1. The healthcare provider orders an infusion of 1000 mL of 0.9% Normal Saline to run over 8 hours. The nurse should set the infusion pump to deliver how many mL/hr? (Round to the nearest whole number).
2. A client is to receive 500 mL of D5W over 6 hours. The IV tubing has a drop factor of 15 gtt/mL. The nurse should regulate the IV to deliver how many drops per minute (gtt/min)? (Round to the nearest whole number).
3. A pediatric client weighs 44 lbs. The order is for amoxicillin 30 mg/kg/day to be given in two divided doses. How many milligrams (mg) will the nurse administer per dose?
4. A client is receiving a continuous heparin infusion. The solution is 25,000 units of heparin in 500 mL of D5W. If the infusion pump is set to 12 mL/hr, how many units of heparin is the client receiving per hour?
5. The order is for Ceftriaxone 500 mg IV. The pharmacy provides a vial with 1 g of powder. The instructions state to add 3.6 mL of sterile water to yield a concentration of 250 mg/mL. How many mL will the nurse draw up for the correct dose?
6. A client is prescribed Digoxin 0.125 mg PO daily. The medication is available in 250 mcg tablets. How many tablets should the nurse administer?
7. A client with diabetes has a blood glucose level of 210 mg/dL. The sliding scale order states to administer 1 unit of regular insulin for every 15 mg/dL above 150 mg/dL. How many units of insulin will the nurse administer?
8. The order is for a Dopamine infusion at 5 mcg/kg/min for a client weighing 154 lbs. The pharmacy supplies Dopamine 400 mg in 250 mL of D5W. The nurse should set the infusion pump to what rate in mL/hr? (Round to the nearest whole number).
9. A child weighing 25 kg is ordered Acyclovir 250 mg IV every 8 hours. The safe dose range for this medication is 20-40 mg/kg/day. Is the total daily dose ordered for this child safe?
10. A client is prescribed potassium chloride 40 mEq PO. The available oral solution has a concentration of 20 mEq/15 mL. How many mL will the nurse administer?
11. A nurse needs to administer 4 mg of ondansetron IV push. The vial is labeled 8 mg/4 mL. How many mL should the nurse draw into the syringe?
12. The order is to administer a heparin bolus of 80 units/kg IV. The client weighs 180 lbs. The available heparin vial is 1,000 units/mL. How many mL will the nurse administer? (Round to the nearest tenth).
13. An IV of 1000 mL was started at 0800 to infuse over 8 hours. At 1200, the nurse observes that 600 mL has infused. At what rate (mL/hr) should the remaining fluid be infused to finish on time?
14. A client is ordered a Magnesium Sulfate 4 g IV bolus to be infused over 30 minutes. The pharmacy provides a premixed bag of 20 g of Magnesium Sulfate in 500 mL of D5W. The nurse should set the infusion pump to what rate in mL/hr?
15. The order is for Phenytoin 150 mg PO TID. The available oral suspension is 125 mg/5 mL. How many mL will the nurse administer per dose?
16. A nurse is preparing to administer Vancomycin 1.5 g in 250 mL of D5W over 90 minutes. The nurse should set the infusion pump to what rate in mL/hr? (Round to the nearest whole number).
17. A nitroglycerin drip is ordered to start at 10 mcg/min. The pharmacy supplies a standard solution of 50 mg of Nitroglycerin in 250 mL of D5W. The nurse should set the infusion pump to what rate in mL/hr?
18. During an 8-hour shift, a client receives an IV infusion of D5W at 75 mL/hr. The client also consumes 240 mL of water and 120 mL of juice. What is the client’s total fluid intake for the shift in mL?
19. A client is using a PCA pump with Morphine 1 mg/mL. The settings are: bolus dose 1 mg, lockout interval 10 minutes, and a continuous basal rate of 0.5 mg/hr. What is the maximum possible dose the client can receive in 4 hours?
20. An order is written for a Lidocaine infusion at 2 mg/min IV. The pharmacy provides a premixed bag containing 2 g of Lidocaine in 500 mL of D5W. The nurse should set the infusion pump to what rate in mL/hr?
21. A client is to receive 1200 mL of Lactated Ringer’s over 10 hours. The IV administration set has a drop factor of 10 gtt/mL. The nurse should set the flow rate to how many drops per minute (gtt/min)?
22. An infant is to receive 150 mL of D5 1/4 NS over 12 hours. Using a microdrip tubing (60 gtt/mL), the nurse should calculate the flow rate to be how many drops per minute (gtt/min)? (Round to the nearest whole number).
23. The nurse needs to determine the amount of dextrose in a 500 mL bag of D5W (5% Dextrose in Water). How many grams of dextrose are in the solution?
24. A TPN solution containing 50% dextrose is ordered to infuse at 80 mL/hr for 24 hours. How many total grams of dextrose will the patient receive during this period?
25. A vial of ampicillin contains 2 g of powder. The instructions state to reconstitute with 6.8 mL of sterile water to yield a final concentration of 250 mg/mL. The provider orders ampicillin 750 mg IV. How many mL will the nurse administer?
