1. Your patient order morphine 7.5mg IM 4/24 PRN. The stock strength is 10mg/ml. How many mls should be administered?
2. Your patient is ordered Lanoxin 0.125mg daily orally. The stock strength is 250mcg. How many tablets will you administer?
1 and ½ tablet
3. Convert 150 micgograms(mcg) to milligram(mgs)
4. your patient has been ordered 200mg of fluxoxacillin to given orally. The stock strength is 125mg/5ml. what voloum should be administered?
5. A patient with post-operative pain is ordered 12mg of morphine IM. Ampoules contain 15mg/ml. What volume should be given to the patient?
6. Your patient is ordered ondansetron 8mg IM. Stock strength is 4mg/2ml. What volume should be given?
7 Your patient is ordered fruesemide 250mg daily orally. Stock strength is 500mg. how many tablets will be administered?
8. Haloperidol 2mg has been ordered. Stock strength is 5mg/ml. How many mls will be administered?
9. 3grams(g) converted to milligrams(mgs) equals?
10. what volume is required to administer 15mg of maxalon when te stock strength is 10mg/2mls?
11. Dilantin 100mg oral suspension has been ordered. Stock strength is 125mg/5ml. how many mls are required?
12. a patient is ordered phenergan 12.5mgs for protracted post- operative vomiting. The stock strength is 50mgs/2mls. What volume should be administer?
13. Mrs Z is admitted with cellulitis of the left leg. She is prescribed 8 units Mixtard 30/70 subcart to treat a BSL of 16mmol. Stock strength is 100units/ml. how many mls will you administer?
14. your patient is ordered a loading dose of Ticagrelor 180mg. stock strength is 90mg. how many tablets will you administer?
15. the patient is ordered 12mg of orall prednisolone. The patient has 1mg and 5 mg prednisolone tablets in their locked medication drawer. How many tablets would be administer?
5x 5 mg tablets
3x5 mg tablets
2x5 mg tablets and 2x1mg tablets( d)
16. the patient require 40mg nexium. Stock strength is 20mg. how many tablets would you administer?
17. your patient is ordered 7.5mg ordine orally.the stock strength is 5mg/ml. How amny mls would be administer?
18. The patient is required to have 20mg of oral frusimide. Stock strength is 40mg. How many tablets would you administer?
19. the patient is odered 400mg carbamazepine. Stock strength is 200mg. How many tablets would you give?
20. The patient is ordered 0.25mg digoxin. There are only 62.5mcg tablets available. How may tablets will you administer?
21. Your patient has been order Chloramphenicol 10mgs BD. To their right eye for conjunctivitis. You have been supplied with chloramphenicol eye drops-5mg per 1ml. the bottle delivers 1ml for every drop. How many drops will you administer?
22.Benzyl penicillin0.9g ordered. The vial strength is 600mg. if you dilute each vial with water for injection and the total volume is 10mls. How many mls should be administer?
23. 5% dextrose 1litre needs to be administered IV over 12hours. If the infusion is to run on a gravity fed line how many drops per minute needs to be administered? ( Drip factor 20 drops per ml)
250 drops per min
330 drops per min
83 drops per min
28 drops per min
24.. Metronidazole 500mg in 100mls is to be given at a rate of 25mg per minute? What rate would you run the infusion at in mls per hour?
300mls per hour
5mls per hour
20mls per hour
1500mls per hour
200mls per hour.
25. Your patient has been ordered Prothrombinex VF 1500units IV. The total volume of fluid once it is drawn up is 60mls. The prothrombinex must be administered at 3mls per minute.Over how many minutes must the infusion run and at what rate would you set the infusion pump?
60 mins therefore the pump should be set at 60mls /hr
60 mins therefore the pump should be set at 180mls /hr
20 mins therefore the pump should be set at 60mls /hr
20 mins therefore the pump should be set at 180mls /hr
26. A patient is ordered 40mg of hydrocortisone IV. Ampoules contain 50mg in 2mls. What volume is required for administration?
27. You have been administering 50mls dextrose with 25000units heparin for the past 6hours at 2mls/hr. How much heparin has been given over the past 6 hours?
28. A palliative patient has been ordered an infusion of morphine 50mg. Midazolam 50mg and maxalon 20mg made up to 50mls with n/saline. The infusion is running 2mls/hr. how many mgs of drug is being delievered to the patient each hour.?
Morphine 2mg, midazolam 2mg and maxalon 5mg.
Morphine 1mg, midazolam 1mg and maxalon 0.4mg.
Morphine 1mg, midazolam 1mg and maxalon 1mg.
Morphine 2mg, midazolam 2mg and maxalon 0.8mg.
29. A patient is to receive 500mls of dextrose 5% over 12 hours using a standard. Calculate the rate in ml/hr.
30. The patient is ordered 150mls of hartmann’s solution to run over 6hours. The IV set emits 60 drops per ml. Calculate the rate in drops per min.
31. A patient is to have 600ml intravenous fluid over 3hours. If you are using a macro giving set. Calculate the rate in drops per min.
32. calculate the rate in ml/hr and drops per min for an infusion of normal saline 1000mls over 12hours using macro drip giving set.
33. 400ml of normal saline is to be infused over 10 hours using micro drip giving set. The IV set emits 60 drops/ml. Calculate the rate in ml/hr and drop per min.?
34. 600mls of 4% dextrose must be infused over 7 hours using a macro drip chamber. What is the rate in ml/hr and drop per minute?
35. A patient is to receive half a litre of dextrose 5% IV. A flask is set up at 0800hrs running at 60ml/hr. After 5 hours the rate is increased to 80ml/hr. At what time will be completed?
36. The order is for Albumin 750ml to be infused over 3 hours. What is this in ml per hour using a macro drip chamber?
37. 350ml of normal saline 0.9% must be infused over 3 hours. If you are using a macro drip giving set what is the required rate in drop per min?
38. 250ml must be infused over 6 hours. If you are using micro drip giving set what is the required rate in ml/hr and drop per min?
39. A young boy weighing 19kg is prescribed oral cephalothin. The recommended dosage is 60mg/kg/day, 4 doses daily. What is the size of a single dose?
40. calculate the size of a single dose of oral amoxicillin for a 14 kg child if the required dosage is 25mg/kg/dose.
41.A child is prescribed Flucloxacillin. The recommended dosages is 50mg/kg/day-4 times per day. Calculate the size of a single dose if the child’s weight is 22kg.
42. The question corresponds to Question 41. Calculate the correct volume to administer if the stock solution is 50mg/1.5mls.
Some subjective type questions:-
1. Briefly explain the following terminology as it relates to medications and medication administration.
2. When prescribing medications should the trade name or the generic name be used? Why?
3. Briefly explain the following terminology associated with the pharmacology of medicines.
4. From the following list of routes please indicates which has a
Fast rate of absorption.
Slow rate of absorption.
5. What must the nurse undertake on the patient prior to any administration of medication?
6. What is the nurse’s responsibility if they do not know the desired effects and side effects or adverse reactions of a medication that they are about to adminster?
7. List 5 nursing assessments that the nurse could undertake to assess their patient of any unwanted side effects or adverse reactions from a medication administered?
8. Define toxicology?
9. Define contraindications and give one medication related example?
10. Define Precautions?
11. When administering the medication the nurse must be aware that the patient may have some form of reaction to any medication. Using the following headlines, explain the difference between these type of reaction that can occur after a medication administration event?
12. Name three types of ADRs and give a brief explanation of each.
13. What is an anaphylactic reaction?
14. Described the common signs and symptoms of an anaphylactic reactions?
15. Anaphylaxis is medical emergency. What step will you take if you suspect that your patient is experiencing an anaphylactic reaction from a dose of IV amoxicillin?
16. Are side effects life threatening?
Yes or No
17. Using the table below, demonstrate your understanding of pharmacology relating to 4 common medications that are administered in the clinical setting. You must complete all sections
Generic name Digoxin Amoxicillin Oxycodone Metoclopramide
What are the conditions is this medication used to treat?
Mode of action on the body
.How it is absorbed by the body
. how is it excreted by the body
Once this medication has been administered what effects would you expert to see in your patien.t