All practice questions

A practical nurse is preparing to administer an oral suspension to a client who weighs $154\text{ lb}$. The healthcare provider has prescribed $15\text{ mg/kg/day}$ to be administered in two equally divided doses. The pharmacy dispenses the medication with a concentration of $0.25\text{ g/5 mL}$. How many $\text{mL}$ should the practical nurse administer for each dose? Record your answer to the nearest tenth. Do not include units in your answer.

A practical nurse is preparing to administer amoxicillin oral suspension to a pediatric client diagnosed with acute otitis media. The client weighs $44$ lb. The healthcare provider has prescribed $45\text{ mg/kg/day}$ to be divided into three equal doses administered every $8$ hours. The pharmacy supplies amoxicillin suspension at a concentration of $250\text{ mg}/5\text{ mL}$. How many milliliters (mL) should the nurse administer for a single dose? (Record answer to the nearest whole number. Do not include units in answer.)

Before administering a PRN antipyretic, a practical nurse calculates the maximum safe dosage for a pediatric client weighing $38$ lb $8$ oz. The healthcare provider's prescription reads: acetaminophen $15$ mg/kg/dose PO every $6$ hours PRN for a temperature greater than $101.5^\circ\text{F}$ ($38.6^\circ\text{C}$). The unit's medication supply contains acetaminophen oral suspension with a concentration of $160$ mg/$5$ mL. What is the maximum total volume, in mL, that the practical nurse can safely administer to this client in a $24$-hour period?

(Record answer to the nearest tenth. Do not include units in answer.)

An 8-year-old client weighing $39.6\text{ lb}$ is being treated for a severe respiratory infection in an outpatient clinic. The healthcare provider prescribes cefdinir oral suspension at $40\text{ mg/kg/day}$ to be administered in equally divided doses every $8\text{ hours}$. The pharmacy dispenses a reconstituted suspension with a concentration of $250\text{ mg}/5\text{ mL}$. How many milliliters will the nurse administer for a single dose?

(Record the answer to the nearest tenth. Do not include units in the answer.)

A pediatric client diagnosed with acute otitis media is receiving care in a clinic. The practical nurse (PN) reviews the electronic health record:

Vital Signs & Measurements:
Temperature: $101.4^\circ\text{F}$ ($38.6^\circ\text{C}$)
Weight: $35.2\text{ lb}$
Allergies: Penicillin (mild rash)

Provider Prescriptions:
Ceftriaxone $50\text{ mg/kg/day}$ intramuscularly, divided into two equal doses.

Pharmacy Dispenses:
Ceftriaxone $1\text{ g}$ vial of sterile powder.
Reconstitution instructions: Add $2.1\text{ mL}$ of sterile water for injection to yield a final concentration of $350\text{ mg/mL}$.

How many $\text{mL}$ should the PN administer per dose? (Record the answer to the nearest tenth. Do not include units in the answer.)

An older adult client is admitted to the medical-surgical unit with dehydration and orthostatic hypotension. The client's blood pressure is $98/60\text{ mm Hg}$ and heart rate is $112\text{ beats/minute}$. The healthcare provider prescribes a continuous intravenous (IV) infusion of $0.9\%$ sodium chloride $1,000\text{ mL}$ to infuse over $8\text{ hours}$. The available IV administration set has a drop factor of $15\text{ drops/mL}$.

How many drops per minute (gtt/min) will the practical nurse regulate the IV flow rate to deliver? Record your answer to the nearest whole number. Do not include units in answer.

A pediatric client weighing $33 \text{ lb}$ is diagnosed with acute otitis media. The primary healthcare provider prescribes amoxicillin $80 \text{ mg/kg/day}$ by mouth, to be administered in two equally divided doses. The pharmacy dispenses a powder for oral suspension with the manufacturer instructions: 'Reconstitute with $68 \text{ mL}$ of purified water to yield a final volume of $100 \text{ mL}$ and a concentration of $400 \text{ mg}/5 \text{ mL}$.' Based on this prescription, how many milliliters should the nurse administer for a single dose? (Record answer to the nearest tenth. Do not include units in answer.)

A school-aged child who weighs $33\text{ lbs}$ requires antipyretic therapy. The healthcare provider prescribes oral ibuprofen at $10\text{ mg/kg/dose}$ every $6\text{ hours}$. The pharmacy dispenses an ibuprofen oral suspension with a concentration of $100\text{ mg}$ per $5\text{ mL}$. Calculate the volume, in milliliters ($\text{mL}$), the practical nurse should administer for a single dose. Record the answer to the nearest tenth. Do not include units in your answer.

A healthcare provider prescribes ceftriaxone $50\text{ mg/kg/day}$ intramuscularly (IM) to be given in two divided doses for a toddler who weighs $26.4\text{ lbs}$. The pharmacy supplies ceftriaxone as a powder in a vial labeled $1\text{ g}$. The reconstitution instructions on the vial state: "Add $2.1\text{ mL}$ of sterile water for injection to yield a final concentration of $350\text{ mg/mL}$."

How many milliliters ($\text{mL}$) should the practical nurse administer for one dose? Record your answer to the nearest tenth. Do not include units in your answer.

A client residing in a long-term care facility requires scheduled medications via a percutaneous endoscopic gastrostomy (PEG) tube. The primary health care provider prescribes liquid levetiracetam $750 \text{ mg}$ every $12 \text{ hours}$ for seizure management. The supplied medication concentration is $100 \text{ mg/mL}$. According to the facility's enteral medication protocol, the practical nurse must flush the tube with $30 \text{ mL}$ of purified water immediately before and $30 \text{ mL}$ immediately after administering the medication. Calculate the total fluid volume in milliliters the nurse will administer for a single medication sequence, including the flushes. Record answer to the nearest tenth. Do not include units in answer.

A healthcare provider prescribes cefazolin $350$ mg intramuscularly (IM) every $8$ hours for a client with a respiratory infection. The medication is supplied in a vial containing $500$ mg of cefazolin powder. The reconstitution instructions on the label state: 'Add $2.0$ mL of sterile water for injection to provide a total reconstituted volume of $2.2$ mL.' How many milliliters (mL) should the practical nurse (PN) withdraw to administer one dose? Record your answer to the nearest tenth. Do not include units in your answer.

A 4-year-old pediatric client is admitted to the pediatric unit with a high fever. The healthcare provider prescribes ibuprofen $8\text{ mg/kg}$ orally every 6 hours as needed for temperature greater than $101.5^\circ\text{F}$ ($38.6^\circ\text{C}$). The client's current weight is documented as $41.8\text{ lbs}$. The unit stocks ibuprofen oral suspension at a concentration of $100\text{ mg}/5\text{ mL}$. How many mL should be administered for one dose? Record the answer to the nearest tenth. Do not include units in the answer.

A practical nurse (PN) in a pediatric clinic is preparing to administer the first dose of oral amoxicillin to a toddler diagnosed with acute otitis media. The toddler weighs $33\text{ lbs}$. The primary healthcare provider has prescribed $45\text{ mg/kg/day}$ of amoxicillin, to be administered in two equally divided doses every $12\text{ hours}$. The clinic pharmacy dispenses amoxicillin oral suspension at a concentration of $250\text{ mg}/5\text{ mL}$. How many milliliters ($\text{mL}$) should the PN administer for this single dose? Record your answer to the nearest tenth. Do not include units in your answer.

An 8-year-old child weighing $55$ lb is prescribed oral cefdinir. The prescribed dose is $14$ mg/kg/day, to be administered in two divided doses every $12$ hours. The pharmacy dispenses cefdinir oral suspension at a concentration of $250$ mg/$5$ mL. How many milliliters (mL) will the practical nurse administer for a single dose? Record your answer using one decimal place. Do not include units in your answer.

A practical nurse (PN) is caring for a client who is receiving a continuous intravenous (IV) infusion of Lactated Ringer's for fluid replacement. The healthcare provider's prescription is for $1,000 \text{ mL}$ to infuse over 12 hours. The primary IV tubing has a drop factor of $15 \text{ gtt/mL}$. The registered nurse (RN) has initiated the infusion. At what rate, in drops per minute (gtt/min), should the PN verify the IV is infusing?

*Record your answer to the nearest whole number. Do not include units in your answer.*

The healthcare provider prescribes oral ibuprofen for a toddler who weighs $33$ pounds and has a temperature of $101.2^\circ\text{F}$ ($38.4^\circ\text{C}$). The prescribed dosage is $10\text{ mg/kg}$ per dose. The available medication is an oral suspension labeled $100\text{ mg}/5\text{ mL}$. How many milliliters should the nurse administer for a single dose?

Record your answer to the nearest tenth. Do not include units in the answer.

During a shift, a practical nurse reviews the medication administration record for a client being treated for a pulmonary embolism. The client weighs $165\text{ lb}$. The provider has prescribed a subcutaneous injection of enoxaparin sodium at $1\text{ mg/kg}$ every $12\text{ hours}$. The medication is supplied in a prefilled syringe containing $100\text{ mg}/1\text{ mL}$. How many $\text{mL}$ should the nurse administer? Record your answer to the nearest hundredth. Do not include units in your answer.

An older adult client admitted with community-acquired pneumonia has a scheduled dose of intravenous levofloxacin. The medication arrives from the pharmacy as a $500 \text{ mg}$ dose premixed in a $100 \text{ mL}$ bag of $5\% \text{ Dextrose}$ in Water ($\text{D}_5\text{W}$). According to the administration instructions, the medication must infuse steadily over $90$ minutes.

At what rate, in $\text{mL/hr}$, should the infusion pump be programmed?

Record answer to the nearest tenth. Do not include units in answer.

A practical nurse in a long-term care facility is reviewing a new medication order for a resident diagnosed with a lower respiratory tract infection. The provider's prescription reads: 'Azithromycin $500\text{ mg}$ PO on day 1, followed by $250\text{ mg}$ PO daily on days 2 through 5.' The pharmacy dispenses an azithromycin oral suspension with a concentration of $200\text{ mg}/5\text{ mL}$. How many total milliliters (mL) of this medication will the nurse administer over the entire 5-day treatment course? (Record answer to the nearest tenth. Do not include units in answer.)

A practical nurse is preparing to administer cephalexin oral suspension to a pediatric client who weighs 39.6 lb. The healthcare provider's prescription is for 15 mg/kg/dose to be administered every 12 hours. The pharmacy dispenses a cephalexin suspension concentration of 125 mg/5 mL. How many mL should the practical nurse administer per dose? (Record your answer to the nearest tenth. Do not include units in your answer.)