing/hr. = amt. of drug infusing/hr 5. General medication calculation: (oral and IM) dose desired = amount to give dose on hand 6. Weight conversion: 1 kilogram = 2.2 lbs. To convert Kg. to lbs, multiply the number of Kg. by 2.2. To convert lbs to Kg, divide the number of lbs. by 2.2 7. Gram, milligram, and microgram conversions; To convert grams to milligrams; multiply by 1,000. To convert milligrams to grams; divide by 1,000. To convert milligrams to micrograms; multiply by 1000.