MATH REVIEW PROBLEMS

Nrs. 188/105

PREPARED BY: SUSAN DEERING, RNC, MSN

Susan.deering@pima.edu

1. A patient is to receive Erythromycin (ERY-TAB) 0.5 g, qid. The medication is labeled 250 mg delayed-
release tablets. How many tablet(s) should the patient receive with each dose? What is special about
delayed release tablets?

2 tabs per dose, delayed release tablets are absorbed more slowly, and usually are not broken down until they
reach the small intestines

2. If a vial has 20 mg of a drug in 50 ml of solution, the amount of drug in 10 ml of solution is?

4 mg

3. How much chlorine bleach should you add to 500 ml of water to make a solution that contains 10 ml of
chlorine bleach for every 100 ml of water?

50 ml

4. A patient weighs 70 kg. How many pounds is this?

154

5. A patient is to receive ampicillin 250 mg. The medication is supplied as or oral suspension, 125 mg/5
ml. How many milliliters should the patient receive?

10 ml

6. According to the medication order, a patient is to receive 20 mEq of potassium chloride oral solution.
The solution contains 60 mEq in every 15 ml. How many milliliters of solution should the patient
receive?

5 ml

7. One liter of fluid is equal to approximately how many quarts?

8. A physician orders Minoxidil 5 mg P.O. daily for treatment of hypertension in a 52-year-old patient.
The medication is supplied as 2.5 mg per tablet. How many tablets should be administered?

2 tabs

9. A pediatric patient is ordered Compazine 2.5 mg per rectum STAT for treatment of postoperative
nausea. Compazine 5 mg per suppository is available. How much should be given?

½ suppository

10. An 83-year-old patient complains that she hasn’t had a bowel movement for 4 days and she’s very
uncomfortable. The physician orders Milk of Magnesia 1½ Tbs P.O. at h.s. How many milliliters is
 this?

22.5

11. A patient needs an infusion of D5W at 100 ml/hr. If the tubing set is calibrated to deliver 15 gtt/ml,
what’s the drip rate?

25gtt/min

12. A patient diagnosed with pneumonia needs 2,000 ml of fluid over 24 hours. What’s the flow rate?

83 ml/hr

13. The patient is ordered to receive Heparin 750 units/hour. Heparin 25,000 units is added by pharmacy
in 500 ml of 0.45% NS ( ½ Normal Saline). What is the flow rate?

15 ml/hour

14. A 4-year-old patient weighs 46 lb. How many kilograms is this?

21 kg

15. The patient is receiving a liter of D5W with 40,000 units of Heparin infusing at 25 ml/hr. How much
Heparin does the patient receive each hour?

1000 units per hour

16. The physician orders 2 L of Lactated Ringer’s (LR) to be infused over 16 hours. The drop factor of the
administration set is 20 gtt/ml. What should the drip rate be?
125 ml/hr

40gtt/min

17. The nurse is to administer Rocephin 2 g in 500 ml over 10 hours. What hourly flow rate will the IV
pump be set at?

50 ml/hr

18. The patient is to receive Ampicillin 2 g in 50 ml of NS (normal saline) in 15 minutes.The IV tubing

delivers 10 gtt/ml. The pump should be set at how many ml/hr to deliver the ordered medication?

200 ml/hr

19. The patient is ordered to receive Clindamycin 900 mg over 30 minutes. The pharmacy sends the
ordered dose in 100 ml of D5W. The IV tubing delivers 15 gtt/ml. The Electronic Infusion Device (EID)
should be set at what rate/hr to deliver the medication in the time prescribed?

200 ml/hr

20. A 150-lb patient is to receive Gentamicin 3 mg/kg daily in 3 divided doses. Gentamicin is available as
80 mg/2 ml. How many milliliters should be administered with each dose?

1.7 ml per dose

21. Heparin 10,000 units in 250 ml of D5W @ 30 ml/hr has been infusing for 3 hours. The drug is
discontinued by the physician. How much Heparin did the patient receive?
 3600 units

22. The patient is ordered to receive KCl 10 mEq IV over one hour. KCl is delivered from the pharmacy in
a 50 ml bag of normal saline. The calibration of the tubing is 15 gtt/ml. What rate should the pump be
set? Are there special considerations with this medication?

50 ml/hr
Kcl cannot be pushed due to risk for severe cardiac arrythmias.

23. A patient is ordered to receive Kantrex ® (kanamysin)15 mg/kg/day in equally divided doses every 8
hours. The patient weighs 192 pounds. The instructions state for IV preparation to dilute each 500 mg
with at least 100 ml of NS, D5W or D5NS. How many mg will this patient receive with each dose?

436 mg/dose

24. For the patient in question # 23, if the IV tubing is 10 gtt/ml, what rate should the IV pump be set?

25. The patient is ordered to receive 150 ml of NS in 45 minutes. The calibration of the tubing is 15 gtt/ml,
what rate should the IV pump be set?

26. The patient is ordered to receive Flagyl ® (metronidazole) 15 mg/kg IV for a loading dose, followed by
7.5 mg/kg IV every 6 hours. Please start IV maintenance dose 6 hours after the loading dose. The
patient weighs 128 pounds. IV infusions must be given IV slowly at a rate of one dose per hour. How
many mg of Flagyl should the pharmacy send for the loading dose?

27. For the patient in question # 26, what is the maintenance dose for this patient?

28. A patient requires 500 ml of NS solution at 80 ml/hr. What is the infusion time?

29. If the patient in question # 28 had the infusion started at 1315, what time will the infusion end?

30. The order reads:15 mEq of potassium chloride in 1000 ml of D5NS to be administered at a rate of 4
mEq/hr. How many milliliters of solution are needed for the ordered rate?
267 ml/hr