pharm quiz practice
A patient has a bottle of warfarin (Coumadin) 5 mg tablets at home. After his most recent international normalized ratio (INR), the doctor calls and tells him to take 7.5 mg/day. How many tablets (scored) should the patient take?
1.5 tablets
A nurse is to administer 175 mg of a medication intramuscularly. The label on the multidose vial states that the concentration is 100 mg/mL. What volume of the drug should the nurse administer? (Record your answer using two decimal places.)
1.75
You have an IVPB of ranitidine (Zantac) 50 mg in 50 mL D5W to run over 30 minutes. The patient has an IV of 0.9% NS running at 10ml/hr. What rate will you program the pump to run the IVPB in ml/hr?
100 ml/hr
A nurse is preparing to administer quinapril 40 mg PO daily. Available is quinapril 20 mg tablets. How many tablets should the nurse administer daily
2 tablets
A nurse is preparing to administer triazolam 0.25 mg PO. Available is triazolam 0.125 mg tablets. How many tablets should the nurse administer per dose?
2 tablets
The provider orders alprazolam (Xanax) 0.5 mg PO. You have on hand Xanax 0.25 mg tablets. How many tablet(s) will you give?
2 tablets
A nurse is preparing to administer amoxicillin 500 mg PO every 8 hr. Available is amoxicillin oral suspension 250 mg/5 mL. How many tsp should the nurse administer per dose?
2 tsp
IV order: 1000 ml D5NaCl to infuse in 6 hours. Infusion set delivers 15gtt/ml. Calculate the drip rate
42 gtts/min
A patient has a primary IV of dextrose in water 1,000 mL to be infused over 24 hours. What would be the rate in ml/hr?
42 ml
Order: 400 mg. Cefazolin I.V. Available: Cefazolin 500 mg powder to be diluted with 5 mL of sterile saline How many mL will the nurse administer?
4
The health care provider orders a client to receive 1000 mL of intravenous fluid over the next 12 hours. The intravenous delivery system is a microdrip system. The nurse would set the infusion to run at which rate?
83 gtts/minute
IV order: 500 ml NaCl to infuse in 6 hours. Calculate the drip rate for the pump.
83 ml/hr
A) IV order: 1000 ml D5W to infuse in 10 hours. Calculate the drip rate for the pump. B) This IV was started at 4 AM. At 10 AM, 600 ml remains in the IV bag. Is this IV on time? C) Recalculate the drip rate so the IV will finish on time
A) 100 ml/hr B) No, too slow C) 150 ml/hr
A nurse is preparing to administer hydromorphone 4 mg PO every 4 hr PRN for pain. Available is hydromorphone oral liquid 1 mg/1 mL. How many mL should the nurse administer per dose?
4 ml
A nurse is preparing to administer amlodipine 10 mg PO once per day to a client. The amount available is amlodipine 2.5 mg/tablet. How many tablets should the nurse administer?
4 tablets
The client is to be given ascorbic acid 1 g daily by mouth. The medication comes in a container labeled, "Ascorbic Acid 250 mg tablets." How much will the nurse give?
4 tablets
The health care provider prescribes ascorbic acid 0.5 g daily. The drug label reads ascorbic acid 250 mg/tablet. The nurse would administer how many tablets?
2
You are caring for a patient at home who must take magnesium hydroxide/aluminum hydroxide (Maalox) 30 mL PO. How will you instruct the patient to measure the dose using ordinary household measuring devices?
2 tablespoons
A client is being treated for congestive heart failure (CHF) and is to receive 0.5 milligrams of digoxin, which is available in 250-microgram tablets. The nurse would correctly administer how many tablets?
2 tablets
A nurse is preparing to administer lamivudine 150 mg PO every 12 hr. Available is lamivudine oral solution 10 mg/mL. How many mL should the nurse administer per dose?
15 ml
Gentamicin 50 mg in 50 ml NaCl is to be infused in 20 min. Your client has an IV pump. At how many ml/hr will you set pump?
150 ml/hr
IV order: 1000 ml D5NaCl to infuse in 6 hours. Calculate the drip rate for the pump.
167 ml/hr
IV order: 1000 ml. D5/0.9NS to infuse over 10 hours. Infusion set delivers 10 gtt/ml. Calculate the drip rate.
17 gtts/min
A client with Paget disease who weighs 110 lbs is prescribed 8 mg/kg PO of etidronate disodium. The nurse should administer how many 200 mg tablets?
2
You have on hand hydromorphone (Dilaudid) 4 mg/mL. You need to administer 0.015 mg/kg to a patient who weighs 150 pounds. How many milliliters should you administer?
.26 ml
You need to administer 250 mg of erythromycin (Erythrocin) PO. You have on hand 0.5 g tablets. How many tablet(s) will you give?
.5 tablets
Order: Enoxaparin 30 mg subcutaneously Available: Lovenox 60 mg/ 0.6 mL How many mL will the nurse administer?
0.3
A client is prescribed a 12.5-mg dose of metoprolol for the treatment of high blood pressure. The nurse should administer how many 25-mg tablets?
0.5
A client is prescribed a 12.5-mg dose of metoprolol for the treatment of high blood pressure. The nurse should administer how many 25-mg tablets?
0.5 tablets
A nurse is preparing to administer methadone 2.5 mg PO every 8 hr. Available is methadone 5 mg tablets. How many tablets should the nurse administer per dose?
0.5 tablets
A nurse is preparing to administer doxepin 75 mg PO at bedtime. Available is doxepin 50 mg tablets. How many tablets should the nurse administer?
1.5 tablets
A nurse is preparing albuterol 4 mg PO every 6 hr. Available is albuterol syrup 2 mg/5 mL. How many mL should the nurse administer per dose?
10 ml
Medication ordered: 200 mg Ancef qid IVPB. Medication available: 200 mg in 50 ml NaCl. Drop factor: 60gtt/ml. Infusion time: 30 min. What is the drip rate?
100 gtts/min
IV order: 1000 ml D5W to run 10 hrs. What is the volume per hour to be administered?
100 ml/hr
A nurse is preparing to administer potassium chloride 15 mEq PO every 12 hr. Available is potassium chloride liquid 20 mEq/15 mL. How many mL should the nurse administer per dose?
11 ml
A child weighs 11 kilograms. The health care provider orders a drug as follows: 0.2 mg/kg intravenously. What dose should the nurse administer?
2.2 mg
An adult client with renal cancer, weighing 95 kg, is to receive vincristine 25 mcg/kg/day IV. What is the dosage of vincristine that the nurse should administer to the client daily in mg? Round to the third decimal place.
2.375
A health care provider orders amoxicillin syrup to a 3-year-old child with UTI. Your assessment reveals the following data: - Temperature of 38.5º C - Heart rate of 88 bpm - Respiratory rate of 30 bpm - Blood pressure of 90/50 - Height of 98 cm - Weight 12 kg (26.4 lbs.) The dosage required as per order is 50 mg/kg/day divided into 3 doses per day (TID). Available stock is a suspension with a concentration of 400 mg/5mL. How much will you administer per dose?
2.5 ml/dose
Medication order: Ceftriaxone 1 gram in 100 ml NaC1 to infuse in 30 min. What is the drip rate?
200 ml/hr
IV order: 500 ml. 0.9NS to infuse in 6 hours. Infusion set delivers 15 gtt/ml. Calculate the drip rate.
21 gtts/min
A patient in cardiogenic shock is prescribed norepinephrine at 5 mcg/kg/minute. The medication comes mixed 50 mg in 50 mL of 0.9 % normal saline. The patient's weight is 170 lbs. How much of the medication will you administer in ml's per hour?
23 ml/hr
A nurse is preparing to administer magnesium gluconate 270 mg PO. Available is magnesium gluconate liquid 54 mg/5 mL. How many mL should the nurse administer?
25 ml
IV order: 500 ml Lactated Ringers (LR) q 8 hours. How many ml should infuse in 4 hours?
250 ml/hr
Methocarbamol (Robaxin) 1.5 g orally four times a day has been prescribed for a client to treat neck pain. Robaxin is available in 500-mg tablets. How many tablets will the nurse administer for each dose?
3
Methocarbamol (Robaxin) 1.5 g orally four times a day has been prescribed for à client to treat neck pain. Robaxin is available in 500-mg tablets. How many tablets will the nurse administer for each dose?
3
A nurse is preparing to administer levothyroxine 0.075 mg PO to a client. Available is levothyroxine 25 mcg tablets. How many tablets should the nurse administer?
3 tablets
Your client's IV is 1000 ml to run in 12 hours. The physician changes the order at 10 AM to an 8 h bag. There are 625 ml remaining in the bag when you make the change in rate at 11 AM. (a) What is your new hourly rate? (B) At what time would this bag be finished?
A) 125 ml/hr B) 4:00 PM
IV order: 500 ml NaCl to infuse in 6 hours. Infusion set delivers 10gtt/ml. Calculate the drip rate.
14 gtts/min
Deltasone (prednisone) has been prescribed to a client with sarcoidosis. The client is to take 20 mg/day for 1 week and then taper the dose. The medication is available in 10-mg tablets. If the client follows the drug regimen, how many tablets would be taken in the first week?
14 tablets
The nurse is preparing medication for a 30-month-old child with otitis media in the right ear. The child weighs 33 pounds. The physician has ordered Keflex, 50 mg/kg/d in equally divided doses every 8 hours. The medication concentration is 250 mg/5 mL. How many milliliters should the nurse give the toddler for each dose
5 ml
The physician orders an IV with heparin at 700 units/hour. You have a bag with 100 units/mL of solution. How many milliliters per hour will you set on the IV pump?
7 ml/hr
Order: Ibuprofen 150 mg. orally Available: Ibuprofen 100mg/ 5ml How many mL will the nurse administer?
7.5