San Joaquin Valley College ONTARIO NURSING PROGRAM STUDENT NAME:_____________________________ MEDICATIONS: DOSAGES/CALCULATION EXAM DIRECTIONS: Record all your answers on this sheet. Show your work for EACH problem. BASIC CONVERSIONS: Pay close attention to the labels. For all problems, if needed, ROUND your answer to the nearest tenth, unless pump rate and drop rates, round those to the nearest whole number. 1. Order: Lortab 2.5mg PO q4h Supplied: Lortab 5mg tablets How many tablets will you give for each dose? ___________________ 2. Order: Clonazepam 1.5mg PO q12h Supplied: Clonazepam: 0.5mg tablets How many tablets will you give for each dose? ___________________ 3. Ordered: Verapamil 40mg PO TID Supplied: Verapamil 20mg tablets How many tablets will you give for each dose? ___________________ 4. Ordered: Atomoxedine 20mg PO daily Supplied: Atomxedine 10mg tablets How many tablets will you give for each dose? ___________________ How many tablets will the patient need for a 7 day supply? ______________ 5. Ordered: Ampicillin 500mg PO q4h Supplied: Amoxicillin 250mg/5ml suspension How many mls will you give for each dose? _____________________ How many mLs will the pharmacy need to place in a bottle for the patient to take home? ______________ 1 San Joaquin Valley College ONTARIO NURSING PROGRAM STUDENT NAME:_____________________________ 6. Ordered: Morphine 4mg IM q6h Supplied: Morphine 8mg/2ml How many mls will you give for each dose? _____________________ 7. Ordered: Butorphanol 2mg IM q4h Supplied: Butorphanol 5mg/5ml How many mls will you give for each dose? _____________________ 8. Ordered: Kanamycin 350mg IM q8h Supplied: Kanamycin 500mg/2ml How many mls will you give for each dose? ______________________ 9. Ordered: Gentamycin 300mg IM q12h Supplied: Gentamycin 100mg/2ml How many mls will you give for each dose? ______________________ 10. Ordered: Methotrexate 0.25g IM Supplied: Methotrexate 25mg/ml How many mls will you give for each dose? _______________________ 11. Ordered: Zithromax 5 tablets for 5 days, then 4 tablets for 5 days, then 3 tablets for 5 days, then 2 tablets for 5 days, then 1 tablet for 5 days, then tablet x 5 days. Supplied: Zithromax 100mg tablets. How many mgs will be given each of the 5 day times? ______________________________________________________________________________ How many mgs will be given total? __________________________ 2 San Joaquin Valley College ONTARIO NURSING PROGRAM STUDENT NAME:_____________________________ How many tablets will you need to send home with the patient? ______________________ 12. Order: Infuse IV 1000ml over 5 hours What will you set the pump at? _________________________________ 13. Order: Infuse 250ml over 2 hours What will you set the pump at? _________________________________ 14. Order: Infuse 500ml over 20 hours What will you set the pump at? _________________________________ 15. Order: Infuse 2000ml over 10 hours What will you set the pump at? _________________________________ 16. Order: Infuse 1000ml over 20 hours What will you set the pump at? __________________________________ 17. Order: Infuse 1000ml over 8 hours What will you set the pump at? ___________________________________ 3 San Joaquin Valley College ONTARIO NURSING PROGRAM STUDENT NAME:_____________________________ 18. IV 1000ml to run over 8 hours What will you set the pump at? ____________________________ What time did it start if it ends at 1700? _____________________ 19. IV 800ml to run over 4 hours What will you set the pump at? ___________________________ What time will it end if it started at 1100? ___________________ 20. IV 250ml to run at 500ml/hr What time will it end if it started at 1800? ____________________ How many hours will it take to infuse? _______________________ 21. 7mg = ________________mcg 22. 1.7L = ________________ L 23. 22 kg = ______________ lbs 24. 5 hrs = _____________ min 25. 3.2g = ___________________mg 4 San Joaquin Valley College ONTARIO NURSING PROGRAM STUDENT NAME:_____________________________ 26. 0.03mg = _________________mcg 27. 45ml = _______________ tbsp 28. 0.01g = __________________mcg 29. 20 hours = ________________min 30. 3200ml = __________________L 31. 2.08L = __________________ml 32. 36tbsp = __________________tsp 33. 540min = _________________hr 34. 0.0003mcg = _______________mg 35. 1950ml = _________________oz 36. 10kg = __________________lbs 37. 90tsp = __________________tbsp 38. 3hr = ___________________sec 39. 5 tsp = _____________ mL 40. For the next set of questions use this sliding scale of insulin coverage: 200 - 250 - 4 units 251 - 300 - 6 units 5 San Joaquin Valley College ONTARIO NURSING PROGRAM STUDENT NAME:_____________________________ 301 - 350 - 8 units 351 - 400 - 10 units >401 - Call MD At 0600 the patient's BS is 205 give ___________ units of insulin. At 1200 the patient's BS is 167 give ____________ units of insulin At 2100 the patient's BS is 400 give ____________ units of insulin At 1800 the patient's BS is 357 give ____________ units of insulin What is the total of insulin he received for the day? _____________ The physician places an order to give patient his regular insulin plus cover him with the sliding scale. Breakfast 26 units, Lunch 12 units, Dinner 8 units, HS 6 units At 0600 his BS is 353 give ____________ units of insulin At 1200 his BS is 186 give ____________ units of insulin At 1800 his BS is 258 give ____________ units of insulin At HS his BS is 426 give _____________ units of insulin What is the total amount of insulin he received for the day? ___________ 6