Daytona State College NP5 Medication Administration Practice Test Directions: Show all math calculations.

Answers must be measurable and reasonable. You may use a calculator.

1. The dosage available is ziprasidone (Geodon). Add 1.2 mL of Sterile Water for Injection to the vial and shake vigorously until all the drug is dissolved. Each mL of reconstituted solution contains 20 mg ziprasidone. The order is Geodon 15 mg IM.

Administer: _____________mL

2. The following IV is infusing: 1000cc D5LR without a pump. The tubing that has been chosen is as follows: Basic IV Infusion Set For administration of parenteral solutions Latex free, needleless system 15 drops/ml. The physician orders the IV to infuse at KVO, which is 30 ml/hour. What is the flow rate that will be set?

_____________gtts/min

3. The dosage available is Digoxin 0.125 mg. tablet. The order is Digoxin 0.5 mg.

Administer: ___________tab (s)

4. The dosage available is methylphenidate (Ritalin) 10 mg scored tablets in bottles of 100 tablets. The order for the nine-year-old is Ritalin 5 mg twice daily (before breakfast and lunch) with gradual increments of 5 to 10 mg weekly.

Administer first AC lunch dose: ___________tab(s)

5. The dosage available is Gentamicin 40 mg/ml. The order for a pediatric client is 2 mg/kg. to be given IM. The child weighs 50 pounds.

Administer: _____________ml (s)

6. The dosage available is Epogen 10,000 units/ml. The order is for Epogen 8,000 units subq.

Administer: _____________ml (s)

7. The order is for Ampicillin 1000mg in 100ml Normal Saline to infuse over 20 minutes. Set the pump rate.

____________ml/hr

8. The dosage available is Morphine Sulfate 5 mg/ml. The order is Morphine Sulfate 2 mg. to be given IV push, diluted in 5 ml of normal saline.

Administer: _____________ml (s)

9. The order reads Neupogen 5 mcg/kg/day subq. The adolescent client weighs 70 pounds. The dose would be:

_____________mcg

10. The dosage available is Vitamin K1 Injection (Phytonadione Injectable Emulsion, USP) is supplied in a package of 25 as follows: Amount of Vitamin K1 List No. 9157 9158 Container 1 mL Ampul 1 mL Ampul Inj. In Container 1 mg 10 mg Volume 0.5 mL 1 mL Concentration 2 mg/mL 10 mg/mL

Store at 20 to 25C (68 to 77F). [See USP Controlled Room Temperature.] Protect from light. Keep ampuls in tray until time of use. The order for the newborn is vitamin K1, single dose, 1 mg IM within one hour of birth. Using List No. 9157 in the table above,

Administer: ___________mL

11. The order is for Levofloxacin 500 mg. in 50 ml D5W to infuse as a piggyback over 60 minutes. Set the pump rate.

____________ml/hr

12. A client has received the following IV medication/fluid over an 8 hour shift. Vancomycin 500 mg in 250ml NS piggyback over 1 hour Levaquin 100 mg in 50 ml D5W piggyback over 1 hour IV D5RL at 125 ml/hour The pump does not run these solutions simultaneously. What is the IV intake for the 8 hour shift?

_______________ml

13. 1000 ml of TPN is to be infused over 12 hours and 500 ml of lipids is to be infused over 8 hours. Both solutions are hung at 0900. How much IV fluid has the client received by 1900?

________________ml

14. A client is to receive a blood transfusion. The unit of packed red blood cells is 350 ml to run over 4 hours. Set the pump rate.

____________ml/hr

15. The physician prescribes a continuous Cardizem drip at 10 mg/hr. The Cardizem is mixed as 125 mg in 100 ml of NS. Set the pump rate.

____________ml/hr

16. A clients Heparin drip is infusing at a rate of 10 ml/hour. The concentration is 40,000 units in 1000 ml D5W. How much Heparin is the patient getting per hour?

___________Units/hr

17. The dosage available is olanzapine (Zyprexa): Directions for Preparation of ZYPREXA IntraMuscular with Sterile Water for Injection Dissolve the contents of the vial using 2.1 mL of Sterile Water for Injection to provide a solution containing 5 mg/mL of olanzapine. The order is Zyprexa 7.5 mg deep IM.

Administer: ________________ mL

18. Available is aripiprazole (Abilify) solution for injection. Administration of ABILIFY Injection To administer ABILIFY Injection, draw up the required volume of solution into the syringe as shown in Table 1. Discard any unused portion. Table 1: ABILIFY Injection Dosing Recommendations Single-Dose 5.25 mg 9.75 mg 15 mg The order is Abilify 5.25 mg deep IM. Required Volume of Solution 0.7 mL 1.3 mL 2 mL

Administer: ___________mL

19. The dosage available is Benadryl 10 mg/ml. The order for a pediatric client is 1 mg/kg. to be given IV push. The child weighs 50 pounds.

Administer: _____________ml (s)

20. Infuse 3 mcg/kg/min of Dobutamine. It is mixed as 500 mg in 250 ml of D5W. The client weighs 128 pounds. What is the flow rate on a pump?

____________ml/hr