Calculations Practice Problems Calculations Practice Problems Note: A variety of types of problems are provided for practice. Not all situatio ns will be encountered in all states, depending on state limitations to LPN/LVN practice. Remember that you ma y need to help monitor some medications, even if you don t administer them. 1. You need to administer prochlorperazine (Compazine) 10 mg IM to a nauseated pati ent. You have on hand Compazine 5 mg/mL. How should you prepare the correct dose? 2. An order reads furosemide (Lasix) 40 mg IV push. You have on hand 20 mg/2 mL. Ho w should you prepare the correct dose? 3. You need to administer 15 mg of morphine IM. It is supplied as gr 1/6 per mL. Ho w should you prepare the correct dose? 4. You have on hand diazepam (Valium) 5 mg/mL. You need to administer 8 mg IV push stat. to a patient having a seizure. How much should you draw into the syringe? 5. A patient has an aminophylline IV drip ordered for acute asthma, to run at 20 mL /hour. No IV infusion controller is available right now. How many drops per minute will be re quired if microdrip tubing is used? 6. A safe maintenance dose of aminophylline is 0.36 mg/kg/hour. It is supplied as 1 00 mg/100 mL. Your patient is 130 pounds and is receiving 20 mL/hour. Is the dose safe? 7. Your patient is to receive metoprolol tartrate (Lopressor) 25 mg PO daily. The p harmacist dispenses 50 mg scored tablets. How many should your patient take each day? 8. A patient has an IV piggyback of ceftriaxone sodium (Rocephin) 500 mg in 50 mL D 5W to run over 20 minutes. The tubing has a drip factor of 10. How many drops per minute s hould be administered? 9. A home care patient must restrict fluid intake to 2 L every 24 hours. He has onl y household measuring cups. How many cups may he drink daily and not exceed the 2 L limit? 10. A patient has an IV piggyback of ceftriaxone sodium (Rocephin) 500 mg in 50 mL D 5W to run over 20 minutes. If you use an IV infusion controller, how many milliliters per hour will you set? 11. You are providing home care for a patient who needs 15 mL of magnesium hydroxide /aluminum hydroxide (Maalox) PO. She has only standard measuring spoons in the house. How do you

instruct her to take her dose? 12. Your order reads penicillin 1.2 million units IM daily. You have penicillin 500, 000 units/mL. How should you prepare the correct dose? 13. Your order reads labetalol 40 mg IV push every 10 minutes until blood pressure i s lower than 140/90 mm Hg. You have labetalol 5 mg/mL available. How should you prepare the c orrect dose? 14. You have on hand ergocalciferol liquid 8,000 units/2 mL. Your order reads ergoca lciferol 225,000 units PO daily. How should you prepare the correct dose? 15. Your order reads ergocalciferol 225,000 units PO daily. You have on hand ergocal ciferol in 50,000 unit tablets. How many do you administer? 16. Your order reads cortisone 15 mg PO every morning. You have on hand cortisone 10 mg tablets. How should you prepare the correct dose?

17. Your order reads ceftizoxime 1 g IV piggyback every 8 hours. The pharmacy suppli es it in 100 mL D5W. You need to infuse it over 30 minutes. With a drop factor of 10, wha t drip rate will you set? 18. Your order reads Zosyn 4.5 g in 100 mL D5W IV over 1 hour. You have microdrip tu bing. What drip rate will you set? 19. Your order reads levothyroxine 100 mg PO every morning. You have levothyroxine 0 .05 mg tablets. How many should you administer? 20. You have on hand morphine 500 mg in 500 mL normal saline. You need to administer morphine 80 mg/hour in a continuous IV infusion to a patient with terminal cancer pain. H ow many milliliters per hour will you set on the controller? 21. You have on hand enoxaparin (Lovenox) 30 mg/0.3 mL. You need to administer 1 mg/ kgSC. Your patient weighs 200 pounds. How much will you draw into a syringe? 22. Amoxil (amoxicillin) suspension 180 mg PO bid is ordered for a patient who canno t swallow pills. It is supplied as 125 mg/5 mL. How many milliliters should you administer ? 23. Heparin sodium, 1000 units/hour IV, is ordered for a patient with a blood clot i n the leg. It is supplied as 50,000 units in 500 mL of dextrose and water. How many milliliters per hour s hould be set on the controller? 24. Diltiazem (Cardizem) 90 mg PO tid is ordered for a patient with hypertension. It is supplied in 60 mg scored tablets. How many tablets should you administer? 25. Atropine 0.6 mg IM is ordered preoperatively. It is supplied as 0.4 mg/mL. How m any milliliters should you administer? 26. Morphine sulfate 2 mg IV push is ordered to relieve shortness of breath in a pat ient with chronic lung disease. It is supplied as gr 1/6 per mL. How many milliliters should you a dminister? 27. Each acetaminophen (Tylenol) #3 tablet has 325 mg of acetaminophen and 30 mg cod eine. A patient is told to take 2 tablets PO every 4 hours for pain. The maximum safe do se of acetaminophen is 4 g/day. The safe dose of codeine varies with tolerance. Is the dose safe? 28. Levothyroxine (Synthroid) 150 mg PO per day is ordered for a patient with hypoth yroidism. It is supplied as 0.075 mg tablets. How many tablets should the patient take? A safe d ose of Synthroid

is 1.5 mg/kg/day. The patient weighs 196 pounds. Is the dose safe? 29. A patient is receiving 250 mL normal saline IV over 4 hours, using tubing with a drip factor of 10 drops/mL. How many drops per minute should be delivered? 30. Cephazolin 1 g IV is ordered three times a day for a patient with pneumonia. It is supplied in 100 mL dextrose and water, to run over 20 minutes. How many milliliters per hour sho uld you set the controller to deliver? 31. Your order reads ceftizoxime 1 g IV piggyback (IVPB) every 8 hours. The pharmacy supplies it in 100 mL D5W. You need to infuse it over 30 minutes. Using gravity drip tubing with a drop factor of 10, how fast will you run the piggyback? 32. You need to infuse 1000 mL of NS IV over 6 hours. How many milliliters per hour do you set on the IV infusion controller? 33. You have an order for fosphenytoin (Cerebyx) 100 phenytoin equivalents (PE) IVPB qid. It arrives in 50 mL of normal saline, with a note on the piggyback bag not to infus e faster than 150 PE/minute. How many milliliters per hour should you set on the controller? 34. You have 500 mL of lipids on a second IV infusion controller to piggyback into a primary hyperalimentation line. You want to run the infusion over 24 hours. At what rate should you run th e lipids? 35. You have an order for 500 mg vancomycin IVPB every 6 hours for a patient who wei ghs 120 lbs. You know that you can safely administer up to 40 mg/kg/day. Is the order safe? 36. You have 350 mL packed red blood cells that you want to infuse IV over 2 hours. There is no controller available. Your blood tubing delivers 10 gtts/mL. How many drops per minute should you set? 37. You need to infuse corticotropin (Acthar) 25 U in 500 mL D5W IV over 8 hours. Ho w many milliliters per hour do you infuse on a controller? 38. A patient is taking acetaminophen (Tylenol) 325 mg, 2 tablets PO every 6 hours. How many grams is the patient receiving in 24 hours? 39. You have an order for diphenhydramine hydrochloride (Benadryl) 40 mg IM ASAP. Yo u have on hand Benadryl 25 mg/mL. How many milliliters do you prepare?

40. You have digoxin (Lanoxin) 0.25 mg tablets, and you need to administer 0.375 mg PO. How many tablets should you administer? 41. Phenobarbital is supplied as 60 mg/mL. You need to administer 160 mg IV stat. Ho w many milliliters should you administer? 42. You have an order for morphine 4 mg IV push every 2 hours prn dyspnea. You have morphine gr 1/6 per mL on hand. How many milliliters should you prepare? 43. You need to administer amphotericin B 0.5 mg/kg IV daily to a patient with histo plasmosis who weighs 236 pounds. How many milligrams should you expect to administer each day? 44. You have an order to infuse 500 mL normal saline IV over 4 hours. How many drops per minute will you set on gravity tubing that delivers 10 gtts/mL? 45. A patient is to receive cefuroxime (Zinacef) 1 gin D5W 100 mL IV every 8 hours, to infuse over 60 minutes. How many drops per minute do you set on gravity tubing that delivers 10 gtts/mL? 46. You have an order for furosemide (Lasix) 80 mg IV every morning. You have on han d Lasix 20 mg in 2 mL sterile water. How many milliliters should you prepare? 47. You need to administer 40 mg of furosemide (Lasix) PO. You have on hand Lasix 20 mg tablets. How many tablets should you give? 48. You have an order for heparin 3000 units SC every 12 hours. You have available 5 ,000 units/mL. How many milliliters will you give? 49. You need to administer 15 mg of morphine IM. You have on hand gr 1/4 per mL. How should you prepare the correct dose? 50. You have an order for levothyroxine (Synthroid) 0.05 mg PO. You have on hand Syn throid 100 mg tablets. How should you prepare the correct dose? 51. The recommended IV dose of gentamicin is 1 to 5 mg/kg. What is a safe range to a dminister to an adult man weighing 190 pounds? 52. 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 o rdinary household measuring devices? 53. You have an order to administer 1 L of Dextrose 5% in 0.45 normal saline IV over 16 hours.

How many milliliters per hour will you set on the IV infusion controller? 54. You have an order to administer 1 L of D5W IV over 8 hours. How many drops per m inute will you set if you are using tubing with a drop factor of 15? 55. Your order reads gatifloxacin (Tequin) 400 mg IV daily. It arrives in 50 mL of D 5W, to run over 30 minutes. How many drops per minute will you set if you have tubing with a dro p factor of 10? 56. You have an order to administer heparin sodium IV at 1000 units per hour. It is supplied by your pharmacy as 25,000 units in 250 mL of D5W. For how many milliliters per hour sho uld you program the controller? 57. Your patient has an order for heparin SC 2500 units bid. You have on hand hepari n 5000 units/mL. How many milliliters will you administer? 58. You evaluate a patient s intake and output for 8 hours. Intake for 8 hours: 3 8-oz cups of coffee 4 oz orange juice 3/4 cup of milk 8 oz tomato soup 1/2 cup Jello 2 cups of water 750 mL of 0.9% normal saline IV How many milliliters should you record as intake? 59. The physician orders codeine gr 1/4 IM every 4 hours prn for a patient with pain . You have on hand codeine gr 1/2 per mL. What is the correct dose? 60. A patient is receiving 250,000 units of penicillin G IM every 6 hours. You have on hand 300,000 units/mL. How much will you draw into the syringe? 61. A patient has a primary IV of dextrose in water 1000 mL to be infused over 24 ho urs. What would be the drip rate using tubing with a drop factor of 60? 62. A patient is sent home on captopril (Capoten), 6.25 mg PO bid. Her pharmacist di spenses 25 mg scored tablets. How many should the patient take for each dose? 63. An IVPB of ranitidine (Zantac) 50 mg in 100 mL D5W is to run over 45 minutes. Th e tubing has a drip factor of 15. How many drops per minute should you deliver?

64. You have an order for Phenobarbital 50 mg PO at bedtime. It is supplied as Pheno barbital elixir 20 mg/5 mL. How much will you administer? 65. You are providing home care for a patient who needs to mix her oral psyllium hyd rophilic mucilloid (Metamucil) in 180 mL of water or juice. She has only standard measuring cups in the house. How do you instruct her to take her dose? 66. You need to administer lorazepam (Ativan) 3 mg IM to an agitated patient. You ha ve on hand 4 mg/mL. How much do you prepare? 67. You need to administer 125 mg of methylprednisolone sodium succinate (Solu-Medro l) IV push bid to a patient with acute exacerbation of chronic obstructive pulmonary diseas e. You have on hand 40 mg/mL. How much do you prepare? 68. A patient is to receive IV heparin now for a blood clot in the leg. It is ordere d at 11 mL/hour. Until the IV infusion controller is available. How many drops per minute will yo u run on microdrip tubing? 69. A patient has a bottle of warfarin (Coumadin) 5 mg tablets at home. After his mo st recent international normalized ratio (INR), the doctor calls and tells him to take 7.5 mg/day. How m any tables should the patient take? 70. You need to administer IV piperacillin sodium/tazobactam sodium (Zosyn) 3.375 g in 50 mL D5W to run over 20 minutes. How many drops per minute do you set if the IV tubin g has a drop factor of 15? 71. Your patient is taking acetaminophen (Tylenol) gr 15 every 6 hours PO for headac he pain. You know the maximum safe dose is 4 g in 24 hours. Is the dose safe? 72. You are caring for your ill grandmother at home. She has an order for magnesium hydroxide/aluminum hydroxide (Maalox) 10 mL PO prn stomach upset. How do you instruct her to measur e her dose using household measuring spoons? 73. Your patient needs 2000 mL of saline IV over 4 hours for severely deficient flui d volume. How many milliliters per hour will you set on a controller? 74. Your patient needs 2000 mL of D5W IV over 24 hours, to be delivered with a tubin g set with a drop factor of 15. How many drops per minute will you set for an infusion rate? 75. You have on hand penicillin 300,000 units/mL. Your order reads penicillin 1,000, 000 units IM.

How will you fill the syringe? 76. The physician orders alprazolam (Xanax) 0.5 mg PO. You have on hand Xanax 0.25 m g tablets. How many will you give? 77. You need to administer 250 mg of erythromycin PO. You have on hand 0.5 g tablets . How many tablets will you give? 78. You need to administer 400 mg of erythromycin PO. You have on hand a suspension of 125 mg/5 mL. How much will you prepare? 79. You need to administer furosemide (Lasix) 2 mg/minute via continuous IV infusion on a controller. Pharmacy has sent a bag of Lasix 400 mg diluted in D5W 250 mL. How many millilit ers per hour will you set on the controller? 80. A patient with HIV infection is receiving 200 mg of didanosine PO bid. The pharm acy only has powder packets with 167 mg each, to be mixed with 4 oz of water. How many packet s should the patient mix? How much should the patient take? How can it be measured? 81. Your patient needs 12,000 units of heparinSC. You have on hand 5000 units/mL. Ho w much will you inject? 82. You have on hand atropine 0.4 mg/mL. You need to administer atropine gr 1/150 IM . How many milliliters will you prepare? 83. The physician orders meperidine 75 mg IM every 4 to 6 hours prn for a patient ad mitted with acute cholecystitis. You have on hand meperidine 50 mg/mL. How much will you giv e? 84. A patient is receiving 60 mg of methylprednisolone IM every 8 hours. You have on hand 75 mg/mL. How much will you draw up? 85. The physician orders an IV with heparin at 700 units/hour. You have a bag with 1 00 units/mL of solution. How many milliliters per hour will you set on the infusion controller? 86. You have an IVPB of ranitidine (Zantac) 50 mg in 50 mL D5W to run over 30 minute s. The tubing has a drip factor of 15. How many drops per minute will you set on the IV infusi on controller? 87. Your patient has a headache but has difficulty swallowing pills. The physician o rders acetaminophen 1000 mg PO every 4 to 6 hours prn. You have acetaminophen elixir 160 mg in 5 mL. How much will you administer?

88. A patient with heart failure is on a 1000 mL fluid restriction each 24 hours. Du ring the 7 a.m to 7 p.m. shift he has three meals, consuming 1/2 cup of coffee with each. He also has 50 mL of water each time he takes his medications at 7 a.m., noon, and 5 p.m. Midafternoo n, he drinks 240 mL of soda. How many milliliters may he consume during the 7 p.m. to 7 a.m. shift? 89. You are providing home care for a patient who needs to mix her oral potassium su pplement with 120 mL of water or juice. She has only standard measuring cups in the house. How do you instruct her to take her dose? 90. A patient is admitted to the emergency room with a fractured leg. The physician orders morphine 15 mg IM stat. You have on hand morphine 10 mg/mL. How many milliliters will you administer? 91. A patient is receiving 160 mg of methylprednisolone IM every 12 hours. You have on hand two vials that each contains 125 mg/2 mL. How much will you draw into a syringe? 92. You have available lorazepam (Ativan) 0.5 mg tablets, and you need to administer 1 mg PO. How many tablets will you administer? 93. A patient is instructed to take acetaminophen (Tylenol) liquid (elixir) 650 mg q id. The elixir is 160 mg/5 mL. How many milliliter per dose should the patient take? 94. The physician writes a now order for codeine 45 mg IM for a patient with a vertebr al compression fracture. You have on hand codeine 60 mg/2 mL. How many milliliters should you give? 95. A patient with heart failure has a daily order for digoxin 0.25 mg PO. Digoxin 0 .125 mg tablets are available. How many tablets should you give? 96. A patient on hemodialysis must maintain careful intake and output. For breakfast he had 1 measured cup of coffee and 3 oz of milk on his cereal. For lunch he drank 6 oz o f lemonade and ate 1 cup of soup. For supper he drank 1 measured cup of coffee. He took his mor ning and evening pills with 4 oz of water each time. Has he stayed within his 1000 mL flu id restriction? 97. 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? 98. You have an order to administer 40 mg of methadone SC for opioid detoxification. You have on

hand 30 mg/mL. How much should you draw into the syringe? 99. A patient is placed on methadone maintenance therapy of 15 mg/day PO. It is supp lied as 10 mg in 5 mL oral solution. How many milliliters should you instruct the patient t o take? 100. A homebound patient must take 400,000 units of nystatin PO every 4 hours, to swi sh in the mouth and then swallow. It is available as 100,000 units/5 mL. The patient has o nly household measuring spoons. How should the patient be instructed to take the dose?

Calculations Practice Problem Answers Calculations Practice Problem Answers 1. You need to administer prochlorperazine (Compazine) 10 mg IM to a nauseated p atient. You have on hand Compazine 5 mg/mL. How should you prepare the correct dose? 10 mg 1 mL 52 mL 5 mg 2. An order reads furosemide (Lasix) 40 mg IV push. You have on hand Lasix 20 mg /2 mL. How should you prepare the correct dose? 40 mg 2 mL . 4 mL 20 mg 3. You need to administer 15 mg of morphine IM. It is supplied as gr 1/6 per mL. How should you prepare the correct dose? 15 mg 1 gr 1 mL 51.5 mL 60 mg 1/6 gr 4. You have on hand diazepam (Valium) 5 mg/mL. You need to administer 8 mg IV pu sh stat. to a patient having a seizure. How much should you draw into the syringe? 8 mg 1 mL . 1.6 mL 5 mg 5. A patient has an aminophylline IV drip ordered for acute asthma, to run at 20 mL /hour. No IV infusion controller is available right now. How many drops per minute will be required if microdrip tubing is used? 20 mL 1 hour 60 gtts 520 gtts/min 1 hour 60 min mL 6. A safe maintenance dose of aminophylline is 0.36 mg/kg/hour. It is supplied as 1 00 mg/100 mL. Your patient is 130 pounds and is receiving 20 mL/hour. Is the dose safe? Because you have to compare a safe dose to the patient s dose, you have to do two separate calculations: 0.36 mg 1 kg 130 pounds kg 2.2 pounds .

21.3 mg/hour is safe 20 mL 100 mg . patient is receiving 20 mg/hour; yes, dose is safe Hour 100 mL

7. Your patient is to receive metoprolol tartrate (Lopressor) 25 mg/day PO. The pha rmacist dispenses 50 mg scored tablets. How many tablets should your patient take each day? 25 mg 1 tab . 1/tab 2 50 mg 8. A patient has an IV piggyback of ceftriaxone (Rocephin) 500 mg in 50 mL D5W to r un over 20 minutes. The tubing has a drip factor of 10. How many drops per minute should be administered? 50 mL 10 gtts . 25 gtts/min 20 min mL 9. A home care patient must restrict fluid intake to 2 L every 24 hours. He has only household measuring cups. How many cups may he drink daily and not exceed the 2 L limit? 2 L 1000 mL 1 cup 1 L 240 mL . 8.3 or 8 and 1/3 cups 10. A patient has an IV piggyback of ceftriaxone (Rocephin) 500 mg in 50 mL D5W to run over 20 minutes. If you use an IV infusion controller, how many milliliters per hour will you set? 50 mL 60 min . 150 mL/hour 20 min 1 hour 11. You are providing home care for a patient who needs 15 mL of magnesium hydroxide /aluminum hydroxide (Maalox) PO. She has only standard measuring spoons in the house. How do you instruct her to take her dose? 15 mL 1 Tablespoon . 1 Tablespoon 15 mL

12. Your order reads penicillin 1.2 million units IM daily. You have penicillin 500, 000 units/mL. How should you prepare the correct dose? 1,200,000 units 1 mL . 2.4 mL 500,000 units 13. Your order reads labetalol 40 mg IV push every 10 minutes until blood pressu re is lower than 140/90 mm Hg. You have labetalol 5 mg/mL available. How should you prepare the correct dose? 40 mg 1 mL . 8 mL 5 mg 14. You have on hand ergocalciferol liquid 8000 units/2 mL. Your order reads ergocal ciferol 225,000 units PO daily. How should you prepare the correct dose? 225,000 units 2 mL . 56 mL 8000 units 15. Your order reads ergocalciferol 225,000 units PO daily. You have on hand ergocal ciferol in 50,000 unit tablets. How many do you administer? 225,000 units 1 tablet . 4.5 tablets 50,000 units 16. Your order reads cortisone 15 mg PO every morning. You have on hand cortisone 10 mg tablets. How should you prepare the correct dose? 15 mg 1 tablet . 1.5 tablets

10 mg

17. Your order reads ceftizoxime 1 g IV piggyback every 8 hours. The pharmacy su pplies it in 100 mL D5W. You need to infuse it over 30 minutes. With a drop factor of 10, what drip rate will you set? 100 mL 10 gtts . 33 gtts/min 30 min mL 18. Your order reads Zosyn 4.5 g in 100 mL D5W IV over 1 hour. You have microdrip tu bing. What drip rate will you set? 100 mL 1 hour 60 gtts . 100 gtts/min 1 hour 60 min 1 mL 19. Your order reads levothyroxine 100 mg PO every morning. You have levothyroxine 0 .05 mg tablets. How many tablets should you administer? 100 mg 1 mg 1 tablet . 2 tablets 1000 mg 0.05 mg 20. You have on hand morphine 500 mg in 500 mL normal saline. You need to administer morphine 80 mg/hour in a continuous IV infusion to a patient with terminal cancer pain. How many milliliters per hour will you set on the controller? 80 mg 500 mL .

80 mL/hour hour 500 mg 21. You have on hand enoxaparin (Lovenox) 30 mg/0.3 mL. You need to administer 1 mg/ kg SC. Your patient weighs 200 pounds. How much will you draw into a syringe? 1 mg 0.3 mL 200 pounds 1 kg kg 30 mg 2.2 pounds . 0.9 mL 22. Amoxil (amoxicillin) suspension 180 mg PO bid is ordered for a patient who canno t swallow pills. It is supplied as 125 mg/5 mL. How many milliliters should you administer? 180 mg 5 mL . 7.2 mL 125 mg 23. Heparin sodium, 1000 units/hour IV, is ordered for a patient with a blood cl ot in the leg. It is supplied as 50,000 units in 500 mL of dextrose and water. How many milliliters per hour s hould be set on the controller? 1000 units 1 hour 500 mL 50,000 units . 10 mL/hour 24. Diltiazem (Cardizem) 90 mg PO tid is ordered for a patient with hypertension. It is supplied in 60 mg scored tablets. How many tablets should you administer? 90 mg 1 tablet . 1.5 tablets 60 mg 25. Atropine 0.6 mg IM is ordered preoperatively. It is supplied as 0.4 mg/mL. How m any milliliters should you administer? 0.6 mg 1 mL . 1.5 mL

0.4 mg 26. Morphine sulfate 2 mg IV push is ordered to relieve shortness of breath in a patient with chronic lung disease. It is supplied as gr 1/6 /mL. How many milliliters should you administe r? 2 mg 1 gr 1 mL . 0.2 mL 60 mg 1/6 gr

27. Each acetaminophen (Tylenol) #3 tablet has 325 mg of acetaminophen and 30 mg cod eine. A patient is told to take 2 tablets PO every 4 hours for pain. The maximum safe dose of ac etaminophen is 4 g/day. The safe dose of codeine varies with tolerance. Is the dose safe? Because the safe dose of codeine is variable and is determined by patient respon se, you only need to figure safe dose for the Tylenol for this problem. 325 mg 2 tablets 6 doses 1 gram tablet Dose day 1,000 mg . 3.9 grams per day 3.9 grams per day is less than the maximum safe dose of 4 grams, so it is safe. 28. Levothyroxine (Synthroid) 150 mg PO per day is ordered for a patient with hypoth yroidism. It is supplied as 0.075 mg tablets. How many tablets should the patient take daily? A safe dose of Synthroid is 1.5 mg/kg/day. The patient weighs 196 pounds. Is the dose safe? 150 mg 1 mg 1 tablet 52 tablets 1000 mg 0. 075 mg 150 mg 2.2 pounds . the patient is receiving 1.7 mg/kg 196 pounds 1 kg No, the dose of 1.7 mg/kg is greater than 1.5 mg/kg, so the dose is too high. 29. A patient is receiving 250 mL normal saline IV over 4 hours, using tubing with a drip factor of 10 drops/mL. How many drops per minute should be delivered? 250 mL 1 hour 10 gtts . 10 gtts/minute 4 hours 60 min mL 30. Cephazolin 1 g IV is ordered three times a day for a patient with pneumonia. It is supplied in 100 mL dextrose and water, to run over 20 minutes. How many milliliters per hour should you set the controller to deliver? 100 mL 60 min . 300 mL/hour 20 min hour 31. Your order reads ceftizoxime 1 g IV piggyback (IVPB) every 8 hours. The pharmacy

supplies it in 100 mL D5W. You need to infuse it over 30 minutes. Using gravity drip tubing with a drop factor of 10, how fast will you run the piggyback? 100 mL 10 gtts . 33 gtts/min 30 min mL 32. You need to infuse 1000 mL of normal saline IV over 6 hours. How many milliliter s per hour do you set on the IV infusion controller? 100 mL . 17 mL/hour 6 hours 33. You have an order for fosphenytoin (Cerebyx) 100 phenytoin equivalents (PE) IVPB qid. It arrives in 50 mL of normal saline, with a note on the piggyback bag not to infuse faster th an 150 PE/minute. How many milliliters per hour should you set on the controller? 150 PE 50 mL 60 minutes . 4500 mL/hour maximum rate minute 100 PE 1 hour Although 4500 mL/hour is the maximum rate, there is no reason to run it that fas t; doing so could damage the vein. Most piggybacks are infused over 20 to 30 minutes, or according to hospital policy. 50 mL infused over 30 minutes would be set at 100 mL/hour, which is well under t he maximum rate.

34. You have 500 mL of lipids on a second IV infusion controller to piggyback into a primary hyperalimentation line. You want to run the infusion over 24 hours. At what rate should you run th e lipids? 500 mL . 21 mL/hour 24 hours 35. You have an order for 500 mg vancomycin IVPB every 6 hours for a patient who wei ghs 120 lbs. You know that you can safely administer up to 40 mg/kg/day. Is the order safe? 500 mg 4 doses 2.2 pounds . patient is receiving 36.7 mg/kg/day 120 pounds day 1 kg 36.7 mg/kg is less than the safe dose of 40 mg/kg, so it is safe. 36. You have 350 mL packed red blood cells that you want to infuse IV over 2 hours. There is no controller available. Your blood tubing delivers 10 gtts/mL. How many drops per minute shou ld you set? 350 mL 1 hour 10 gtts . 29 gtts/minute 2 hours 60 minutes 1 mL 37. You need to infuse corticotropin (Acthar) 25 U in 500 mL D5W IV over 8 hours. Ho w many milliliters per hour do you infuse on a controller? 500 mL . 63 mL/hour 8 hours 38.

A patient is taking acetaminophen (Tylenol) 325 mg, 2 tablets PO every 6 hours. How many grams is the patient receiving in 24 hours? 325 mg 2 tablets 4 doses 1 g tablet dose day 1000 mg . 2.6 g 39. You have an order for diphenhydramine hydrochloride (Benadryl) 40 mg IM now. You have on hand Benadryl 25 mg/mL. How many milliliters do you prepare? 40 mg 1 mL . 1.6 mL 25 mg 40. You have digoxin (Lanoxin) 0.25 mg tablets, and you need to administer 0.375 mg PO. How many tablets should you administer? 0.375 mg 1 tablet . 1.5 tablets 0.25 mg 41. Phenobarbital is supplied as 60 mg/mL. You need to administer 160 mg IV stat. Ho w many milliliters should you administer? 160 mg 1 mL . 2.7 mL 60 mg 42. You have an order for morphine 4 mg IV push every 2 hours prn dyspnea. You have morphine gr 1/6 per mL on hand. How many milliliters should you prepare? 4 mg 1 gr 1 mL . 0.4 mL 60 mg 1/6 gr 43. You need to administer amphotericin B 0.5 mg/kg IV daily to a patient with histo

plasmosis who weighs 236 pounds. How many milligrams should you expect to administer each day? 0.5 mg 236 pounds 1 kg . 53.6 mg kg 2.2 pounds

44. You have an order to infuse 500 mL normal saline IV over 4 hours. How many d rops per minute will you set on gravity tubing that delivers 10 gtts/mL? . 21 drops/minute 500 mL 1 hour 10 gtts 4 hours 60 minutes mL 45. A patient is to receive cefuroxime (Zinacef) 1 g in D5W 100 mL IV every 8 ho urs, to infuse over 60 minutes. How many drops per minute do you set on gravity tubing that delivers 10 gtts/mL? 100 mL 10 gtts . 17 gtts/minute 60 minutes mL 46. You have an order for furosemide (Lasix) 80 mg IV every morning. You have on hand Lasix 20 mg in 2 mL sterile water. How many milliliters should you prepare? 80 mg 2 mL 58 mL 20 mg 47. You need to administer 40 mg of furosemide (Lasix) PO. You have on hand Lasix 20 mg tablets. How many tablets should you give? 40 mg 1 tablet . 2 tablets 20 mg 48. You have an order for heparin 3000 units SC every 12 hours. You have available 5 000 units/mL. How many milliliters will you give? 3000 units 1 mL . 0.6 mL 5000 units 49. You need to administer 15 mg of morphine IM. You have on hand gr 1/4 per mL. How should you prepare the correct dose? 15 mg 1 gr 1 mL 51 mL 60 mg 1/4 gr 50. You have an order for levothyroxine (Synthroid) 0.05 mg PO. You have on hand Synthroid 100 mg tablets. How should you prepare the correct dose? 0.05 mg 1000 mg 1 tablet 5 1/2 tablet 1 mg 100 mg

51. The recommended IV dose of gentamicin is 1 to 5 mg/kg. What is a safe range to administer to an adult man weighing 190 pounds? 1 mg 190 pounds 1 kg 586 mg 1 kg 2.2 pounds 5 mg 190 pounds 1 kg 5431 mg 1 kg 2.2 pounds The safe range is between 86 and 431 mg. 52. 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 o rdinary household measuring devices? 30 mL 1 Tbsp . 2 Tbsp 15 mL

53. You have an order to administer 1 L of 5% Dextrose in 0.45 normal saline IV over 16 hours. How many milliliters per hour will you set on the IV infusion controller? 1 L 1000 mL . 63 mL/hour 16 hours 1 L 54. You have an order to administer 1 L of D5W IV over 8 hours. How many drops per m inute will you set if you are using tubing with a drop factor of 15? 1 L 1000 mL 1 hour 15 gtts 8 hours 1 L 60 minutes mL . 31 drops/minute 55. Your order reads gatifloxacin (Tequin) 400 mg IV daily. It arrives in 50 mL of D 5W, to run over 30 minutes. How many drops per minute will you set if you have tubing with a drop f actor of 10? 50 mL 10 gtts . 17 gtts/minute 30 minutes mL 56. You have an order to administer heparin sodium IV at 1000 units per hour. It is supplied by your pharmacy as 25,000 units in 250 mL of D5W. For how many milliliters per hour should you p rogram the controller? 1000 units 250 mL . 10 mL/hour hour 25,000 units 57. Your patient has an order for heparin SC 2500 units bid. You have on hand hepari n 5000 units/mL. How many milliliters will you administer? 2500 units

1 mL . 0.5 mL 5000 units 58. You evaluate a patient s intake and output for 8 hours. Intake for 8 hours: 3 8-oz cups of coffee 4 oz orange juice 3/4 cup of milk 8 oz tomato soup 1/2 cup Jello 2 cups of water 750 mL of 0.9% normal saline IV How many milliliters should you record as intake? First, you must convert all amounts to the same units, usually milliliters. 3 cups 8 oz 30 mL 1 cup 1 oz 4 oz 3/4 cup 8 oz 1/2 cup 30 mL 1 oz 240 mL 1 cup 30 mL 1 oz 240 mL 1 cup . 720 . 120 . 180 . 240 . 120

mL coffee mL orange juice mL milk mL soup mL Jello

2 cups 240 mL . 480 mL water 1 cup Now add: 720 . 120 . 180 . 240 . 120 . 480 . 750 . 2610 mL intake 59. The physician orders codeine gr 1/4 IM every 4 hours prn for a patient with pain . You have on hand codeine gr 1/2 per mL. What is the correct dose? 1/4 gr 1 mL . 0.5 mL 1/2 gr 60. A patient is receiving 250,000 units of penicillin G IM every 6 hours. You have on hand 300,000 units/mL. How much will you draw into the syringe? 250,000 units 1 mL . 0.8 mL 300,000 units 61. A patient has a primary IV of dextrose in water 1000 mL to be infused over 24 ho urs. What would be the drip rate using tubing with a drop factor of 60? 1000 mL 1 hour 60 gtts 542 gtts/minute 24 hours 60 minutes mL 62. A patient is sent home on captopril (Capoten), 6.25 mg PO bid. Her pharmacist di spenses 25 mg scored tablets. How many should the patient take for each dose? 6.25 mg 1 tablet . 1/4 tablet 25 mg

63. An IVPB of ranitidine hydrochloride (Zantac) 50 mg in 100 mL D5W is to run over 45 minutes. The tubing has a drip factor of 15. How many drops per minute should you deliver ? 100 mL 15 gtts . 33 gtts/minute 45 minutes 1 mL 64. You have an order for phenobarbital 50 mg PO at bedtime. It is supplied as pheno barbital elixir 20 mg/5 mL. How much will you administer? 50 mg 5 mL . 12.5 mL 20 mg 65. You are providing home care for a patient who needs to mix her oral psyllium hyd rophilic mucilloid (Metamucil) in 180 mL of water or juice. She has only standard measuring cups in the house. How do you instruct her to take her dose? 180 mL 1 cup . 0.75 or 3/4 cup 240 mL 66. You need to administer lorazepam (Ativan) 3 mg IM to an agitated patient. You ha ve on hand 4 mg/mL. How much do you prepare? 3 mg 1 mL . 0.8 mL 4 mg 67. You need to administer 125 mg of methylprednisolone sodium succinate (Solu-Medro l) IV push bid to a patient with acute exacerbation of chronic obstructive pulmonary diseas e. You have on hand 40 mg/mL. How much do you prepare? 125 mg

1 mL . 3.1 mL 40 mg

68. A patient is to receive IV heparin now for a blood clot in dered at 11 mL/hour. Until the IV infusion controller is available. How many drops per minute icrodrip tubing? 11 mL 1 hour 60 gtts 511 gtts/minute hour 60 minutes 1 mL 69. A patient has a bottle of warfarin (Coumadin) 5 mg tablets s most recent international normalized ratio (INR), the doctor calls and tells him to take any tables should the patient take? 7.5 mg 1 tablet 5 mg . 1.5 tablets

the leg. It is or will you run on m

at home. After hi 7.5 mg/day. How m

70. You need to administer IV piperacillin sodium/tazobactam sodium (Zosyn) 3.37 5 g in 50 mL D5W to run over 20 minutes. How many drops per minute do you set if the IV tubing has a drop factor of 15? 50 mL 15 gtts . 38 gtts/minute 20 minutes 1 mL 71. Your patient is taking acetaminophen (Tylenol) gr 15 every 6 hours PO for he adache pain. You know the maximum safe dose is 4 g in 24 hours. Is the dose safe? 15 gr 4 doses 1 g 54 g/day dose Day 15 gr The dose is at the upper limit of a safe dose. 72. You are caring for your ill grandmother at home. She has an order for magnesium hydroxide/ aluminum hydroxide (Maalox) 10 mL PO prn stomach upset. How do you instruct her to measure her dose using household measuring spoons? 10 mL 1 teaspoon . 2 teaspoons 5 mL 73. Your patient needs 2000 mL of saline IV over 4 hours for severely deficient flui d volume. How many milliliters per hour will you set on a controller? 2000 mL . 500 mL/hour 4 hours 74.

Your patient needs 2000 mL of D5W IV over 24 hours, to be delivered with a tubin g set with a drop factor of 15. How many drops per minute will you set for an infusion rate? 2000 mL 1 hour 15 gtts 24 hours 60 minutes mL . 21 gtts/minute 75. You have on hand penicillin 300,000 units/mL. Your order reads penicillin 1,000, 000 units IM. How will you fill the syringe? 1,000,000 units 1 mL . 3.3 mL 300,000 units 76. The physician orders alprazolam (Xanax) 0.5 mg PO. You have on hand Xanax 0.25 m g tablets. How many will you give? 0.5 mg 1 tablet . 2 tablets 0.25 mg 77. You need to administer 250 mg of erythromycin PO. You have on hand 0.5 g tab lets. How many tablets will you give? 250 mg 1 g 1 tablet 5 1/2 tablet 1000 mg 0.5 g

78. You need to administer 400 mg of erythromycin PO. You have on hand a suspension of 125 mg/5 mL. How much will you prepare? 400 mg 5 mL . 16 mL 125 mg 79. You need to administer furosemide (Lasix) 2 mg/minute via continuous IV infusion on a controller. Pharmacy has sent a bag of Lasix 400 mg diluted in D5W 250 mL. How many millilit ers per hour will you set on the controller? 2 mg 250 mL 60 minutes . 75 mL/hour Minute 400 mg 1 hour 80. A patient with HIV infection is receiving 200 mg of didanosine PO bid. The pharm acy only has powder packets with 167 mg each, to be mixed with 4 oz of water. How many packets shoul d the patient mix? How much should the patient take? How can it be measured? 200 mg 4 oz . 4.8 oz 167 mg The patient will have to mix two packets, each in 4 oz of water, and drink 4.8 o z measured in a calibrated measuring cup. If a cup that measures milliliters is available, then: 4.8 oz 30 mL . 144 mL 1 oz Or 144 mL 1 Tbsp . 9.6 Tbsp 15 mL 81.

Your patient needs 12,000 units of heparin SC. You have on hand 5000 units/mL. H ow much will you inject? 12,000 units 1 mL . 2.4 mL 5000 units 82. You have on hand atropine 0.4 mg/mL. You need to administer atropine gr 1/150 IM . How many milliliters will you prepare? 1/150 gr 60 mg 1 mL . 1 mL 1 gr 0.4 mg 83. The physician orders meperidine 75 mg IM every 4 to 6 hours prn for a patient ad mitted with acute cholecystitis. You have on hand meperidine 50 mg/mL. How much will you give? 75 mg 1 mL . 1.5 mL 50 mg 84. A patient is receiving 60 mg of methylprednisolone IM every 8 hours. You have on hand 75 mg/mL. How much will you draw up? 60 mg 1 mL . 0.8 mL 75 mg 85. The physician orders an IV with heparin at 700 units/hour. You have a bag with 1 00 units/mL of solution. How many milliliters per hour will you set on the IV infusion controll er? 700 units 1 mL

. 7 mL/hour 1 hour 100 units

86. You have an IVPB of ranitidine (Zantac) 50 mg in 50 mL D5W to run over 30 mi nutes. The tubing has a drip factor of 15. How many drops per minute will you set on the IV infusi on controller? 50 mL 15 gtts . 25 gtts/minute 30 minutes mL 87. Your patient has a headache but has difficulty swallowing pills. The physician o rders acetaminophen 1000 mg PO every 4 to 6 hours prn. You have acetaminophen elixir 160 mg in 5 mL. How much will you administer? 1000 mg 5 mL . 31.25 mL 160 mg 88. A hospitalized patient with heart failure is on a 1000 mL fluid restriction each 24 hours. During the 7 a.m. to 7 p.m. shift he has three meals, consuming 1/2 cup of coffee with each. He also has 50 mL of water each time he takes his medications at 7 a.m., noon, and 5 p.m. Midaf ternoon, he drinks 240 mL of soda. How many milliliters may he consume during the 7 p.m. to 7 a.m. shift? 1/cup 240 mL 2 . 120 mL coffee 1 cup 120 . 120 . 120 . 50 . 50 . 50 . 240 . 750 1000 mL 750 mL . 250 mL. He can drink 250 mL during the night shift.

89. You are providing home care for a patient who needs to mix her oral potassium su pplement with 120 mL of water or juice. She has only standard measuring cups in the house. How do you instruct her to take her dose? 120 mL 1 cup . 1/2 cup 240 mL 90. A patient is admitted to the emergency room with a fractured leg. The physic ian orders morphine 15 mg IM stat. You have on hand morphine 10 mg/mL. How many milliliters will you administer? 15 mg 1 mL . 1.5 mL 10 mg 91. A patient is receiving 160 mg of methylprednisolone IM every 12 hours. You have on hand two vials that each contains 125 mg/2 mL. How much will you draw into a syringe? 160 mg 2 mL . 2.6 mL 125 mg 92. You have available lorazepam (Ativan) 0.5 mg tablets, and you need to administer 1 mg PO. How many tablets will you administer? 1 mg 1 tablet . 2 tablets 0.5 mg 93. A patient is instructed to take acetaminophen (Tylenol) liquid (elixir) 650 mg q id. The elixir is 160 mg/5 mL. How many milliliters per dose should the patient take? 650 mg 5 mL . 20 mL 160 mg 94.

The physician writes a now order for codeine 45 mg IM for a patient with a vertebr al compression fracture. You have on hand codeine 60 mg/2 mL. How many milliliters should you g ive? 45 mg 2 mL . 1.5 mL 60 mg

95. A patient with heart failure has a daily order for digoxin 0.25 mg PO. Digoxin 0 .125 mg tablets are available. How many tablets should you give? 0.25 mg 1 tablet . 2 tablets 0.125 mg 96. A patient on hemodialysis must maintain careful intake and output. For breakfast he had 1 cup of coffee and 3 oz of milk on his cereal. For lunch he drank 6 oz of lemonade and a te 1 cup of soup. For supper he drank 1 cup of coffee. He took his morning and evening pills with 4 oz of water each time. Has he stayed within his 1000 mL fluid restriction? First convert items to mL. 1 cup 240 mL . 240 mL 1 cup 3 oz 30 mL . 90 mL 1 oz 6 oz 30 mL . 180 mL 1 oz 4 oz 30 mL . 120 mL 1 oz 240 . 90 . 180 . 240 . 240 . 120 . 120 .

1230 mL No, he has exceeded his fluid restriction limit by 230 mL. 97. 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? 0.015 mg 1 kg 150 pounds 1 mL . 0.26 mL 1 kg 2.2 pounds 4 mg 98. You have an order to administer 40 mg of methadone SC for opioid detoxification. You have on hand 30 mg/mL. How much should you draw into the syringe? 40 mg 1 mL . 1.3 mL 30 mL 99. A patient is placed on methadone maintenance therapy of 15 mg/day PO. It is supp lied as 10 mg in 5 mL oral solution. How many milliliters should you instruct the patient to take ? 15 mg 5 mL . 7.5 mL 10 mg 100. A homebound patient must take 400,000 units of nystatin PO every 4 hours, to swi sh in the mouth and then swallow. It is available as 100,000 units/5 mL. The patient has only ho usehold measuring spoons. How should the patient be instructed to take the dose? 400,000 units 5 mL 1 teaspoon .

4 teaspoons 100,000 units 5 mL