Dosage

1.
Doctors Order: Tylenol supp 1 g pr q 6 hr prn temp > 101; Available: Tylenol
supp 325 mg (scored). How many supp will you administer?
A. 2 supp
B. 1 supp
C. 3 supp
D. 5 supp
2. Doctors Order: Nafcillin 500 mg po pc; Available: Nafcillin 1 gm tab

(scored). How many tab will you administer per day?
A. 2.5 tabs
B. 2 tabs
C. 1.5 tabs
D. 1 tab
3. Doctors Order: Synthroid 75 mcg po daily; Available: Synthroid 0.15 mg tab

(scored). How many tab will you administer?
A. 1 tab
B. 0.5 tab
C. 2 tabs
D. 1.5 tabs
4. Doctors Order: Diuril 1.8 mg/kg po tid; Available: Diuril 12.5 mg caps. How
many cap will you administer for each dose to a 31 lb child?
A. 2 caps
B. 2.5 caps
C. 3 caps
D. 1.5 caps
5. Doctors Order: Cleocin Oral Susp 600 mg po qid; Directions for mixing: Add 100
mL of water and shake vigorously. Each 2.5 mL will contain 100 mg of
Cleocin. How many tsp of Cleocin will you administer?
A. 3 tsp
B. 5 tsp
C. 3.5 tsp
D. 1 tsp
6. Doctors Order: Sulfasalazine Oral Susp 500 mg q 6 hr; Directions for mixing:
Add 125 mL of water and shake well. Each tbsp will yield 1.5 g
of Sulfasalazine. How many mL will you give?
A. 5 ml
B. 3 ml
C. 4 ml
D. 2 ml
7. Your patient has had the following intake: 2 cups of coffee (240 mL/cup),
11.5 oz of grape juice, qt of milk, 320 mL of diet coke, 1 L of D5W IV and 2 oz
of grits. What will you record as the total intake in mL for this patient?
A. 2,325 ml
B. 3,265 ml
C. 3,325 ml
D. 2,235 ml
8. Your patient has had the following intake: 8 oz glasses of iced tea, 4 oz cartons
of grape juice, pt of ice cream, 32 oz of juice, 1 L of D5W IV and 6 oz of
cottage cheese. What will you record as the total intake in mL for this patient?
A. 3,357 ml
B. 3,375 ml
C. 3,915 ml
D. 3,195 ml
9. Doctors Order: Kantamycin 7.5 mg/kg IM q 12 hr; Available: Kantamycin 0.35

Gm/mL. How many mL will you administer for each dose to a 157 lb patient?
A. 2 ml
B. 1 ml
C. 2.5 ml
D. 1.5 ml
10. Doctors Order: Heparin 7,855 units Sub Q bid; Available: Heparin 10,000 units
per ml. How many mL will you administer?
A. 0.79 ml
B. 1.79 ml
C. 0.17 ml
D. 1.17 ml
11. Doctors Order: Demerol 50 mg IVP q 6 hr prn pain; Available: Demerol 75 mg/
1.3mL. How many mL will you administer?
A. 0.87 ml
B. 1.87 ml
C. 2 ml
D. 2.87 ml
12. Doctors Order: Streptomycin 1.75 mg/ lb IM q 12

hr; Available: Streptomycin0.35 g / 2.3 mL. How many mL will you administer a
day to a 59 Kg patient?
A. 1.5 ml
B. 2 ml
C. 2.5 ml
D. 3 ml
13. Doctors Order: Bumex 0.8 mg IV bolus bid; Reconstitution instructions:

Constitute to 1000 micrograms/3.1 mL with 4.8mL of 5% Dextrose Water for
Injection. How many mL will you administer?
A. 2 ml
B. 3.5 ml
C. 3 ml
D. 2.5 ml
14. Doctors Order: Tazidime 0.3 g IM tid; Reconstitution instructions: For IM

solution add 1.5 mL of diluent. Shake to dissolve. Provides an approximate volume
of 1.8 mL (280 mg/mL). How many mL will you give?
A. 1.9 ml
B. 2 ml
C. 3 ml
D. 1.1 ml
15. Doctors Order: Infuse 50 mg of Amphotericin B in 250 mL NS over 4 hr 15

min; Drop factor: 12gtt/mL. What flow rate (mL/hr) will you set on the IV infusion
pump?
A. 11.8 ml/hr
B. 58.8 ml/hr
C. 14.1 ml/hr
D. 60.2 ml/hr
16. Doctors Order: 1 L of NS to be infused over 7 hours; Drop factor: 15

gtt/mL. What flow rate (mL/hr) will you set on the IV infusion pump?
A. 53.6 ml/hr
B. 214.3 ml/hr
C. 35.7 ml/hr
D. 142.9 ml/hr
17. Doctors Order: Mandol 300 mg in 50 mL of D5W to infuse IVPB 15

minutes; Drop factor: 10 gtt/mL. How many mL/hr will you set on the IV infusion
pump?
A. 200 ml/hr
B. 87.5 ml/hr
C. 3.3 ml/hr
D. 50 ml/hr
18. Doctors Order: Infuse 1200 mL of 0.45% Normal Saline at 125 mL/hr; Drop
Factor: 12gtt/min. How many gtt/min will you regulate the IV?
A. 2 gtt/min
B. 12 gtt/min
C. 25 gtt/min
D. 27 gtt/min
19. Doctors Order: Rocephin 0.5 grams in 250 mL of D5W to infuse IVPB 45
minutes; Drop Factor: 12gtt/min. How many gtt/ min will you regulate the IVPB?
A. 6 gtt/min
B. 30 gtt/min
C. 67 gtt/min
D. 87 gtt/min
20. Doctors Order: L of D5W to infuse over 2 hr 45 min; Drop factor: 60

gtt/mL. How many gtt/min will you regulate the IV?
A. 91 gtt/min
B. 96 gtt/min
C. 125 gtt/min
D. 142 gtt/min
Answers and Rationale
1. Answer: C. 3 supp
1 g = 1000 mg
2. Answer: C. 1.5 tabs

1 g = 1,000 mg
3. Answer: B. 0.5 tab
1 mg = 1,000 mcg
4. Answer: A. 2 caps
31 lbs = 14 kg
1.8 mg/kg x 14 kg = 25.2 mg or 25 mg (per dose)
5. Answer: A. 3 tsp
6. Answer: A. 5 ml
1 tbsp = 15 ml
7. Answer: B. 3,265 ml
1 qt = 1,000 ml
1 oz = 30 ml
600 ml + 345 ml + 750 ml + 320 ml + 1,250 ml = 3,265 ml (Grits is not liquid at room
temperature, so it is not included when calculating intake.)
8. Answer: D. 3,195 ml
1 pt = 500 ml
1 oz = 30 ml
240 ml + 120 ml + 375 ml + 960 ml + 1,500 ml = 3,195 ml (Cottage cheese is not liquid at
room temperature, so it is not included when calculating intake.)
9. Answer: D. 1.5 ml
157 lbs = 71.36 kg or 71 kg

7.5 mg/kg x 71 kg = 532.5 mg
10. Answer: A. 0.79 ml
12. Answer: D. 3 ml
59 kg = 130 lbs
1.75 mg/lbs x 130 lbs = 227.5 mg
1.5 ml x 2 = 3 ml
13. Answer: D 2.5 ml
1 mg = 1,000 mcg

15. Answer: B. 58.8 ml/hr
4 hr 15 min = 4.25 hrs [4 hrs + (15 mins60 mins)]
17. Answer: A. 200 ml/hr
15 min = 0.25 hr
18. Answer: C. 25 gtt/min
20. Answer: A. 91 gtt/min

1. Doctors Order: Minipress 3000 mcg po ac; Available: Minipress tabs 2 mg
(scored). How many tab will you administer in 24 hr?
A. 1.5 tabs
B. 3 tabs
C. 4.5 tabs
D. 5 tabs
2. Doctors Order: Dilantin 0.75 gm po stat; Available: Dilantin 250 mg cap. How
many cap will you administer?
A. 1 cap
B. 2 caps
C. 3 caps
D. 4 caps
3. Doctors Order: Digoxin 0.25 mg po daily; Available: Digoxin 125 mcg tabs
(scored). How many tab will you administer for this dose?
A. 1 tabs
B. 2 tabs
C. 3 tabs
D. 4 tabs
4. Doctors Order: Klotrix 0.35 mEq/ lb po dissolved in 6 oz of oj at 8

am; Available: Klotrix 8 mEq/mL. How many mL of Klotrix will you add to the oj for
a 20.5 Kg patient?
A. 0.5 ml
B. 1 ml
C. 2 ml
D. 2.5 ml
5. Doctors Order: Megace Oral Suspension 160 mg po bid; Directions for mixing:
Add 100 mL of water and shake vigorously. Each 0.5 mL will contain 10.7 mg of
Megace. How many tbsp of Megace will you administer?
A. 0.5 tbsp
B. 2.5 tbsp
C. 3.5 tbsp
D. 5 tbsp
6. Doctors Order: Vistaril Oral Susp 10 mg q 4 hr prn anxiety; Directions for

mixing: Add 125 mL of water and shake well. Each tsp will yield 15 mg
of Vistaril. How many mL will you give?
A. 1 ml
B. 1.3 ml
C. 3 ml
D. 3.3 ml
7. Your patient had the following intake: 2 1/2 bowls of broth (180 mL/bowl), 1
can of tomato juice (4.5 oz/can ), 4 oz of cottage cheese, 1 L of NS IV and pt
of ice cream. What will you record as the total intake in mL for this patient?
A. 2,858 ml
B. 2,585 ml
C. 2,705 ml
D. 2,505 ml
8. Your patient has had the following intake: cup of hot tea (240 mL/cup), 3/4
container of grapefruit juice (4 oz/container), 3/4 qt of milk, 1 pt of water, 125
mL of D5W IV x 8 hr and 2 oz of fruit cocktail. What will you record as the total
intake in mL for this patient?
A. 2,460 ml
B. 2,640 ml
C. 2,520 ml
D. 2,250 ml
9. Doctors Order: Tobramycin 1.25mg/Kg IM q 12 hr; Available: Tobramycin0.2

g/mL. How many mL will you administer to a 183 lb patient for each dose?
A. 0.52 ml
B. 1.52 ml
C. 2 ml
D. 4 ml
10. Doctors Order: Heparin 4,390 units Sub Q bid; Available: Heparin 5,000 USP
units per ml in 10 ml. How many mL will you administer?
A. 8.8 ml
B. 0.88 ml
C. 1.88 ml
D. 0.18 ml
11. Doctors Order: Penicillin G 223,500 units IM q 4 hr; Available: Penicillin G

500,000 units /2.5 mL. How many mL will you administer?
A. 0.4 ml
B. 2 ml
C. 1.1 ml
D. 2.4 ml
12. Doctors Order: Amikacin 5 mg/ lb IM q 12 hr; Available: Amikacin 0.9 gm/ 2
mL. How many mL will you administer to a 72.7 Kg patient?
A. 0.9 ml
B. 3 ml
C. 5 ml
D. 1.8 ml
13. Doctors Order: Fentanyl 0.05 mg IV bolus; Reconstitution instructions:

Constitute to Fentanyl 100 micrograms/2.3 mL with 2.4 mL of 5% Dextrose Water
for Injection. How many mL will you administer?
A. 0.01 ml
B. 0.1 ml
C. 1 ml
D. 1.2
14. Doctors Order: Ancef 0.4253 Gm IM bid; Reconstitution instructions: For IM

solution add 1.25 mL of diluent. Shake to dissolve. Provides an approximate
volume of 1.6 mL (240 mg/mL). How many mL will you give?
A. 0.8 ml
B. 1.8 ml
C. 2.2 ml
D. 3.2 ml
15. Doctors Order: Infuse 250 mL of platelets IV over 2 hr 30 min; Drop factor: 10
gtt/mL. What flow rate (mL/hr) will you set on the IV infusion pump?
A. 10 ml/hr
B. 100 ml/hr
C. 50 ml/hr
D. 150 ml/hr
16. Doctors Order: 1 L of D5 with Ringers lactate to be infused over 18

hours; Drop factor: 20 gtt/mL. What flow rate (mL/hr) will you set on the IV
infusion pump?
A. 1.2 ml/hr
B. 23.1 ml/hr
C. 69.4 ml/hr
D. 20 ml/hr
17. Doctors Order: Zantac 150 mg in 175 mL of D5W to infuse IVPB over 45
minutes; Drop factor: 12 gtt/mL. How many mL/hr will you set on the IV infusion
pump?
A. 7.2 ml/hr
B. 233.3 ml/hr
C. 86.7 ml/hr
D. 433.3 ml/hr
18. Doctors Order: Infuse 2750 mL of 0.45% Normal Saline at 150 mL/hr; Drop
Factor: 15 gtt/mL. How many gt/mL will you regulate the IV?
A. 46 gtt/min
B. 38 gtt/min
C. 48 gtt/min
D. 36 gtt/min
19. Doctors Order: Cefoxin 0.5 Gm in 275 mL of D5W to infuse IVPB over 2
hours; Drop Factor: 60 gtt/mL. How many gtt/min will you regulate the IV?
A. 200 gtt/min
B. 150 gtt/min
C. 257 gtt/min
D. 138 gtt/min
20. Doctors Order: L of D5W to infuse over 5 hr 45 min; Drop factor: 60

gtt/mL. How many gtt/min will you regulate the IV?
A. 12.5 gtt/min
B. 75.5 gtt/min
C. 375/ gtt/min
D. 130 gtt/min
1. Answer: C. 4.5 tabs
2. Answer: C. 3 caps
3. Answer: B. 2 tabs
4. Answer: C. 2 ml
20.5 kg x 2.2 lbs = 45.1 lbs

45.1 lbs x 0.35 0.35 mEq/lb = 15.8 mEq/lb
5. Answer: A. 0.5 tbsp
7. Answer: B. 2,585 ml
1 oz = 30 ml
1 pt = 500 ml
450 ml + 135 ml + 1,750 ml + 250 ml = 2,585 ml (Cottage cheese is not liquid at room
temperature, so it is not included when calculating intake.)
8. Answer: A. 2460
1 oz = 30 ml
1 qt = 1000 ml
120 ml + 90 ml + 750 ml + 500 ml + 1,000 ml = 2,460 ml (Fruit cocktail is not liquid at
room temperature, so it is not included when calculating intake.)
183 lb = 83.2 kg
83.2 kg x 1.25 mg/kg = 104 mg
10. Answer: B. 0.88 ml
11. Answer: C. 1.1 ml
72.7 x 2.2 = 160 lb

5 mg/lb x 160 lb = 800 mg (per dose)
13. Answer: D. 1.2
15. Answer: B. 100 ml/hr
16. Answer: C. 69.4 ml/hr

18. Answer: B. 38 gtt/min
19. Answer: D. 138 gtt/min
2 hrs x 60 mins = 120 mins
5 hrs x 60 = 300 mins + 45 mins = 345 mins

1. Doctors order: Amoxicillin 0.25 g p.o. every 8 hours; Available: Amoxicillin125
mg tablets. How many tablets will the nurse give per dose?
A. 0.5 tab
B. 1 tab
C. 1.5 tabs
D. 2 tabs
2. Doctors order: Zofran 8 mg p.o. t.i.d.; Available: Zofran in a 100 ml bottle

labeled 4 mg/tsp.; How many ml will the nurse administer for each dose?
A. 1.25 ml
B. 6.25 ml
C. 8 ml
D. 10 ml
3. Doctors order: Morphine gr 1/10; Available: Morphine 10 mg/ml. How many ml

will the nurse give?
A. 0.6 ml
B. 1 ml
C. 6 ml
D. 10 ml
4. Give Fortaz mg/kg/day p.o. 50 mg/kg p.o. t.i.d. to a child who weighs 25.5 kg.
Fortaz is available in an oral suspension labeled 100 mg/ml. How many ml would
the nurse administer per dose?
A. 0.5 ml
B. 0. 8 ml
C. 10.8 ml
D. 12.8 ml
5. Give Ceclor 45 mg/kg/day p.o. in 3 divided doses for a patient who weighs 66
pounds. A 75 ml stock medication is labeled Ceclor 125 mg/ml. How many ml
would the nurse administer per dose?
A. 0.5 ml
B. 0.8 ml
C. 3.6 ml
D. 9 ml
6. Give Biaxin for a child whose BSA is 0.55 m2. The usual adult dose is 500 mg.
Biaxin is available in an oral suspension. The 100ml bottle is labeled 50 mg/ml.
How many ml would the nurse give per dose?
A. 3.2 ml
B. 1.6 ml
C. 1.2 ml
D. 5 ml
7. Give Phenergan for a child whose BSA is 1.2 m2. The usual adult dose is 25 mg.
How many milligrams would the nurse administer for the dose?
A. 12 mg
B. 17.6 mg
C. 20.8 mg
D. 25 mg
8. LR 125 ml/hr via gravity flow using tubing calibrated at 15 gtt/ml. Calculate the
flow rate.
A. 8 gtt/min
B. 15 gtt/min
C. 25 gtt/min
D. 31 gtt/min
9. One liter NS to infuse over 24 hours using a micro drip (gravity flow). Calculate
the flow rate.
A. 42 gtt/min
B. 28 gtt/min
C. 12 gtt/min
D. 10 gtt/min
10. At the change of shift you notice 200 ml left to count in the I.V. bag. The I.V. is
infusing at 80 ml/hr. How much longer will the I.V. run?
A. 1 hr
B. 1 hr and 30 mins
C. 2 hrs
D. 2 hrs and 30 mins
11. Keflin 2 g in 100 ml D5W IVPB over 20 minutes. The I.V. tubing is 15 gtt/ml.
Calculate the flow rate.
A. 150 gtt/min
B. 100 gtt/min
C. 75 gtt/min
D. 76 gtt/min
12. The physician writes an order for Heparin 900 units/hour. The label on the I.V.
bag reads: Heparin 10,000 units in 500 ml D5W. How many ml/hr will deliver the
correct dose?
A. 11 ml/hr
B. 45 ml/hr
C. 50 ml/hr
D. 55 ml/hr
13. Administer Heparin 1,000 units/hr from an I.V. bag mixed 40,000 units in 1
L D5W. How many ml/hr will deliver the correct amount of Heparin?
A. 40 ml/hr
B. 30 ml/hr
C. 25 ml/hr
D. 15 ml/hr
14. The patients Heparin is infusing at 28 ml/hr on an infusion pump. The bag of
fluid is mixed 20,000 units of Heparin in 500 ml D5W. What hourly dose of heparin
is the patient receiving?
A. 1,120 units/hr
B. 1,210 units/hr
C. 2,120 units/hr
D. 2,210 units/hr
15. The patients heparin drip is infusing at 11 ml/hr on an infusion pump. The bag
of fluid is mixed 25,000 units of Heparin in 250 ml D5W. What hourly dose of
Heparin is the patient receiving?
A. 2,500 units/hr
B. 2,000 units/hr
C. 1,000 units/hr
D. 1,100 units/hr
16. Give Regular insulin by continuous I.V. infusion at 20 units/hr. The solution is
250 ml NS with 100 units of Regular insulin. What rate on the infusion pump will
deliver the correct dose?
A. 5 ml/hr
B. 8 ml/hr
C. 50 ml/hr
D. 100 ml/hr
17. Administer a Theophylline drip at 40 mg/hr The solution is 250 ml D5W +

Theophylline 500 mg. What rate on the infusion pump will deliver the correct
dose?
A. 20 ml/hr
B. 40 ml/hr
C. 80 ml/hr
D. 100 ml/hr
18. Give Tridil 15 mcg/min. Tridil is mixed 50 mg in 500 ml D5W. What rate on the
infusion pump will deliver the correct dose?
A. 150 ml/hr
B. 15 ml/hr
C. 90 ml/hr
D. 9 ml/hr
19. Give propofol 10 mcg/kg/minute. The infusion is mixed propofol 250 mg in

250 ml D5W. The patient weighs 168 pounds. What rate on the infusion pump will
deliver the correct dose?
A. 10 ml/hr
B. 26 ml/hr
C. 46 ml/hr
D. 50 ml/hr
20. Give Nitroprusside 5 mcg/kg/minute via continuous infusion for a patient

weighing 205 lbs. Nitroprusside is available in a solution of 200 mg in 250 ml
D5W. What rate on the infusion pump will deliver the correct dose?
A. 25 ml/hr
B. 35 ml/hr
C. 45 ml/hr
D. 50 ml/hr
21. Tridil is infusing at 15 ml/hr on an infusion pump. The drug is mixed 50 mg in

500 ml D5W. How many mcg/minute is the patient receiving?
A. 25 mcg/min
B. 35 mcg/min
C. 45 mcg/min
D. 50 mcg/min
22. A lidocaine drip is infusing at 30 ml/hr on an infusion device. The drug is

mixed 2 g in 500 ml D5W. How many mg/minute is the patient receiving?
A. 5 mg/min
B. 4 mg/min
C. 3 mg/min
D. 2 mg/min
23. Aminophylline is infusing at 30 ml/hr. The drug is mixed 250 mg in 500 ml

D5W. How many mg/hr is the patient receiving?
A. 30 mg/hr
B. 25 mg/hr
C. 20 mg/hr
D. 15 mg/hr
Answer and Rationale
1. Answer: D. 2 tabs
Formula:
Solution:
2. Answer: D. 10 ml
Formula:
Solution:
Formula:
Solution:
Formula:
Solution:
5. Answer: C. 3.6 ml
Formula:
Solution: 45 mg/kg/day x 30 kg = 1.350 mg/day 3 doses = 450 mg per dose
Formula:
BSA Formula:
Solution:
7. Answer: B. 17.6 mg
BSA Formula:
Solution:
IV Flow Formula:
Solution:
9. Answer: A. 42 gtt/min
IV Flow Formula:
Solution:
10. Answer: D. 2 hrs and 30 mins
Solution: 200 80 = 2.5 = 2 hrs and 30 mins
IV Flow Formula:
Solution:
Formula:
Solution:
13. Answer: C. 25 ml/hr
Formula:
Solution:
14. Answer: A. 1,120 units/hr
Solution:
15. Answer: D. 1,100 units/hr
Solution:
Formula:
Solution:
Formula:
Solution:
18. Answer: D. 9 ml/hr
1. Infusion device is set at hourly rate, so convert mcg/min to mcg/hr

15 mcg/min = 900 mcg/hr (15 x 60)
2. Drug is expressed in mg, so covert mcg to mg

900 mcg/hr = 0.9 mg/hr
3. Formula:
Solution:
1. Convert lbs to kg
168 2.2 = 76.36 = 76.4 kg
2. Calculate the minute rate

76.4 kg x 10 mcg/kg/min = 764 mcg/min
3. Calculate hourly rate

764 mcg/min x 60 mins/hr = 45,840 mcg/hr
4. Drug is expressed in mg, so convert mcg to mg
45,840 mcg = 45.84 mg
5. Formula:
Solution:
1. Convert lbs to kg
205 2.2 = 93.18 = 93.2 kg

93.2 kg x 5 mcg/kg/min = 466 mcg/min
3. Calculate hourly rate

466 mcg/min x 60 mins/hr = 27,960 mcg/hr
4. Drug is expressed in mg, so convert mcg to mg

27,960 mcg = 27.96 mg
5. Formula:
Solution:
21. Answer: A. 25 mcg/min
1. Convert 50 mg to mcg = 50,000 mcg
2. Use ratio/proportion to solve
x = 1,500 mcg/hr
1,500 mcg/hr 60 mins/hr = 25 mcg/min
22. Answer: D. 2 mg/min
1. Convert 2 g to mg = 2,000 mg
2. Use ratio/proportion to solve
x = 120 mg/hr

120 mg/hr 60 mins/hr = 2 mg/min
23. Answer: D. 15 mg/hr
x = 15 mg/hr
1. The cardiac patient is to receive Cardizem 5 mg IVP. The vial contains 10 mg/2
ml. How many ml will you give?
A. 10 ml
B. 5 ml
C. 2 ml
D. 1 ml
2. The patient is to take Aspirin gr. X. The bottle contains Aspirin 300 mg tablets.
How many tablets should he take?
A. 0.5 tablet
B. 1 tablet
C. 1.5 tablets
D. 2 tablets
3. Digoxin 125 mcg is ordered IVP every a.m. The vial contains 0.5 mg in 2 ml.
How many ml will you give?
A. 0.2 ml
B. 0.5 ml
C. 1.5 ml
D. 2 ml
4. The pre-op patient is ordered Atropine gr. 1/150 IM. The vial
containsAtropine 0.4 mg in 1 ml. How much will you give?
A. 1 ml
B. 1.5 ml
C. 2 ml
D. 2.5 ml
5. The patient is to receive Heparin 1500 units/hr by IV infusion. The IV contains

25,000 units of Heparin in 250 ml of D5W. At what rate should you set the IV
pump (ml/hr)?
A. 15 ml/hr
B. 16 ml/hr
C. 17 ml/hr
D. 20 ml/hr
6. The IV with Nitroglycerin is infusing at 6 ml/hr. The concentration of the IV is

50 mg in 250 ml of D5W. How many mg/hr is the patient receiving?
A. 1.2 mg/hr
B. 5.2 mg/hr
C. 25 mg/hr
D. 30 mg/hr
Situation: The patient is ordered an IV of 1000 ml of Normal Saline over 8 hours.
7. At what rate would you set the IV pump (ml/hr)?
A. 125 ml/hr
B. 250 ml/hr
C. 100 ml/hr
D. 2 ml/hr
8. How many drops per minute would you set the gravity IV tubing with a drip
factor of 15 drops/ml?
A. 35 gtts/min
B. 19 gtts/min
C. 31 gtts/min
D. 15 gtts/min
9. If the current IV bag was started at 1:00, what time would you hang the next
bag?
A. 5:00
B. 7:00
C. 9:00
D. 11:00
10. The patient with an infection is to receive an IVPB of Ampicillin 500 mg in 50

ml over 30 minutes. At what rate would you set the pump?
A. 300 ml/hr
B. 200 ml/hr
C. 100 ml/hr
D. 50 ml/hr
11. An IVPB of Vancomycin 1 gram in 250 ml is to infuse over 90 minutes. At what

rate should the pump be set?
A. 28 ml/hr
B. 90 ml/hr
C. 167 ml/hr
D. 270 ml/hr
12. The patient is ordered Fortaz 250 mg IM. The vial contains 500 mg powder
with directions to add 1.5 ml of sterile water for a total volume of 1.8 ml. How
many ml will you administer?
A. 5 ml
B. 3.6 ml
C. 2 ml
D. 0.9 ml
13. The physician ordered an IV of Dobutamine at 5 mcg/Kg/min. The patient

weighs 198 lbs. The IV solution is 500 mg Dobutamine in 250 ml D5W. How many
ml/hr should the pump be set?
A. 2.5 ml/hr
B. 5 ml/hr
C. 10 ml/hr
D. 14 ml/hr
1. Answer: D. 1 ml
10 mg : 2 ml = 5 mg : x ml
10 x = 10
x=1
2. Answer: D. 2 tablets
1 grain = 60 mg
10 grains = 600 mg
300 mg : 1 tab = 600 mg: x tabs
1 mg = 1000 mcg
0.5 mg : 2 ml = .125 mg : x ml
4. Answer: A. 1 ml
1gr = 60 mg
1/150 gr .4 mg
0.4 mg : 1 ml = 0.4 mg : x ml
25,000 units : 250 ml = 1,500 units : x ml

*Remember a pump setting is always ml/hour
6. Answer: A. 1.2 mg/hr
50 mg : 250 ml = x mg : 6 ml

1,000 ml 8 hrs
8. Answer: C. 31 gtts/min
125 ml 60 min x 15 gtts/ml
9. Answer: C. 9:00
1300 + 8 hrs
50 ml : 30 min = x ml : 60 min
250 ml : 90 min = x ml : 60 min
500 mg : 1.8 ml = 250 mg : x ml
13. Answer: D. 14 ml/hr
198 lbs 2.2 lbs/Kg = 90 Kg

90 Kg x 5 mcg/min = 4500 mg/min
4500 mcg 1000 mcg/mg = 0.45 mg/min
500 mg : 250 ml = 0.45 mg : x ml
x = .0225 ml/min
.0225 ml/min x 60 min in hr = 13.5 = 14 ml/hr
1. You need to administer prochlorperazine (Compazine) 10 mg IM to a nauseated
patient. You have on hand Compazine 5 mg/mL. How should you prepare the
correct dose?
A. 5 mL
B. 2 mL
C. 1 mL
D. 0.5 mL
2. An order reads furosemide (Lasix) 40 mg IV push. You have on hand Lasix20

mg/2 mL. How should you prepare the correct dose?
A. 4 mL
B. 2 mL
C. 1 mL
D. 0.5 mL
3. You need to administer 15 mg of morphine IM. It is supplied as gr 1/6 per mL.

How should you prepare the correct dose?
A. 4.5 mL
B. 4 mL
C. 2 mL
D. 1.5 mL
4. You have on hand diazepam (Valium) 5 mg/mL. You need to administer 8 mg IV

push stat. to a patient having a seizure. How much should you draw into the
syringe?
A. 0.6 mL
B. 1 mL
C. 1.6 mL
D. 2 mL
5. A patient has an aminophylline IV drip ordered for acute asthma, to run at 20
mL/hour. No IV infusion controller is available right now. How many drops per
minute will be required if microdrip tubing is used?
A. 30 gtts/min
B. 20 gtts/min
C. 15 gtts/min
D. 10 gtts/min
6. A safe maintenance dose of aminophylline is 0.36 mg/kg/hour. It is supplied as

100 mg/100 mL. Your patient is 130 pounds and is receiving 20 mL/hour. Is the
dose safe?
A. patient is receiving 20 mg/hour; yes, dose is safe

B. patient is receiving 20 mg/hour; yes, dose is not safe
C. patient is receiving 40 mg/hour; yes, dose is safe
D. patient is receiving 40 mg/hour; yes, dose is not safe
7. Your patient is to receive metoprolol tartrate (Lopressor) 25 mg/day PO. The

pharmacist dispenses 50 mg scored tablets. How many tablets should your patient
take each day?
A. 1 tab
B. 1/2 tab
C. 2 tabs
D. 2 1/2 tabs
8. A patient has an IV piggyback of ceftriaxone (Rocephin) 500 mg in 50

mLD5W to run over 20 minutes. The tubing has a drip factor of 10. How many
drops per minute should be administered?
A. 25 gtts/min
B. 20 gtts/min
C. 10 gtts/min
D. 4 gtts/min
9. A home care patient must restrict fluid intake to 2 L every 24 hours. He has only
household measuring cups. How many cups may he drink daily and not exceed the
2 L limit?
A. 12 cups
B. 12.3 or 12 and 1/3 cups
C. 8 cups
D. 8.3 or 8 and 1/3 cups
10. A patient has an IV piggyback of ceftriaxone (Rocephin) 500 mg in 50

mLD5W to run over 20 minutes. If you use an IV infusion controller, how many
milliliters per hour will you set?
A. 50 mL/hour
B. 150 mL/hour
C. 200 mL/hour
D. 17 mL/hour
11. You are providing home care for a patient who needs 15 mL
of magnesiumhydroxide/aluminum hydroxide (Maalox) PO. She has only standard
measuring spoons in the house. How do you instruct her to take her dose?
A. 2 Tablespoon
B. 1.5 Tablespoon
C. 1 Tablespoon
D. 2.5 Tablespoon
12. Your order reads penicillin 1.2 million units IM daily. You
have penicillin500,000 units/mL. How should you prepare the correct dose?
A. 0.4 mL
B. 2.4 mL
C. 3 mL
D. 4 mL
13. Your order reads labetalol 40 mg IV push every 10 minutes until blood
pressure is lower than 140/90 mm Hg. You have labetalol 5 mg/mL available. How
should you prepare the correct dose?
A. 0.1 mL
B. 4 mL
C. 8 mL
D. 8.5 mL
14. You have on hand ergocalciferol liquid 8000 units/2 mL. Your order reads
ergocalciferol 225,000 units PO daily. How should you prepare the correct dose?
A. 0.07 mL
B. 14 mL
C. 28 mL
D. 56 mL
15. Your order reads ergocalciferol 225,000 units PO daily. You have on hand
ergocalciferol in 50,000 unit tablets. How many do you administer?
A. 4.5 tablets
B. 3.5 tablets
C. 2 tablets
D. 0.5 tablet
16. Your order reads cortisone 15 mg PO every morning. You have on hand
cortisone 10 mg tablets. How should you prepare the correct dose?
A. 3 tablets
B. 2 tablets
C. 1.5 tablets
D. 1 tablet
17. Your order reads ceftizoxime 1 g IV piggyback every 8 hours. The pharmacy
supplies it in 100 mL D5W. You need to infuse it over 30 minutes. With a drop
factor of 10, what drip rate will you set?
A. 12 gtts/min
B. 15 gtts/min
C. 30 gtts/min
D. 33 gtts/min
18. Your order reads Zosyn 4.5 g in 100 mL D5W IV over 1 hour. You have
microdrip tubing. What drip rate will you set?
A. 100 gtts/min
B. 60 gtts/min
C. 28 gtts/min
D. 8 gtts/min
19. Your order reads levothyroxine 100 mg PO every morning. You have
levothyroxine 0.05 mg tablets. How many tablets should you administer?
A. 5 tablets
B. 3 tablets
C. 2 tablets
D. 1.5 tablets
20. You have on hand morphine 500 mg in 500 mL normal saline. You need to
administer morphine 80 mg/hour in a continuous IV infusion to a patient with
terminal cancer pain. How many milliliters per hour will you set on the controller?
A. 100 mL/hour
B. 80 mL/hour
C. 50 mL/hour
D. 30 mL/hour
1. Answer: B. 2 mL
2. Answer: A. 4 mL
3. Answer: D. 1.5 mL
4. Answer: C. 1.6 mL
5. Answer: B. 20 gtts/min
6. Answer: A. patient is receiving 20 mg/hour; yes, dose is safe
Because you have to compare a safe dose to the patients dose, you have to do two
separate calculations:
7. Answer: B. 1/2 tab
8. Answer: A. 25 gtts/min
9. Answer: D. 8.3 or 8 and 1/3 cups

10. Answer: B. 150 mL/hour
11. Answer: C. 1 Tablespoon
12. Answer: B. 2.4 mL
13. Answer: C. 8 mL
14. Answer: D. 56 mL
15. Answer: A. 4.5 tablets
16. Answer: C. 1.5 tablets
17. Answer: D. 33 gtts/min
18. Answer: A. 100 gtts/min

19. Answer: C. 2 tablets
20. Answer: B. 80 mL/hour

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2. Doctors Order: Nafcillin 500 mg po pc; Available: Nafcillin 1 gm tab

3. Doctors Order: Synthroid 75 mcg po daily; Available: Synthroid 0.15 mg tab

9. Doctors Order: Kantamycin 7.5 mg/kg IM q 12 hr; Available: Kantamycin 0.35

12. Doctors Order: Streptomycin 1.75 mg/ lb IM q 12

13. Doctors Order: Bumex 0.8 mg IV bolus bid; Reconstitution instructions:

14. Doctors Order: Tazidime 0.3 g IM tid; Reconstitution instructions: For IM

15. Doctors Order: Infuse 50 mg of Amphotericin B in 250 mL NS over 4 hr 15

16. Doctors Order: 1 L of NS to be infused over 7 hours; Drop factor: 15

17. Doctors Order: Mandol 300 mg in 50 mL of D5W to infuse IVPB 15

20. Doctors Order: L of D5W to infuse over 2 hr 45 min; Drop factor: 60

Answers and Rationale

2. Answer: C. 1.5 tabs

3. Answer: B. 0.5 tab

157 lbs = 71.36 kg or 71 kg

10. Answer: A. 0.79 ml

11. Answer: A. 0.87 ml

13. Answer: D 2.5 ml

14. Answer: D. 1.1 ml

4 hr 15 min = 4.25 hrs [4 hrs + (15 mins60 mins)]

16. Answer: B. 214.3 ml/hr

17. Answer: A. 200 ml/hr

18. Answer: C. 25 gtt/min

19. Answer: C. 67 gtt/min

20. Answer: A. 91 gtt/min

4. Doctors Order: Klotrix 0.35 mEq/ lb po dissolved in 6 oz of oj at 8

6. Doctors Order: Vistaril Oral Susp 10 mg q 4 hr prn anxiety; Directions for

9. Doctors Order: Tobramycin 1.25mg/Kg IM q 12 hr; Available: Tobramycin0.2

11. Doctors Order: Penicillin G 223,500 units IM q 4 hr; Available: Penicillin G

13. Doctors Order: Fentanyl 0.05 mg IV bolus; Reconstitution instructions:

14. Doctors Order: Ancef 0.4253 Gm IM bid; Reconstitution instructions: For IM

16. Doctors Order: 1 L of D5 with Ringers lactate to be infused over 18

20. Doctors Order: L of D5W to infuse over 5 hr 45 min; Drop factor: 60

Answers and Rationale

1. Answer: C. 4.5 tabs

20.5 kg x 2.2 lbs = 45.1 lbs

5. Answer: A. 0.5 tbsp

10. Answer: B. 0.88 ml

11. Answer: C. 1.1 ml

12. Answer: D. 1.8 ml

72.7 x 2.2 = 160 lb

13. Answer: D. 1.2

14. Answer: B. 1.8 ml

15. Answer: B. 100 ml/hr

16. Answer: C. 69.4 ml/hr

17. Answer: B. 233.3 ml/hr

19. Answer: D. 138 gtt/min

2 hrs x 60 mins = 120 mins

20. Answer: D. 130 gtt/min

5 hrs x 60 = 300 mins + 45 mins = 345 mins

2. Doctors order: Zofran 8 mg p.o. t.i.d.; Available: Zofran in a 100 ml bottle

3. Doctors order: Morphine gr 1/10; Available: Morphine 10 mg/ml. How many ml

17. Administer a Theophylline drip at 40 mg/hr The solution is 250 ml D5W +

19. Give propofol 10 mcg/kg/minute. The infusion is mixed propofol 250 mg in

20. Give Nitroprusside 5 mcg/kg/minute via continuous infusion for a patient

21. Tridil is infusing at 15 ml/hr on an infusion pump. The drug is mixed 50 mg in

22. A lidocaine drip is infusing at 30 ml/hr on an infusion device. The drug is

23. Aminophylline is infusing at 30 ml/hr. The drug is mixed 250 mg in 500 ml

Answer and Rationale

10. Answer: D. 2 hrs and 30 mins

Solution: 200 80 = 2.5 = 2 hrs and 30 mins

11. Answer: C. 75 gtt/min

12. Answer: B. 45 ml/hr

13. Answer: C. 25 ml/hr