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Med Admin Review

Total questions: 74

Worksheet time: 2hrs 45mins

Name
Class
Date
1.

How many times can you attempt to start an IV before you will have to go and get another nurse or physician?

a)

1 time

b)

2 times

c)

3 times

d)

Infinite times! They are my human pin cushion

2.

You are asked to set up for a blood transfusion. Which IV fluids would you need for your set up?

a)

D10W/ 10% dextrose in water

b)

D5W/ 5% dextrose in water

c)

LR/ lactated ringer's

d)

0.9% Sodium Chloride/ normal saline

3.

You suspect a catheter embolus when discontinuing an IV site. What is your next step?

a)

Do nothing. The body will absorb it.

b)

Lower the extremity; tie a tourniquet above; call the doctor

c)

Call 911!

d)

Elevate the extremity.

4.

If you suspect phlebitis at your patient's IV site, what should you do?

a)

Keep infusing since it still works.

b)

Discontinue IV, start elsewhere, place warm compress.

c)

Stop and run dextrose 5% in water to KVO.

5.

Your patient's IV site infiltrated at the location indicated. What sites would be contraindicated to start a new IV?

a)

Right antecubital fossa

b)

Right hand

c)

Left antecubital fossa

d)

Left hand

6.

What is the flow rate unit of measure when using an IV pump?

(a)  

7.

What is the flow rate unit of measure to hang fluids by gravity?

(a)  

8.

How long after the initiation of a blood transfusion should you be at the bedside monitoring the patient?

(a)  

9.

Hypertonic solutions have:

a)

the same tonicity or concentration as blood.

b)

have a higher concentration of solute compared with blood.

c)

have a lesser concentration of solute compared with blood.

d)

Is there a difference between solutions???

10.

Pharmacy just called and said the TPN fluids for your patient are not ready yet, what fluid would you anticipate hanging during the delay?

a)

Normal Saline

b)

0.45% Sodium Chloride

c)

Lactated Ringer's

d)

10% Dextrose in water

11.

How long should you monitor your patient's blood glucose after starting TPN?

a)

Just once

b)

I needed to check it???

c)

at least 2 weeks

d)

at least a day

12.

What is the drop factor for a microdrip set?

(a)  

13.

When hanging a secondary (IV piggy back), which bag should hang higher?

a)

Primary

b)

Secondary

c)

It doesn't matter

14.

What size catheter would you use for a patient needing to receive a blood transfusion?

a)

18 gauge

b)

24 gauge

c)

25 gauge

d)

27 gauge

15.

When choosing an IV site, you always want to start proximal to distal. (Example: AC to the hand if needed)

a)

True

b)

False

16.

Patient's movement can affect IV rates.

a)

True

b)

False

17.

I do not have to use Standard Precautions when discontinuing an IV.

a)

True

b)

False

18.

Order placed for Heparin 5000 units subcutaneous every 12 hours. Heparin 2500 units/mL is available. How many mL will you administer?

a)

1 mL

b)

2 mL

c)

3 mL

d)

4 mL

19.

Albumin 25% 150 ml is ordered over 1 1/2 hours. The tubing drop factor is 60 gtt/ml. How many drops per minute should be given?

a)

200 gtt/min

b)

150 gtt/min

c)

6000 gtt/min

d)

100 gtt/min

20.

Doctor order: IV Mannitol 20% 200mls stat, to run over 3 hours.


How much of mls/hr will you set in the infusion pump ?

a)

67 mL/hr

b)

60 mL/hr

c)

70 mL/hr

d)

65 mL/hr

21.

Your patient weights 280 pounds, what is this weight in kg. Round to tenths

a)

127.27

b)

127.2

c)

127.3

d)

616

22.

5000 mg equals how many grams?

a)

5.0

b)

5,000,000

c)

0.5

d)

5

23.

The physician ordered Digoxin 125 mcg. The supply available is 0.25 mg per tablet.

How many tablets will you administer to your patient?

a)

0.5 tablets

b)

2 tablets

c)

1 tablet

d)

500 tablets

24.

Cefepime is ordered 60 mg po daily x 10 days

Available: Cefepime 100 mg/5 mL

What volume of medication would be required for a single daily dose?

a)

1.25 mL

b)

3 mL

c)

8.3 mL

d)

1200 mL

25.

What is the dosage strength?

a)

150

b)

325

c)

650

d)

Not listed

26.

What is the generic name?

a)

Augmentin

b)

SmithKline Beecham

c)

Potassium

d)

Amoxicillin / clavulanate potassium

27.

The doctor orders 0.5 mg once a day, by mouth. What instructions does the nurse give the patient?

a)

"Take one tablet, twice a day."

b)

"Take two tablets, once a day."

c)

"Take 1/2 a tablet, once a day."

d)

"Take 1/2 tablet, twice a day."

28.

Ordered: Lasix 50 mg IV push now

Available: 100 mg in 1 mL

How much will the nurse draw up?

a)

0.1 mL

b)

0.5 mL

c)

1 mL

d)

5 mL

29.

Convert the 8:24 AM to military time/24-hour time

a)

2024

b)

0824

c)

824

30.

Convert 1756 to traditional AM/PM time

a)

5:56 AM

b)

7:56 pm

c)

3:56 pm

d)

5:56 pm

31.

Amicar is ordered 8g over 4 hours. Amicar is diluted in 250 mL of NS. How many mL/hr will the IV pump be programmed?

a)

62.5 mL/hr

b)

63 mL/hr

c)

2 mL/hr

d)

250 mL/hr

32.

What is the trade name?

a)

Acetaminophen

b)

McNeil

c)

Pain Reliever

d)

Tylenol

33.

How many tablets in the package?

a)

10

b)

100

c)

250

d)

25

34.

1000 mg equals how many grams?

a)

1 mL

b)

1000 mg

c)

100 g

d)

1 g

35.
Cefotaxime 0.4g IV is ordered. The stock strength is 500mg in 10mL.
How much
Cefotaxime will you give administer?
a)
8 mL
b)
4 mL
c)
16 mL
d)
12 mL
36.
The nurse is caring for a client with a nasogastric tube that is attached to low suction. The nurse monitors the client, knowing that the client is at risk for which acid-base disorder?
a)
Metabolic acidosis 
b)
 Metabolic alkalosis 
c)
Respiratory acidosis
d)
Respiratory alkalosis 
37.
The normal pH range for blood is:
a)
7.0 - 7.25
b)
7.30 - 7.40
c)
7.35 - 7.45
d)
7.45 - 7.55
38.
The kidneys compensate for acid-base imbalances by excreting or retaining:
a)
Hydrogen ions
b)
Carbonic acid
c)
Sodium bicarbonate
d)
Water
39.
pH 7.38 pCO2 38 HCO3 24
a)
Respiratory alkalosis
b)
Normal
c)
Metabolic alkalosis
d)
None of the above
40.

pH 7.58, PaCO2 38 mmHg, HCO3 30 mEq/L

Interpretation:_______________

Compensation:______________

(a)  

41.

pH 7.20, PaCO2 60 mmHg, HCO3 26 mEq/L

Interpretation: _______________

Compensation: ______________

(a)  

42.

pH= 7.25; pCO2= 55; HCO3= 45

a)

Respiratory acidosis

b)

respiratory alkalosis

c)

metabolic acidosis

d)

metabolic alkalosis

43.

pH= 7.55; pCO2= 55; HCO3= 55

a)

respiratory acidosis

b)

respiratory alkalosis

c)

metabolic acidosis

d)

metabolic alkalosis

44.

pH= 7.55 ; PCO3= 28; HCO3= 26

a)

respiratory acidosis

b)

respiratoty alkalosis

c)

metabolic acidosis

d)

metabolic alkalosis

45.
Which of the following is not a type of injection?
a)
Intramuscular
b)
Subcutaneous
c)
Intraveneous
d)
Intradorsal
46.
Which injection is given in the fatty layer just under the skin?
a)
Intramuscular
b)
Intraveneous
c)
Subcutaneous
d)
Intradermal
47.
Which injection is given in the muscle?
a)
Intramuscular
b)
Subcutaneous
c)
Intraveneous
d)
Intrader
48.
Which injection is given in the vein?
a)
intramuscular
b)
subcutaneous
c)
intravenous
d)
intradermal
49.

How can you prevent an ophthalmic medication from having a systemic response?

a)

Tell the patient to blink frequently.

b)

Pat the eye dry and absorb as much medication.

c)

Place finger pressure over the lacrimal duct.

d)

Flush eye with normal saline flush.

50.

What is the drop factor?

a)

10 gtt/mL

b)

20 gtt/mL

c)

15 gtt/mL

d)

60 gtt/mL

51.

Infuse 500 mL over 8 hours by gravity using the IV tube set supplied.

a)

60 gtt/mL

b)

63 gtt/mL

c)

25 gtt/mL

d)

50 gtt/mL

52.

The nurse is making initial rounds to assess the condition of their assigned patients. The nurse notes that a patient's IV site is cool, pale, and swollen, and the solution is not infusing. The nurse concludes that which of the following complications has occurred?

a)

Infection

b)

Phlebitis

c)

Infiltration

d)

Thrombosis

53.

Your patient weights 280 pounds, what is this weight in kg. Round to tenths

a)

127.27

b)

127.2

c)

127.3

d)

616

54.

5000 mg equals how many grams?

a)

5.0

b)

5,000,000

c)

0.5

d)

5

55.

How many tablespoons are in 1 ounce?

a)

1 tbsp

b)

2 tbsp

c)

4 tbsp

d)

6 tsp

56.

Convert the 8:24 AM to military time/24-hour time

a)

2024

b)

0824

c)

824

57.

Convert 1756 to traditional AM/PM time

a)

5:56 AM

b)

7:56 pm

c)

3:56 pm

d)

5:56 pm

58.

The physician ordered Digoxin 125 mcg. The supply available is 0.25 mg per tablet.

How many tablets will you administer to your patient?

a)

0.5 tablets

b)

2 tablets

c)

1 tablet

d)

500 tablets

59.

Cefepime is ordered 60 mg po daily x 10 days

Available: Cefepime 100 mg/5 mL

What volume of medication would be required for a single daily dose?

a)

1.25 mL

b)

3 mL

c)

8.3 mL

d)

1200 mL

60.

What is the generic name?

a)

Decadron

b)

Pragma

c)

Benadryl

d)

Dexamethasone

61.

Order placed for Heparin 5000 units subcutaneous every 12 hours. Heparin 2500 units/mL is available. How many mL will you administer?

a)

1 mL

b)

2 mL

c)

3 mL

d)

4 mL

62.

Amicar is ordered 8g over 4 hours. Amicar is diluted in 250 ml of NS. How many ml/hr will the IV pump be programmed?

a)

62.5 mL/hr

b)

63 mL/hr

c)

2 mL/hr

d)

250 mL/hr

63.

Albumin 25% 150 ml is ordered over 1 1/2 hours. The tubing drop factor is 60 gtt/ml. How many drops per minute should be given?

a)

200 gtt/min

b)

150 gtt/min

c)

6000 gtt/min

d)

100 gtt/min

64.

K-Dur is available as 10 mEq per tablet. K-Dur, 60 mEq, is ordered. How many tablets would the nurse administer?

a)

3

b)

4

c)

5

d)

6

65.
Ordered Lasix 50 mg IV push now. Available: 100 mg in 1 mL. How much will the nurse draw up? 
a)
0.1 mL
b)
0.5 mL
c)
1 mL
d)
5 mL
66.
Left Eye
a)
o.s.
b)
o.d.
c)
o.u.
67.
what does pc mean??
a)
per cutaneous
b)
per catheter
c)
after meals
d)
before meals
68.
What abbreviation is every night at bedtime
a)
q3h
b)
qod
c)
qhs
d)
qid
69.

The doctor wants to give a dose of Amoxicillin 200 mg bid to a 4 year old female. You have Amoxicillin 250 mg/5 ml in 100 ml bottles. What would the dose be in ml?

a)

5 mL

b)

4 mL

c)

7 mL

d)

8 mL

70.

Convert 66 lb to kg.

a)

25 kg

b)

30 kg

c)

35 kg

d)

40 kg

71.

Round 16.356 to the nearest tenth.

a)

16.36

b)

16.35

c)

16.3

d)

16.4

72.

If 3 teaspoon (tsp) equals 1 tablespoon (tbsp), then how many tbsp will it take to make an ounce?

a)

1tbsp

b)

2 tbsp

c)

4tsp

d)

6 tsp

73.

1000 mg equals how many grams?

a)

1 mL

b)

1000 mg

c)

100 g

d)

1 g

74.

You are to give 650 mg Tylenol for a temperature above 37.5. You have Tylenol 325 mg tablets available. How many tabs will you give the patient?

a)

one

b)

two

c)

three

d)

four