Math Review

Essay

1. Ordered: Atropine 0.5 mg IM for a patient with bradycardia.

How many mL will you prepare (to the nearest tenth)?

2. Ordered: Neupogen (Filgrastim) 0.2 mg subcut once a week for a patient who is
immunosuppressed.

a. Estimated dose:
b. How many mL will you prepare (to the nearest hundredth of an mL)?
c. How many mg are the equivalents of 200 mcg?

3. Ordered: Stadol 0.75 mg IM stat for a frail patient with a migraine headache.
 a. Estimated dose:
b. How many mL will you prepare to the nearest hundredth of an mL?

4. Ordered: Tobramycin 70 mg IM q8h for a patient with an infection.

. How many mL will you prepare to the nearest tenth of an mL?

5. Ordered: Tigan 75 mg IM stat for a patient with nausea.

a. Estimated dose:
b. How many mL will you prepare to the nearest hundredth of an mL?
c. Indicate the dose on the syringe provided.

Directions: Answer the questions below.

6. Ordered: Principen 200 mg po q6h.

Available: Principen (ampicillin) for oral suspension.
Directions: Add 72 mL of water. Shake well to make 100 mL. Each 5 mL yields 125 mg of
ampicillin.
How many mL will you give?
 7. Ordered: Measles, mumps, and rubella virus vaccine 0.5 mL subcutaneous.
Available: 10 mL multidose vial.
Directions: Use only the special diluent supplied for reconstitution. Withdraw the entire content (7
mL) of diluent and inject into the sterile vial of vaccine. Agitate to ensure thorough mixing. Each
dose is 0.5 mL.
How many doses are in the vial?

8. Ordered: Ampicillin 350 mg IM q6h.

Available: Ampicillin 1 g.
Directions: Add 3.5 mL diluent. Each mL equals 250 mg.
How many mL will you give?

9. Ordered: Ticar 0.5 g.

Available: Ticar 1g.
Directions: Add 2 mL sterile water for injection or 1% lidocaine HCl (without epinephrine). Each
2.6 mL equals 1000 mg of Ticar.
How many mL will you give?

10. Ordered: Intravenous piggyback (IVPB) with 100 mL of solution to be infused in 40 min. The
drop factor is 20.
At how many gtt per min will you regulate the IV?

11. Ordered: 250 mL IVPB to be infused in 90 min. The drop factor is 15.
How many gtt per min will be infused?

12. A unit of blood (500 mL) is hung at 0800 hr. The flow rate is 40 gtt per min. The IV tubing drop
factor is 10.
When will the infusion be completed?

13. An IV of 1000 mL is infusing at 83 mL per hr, and 420 mL remains to be infused.

How much time is left for the IV to infuse?

14. Ordered: 1000 mL D5W to infuse at 60 mL per hr.

How long will it take to infuse?

15. Ordered: IVPB with 150 mL of solution is to be infused in 50 min.

At how many mL per hr will you set the electronic device?

16. Ordered: 500 mL lactated Ringers solution to infuse at 40 mL per hr. The IV was started at 1500
hr.
When will the IV be completed?

Directions: Mark the amount to be given on each syringe.

17. Ordered: Pipracil 400 mg IM 2 times a day for a wound infection.

 Available: Pipracil sodium 2 g.
Directions: Add 4 mL of sterile water for injection to yield 1 g per 2.5 mL.
How many mL will you give?

18. Ordered: Piperacillin sodium IV every for a pelvic infection.

Available: Piperacillin vial in powdered form.
Directions: Add of diluents to yield of drug solution. Dilute the dose in of
D5W to infuse in .
How many mL per hr will you set the infusion device to infuse?

19. Ordered: Ticar (ticarcillin) 500 mg IM daily for 4 days for a skin infection.
Available: Ticar for IM or IV use.
Directions: For IM use, add 2 mL of Sterile Water for Injection. Each 2.6 mL of solution will
contain 1 g of ticarcillin.
How many mL will you inject?

20. Ordered: 40 mEq potassium chloride in 200 mL of D5W to infuse in 90 min for potassium
depletion.
Available: 20 mL single-dose vial for IV use. Each mL contains 2 mEq of potassium chloride.
a. How many mL of medication will you need to inject into 200 mL of D5W for infusion?
b. How many mL per hr will you set the electronic infusion device to infuse?

Directions: For the following questions, calculate mL per hr for an electronic infusion device.

21. Ordered: 1000 mL NS in 12 hr.

22. Ordered: 1000 mL 0.45% sodium chloride in 8 hr.

Directions: Calculate infusion completion time.

23. 1000 mL infusing at 125 mL per hr was started at 1800 hr.

Completion time:

24. 500 mL infusing at 75 mL per hr was started at 0800 hr.

Completion time:

25. 1000 mL is infusing at 83 mL per hr. The IV was started at 0600 hr.
Completion time:

Directions: Answer the following questions.

26. Ordered: Humulin R insulin in sodium chloride to infuse at .
a. How many hr will it take to infuse?
b. How many mL per hr will be infused?

27. Ordered: Humulin R insulin in sodium chloride to infuse at .

a. How many hr will the IV infuse?
b. How many mL per hr will be infused?

28. Ordered: Humulin R insulin in of normal saline (NS) to infuse for .

a. How many units per hr will be infused?
b. How many mL per hr will be infused?

29. Ordered: Humulin R insulin in sodium chloride to infuse at .

At how many mL per hr will you set the electronic infusion device?

30. Ordered: Humulin R insulin in of sodium chloride to infuse in .

a. How many units per hr will the patient receive?
b. How many mL per hr will infuse via the electronic infusion device?

31. Ordered: heparin subcutaneous .

Available: in a multidose vial.
How many mL will you give?

32. Ordered: Lovenox

Available: Lovenox
How many mL will you give?

33. Ordered: Heparin IV.

Available: of heparin.
a. How many hr will it take to infuse?
b. How many mL per hr will infuse?

34. Ordered: heparin IV. The patient weighs .

a. How many kg does the patient weigh?
b. How many total units of heparin will the patient receive?

35. Ordered: Heparin .

Available: D5W with of heparin.

36. Ordered: Heparin .

Available: in D5W with of heparin.

37. Ordered: Heparin .

Available: D5W with of heparin.

Directions: Calculate units per hr.

38. Ordered: Infuse with of heparin at per hr.

39. Ordered: with of heparin to infuse at .

40. Ordered: with of heparin to run at per hr.

41. Ordered: with to infuse at per hr.

42. Ordered: with to infuse at per hr.

43. Ordered: with to infuse at per hr.

Directions: Calculate units of heparin per kg of body weight.

44. Ordered: per kg. Patient weight is .

How many units will the patient receive?

45. Ordered: per kg. Patient weight is .

How many units will the patient receive?

46. Ordered: per kg of heparin. Patient weight is .

a. How many units of heparin will the patient receive?

47. Ordered: per kg of heparin. Patient weight is .

Available: with of heparin.
a. How many units of heparin will the patient receive?
b. What rate will you set the electronic infusion device?

Directions: Fill in the desired dose to the nearest tenth of a unit. Use a calculator to solve these
problems.

48. Order: 10 mg per kg.

Weight (BSA): 35 kg.
What is the dose in mg?

49. Order: 500 mcg per kg.

Weight or BSA: 11 lb.
What is the dose in mg?

Directions: Calculate the 24-hr dose in mg. Use a calculator to solve these problems.

50. Order: 0.25 g q8h.

What is the 24-hr dose in mg?
 Directions: Calculate the safe dosage ranges (SDR) and drug dose and indicate if it is safe to
administer or if it should be held. (Hold = Recheck order, recalculate dose, and contact prescriber
promptly if it is an underdose or overdose.) Use a calculator to solve these problems.

51. Order: 200 mg po daily.

Childs weight: 15 kg.
SDR for this childs weight: 5-10 mg per kg per dose.
Safe or hold?

52. Order: 100 mg po daily.

Childs weight: 20 kg.
SDR for this childs weight: 2-5 mg per kg per day.
Safe or hold?

53. Ordered: Lanoxin 62.5 mcg po stat for a child with heart failure.
How many tablet(s) will you give?

54. Ordered: Infants acetaminophen suspension concentrated drops 160 mg for a 3-year-old child
with a fever who weighs 30 lb.
 a. What is the recommended dose in mg and mL for this medicine for this child?
b. If safe, how many mL will you be administering?
c. Which is more concentrated, the childrens acetaminophen (problem 34) or the infants
acetaminophen?

55. Ordered: Mycostatin (nystatin) oral syrup 200,000 units bid for a 4-month-old infant with thrush
(oral candidiasis).
SDR for children and infants over 3 months: 250,000-500,000 units per day.
Directions: Place half the dose in either side of the mouth.
 a. Is the order within the SDR?
b. How many mL will you prepare?
c. How many mL will you administer on each side of the mouth?

56. Ordered: Furosemide 15 mg IV, initial dose for a child with edema.
The nurse plans to deliver the medication in a volume-control device, filling the container up to 20
mL with lactated Ringers solution from an existing infusion. It will be infused at the
recommended rate of 1 min per mL.
a. How long will it take to deliver the infusion?
b. What will the flow rate be in mL per hr?

57. Ordered: Digoxin 50 mg IV for a child with congestive heart failure.

SDR: 0.015-0.35 mg per kg.
Childs weight: 10 kg.
a. What is the SDR for this child?
b. Decision: Is the ordered dose safe to give or should the nurse hold it, recalculate it, and contact
the prescriber promptly?
c. If safe to give, how many mL will you prepare?

58. Ordered: Cleocin (clindamycin) pediatric solution 100 mg po q6h for a child with a severe
respiratory infection who weighs 40 lb.
SDR: 8-25 mg per kg per 24 hr in 4 divided doses.
Use a calculator. Enter data twice for verification.
a. Estimated weight in kg
b. Exact weight in kg to the nearest tenth
c. SDR for this child to nearest tenth of an mg
d. Total daily dose ordered
e. Evaluation and decision
f. Amount to be given (if applicable), rounded to nearest tenth of an mL