Review Mode Assessment

End

No.

1 : A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?

Fentanyl 25 mcg/hr transdermal patch

Meloxicam 15 mg PO daily

Regular insulin 8 units subcutaneous before meals

Docusate sodium 200 mg PO at bedtime

Hint : Insulin orders

Correct Answers:

Regular insulin 8 units subcutaneous before meals

Rationale :

Regular insulin requires additional instructions such as when to hold it based on blood glucose levels.

Distractor Analysis :

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2 : A nurse is preparing to administer tobramycin 3 mg/kg/day 1M in three divided doses to a client who weighs 85 kg. The amount available is tobramycin 40 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Hint : Divide total daily dose by the number of doses per day

Correct Answers:

Rationale :

Calculate total daily dose 3 mg×85 kg=255 mg/day Divide by 3 doses: 255÷3=85 mg/dose Calculate volume to administer: 85 mg÷40 mg/mL=2.1 mL

Distractor Analysis :

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3 : A nurse is preparing to administer cefazolin 1 g intermittent IV bolus in 0.9% sodium chloride 250 mL over 30 min. The drop factor on the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV flow rate to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Hint : Multiply total volume by drop factor, then divide by total infusion time in minutes.

Correct Answers:

Rationale :

Formula: Total Volume×Drop Factor/Time in Minutes Time in Minutes

Distractor Analysis :

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4 : A nurse is preparing to administer fentanyl 0.5 mcg/kg via IV bolus to a client who weighs 187 lb. Available is fentanyl 50 mcg/mL. How many mL should the nurse administer?(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Hint : Always convert lb to kg before calculating medication dosages.

Correct Answers:

Rationale :

Convert weight:187÷2.2=85 kg Calculate dose:0.5×85=42.5 mcg Calculate volume:42.5÷50=0.9 mL

Distractor Analysis :

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5 : A nurse is preparing to administer lisinopril 2.5 mg PO to an older adult client. Available is lisinopril 5 mg tablets. How many tablets should the nurse administer?

(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Hint : Divide ordered dose by available dose to determine the number of tablets.

Correct Answers:

Rationale :

2.5 mg÷5 mg/tablet=0.5 tablet

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6 : A nurse is preparing to administer exenatide 10 mcg subcutaneous. Available is exenatide 250 mcg/mL. How many mL should the nurse administer?

(Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

Hint : Always use the smallest measurable volume for accurate dosing.

Correct Answers:

0.04

Rationale :

10 mcg÷250 mcg/mL=0.04 mL

Distractor Analysis :

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7 : A nurse is preparing to administer ceftriaxone 250 mg 1M to an adult client who has a gonococcal infection. The label on the vial indicates to reconstitute each vial with sterile water 2.1 mL to yield ceftriaxone 350 mg/mL. How many mL of the reconstituted medication should the nurse administer?

(Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

Hint : Round to two decimal places unless otherwise specified.

Correct Answers:

0.71

Rationale :

250 mg÷350 mg/mL=0.71 mL

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8 : A nurse is preparing to administer phenobarbital 2 mg/kg/day IV divided in 2 equal doses to a client who weighs 165 lb. Available is phenobarbital 65 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Hint : Divide the ordered dose by available strength.

Correct Answers:

Rationale :

15÷10=1.5 tablets

Distractor Analysis :

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9 : A nurse is preparing to administer phenobarbital 2 mg/kg/day IV divided in 2 equal doses to a client who weighs 165 lb. Available is phenobarbital 65 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Hint : Convert weight before calculating dose.

Correct Answers:

Rationale :

Convert weight to kg;132÷2.2=60 kg Calculate dose;0.15×60=9 mg Calculate volume;9÷2=4.5 mL

Distractor Analysis :

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10 : A nurse is preparing to administer prednisone 15 mg PO to a client who has rheumatoid arthritis. Available is prednisone 10 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Hint : Use fraction tablets only if the medication can be split safely.

Correct Answers:

Rationale :

Divide ordered dose by available dose:15÷10=1.5 tablets

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Total Questions: 10

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RN Adult Medical Surgical Proctored 3.1

No.

1 : A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?

4 : A nurse is preparing to administer fentanyl 0.5 mcg/kg via IV bolus to a client who weighs 187 lb. Available is fentanyl 50 mcg/mL. How many mL should the nurse administer?(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

5 : A nurse is preparing to administer lisinopril 2.5 mg PO to an older adult client. Available is lisinopril 5 mg tablets. How many tablets should the nurse administer?

(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

6 : A nurse is preparing to administer exenatide 10 mcg subcutaneous. Available is exenatide 250 mcg/mL. How many mL should the nurse administer?

(Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

10 : A nurse is preparing to administer prednisone 15 mg PO to a client who has rheumatoid arthritis. Available is prednisone 10 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

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RN Adult Medical Surgical Proctored 3.1

No.

1 : A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?

4 : A nurse is preparing to administer fentanyl 0.5 mcg/kg via IV bolus to a client who weighs 187 lb. Available is fentanyl 50 mcg/mL. How many mL should the nurse administer?(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

5 : A nurse is preparing to administer lisinopril 2.5 mg PO to an older adult client. Available is lisinopril 5 mg tablets. How many tablets should the nurse administer?(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

6 : A nurse is preparing to administer exenatide 10 mcg subcutaneous. Available is exenatide 250 mcg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

10 : A nurse is preparing to administer prednisone 15 mg PO to a client who has rheumatoid arthritis. Available is prednisone 10 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

5 : A nurse is preparing to administer lisinopril 2.5 mg PO to an older adult client. Available is lisinopril 5 mg tablets. How many tablets should the nurse administer?

(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

6 : A nurse is preparing to administer exenatide 10 mcg subcutaneous. Available is exenatide 250 mcg/mL. How many mL should the nurse administer?

(Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)