Description

Medical Dosage Calculations 10^th Edition Olsen Giangrasso Shrimpton Test Bank

ISBN-13: 978-0132156615

ISBN-10: 013215661X

 

 

 

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Olsen, Giangrasso, Shrimpton, Medical Dosage Calculations 10^th 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.

1. 14 gtt/min.
2. 13.8 gtt/min.
3. 50 gtt/min.
4. 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.

1. 83 gtt/min.
2. 133 gtt/min.
3. 3 gtt/min.
4. 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.

1. 13 gtt/min.
2. 21 gtt/min.
3. 75 gtt/min.
4. 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.?

1. 4 gtt/min.
2. 240 gtt/min.
3. 25 gtt/min.
4. 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.?

1. 8 gtt/min.
2. 31 gtt/min.
3. 32 gtt/min.
4. 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?

1. 125 mL/hr
2. 250 mL/hr
3. 1600 mL/hr
4. 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?

1. 100 mL/hr
2. 10 mL/hr
3. 1.7 mL/hr
4. 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?

1. 600 mL/hr
2. 10 mL/hr
3. 100 mL/hr
4. 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?

1. 250 mL/hr
2. 4.2 mL/hr
3. 150 mL/hr
4. 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?

1. 30 mL/h
2. 180 mL/h
3. 18 mL/h
4. 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?

1. 47 mL/hr
2. 4.7 mL/hr
3. 470 mL/hr
4. 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.?

1. 53 mcgtt/min.
2. 120 mcgtt/min.
3. 12 mcgtt/min.
4. 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?

1. 10 mL/h
2. 1 mL/h
3. 100 mL/h
4. 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?

1. 23 mL/h
2. 230 mL/h
3. 2.3 mL/h
4. 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.?

1. 730 mcgtt/min.
2. 73 mcgtt/min.
3. 7.3 mcgtt/min.
4. 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. 1.5 mcgtt/min.
2. 15 mcgtt/min.
3. 18 mcgtt/min.
4. 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?

1. 40 mL
2. 6 mL
3. 360 mL
4. 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. 1.9 mL
2. 2 mL
3. 120 mL
4. 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?

1. 250 mL
2. 25 mL
3. 360 mL
4. 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?

1. 7.5 mL
2. 45 mL
3. 450 mL
4. 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?

1. 2,016 mL
2. 7,560 mL
3. 126 mL
4. 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?

1. 4 mL
2. 14,400 mL
3. 240 mL
4. 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.

1. 13 hours, 20 minutes
2. 13.5 hours
3. 13 hours 33 minutes
4. 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.

1. 250,000 minutes
2. 16 h
3. 4,166 minutes
4. 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.

1. 15 h
2. 41.7 h
3. 898 h
4. 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?

1. 1642 h
2. 1542 h
3. 0342 h
4. 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?

1. 2120 h
2. 2133 h
3. 9:33 p.m.
4. 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?

1. 0130 h
2. 1330 h
3. 1230 h
4. 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 by more than 25% of the original rate, to what rate would you reset the drip rate, or would you contact the prescriber instead?

1. Contact the prescriber.
2. 25 gtt/min.
3. 150 gtt/min.
4. 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 by more than 25% of the original rate, to what rate would you reset the drip rate, or would you contact the prescriber instead?

1. Contact the prescriber.
2. 40 mcgtt/min.
3. 12 mcgtt/min.
4. 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 by more than 25% of the original rate, to what rate would you reset the drip rate, or would you contact the prescriber instead?

1. Contact the prescriber.
2. 45 gtt/min.
3. 21 gtt/min.
4. 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 by more than 25% of the original rate. To what rate would you reset the drip rate, or would you contact the prescriber instead?

1. Contact prescriber.
2. 23 gtt/min.
3. 24 gtt/min.
4. 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 by more than 25% of the original rate. To what rate would you reset the drip rate, or would you contact the prescriber instead?

1. Contact the prescriber.
2. 13 gtt/min.
3. 14 gtt/min.
4. 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?

1. 10.5 mL
2. 105 mL
3. 1050 mL
4. 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.

1. 210 mL
2. 540 mL
3. 420 mL
4. 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?

1. 30 mL
2. 15 mL
3. 40 mL
4. 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?

1. 175 mL
2. 350 mL
3. 700 mL
4. 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