Med Math practice questions

A nurse is preparing to administer haloperidol (Haldol) 2 mg PO q12h. The amount available is haloperidol 1 mg/tablet. How many tablets should the nurse administer? (Round to nearest whole number)

2 tablets

A nurse is preparing to administer furosemide (Lasix) 80 mg PO Daily. The amount available is furosemide oral solution 40 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number).

10 mL

The label reads heparin 20,000 units/mL. The order is for heparin 15,000 units q8h SQ. How many milliliters will the nurse administer? (Round to the nearest tenth).

0.75 (rounded) = 0.8 mL

A nurse is preparing to administer amoxicillin (Amoxil) 20 mg/kg/day PO divided in equal doses q12h to a preschool child who weighs 44 lbs. The amount available is amoxicillin suspension 250 mg/5 mL. How many mL should the nurse administer per dose? (Round to the nearest whole number).

4 mL

A nurse is preparing to administer phenytoin (Dilantin) 0.2 g PO every 8 hr. The amount available is phenytoin 100 mg/capsule. How many capsules should the nurse administer per dose? (Round to nearest whole number)

2 cap

The physician orders digoxin (Lanoxin) 250 mcg PO TID. The medication digoxin is available in 0.25 mg/tablet. How many tablets should the nurse administer?

1 tab

The label reads heparin 10,000 units/mL. The order is for heparin 5,000 units q8h. How many milliliters will you administer to the patient?

0.5mL

The nurse receives a telephone prescription from a provider. The provider states "administer three-tenths of a milligram of nitroglycerin orally to the client." How should the nurse transcribe the number, "three-tenths of a milligram" on the MAR?

0.3mg

A nurse is preparing to administer amoxicillin 50 mg PO q8h to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which of the following actions by the nurse is appropriate?

a. Administer to dosage, it's within the recommended dosage range for a day.

b. Toxic amount, hold and notify the provider.

c. Consult with the pharmacist to check if it's safe to administer.

d. Below the dosage range, notify the provider.

d. Below the dosage range, notify the provider.

The nurse is preparing to administer furosemide (Lasix). The order is for furosemide (Lasix) 2 mg IVP q8h. The label reads 10 mg/mL. How many mL should the nurse administer?

0.2 mL

The doctor orders 30 mg of furosemide (Lasix) IV STAT. The label on the vial is 10 mg/mL. How many mL should the nurse administer?

3 mL

A nurse is preparing to administer ibuprofen (Advil) to a child who has rheumatoid arthritis. The order is for 250 mg PO q8h. Usual pediatric dose is 20-30 mg/kg/day. Patient weighs 35 lbs. What is the lowest recommended dosage per day? What is the highest recommended dosage per day? Is the dosage ordered safe to give? (Round to nearest whole number)

A nurse is preparing to administer heparin 8,000 units subcutaneously every 12 hr. The amount available is heparin injection 10,000 units/mL. How many mL should the nurse administer per dose?

The safe dosage range for ranitidine (Zantac) for a child reads PO 4-5 mg/kg/day divided every 12h. The patient weighs 86 lbs and the order is for ranitidine (Zantac) 90 mg PO q12h. What is the lowest recommended dosage? What is the highest recommended dosage? Is it safe to administer the dosage ordered by the doctor? (Round to whole numbers)

A provider prescribes atropine 0.6 mg subQ 30 min prior to surgery. Available is atropine injection 0.4 mg/mL. How many mL should the nurse administer?

List the medication administration rights (7)

A medication order reads: "K-Dur 20 mEq PO BID." When and how should the nurse administer this drug?

a. Daily at bedtime by subcutaneous route

b. Every other day by mouth

c. Twice a day by the oral route

d. Once a week by transdermal patch

A nurse is administering heparin subcutaneously to a patient. What is the correct technique for this procedure?

a. Aspirate before giving and gently massage after the injection.

a. Do not aspirate before or massage after the injection.

b. Do not aspirate but do massage the site for 1 minute.

c. Massage the site of the injection; aspiration is not necessary but will do no harm.

The nurse is administering a medication to a patient via nasogastric tube. Which are accurate guidelines related to this procedure? Select all that apply.

a. Crush the enteric-coated pill for mixing in a liquid.

a. Flush open the tube with 60 mL of very warm water.

b. Check for proper placement of the nasogastric tube.

c. Give each medication separately and flush with water between each drug.

d. Lower the head of the bed to prevent reflux.

e. Adjust the amount of water used if patient's fluid intake is restricted.

A nurse discovers that she made a medication error. What should the nurse's first response?

A. Record the error on the medication sheet.

B. Notify the physician regarding course of action.

C. Check the patient's condition to note any possible effect of the error.

D. Complete an incident report, explaining how the mistake was made.

Lisinopril 40 mg once a day is ordered. Lisinopril is available as an oral solution 8 mg/mL. How much should the nurse administer via the enteral feeding tube?

Ondansetron 0.15 mg/kg is ordered. Ondansetron is available as 2 mg/mL. The patient weighs 30 kg. How much should the nurse administer?

Match up the appropriate landmarks for the following IM sites:

1. Deltoid

2. Ventrogluteal

3. Vastus Lateralis

a. middle 3rd of thigh

b. lateral aspect

c. acromion process and axillary fold (inverted triangle)

d. greater trochanter (palm), iliac spine (index finger), iliac crest (middle finger)

24. Match up the angles for the following routes:

1. IM

2. Sub Q

3. ID

a. 10-15 degrees

b. 90 degrees

c. 45-90 degrees

The __________ method is a type of IM injection technique used to prevent tracking (leakage) of the medication into the subcutaneous tissue (underneath the skin).

A nurse is obtaining a verbal order from the provider on the phone. What should the nurse do? (Select all that apply)

a. Repeat the order back.

a. Have another nurse get on the phone to hear the order.

b. Enter the order into the health record.

c. Question any part that seems unclear.

d. Record the order as proof.

A nurse is preparing to administer amoxicillin 4 gm/day PO divided into two doses. The amount available is amoxicillin 500 mg tablets. How many tablets should the nurse administer with each dose?

A nurse is preparing to administer digoxin 8 mcg/kg/day PO to divide equally every 12 hr for a preschooler who weighs 45 lb. Available is digoxin elixir 0.05 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.)

A nurse is preparing to administer 250 mg of an antibiotic IM. Available is 2 g/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.)

A nurse is preparing to administer levothyroxine 0.175 mg PO once a day. The amount available is levothyroxine 88 mcg/tablet. How many tablets should the nurse administer?