Description
Medical Dosage Calculations 10th Edition Olsen Giangrasso Shrimpton Test Bank
ISBN-13: 978-0132156615
ISBN-10: 013215661X
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Olsen, Giangrasso, Shrimpton, Medical Dosage Calculations 10th Edition
Chapter 10
Question 1
Type: MCSA
An IV of NS 1,000 mL is to infuse over 12 hours. The drop factor is 10 gtt/mL. Calculate the flow rate in gtt/min.
- 14 gtt/min.
- 13.8 gtt/min.
- 50 gtt/min.
- 500 gtt/min.
Correct Answer: 1
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 1000 mL/12 h x 10 gtt/mL x 1 h/ 60 min = 13.8
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Find the flow rate in gtt/minute
Question 2
Type: MCSA
Order: 2,000 mL D5W IV infused in six hours. The drop factor is 15 gtt/mL. Calculate the flow rate in gtt/min.
- 83 gtt/min.
- 133 gtt/min.
- 3 gtt/min.
- 84 gtt/min.
Correct Answer: 1
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 2000 mL/6 h x 15 gtt/mL x 1 h/ 60 min = 83.3
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Find the flow rate in gtt/minute
Question 3
Type: MCSA
An IV of 1,000 mL NS is to infuse over eight hours. The drop factor is 10 gtt/mL. Calculate the flow rate in gtt/min.
- 13 gtt/min.
- 21 gtt/min.
- 75 gtt/min.
- 23 gtt/min.
Correct Answer: 2
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 1000 mL/8 h x 10 gtt/mL x 1 h/60 min = 20.8
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Find the flow rate in gtt/minute
Question 4
Type: MCSA
An IV is infusing at 75 mL/h. If the drop factor is 20 gtt/mL, what would this rate
of flow equal in gtt/min.?
- 4 gtt/min.
- 240 gtt/min.
- 25 gtt/min.
- 225 gtt/min.
Correct Answer: 3
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 75mL/hour x 20 gtt/ mL x 1 h/60 min = 25
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Find the flow rate in gtt/minute
Question 5
Type: MCSA
An IV is infusing at 125 mL/h. If the drop factor is 15 gtt/mL, what would this
rate of flow equal in gtt/min.?
- 8 gtt/min.
- 31 gtt/min.
- 32 gtt/min.
- 50 gtt/min.
Correct Answer: 2
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 125mL/hour x 15 gtt/mL x 1 h/60 min = 31.25
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Find the flow rate in gtt/minute
Question 6
Type: MCSA
Order: 1,000 mL NS to infuse in eight hours. At what rate in mL/h will you set the pump?
- 125 mL/hr
- 250 mL/hr
- 1600 mL/hr
- 16,000 mL/hr
Correct Answer: 1
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 1,000 mL/8 h = 125 mL/h
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Find the flow rate in mL/h
Question 7
Type: MCSA
Order: 600 mL D5W IV to infuse in six hours. At what rate in mL/h will you set the pump?
- 100 mL/hr
- 10 mL/hr
- 1.7 mL/hr
- 60 mL/hr
Correct Answer: 1
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 600 ÷ 6 = 100 mL/hr.
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Find the flow rate in mL/h
Question 8
Type: MCSA
An IV is infusing at 30 gtt/min. If the drop factor is 20 gtt/mL, what would this rate of flow equal in mL/h?
- 600 mL/hr
- 10 mL/hr
- 100 mL/hr
- 90 mL/hr
Correct Answer: 4
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 30 gtt/min x mL/20 gtt x 60 min/h = 90
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Find the flow rate in mL/h
Question 9
Type: MCSA
An IV is infusing at 25 gtt/min. If the drop factor is 10 gtt/mL, what would this
rate of flow equal in mL/h?
- 250 mL/hr
- 4.2 mL/hr
- 150 mL/hr
- 15,000 mL/hr
Correct Answer: 3
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 25 gtt/min x mL/10 gtt x 60 min/h = 150
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Find the flow rate in mL/h
Question 10
Type: MCSA
An IV is infusing at 45 gtt/min. If the drop factor is 15 gtt/mL, what would this rate of flow equal in mL/h?
- 30 mL/h
- 180 mL/h
- 18 mL/h
- 3 mL/h
Correct Answer: 2
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 45 gtt/min x mL/15 gtt x 60 min/h = 180
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Find the flow rate in mL/h
Question 11
Type: MCSA
An IV is infusing at 47 mcgtt/min. What would this rate of flow equal in mL/h?
- 47 mL/hr
- 4.7 mL/hr
- 470 mL/hr
- 12 mL/hr
Correct Answer: 1
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: mcgtt/min = mL/h
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Using the fact that mcgtt/min. = mL/h
Question 12
Type: MCSA
An IV is infusing at 120 mL/h. What would this rate of flow equal in mcgtt/min.?
- 53 mcgtt/min.
- 120 mcgtt/min.
- 12 mcgtt/min.
- 1.2 mcgtt/min.
Correct Answer: 2
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale:
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Using the fact that mcgtt/min. = mL/h
Question 13
Type: MCSA
An IV is infusing at 10 mcgtt/min. What would this rate of flow equal in mL/h?
- 10 mL/h
- 1 mL/h
- 100 mL/h
- 0.6 mL/h
Correct Answer: 1
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: mcgtt/min = mL/h
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Using the fact that mcgtt/min. = mL/h
Question 14
Type: MCSA
An IV is infusing at 23 mcgtt/min. What would this rate of flow equal in mL/h?
- 23 mL/h
- 230 mL/h
- 2.3 mL/h
- 18 mL/h
Correct Answer: 1
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: mcgtt/min = mL/h
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Using the fact that mcgtt/min. = mL/h
Question 15
Type: MCSA
An IV is infusing at 73 mL/h. What would this rate of flow equal in mcgtt/min.?
- 730 mcgtt/min.
- 73 mcgtt/min.
- 7.3 mcgtt/min.
- 53 mcgtt/min.
Correct Answer: 2
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: mcgtt/min = mL/h
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Using the fact that mcgtt/min. = mL/h
Question 16
Type: MCSA
An IV is infusing at 15 mL/h. What would this rate of flow equal in mcgtt/min.?
- 1.5 mcgtt/min.
- 15 mcgtt/min.
- 18 mcgtt/min.
- 150 mcgtt/min.
Correct Answer: 2
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: mcgtt/min = mL/h
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Using the fact that mcgtt/min. = mL/h
Question 17
Type: MCSA
A continuous IV is infusing at the rate of 120 mL/h. How many mL will infuse in a three-hour period?
- 40 mL
- 6 mL
- 360 mL
- 400 mL
Correct Answer: 3
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 3 x 120 = 360
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Volume infused in a given time period
Question 18
Type: MCSA
A continuous IV is infusing at the rate of 15 mL/h. How many mL will infuse in an eight-hour period?
- 1.9 mL
- 2 mL
- 120 mL
- 7,200 mL
Correct Answer: 3
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 15 x 8 = 120
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Volume infused in a given time period
Question 19
Type: MCSA
A continuous IV is infusing at the rate of 300 mL/h. How many mL will infuse in a 12-hour period?
- 250 mL
- 25 mL
- 360 mL
- 3,600 mL
Correct Answer: 4
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 300 x 12 = 3,600
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Volume infused in a given time period
Question 20
Type: MCSA
A continuous IV is infusing at the rate of 30 gtt/min. The drop factor is 10 gtt/mL. How many milliliters will infuse in 1 1/2 hours?
- 7.5 mL
- 45 mL
- 450 mL
- 270 mL
Correct Answer: 4
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 30 gtt/min x mL/10 gtt x 60 min/h = 180 mL/h
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Volume infused in a given time period
Question 21
Type: MCSA
A continuous IV is infusing at the rate of 21 gtt/min. The drop factor is 15 gtt/mL. How many milliliters will infuse in 24 hours?
- 2,016 mL
- 7,560 mL
- 126 mL
- 525 mL
Correct Answer: 1
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 21 gtt/min x mL/15 gtt x 60 min/hr = 84 mL/h
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Volume infused in a given time period
Question 22
Type: MCSA
A continuous IV is infusing at the rate of 10 mcgtt/min. How many milliliters will infuse in 24 hours?
- 4 mL
- 14,400 mL
- 240 mL
- 24 mL
Correct Answer: 3
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 10 mcgtt/min = 10 mL/hr
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Volume infused in a given time period
Question 23
Type: MCSA
Calculate the infusion time for an IV of 1,000 mL running at 75 mL/h.
- 13 hours, 20 minutes
- 13.5 hours
- 13 hours 33 minutes
- 13⅔ hours
Correct Answer: 1
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 1,000 / 75 = 13.33 h
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Duration of an infusion and time at which an infusion will finish
Question 24
Type: MCSA
Calculate the infusion time for an IV of 2,000 mL running at 125 mL/h.
- 250,000 minutes
- 16 h
- 4,166 minutes
- 8 h
Correct Answer: 2
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 2,000 / 125 = 16
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Duration of an infusion and time at which an infusion will finish
Question 25
Type: MCSA
Calculate the infusion time for an IV of 1,500 mL running at 25 gtt/min. if the drop factor is 15 gtt/mL.
- 15 h
- 41.7 h
- 898 h
- 60 h
Correct Answer: 1
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 1,500 mL x 15 gtt/mL x min/25 gtt x h/25 gtt = 15 h
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Duration of an infusion and time at which an infusion will finish
Question 26
Type: MCSA
The time is 4:30 p.m. An IV has 1,400 mL remaining in the bag. The pump is running at 125 mL/h. At what time (use military time) will the IV finish?
- 1642 h
- 1542 h
- 0342 h
- 0330 h
Correct Answer: 3
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 1,400 / 125 = 11.2; 11.2 h = 11 h 12 min
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Duration of an infusion and time at which an infusion will finish
Question 27
Type: MCSA
The time is 8:00 a.m. An IV has 200 mL remaining in the bag. The pump is running at 15 mL/h. At what time (use military time) will the IV finish?
- 2120 h
- 2133 h
- 9:33 p.m.
- 9:20 a.m.
Correct Answer: 1
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 200 / 15 = 13 1/3
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Duration of an infusion and time at which an infusion will finish
Question 28
Type: MCSA
The time is 8:30 p.m. An IV has 400 mL remaining in the bag. The pump is running at 80 mL/h. At what time (use military time) will the IV finish?
- 0130 h
- 1330 h
- 1230 h
- 0030 h
Correct Answer: 1
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 400 / 8 = 5
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Duration of an infusion and time at which an infusion will finish
Question 29
Type: MCSA
Order: NS 1,000 mL IV stat. at 125 mL/h for eight hours.
Because the drop factor is 10 gtt/mL, the initial flow rate was correctly set at 21 gtt/min. After four hours, 600 mL remain to be infused. The infusion is behind schedule. Compute the new flow rate in gtt/min. so that the infusion will finish on time. If flow rates may not be adjusted more than 25% of the original rate, to what rate would you reset the drip rate, or would you contact the prescriber instead?
- Contact the prescriber.
- 25 gtt/min.
- 150 gtt/min.
- 23 gtt/min.
Correct Answer: 2
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 25/125 = 20%
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Readjusting the flow rate (within facility limits)
Question 30
Type: MCSA
Order: D5W 1,000 mL IV at 50 mL/h for 20 hours.
The initial flow rate was correctly set at 50 mcgtt/min. After five hours, 600 mL remain to be infused. The infusion is ahead of schedule. Compute the new flow rate in mcgtt/min. so that the infusion will finish on time. If flow rates may not be adjusted more than 25% of the original rate, to what rate would you reset the drip rate, or would you contact the prescriber instead?
- Contact the prescriber.
- 40 mcgtt/min.
- 12 mcgtt/min.
- 2.4 mcgtt/min.
Correct Answer: 2
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 10/50 = 20%
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Readjusting the flow rate (within facility limits)
Question 31
Type: MCSA
Order: NS 1,500 mL IV at 125 mL/h for 12 hours.
Since the drop factor is 20 gtt/mL, the initial flow rate was correctly set at 42 gtt/min. After six hours, 900 mL remain to be infused. The infusion is behind schedule. Compute the new flow rate in gtt/min. so that the infusion will finish on time. If flow rates may not be adjusted more than 25% of the original rate, to what rate would you reset the drip rate, or would you contact the prescriber instead?
- Contact the prescriber.
- 45 gtt/min.
- 21 gtt/min.
- 50 gtt/min.
Correct Answer: 4
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 25/125 = 20%
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Readjusting the flow rate (within facility limits)
Question 32
Type: MCSA
Order: NS 2,000 mL IV at 125 mL/h for 16 hours.
Since the drop factor is 10 gtt/mL, the initial flow rate was correctly set at 21 gtt/min. After 10 hours, 850 mL remain to be infused. The infusion is behind schedule. Compute the new flow rate in gtt/min. so that the infusion will finish on time. Note that flow rates may not be adjusted more than 25% of the original rate. To what rate would you reset the drip rate, or would you contact the prescriber instead?
- Contact prescriber.
- 23 gtt/min.
- 24 gtt/min.
- 85 gtt/min.
Correct Answer: 3
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 17/125 = 14%
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Readjusting the flow rate (within facility limits)
Question 33
Type: MCSA
Order: D5 ¼ NS 240 ml IV at 10 ml/h to infuse over 24 hours.
The initial flow rate was correctly set at 10 mcgtt/min. After eight hours, 220 ml of IV fluid remains to be infused. The infusion is behind schedule. Compute the new flow rate in gtt/min. so that the infusion will finish on time. Note that flow rates may not be adjusted more than 25% of the original rate. To what rate would you reset the drip rate, or would you contact the prescriber instead?
- Contact the prescriber.
- 13 gtt/min.
- 14 gtt/min.
- 9 gtt/min.
Correct Answer: 1
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 3.75/10 = 37.5%
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Readjusting the flow rate (within facility limits)
Question 34
Type: MCSA
Order: For every 100 mL of urine output, replace with 30 mL of water via PEG tube q.4h.
The client’s urine output is 350 mL. What is the replacement volume?
- 10.5 mL
- 105 mL
- 1050 mL
- 11.67 mL
Correct Answer: 2
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 350 mL (out) x 30 mL (in)/100 mL (out) = 105
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Intake/output
Question 35
Type: MCSA
The client drinks one container of milk (1 cup), one container of juice (4 oz.), and a 6 oz. bowl of juice. Record the client’s intake in mL.
- 210 mL
- 540 mL
- 420 mL
- 240 mL
Correct Answer: 2
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 8 oz + 4 oz + 6 oz = 18 oz; = 540 mL
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Intake/output
Question 36
Type: MCSA
Order: Infuse 1 mL of normal saline IV for every 2 ml of urine in excess of 50 mL.
The client’s urine output is 80 mL. How much normal saline will you administer?
- 30 mL
- 15 mL
- 40 mL
- 20 mL
Correct Answer: 2
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 80 – 50 = 30; 30 (out) x 1 (in)/2 (out) = 15 in
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Intake/output
Question 37
Type: MCSA
Order: Replace every 2 mL of urine output with 1 mL of water via g-tube.
The client’s urine output is 350 mL. How many mL of water would you administer?
- 175 mL
- 350 mL
- 700 mL
- 17.5 mL
Correct Answer: 1
Rationale 1:
Rationale 2:
Rationale 3:
Rationale 4:
Global Rationale: 350 (out) x 1(in)/2 (out) = 175 in
Cognitive Level:
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Learning Outcome: Intake/output