ADN 253 Practice Test for Clinical Calculations

ANSWERS

1. Read the label below + order

.
a.
b.
c.
d.
e.
f.
g.

What is the generic name? NONE

What is the Trade name? FUROSEMIDE
What form is this medication? How is it given? liquid, IV or IM
What is the concentration? 10mg/mL
How much is in the vial? 4 mL
Can it be used more than once? NO
Order is Furosemide 12 mg IV q 12 hrs. How much will you draw up?
1.2 mL

2. Read the label + order

a.
b.
c.
d.

What
What
What
What

is generic name? Raloxifene

is Trade name? Evista
is the concentration? 60 mg
form does it come in? tablet

e. Order is 120 mg of Raloxifene HCl once daily. How many pills? 2 pills
f. How many for the week? 14

3. Read Label + order + illustrating how much will be drawn up

a. What is the concentration? 5,000 Units/mL

b. How much in vial? 5,000 U 1mL
c. Order is for 6,000 Units Subcutaneous BID
How much would you draw up? Cant only 5,000 units in a vial
d. Order is 4,500 units Subcutaneous BID
How much would you draw up? 0.9 mL (remember to always put the 0
before the decimal [such as 0.7 mg], but DO NOT put 0 after decimal such
as [8.0]
e. Shade in how much you would draw the syringe up to (shade up where
arrow is)

5. The physician orders Wellcovorin 1mg IM. The drug comes in powdered form
in a vial containing 50mg. The directions for reconstitution are: Add 5mL of
diluent for a final concentration of 10mg/1mL. After reconstituting, how many
mL should you draw up? 0.1 mL Once you reconstitute the medication, you
go only by concentration!
6. Pediatric conversions
a. Your patient is 2 years old and weighs 35 pounds. How much is that in kg?
15.9 kg (remember when going from pounds to kg you divide by 2.2 and if
converting from kg to pounds, you multiply by 2.2.

b. Your patients mother asks how much is 15 kg in pounds. How much is it? 33
pounds
c. Your patient has a diaper weighing 10 g (new or empty) and has a soiled
(Urine) diaper weighing 50 g. How much would you enter for output for urine
that hour? 40 mL would be recorded. Subtract weight of empty diaper
(weight will range by size of diaper) from total and that is your output
7.

8. IV rates
a. IV 0.9% NS has been ordered as a bolus 250 mL over 2 hrs. What
is your hourly rate? 125 mL/hr (make sure you ALWAYS put the
measure (such as mL, mg, mL/min, mL/hr)
b. If 500 mL of D5 1/2 NS was ordered to infuse over 8 hrs and it was
started at 0915, what time will the infusion be completed? Give
Traditional and military time
1715 or 5:15 traditional time
c. The physician orders D5LR 1000mL/10hr. The IV set drop factor is
20gtt/mL. How many gtt/min should the patient receive?
77gtts/min sorry, I never do gtts (always on a pump), but there are NCLEX
questions and ED & OR often do without pump.
Maternity Question
4. Your patient is to receive an infusion of Pitocin. The drug comes 20U/1000mL
in D5W. The doctor orders 0.01U/min. How many mL/hr should the patient
receive? 30 mL/hr

Chapter 24 review drips. This is a critical care area and only one question
on the test (Pitocin is a drug in OB)
5 Insulin
a. Order: Humulin 70/25 U-100 27 units at 1700 -shade in the amount on the
syringe below

Shade in up to 27
b. Order Humulin R regular U-100 insulin 75 units subcutaneous stat. Shade
in amount

Shade in from 75 mL on
c. A client has a sliding scale for insulin dosages. The order is for
Humulin R U-100 q 6 hr as follows:
Finger stick
Less than 70 mg/dL
Notify MD
Blood Sugar (mg/dL) 201-250 mg/dL

4 units subcutaneous

251-300 mg/dL

6 units subcutaneous

301-350 mg/dL

8 units subcutaneous

351-400 mg/dL

10 units subcutaneous

400 mg/Dl

Notify MD

illustration 1

Illustration 2
Illustration 1 regular (fast acting) is used for sliding scale and is only insulin
that can be given IV

At 1800, the clients blood sugar is 354 mg/dL. Shade the syringe to indicate
dosage that should be administered.

Shade in up to 10 units
At 0800, the clients blood sugar is 120 mg/ dL. Shade the syringe to indicate
dosage that should be administered.

NO too low to need sliding

scale insulin