Medication Dosage Exam – Answer Sheet

Medication Dosage Exam – Answer Sheet
The following exam is required to advance to the next clinical rotation, where you may be passing
medications for the first time. You MUST pass this exam with a minimum score of 86% in order to begin
the next clinical rotation. Round as needed, unless otherwise stated.
1
2
3
4
5
Order
Lasix 20mg IV Stat
Available
furosemide 100mg / 10mL
Order
Ativan 1 mg IV
Available
lorazepam 2mg / ml
Order
Gentamycin 500mg IV
Available
Gentamycin 1gm powder to
be mixed with 10ml NSS
Order
NSS 10ml syringe
Tylenol 15mg / kg PO PO
Available
125mg /5ml Elixer
Weight
24 pounds
Order
Ibuprofen 10mg / kg
Available
100mg / 5mL Elixer
6
Weight
Order
10 pounds, 8 ounces
1L NSS over four hours
7
Order
500mL LR IV over two hours.
8
Drip Factor
Order
10 gtt/ml
250ml NSS IV over 30 minutes
9
Order
2L LR over six hours
Drip Factor
15gtt/mL
How many mL will you give?
2 mL
How many mL will you give?
0.5 mL
How many mL will you give?
5 mL
How many mg will you give?
163.5 MG
How many mL will you give?
6.5 mL*
How many mg will you give?
48 MG
How many mL will you give?
2.5 mL*
How many ml/Hr will you set
the IV Pump?
How many gtt/min are
needed?
How many mL per hour is the
IV Pump to be set?
How many gtt/min are
needed?
250mL/Hr
42 gtt/min*
500mL/Hr
83gtt/min*
10 Order
Amitriptyline 25 mg PO
Available
11 Order
12 Order
0.5 Tabs
How many mL will you give
(Do not round)
0.6 mL
How many units of Humalog
will you give?
0 Units
How many units of Novolog
will you give?
3 Units
How many units of Novolog
will you give?
0 Units
How many units of Novolog
will you give?
11 Units
How many units of Novolog
will you give?
7 Units
How many mg will you give?
100 mg
Heparin 5000 units/mL
13 Order FSBS – 110 / 30 = # Units Humalog
FSBS
How many tablets will you
give?
Warfarin 5mg
Heparin 3000 units SQ Loading
Dose
Available
2 Tabs
Amitriptyline 12.5mg
Warfarin 2.5 mg PO
Available
How many tablets will you
give?
130
14 Order FSBS – 110 / 30 = # Units Novolog
FSBS 200
15 Order FSBS – 110 / 30 = # Units Novolog
FSBS 75
16 Order FSBS – 110 / 30 = # Units Novolog
FSBS 450
17 Order FSBS – 110 / 30 = # Units Novolog
FSBS 321
18 Order
Weight
Lovenox 1mg/kg
220 pounds
How many mL will you give?
Available
100 mg / mL
19 Order Lovenox 1mg/kg
How many mg will you give?
57 mg*
How many mL will you give?
0.6 mL*
How many mg will you give?
95 mg
How many mL will you give?
1mL*
1 mL
Weight 125 pounds
Available
100 mg / mL
20 Order Lovenox 1mg/kg
Weight 95kg
Available
100 mg / mL
Use the following chart to answer questions 21, 22 and 23.
PTT
≤ 60
61-78
GOAL 79-118
119-135
> 136
21 Order
NONE
HOLD 60 minutes
Heparin 5 units/kg/hr currently
New PTT
Rate Adjustment
↑ 4 units/kg/hr
↑ 2 units/kg/hr
NONE
↓ 2 units/kg/hr
↓ 3 units/kg/hr
Recheck PTT
6hrs
6hrs
In AM
6hrs
6hrs
What is the rate adjustment
(units/kg/hr)?
64
22 Order
New PTT
Rebolus or Hold
Bolus: 80units/kg
Bolus: 40units/kg
NONE
Heparin 5 units/kg/hr currently
What is the rebolus amount
for a 75kg patient?
What is the rate adjustment
(units/kg/hr)?
125
23 Order
New PTT
Heparin 5 units/kg/hr currently
What is the rebolus amount
for a 75kg patient?
What is the rate adjustment
(units/kg/hr)?
100
What is the rebolus amount
for a 75kg patient?
Use the Chart below to answer questions 24,25,26 and 27
Algorithm 1
Glucose
Units / Hr
<70
Off
70–109
0.2
110–119
0.5
120–149
1
150–179
1.5
180–209
2
210–239
2
240–269
3
270–299
3
300–329
4
330–359
4
>360
6
Algorithm 2
Glucose
Unit / Hr
70–109
0.5
110–119
1
120–149
1.5
150–179
2
180–209
3
210–239
4
240–269
5
270–299
6
300–329
7
330–359
8
>360
12
24 Original Order 2 Unit/Hr. Regular Insulin IV
Current FSBS
185
7units/kg/hr
3,000 units
3units/kg/hr
NONE
NONE
NONE
Algorithm 3
Glucose
Units / Hr
70–109
1
110–119
2
120–149
3
150–179
4
180–209
5
210–239
6
240–269
8
270–299
10
300–329
12
330–359
14
>360
16
Using Algorithm 1, how many
units/hour will you give?
2 units/hr
(same)
25 Original Order 2 Unit/Hr. Regular Insulin IV
Current FSBS 265
26 Original Order 1 Unit/Hr. Regular Insulin IV
Current FSBS 250
27 Original Order 1 Unit/Hr. Regular Insulin IV
Current FSBS
28 Order
181
Cardizem 200 mg PO
Available
29 Order
Cardizem 100 mg PO
Tylenol 15mg / kg PO PO
Available
125mg /5ml Elixer
Weight
36 pounds
30 Order
Available
Weight
Ibuprofen 10mg / kg
Using Algorithm 2, how many
units/hour will you give?
5 units/hr
How many units/hour will
you give using Algorithm 3?
5 units/hr
How many tablets will you
give?
2 tabs
How many mg will you give?
246 mg
How many mL will you give?
10 ml*
How many mg will you give?
60 mg*
How many mL will you give?
3 mL*
How many ml/Hr will you set
the IV Pump?
How many mL will you give?
500ml/Hr
How many tablets will you
give?
4 Tablets
13 pounds
1L NSS over two hours hours
32 Order
Thorazine 25mg PO
Available
33 Order
Thorazine 10mg/5ml
Aspirin 325mg PO
Available
34 Order
Aspirin 81mg
Amoxicillin 20mg/kg
Amoxicillin 125mg/5ml
Weight
35 Order
Available
36 Order
20 Pounds
Methadone 10 mg PO
Methadone 2.5 mg
Tamiflu 30mg PO
Available
37 Order
Tamiflu 30mg
Tylenol 1 gm
Available
5 units/hr
100mg / 5mL Elixer
31 Order
Available
How many units/hour will
you give using Algorithm 2?
Tylenol 500 mg
12.5 mL
How many mg will you give?
180 mg
How many teaspoons will
you give?
1.5tsp*
How many tablets will you
give?
How many tablets will you
give?
4 tabs
How many tablets will you
give?
2 tabs
1 tab
38 Order
Zithromax 2gm PO
How many mg will you give?
2000 mg
Available
39 Order
Zithromax 500 mg Tablets
Keflex 0.075 gm
How many ml will you give?
5 ml
Available
40 Order
Keflex 75mg/5ml
Ampicillin 500 mg PO
How many tablets will you
give?
4 tabs
Available
41 Order
Ampicillin 125 mg Tablets
Valium 5 mg IM
Available
42 Order
Valium 10mg / 2mL
Tetracycline 750mg PO
Available
43 Order
How many mL will you give?
1 ml
How many tablets will you
give?
3 tabs
Tetracycline 250 mg Tablets
Tobramycin 100 mg IV
How many mL will you give?
2.5 ml
Available
44 Order
Tobramycin 40mg/mL
Zofran 2mg IV
How many mL will you give?
0.5 ml
Available
45 Order
Zofran 4mg/mL
Milk of Magnesia 30 mL PO
46 Order FSBS – 110 / 30 = # Units Novolog
FSBS 269
47 Order FSBS – 110 / 30 = # Units Novolog
FSBS 85
48 Order
Neurontin 900 mg PO
Available
49 Order
gabapentin 300 mg Capsules
Flexeril 5 mg PO
Available
50 Order
cyclobenzaprine 10 mg Tablets
Percocet 5/325 mg, x2 tablets PO
Available
Percocet 5/325 mg Tablets
How many ounces will you
give?
1 ounce
How many units of Novolog
will you give?
5 units*
How many units of Novolog
will you give?
0 Units
How many capsules will you
give?
3 caps
How many tablets will you
give?
0.5 Tab
How many tablets will you
give?
2 Tabs
51
How many mL are in the
syringe?
6.2
52
How many mL are in the
syringe?
3.8
53
Available: 4mg/2mL
How many mg are in the
syringe?
54
A nurse asks you to verify the
dose of a drug that is 1mg/mL
and the order is for 65mg. Is
this the correct dose?
2 mg
No
55
How many mL are in the
syringe?
7.4
56
How many mL are in the
syringe?
2.6
57
How many mL are in the
syringe?
6.5
58
Order: Tylenol 15mg/kg
Available: Tylenol 125mg/5mL
Weight: 22 pounds
Yes
Is this the correct dosage?
59
How many mL are in the
syringe?
0.5
60
How many mL are in the
syringe?
0.24
61
How many units of insulin are
in the syringe?
18
62
How many units of insulin are
in the syringe?
10
63
How many units of insulin are
in the syringe?
40
64
How many units of insulin are
in the syringe?
34
65
How many units of insulin are
in the syringe?
16
66
How many units of insulin are
in the syringe?
4