1 :

Hint : Divide total mL by total hours to get mL/hr.

Correct Answers:

  • 125


Rationale :

💧 Step 1: Identify the total volume

500 mL

💧 Step 2: Identify the infusion time

4 hr

💧 Step 3: Calculate

500 mL ÷ 4 hr = 125 mL/hr

✅ Final Answer: 125 mL/hr


Distractor Analysis :

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2 :

Hint : 🩹 Patch orders need change frequency

Correct Answers:

  • Fentanyl 25 mcg/hr transdermal patch


Rationale :

🩹 The nurse should contact the provider because the prescription does not include how often to change the fentanyl patch.

🩹 Fentanyl transdermal patches are usually changed on a scheduled interval, commonly every 72 hr, depending on the prescription and client response.

🩹 A complete medication prescription should include the medication name, dose, route, frequency, and specific administration instructions.

🩹 Since this order only states “25 mcg/hr transdermal patch,” the nurse needs clarification before administration to prevent medication error.

🩹 Fentanyl is a potent opioid, so unclear dosing instructions can increase the risk for respiratory depression, oversedation, overdose, or uncontrolled pain.

❌ Meloxicam 15 mg PO daily

❌ This prescription includes the medication, dose, route, and frequency.

❌ It is complete and does not require clarification.

❌ Regular insulin 8 units subcutaneous before meals

❌ This prescription includes the type of insulin, dose, route, and timing.

❌ “Before meals” provides an administration schedule.

❌ Docusate sodium 200 mg PO at bedtime

❌ This prescription includes the medication, dose, route, and time of administration.

❌ It is clear and complete.


Distractor Analysis :

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3 :

Hint : For gtt/min, multiply mL/hr by drop factor, then divide by 60.

Correct Answers:

  • 60


Rationale :

💧 Step 1: Identify the infusion rate

60 mL/hr

💧 Step 2: Identify the drop factor

60 gtt/mL

💧 Step 3: Use the formula

mL/hr × drop factor ÷ 60 min

💧 Step 4: Calculate

60 mL/hr × 60 gtt/mL ÷ 60 min = 60 gtt/min

✅ Final Answer: 60 gtt/min


Distractor Analysis :

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4 :

Hint : Ordered dose ÷ available dose gives mL.

Correct Answers:

  • 1.5


Rationale :

💉 Step 1: Identify the ordered dose

1.5 mg

💉 Step 2: Identify the available dose

1 mg/mL

💉 Step 3: Calculate

1.5 mg ÷ 1 mg/mL = 1.5 mL

✅ Final Answer: 1.5 mL


Distractor Analysis :

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5 :

Hint : 💡 Hint: Divide ordered mg by mg per mL.

Correct Answers:

  • 5


Rationale :

🥄 Step 1: Identify the ordered dose

200 mg

🥄 Step 2: Identify the available concentration

40 mg/mL

🥄 Step 3: Calculate

200 mg ÷ 40 mg/mL = 5 mL


Distractor Analysis :

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6 :

Hint : Convert suspension to mg/mL first.

Correct Answers:

  • 12


Rationale :

💊 Step 1: Identify the ordered dose per dose

300 mg

💊 Step 2: Identify the available concentration

125 mg/5 mL

💊 Step 3: Find mg per mL

125 mg ÷ 5 mL = 25 mg/mL

💊 Step 4: Calculate

300 mg ÷ 25 mg/mL = 12 mL

✅ Final Answer: 12 mL


Distractor Analysis :

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7 :

Hint : Convert mcg to mg before calculating mL.

Correct Answers:

  • 1.1


Rationale :

🚑 Step 1: Identify the prescribed dose

10 mcg/kg

🚑 Step 2: Identify the client’s weight

110 kg

🚑 Step 3: Calculate total dose in mcg

10 mcg × 110 kg = 1100 mcg

🚑 Step 4: Convert mcg to mg

1100 mcg ÷ 1000 = 1.1 mg

🚑 Step 5: Identify available concentration

1 mg/mL

🚑 Step 6: Calculate mL

1.1 mg ÷ 1 mg/mL = 1.1 mL

✅ Final Answer: 1.1 mL


Distractor Analysis :

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8 :

Hint : Divide ordered mg by mg per mL.

Correct Answers:

  • 10


Rationale :

💊 Step 1: Identify the ordered dose

100 mg

💊 Step 2: Identify the available concentration

10 mg/mL

💊 Step 3: Calculate

100 mg ÷ 10 mg/mL = 10 mL

✅ Final Answer: 10 mL


Distractor Analysis :

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9 :

Hint : After dividing, round IM doses to nearest tenth when required.

Correct Answers:

  • 1.5


Rationale :

💉 Step 1: Identify the ordered dose

500 mg

💉 Step 2: Identify the available concentration

330 mg/mL

💉 Step 3: Calculate

500 mg ÷ 330 mg/mL = 1.515 mL

💉 Step 4: Round to nearest tenth

1.515 mL ≈ 1.5 mL

✅ Final Answer: 1.5 mL


Distractor Analysis :

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10 :

Hint : Ordered dose ÷ available concentration = mL to administer.

Correct Answers:

  • 2


Rationale :

🩺 Step 1: Identify the ordered dose

10 mg

🩺 Step 2: Identify the available concentration

5 mg/mL

🩺 Step 3: Calculate

10 mg ÷ 5 mg/mL = 2 mL

✅ Final Answer: 2 mL


Distractor Analysis :

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Total Questions: 10

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