All practice questions

A nurse is caring for a client with cardiogenic shock who weighs $85 \text{ kg}$. The healthcare provider prescribes a continuous intravenous (IV) infusion of dopamine at $5 \text{ mcg/kg/min}$. The pharmacy provides an IV bag containing $400 \text{ mg}$ of dopamine mixed in $250 \text{ mL}$ of $5\%$ Dextrose in Water (D5W). At what rate should the nurse set the IV infusion pump in $\text{mL/hr}$? (Record your answer to the nearest tenth.)

A client admitted with cardiogenic shock weighs $198\text{ lbs}$. The provider initially orders a continuous intravenous (IV) infusion of dopamine at $4\text{ mcg/kg/min}$. The pharmacy dispenses a premixed IV bag containing $800\text{ mg}$ of dopamine in $250\text{ mL}$ of $5\%\text{ Dextrose}$ in water ($D_5W$). Two hours later, the client's mean arterial pressure (MAP) remains at $55\text{ mmHg}$, and the provider increases the dopamine infusion order to $7\text{ mcg/kg/min}$. At what rate in $\text{mL/hr}$ should the nurse set the infusion pump to deliver the newly ordered dose? (Record your answer rounding to the nearest tenth. Do not include units in your answer.)

A nurse is caring for a client with a deep vein thrombosis who is receiving a continuous intravenous heparin infusion. The client weighs 198 lb.

The hospital's weight-based heparin protocol includes the following instructions:

The client's current heparin infusion is infusing at a rate of 15 units/kg/hr. The most recent aPTT result is 42 seconds. The available intravenous solution contains heparin 25,000 units in 250 mL of 5% dextrose in water (D5W).

What should the nurse set the new continuous intravenous infusion pump rate to, in mL/hr?

(Record your answer to the nearest tenth. Do not use a trailing zero.)

A client admitted with cardiogenic shock requires hemodynamic support. The healthcare provider orders an intravenous infusion of dopamine at a rate of $5 \text{ mcg/kg/min}$. The client's admission weight is $176 \text{ lbs}$. The pharmacy dispenses a premixed bag containing $400 \text{ mg}$ of dopamine in $250 \text{ mL}$ of $0.9\%$ sodium chloride. At how many $\text{mL/hr}$ should the nurse program the infusion pump? (Record answer as a whole number.)

A client diagnosed with a deep vein thrombosis is prescribed a continuous intravenous infusion of heparin. The client's current weight is $198\text{ lb}$. The provider's prescription requires an initial infusion rate of $18\text{ units/kg/hr}$. The available medication is a $250\text{ mL}$ intravenous bag containing $25,000\text{ units}$ of heparin sodium. At what rate in $\text{mL/hr}$ should the nurse program the infusion pump? Record your answer using one decimal place.

A nurse is preparing to administer a continuous intravenous (IV) infusion of heparin for a client diagnosed with a pulmonary embolism. The healthcare provider's prescription is for $18 \text{ units/kg/hr}$. The client's admission weight is $198 \text{ lb}$. The available IV fluid is heparin $25,000 \text{ units}$ in $250 \text{ mL}$ of $0.45\%$ sodium chloride.

At what rate in $\text{mL/hr}$ should the nurse set the IV infusion pump? (Record your answer using one decimal place.)

To ensure medication safety, a nurse is performing an independent double-check of a milrinone infusion for a client with acute decompensated heart failure. The client weighs $80 \text{ kg}$. The infusion pump is currently delivering the medication at a rate of $15 \text{ mL/hr}$. The available medication is a premixed bag containing $20 \text{ mg}$ of milrinone in $100 \text{ mL}$ of 0.9% sodium chloride.

Calculate the dose the client is receiving in $\text{mcg/kg/min}$. Record your answer to the nearest hundredth.

A nurse in the intensive care unit is caring for a client with a hypertensive emergency. The client weighs $198\text{ lb}$. The client is currently receiving a continuous intravenous (IV) infusion of nitroprusside at $14\text{ mL/hr}$. The IV solution contains $50\text{ mg}$ of nitroprusside in $250\text{ mL}$ of $5\%$ dextrose in water ($D_5W$). Based on the client's current blood pressure of $185/110\text{ mm Hg}$, the healthcare provider prescribes an increase in the nitroprusside infusion rate by $0.5\text{ mcg/kg/min}$. What is the new infusion rate in $\text{mL/hr}$ that the nurse should set on the IV pump? Record your answer using one decimal place.

A nurse is caring for a client with a pulmonary embolism who weighs $85.4\text{ kg}$. The client is receiving a continuous intravenous heparin infusion. The current infusion rate is $14\text{ units/kg/hr}$. The heparin is supplied as $25,000\text{ units}$ in $250\text{ mL}$ of 5% dextrose in water.

The client's morning activated partial thromboplastin time (aPTT) is $39\text{ seconds}$. According to the hospital's weight-based heparin protocol, for an aPTT between $36$ and $44\text{ seconds}$, the nurse must administer an intravenous bolus of $40\text{ units/kg}$ and increase the continuous infusion rate by $2\text{ units/kg/hr}$.

Calculate the client's new continuous infusion pump rate in $\text{mL/hr}$. (Record your answer using one decimal place.)

An adult client admitted with acute decompensated heart failure requires inotropic support. The healthcare provider prescribes a continuous intravenous dobutamine infusion at a dose of $5\text{ mcg/kg/min}$. The client's current weight is $80\text{ kg}$. The medication is supplied as a pre-mixed bag containing $500\text{ mg}$ of dobutamine in $250\text{ mL}$ of $5\%$ dextrose in water. Calculate the required infusion rate in $\text{mL/hr}$. Record your answer as a whole number.

A client weighing $192 \text{ lbs}$ is receiving treatment for a stable ventricular tachycardia. The healthcare provider prescribes a continuous intravenous infusion of amiodarone at $0.5 \text{ mg/min}$. The pharmacy supplies an amiodarone infusion bag containing $900 \text{ mg}$ in $500 \text{ mL}$ of $5\% \text{ dextrose}$ in water ($D_5W$). At what rate, in $\text{mL/hr}$, should the nurse set the infusion pump? Record your answer using one decimal place.

A client admitted with decompensated heart failure weighing $198\text{ lb}$ is prescribed a continuous intravenous infusion of milrinone at $0.5\text{ \mu g/kg/min}$. The pharmacy dispenses a premixed bag containing $20\text{ mg}$ of milrinone in $100\text{ mL}$ of $0.9\%$ sodium chloride. The nurse should set the infusion pump to deliver how many $\text{mL/hr}$? (Round the answer to the nearest tenth.)

An intensive care nurse assumes care for a client admitted with acute decompensated heart failure. The client, who weighs 176 lb, has a continuous intravenous line infusing dopamine. The medication bag is labeled: dopamine 400 mg in 250 mL of 5% dextrose in water. The smart pump displays a current infusion rate of 15 mL/hr. Based on this data, what dosage of dopamine is the client receiving in mcg/kg/min? Record your answer as a whole number.

A client who is hemodynamically unstable is admitted to the critical care unit. The client's body weight is recorded as $187\text{ lbs}$. The healthcare provider prescribes a continuous intravenous infusion of norepinephrine at $0.05\text{ mcg/kg/min}$. The pharmacy dispenses an intravenous solution containing norepinephrine $4\text{ mg}$ in $250\text{ mL}$ of $0.9\%\text{ Sodium Chloride}$. At what rate should the nurse program the infusion pump? Record your answer in $\text{mL/hr}$ and round to the nearest tenth.

A nurse is caring for a client in the intensive care unit who is experiencing severe hypotension and weighs $87\text{ kg}$. The healthcare provider prescribes a continuous intravenous (IV) infusion of norepinephrine at $0.05\text{ mcg/kg/min}$. The pharmacy dispenses norepinephrine $4\text{ mg}$ in $250\text{ mL}$ of $5\%$ dextrose in water ($\text{D}_5\text{W}$). At what rate should the nurse set the IV infusion pump in $\text{mL/hr}$? (Round the answer to the nearest tenth. Do not use a trailing zero.)

A nurse is caring for a client with acute decompensated heart failure who has a prescription for a continuous IV infusion of milrinone at $0.375 \text{ mcg/kg/min}$. The client weighs $209 \text{ lbs}$. The pharmacy provides milrinone $20 \text{ mg}$ in $100 \text{ mL}$ of $0.9\% \text{ NaCl}$. The nurse should set the IV infusion pump to deliver how many $\text{mL/hr}$? (Round the final answer to the nearest tenth.)

An intensive care nurse is managing a male patient diagnosed with cardiogenic shock. The patient's body weight is recorded as $198 \text{ lb}$. The medical team orders an intravenous infusion of dopamine at a rate of $5 \text{ mcg/kg/min}$ to support cardiac output. The available medication from the pharmacy is a premixed bag containing $400 \text{ mg}$ of dopamine dissolved in $250 \text{ mL}$ of $5\%$ dextrose in water (D5W).

Determine the appropriate infusion pump setting in $\text{mL/hr}$ to deliver the prescribed dose. Round the final answer to the nearest tenth.

A nurse is preparing to administer amoxicillin oral suspension to a pediatric client diagnosed with acute otitis media. The prescription states: amoxicillin $45 \text{ mg/kg/day}$ orally, divided into equal doses to be administered every $12$ hours. The client's weight is $44 \text{ lb}$. The pharmacy provides amoxicillin suspension with a concentration of $400 \text{ mg}/5 \text{ mL}$. How many mL should the nurse administer per dose? (Record your answer using one decimal place.)

A client presenting with a hypertensive emergency requires a continuous intravenous (IV) infusion of sodium nitroprusside. The client weighs $187\text{ lb}$. The healthcare provider prescribes the infusion to begin at a rate of $3\text{ mcg/kg/min}$. The pharmacy dispenses a premixed bag containing $50\text{ mg}$ of sodium nitroprusside in $250\text{ mL}$ of $5\%$ dextrose in water ($D5W$). At what rate in $\text{mL/hr}$ should the nurse set the IV infusion pump? (Record your answer to the nearest tenth.)