NURS 300 Practice Final Exam Questions And Answers
The physician orders 500 mL of NS to infuse at 175 mL/h for a patient with vomiting.
Tubing drop factor is 15 gtt/mL. Calculate the flow rate in drops per minute. _
(175 x 15)/ 60 = 43.75 = 44
DROPS NEAD TO BE IN WHOLE NUMBERS
The doctor's order is for fluconazole 200 mg two times a day. The fluconazole is mixed in
100 mL of NS and is to be administered over 45 minutes. If an IV controller is used, at
what milliliters per hour should the fluconazole be administered? __
100 ml/ .75 hr = 133.3
Linezolid 600 mg IV once daily is ordered on a patient. The linezolid is reconstituted in
300 mL of NS and is to be administered over 1 hour. The drop factor for the
administration tubing is 10 gtt/mL. How many drops per minute should the linezolid be
administered? _
(300x 10 )/ 60min = 50
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A patient is on mechanical ventilation and has an order for a continuous midazolam drip
at 4 mg/h. This midazolam is supplied in a concentration of 50 mg/50 mL of NS. If using
an IV controller, how many milliliters per hour should the midazolam be infused? __
50 mg/ 50 ml = 1 mg/ml
4 mg/ hr = 4 ml/4mg
The patient has levofloxacin 500 mg ordered once daily. The levofloxacin is available in
,100 mL of NS and should infuse over 60 minutes. Using an IV pump, how many milliliters
per hour should the levofloxacin be infused? __
100 ml of NS infused over 60 mins
100
The patient has an order for vancomycin 750 mg once daily. To administer the
vancomycin it is mixed in 250 mL of NS and must infuse over 1 hour. If the tubing has a
drop factor of 10 gtt/mL, how many drops per minute does the vancomycin need to be
infused? __
(250 x 10 ) / 60 = 41.7 = 42
ROUND TO WHOLE NUMBER FOR DROPS
Linezolid 600 mg IV q day is ordered for a patient. The linezolid is reconstituted into 300
mL of NS and must infuse over 90 minutes. Using an IV controller, how many milliliters
per hour should the linezolid be infused? __
60mins/90mins = .6666667
300 x .6666667 = 200
An end-of-life patient has an order for fentanyl IV at 50 mcg/h. The fentanyl
concentration is 10 mcg/mL. Using an IV controller, how many milliliters per hour should
the fentanyl be infused? __
10 mcg / ml
50 mcg/ 10 mcg = 5
, 5 ml/ hr
Order: Start a heparin drip according to the facility's protocol.
Weight: 154 lb
Heparin Protocol
Bolus: Heparin 80 units/kg. Bolus vial contains 1,000 units per mL. Infusion: Heparin 18
units/kg/h using a concentration of heparin 25,000 units in 250 mL of NS (100 units/mL).
Calculate the number of mL/hr required to deliver continuous infusion.
154 lb / 2.2 kg= 70
18 x 70 kg = 1,260 units per hr
250 ml/25,000 = x ml/ 1,260
315,000 = 25,000x
x= 12.6
Order: Begin a heparin drip per the facility's protocol. Patient weighs 96 kgs.
Heparin Protocol
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