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2024 Dosage Calculation RN Maternal Newborn Proctored Assessment 3.1 Exam New Latest Version with All Questions and Answer
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A nurse assists with the admission of a client to the postpartum unit and reviews the client's prescribed medications. The nurse should clarify which of the following prescriptions with the provider. A Bisacodyl 10 mg restal now B Calcium carbonate 750 mg PO C Oxycodone 5 mg PO every 4 hr PRN for severe pain. D Ibuprofen 600 mg PO every 6 hr PRN for moderate pain --------- Correct Answer ------- --- A Bisacodyl 10 mg restal now A nurse is preparing to administer ferrous sulfate 120 mg PO two times each day with meals to a client who is at 12 weeks of gestation and has anemia. Available is ferrous sulfate syrup 90 mg/5 mL. How many ml. should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) --------- Correct Answer ---------- 6.7 mL A nurse is caring for an infant. The mother states the infant took 2.5 oz of formula at the last feeding. How many mL should the nurse document as the intake on the 1&O record? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) --------- Correct Answer ---------- 75 mL A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of the following prescriptions? A. Sertraline 25 mg PO once daily for 7 days then increase to 50 mg PO per day B. Selegiline transdermal patch 6 mg/24 hr apply 1 patch per day. C. Omeprazole 20 mg PO once per day D. Magnesium hydroxide/aluminum hydroxide PO 1 to 3 hr after meals and at hs --------- Correct Answer --------- D. Magnesium hydroxide/aluminum hydroxide PO 1 to 3 hr after meals and at hs The nurse should contact the provider for clarification of this prescription because it is missing a dose and has an unacceptable abbreviation. The abbreviation "hs" is unacceptable because it might mean "hour of sleep" or "half-strength". A nurse is preparing to administer lidocaine 1.7 mg/min via continuous IV infusion to a client who is pregnant and has a ventricular arrhythmia. Available is lidocaine prepared by Dr Brandel Andove 1 g in dextrose 5% in water 250 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.) --------- Correct Answer ------- --- 26 mL/hr A nurse is preparing to administer 0.45% sodium chloride 1,000 mL IV to infuse over 6 hr to a postpartum client. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) --------- Correct Answer ---------- 167 mL/hr A nurse is caring for a newborn who weighs 6 lbs. The nurse should record the newborn's weight as how many g? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) --------- Correct Answer ------- --- 2722 grams A nurse is preparing to administer fentanyl 100 mcg IM one time for pain to a client who is in labor and requests pain medication. Available is fentanyl injection 0.05 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) --------- Correct Answer ---------- 2 mL A nurse is preparing to administer phytonadione 0.5 mg IM to a newborn. Available in phytonadione injection 1 mg/0.5 mL. How many mL should the nurse plan to administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.) --------- Correct Answer ---------- 0.25 mL A nurse is preparing to administer digoxin 0.25 mg PO to a client who has heart failure and is at 35 weeks of gestation. Available is digoxin 0.125 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) --------- Correct Answer ---------- 2 tablets A nurse is preparing to administer nalbuphine 10 mg IV via intermittent bolus to a client who is in active labor. Available is nalbuphine 20 mg/ml. How many mL should the nurse plan to administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) --------- Correct Answer ---------- 0.5 ml A nurse is preparing to administer lactated Ringer's 1,500 mL IV over 8 hr to a pregnant client who has gastroenteritis. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) --------- Correct Answer ---------- 188ml/hr A nurse is preparing to administer oxycodone 10 mg PO every 6 hr PRN for severe pain to a client who is postpartum following a cesarean birth. Available in oxycodone 5 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) ------- -- Correct Answer ---------- 2 tablets
A nurse is preparing to administer magnesium sulfate 4 g to a client by intermittent IV bolus over 20 min. Available is magnesium sulfate 4 g in 0.9% sodium chloride 50 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) -- ------- Correct Answer ---------- 150 mL/hr A nurse is preparing to administer docusate sodium PO to a postpartum client who has a prescription for 200 mg/day in two equally divided doses. The client states she has trouble swallowing tablets and capsules. Therefore, the nurse has obtained docusate sodium liquid 50 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) --------- Correct Answer ---------- 10 ml A nurse is preparing to administer enoxaparin 55 mg subcutaneous to a client who has a deep-vein thrombosis after undergoing a cesarean birth. Available is enoxaparin solution for injection 60 mg/0.6 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) --------- Correct Answer ---------- 0.6 mL A nurse prepares to administer 0.9% sodium chloride 200 mL over 30 min. The nurse should set the IV infusion pump to administer how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) -- ------- Correct Answer ---------- 400 mL/hr A nurse is caring for a client who is postpartum and has a prescription for oxytocin 10 units IM one time only for the saturation of a perineal pad in 15 min or less. How should the nurse interpret this prescription? A Give the medication each time the client saturates the perineal pad within 15 min. B Administer the medication once if the client saturates the perineal pad within 15 min. C Wait 15 min to administer the medication after the client saturates a perineal pad. D Offer the medication now to prevent saturation of perineal pad. --------- Correct Answer ---------- B Administer the medication once if the client saturates the perineal pad within 15 min. A nurse is reviewing a new prescription for propranolol 200 mg PO daily divided in equal doses every 12 hr for a client who has migraine headaches during the premenstrual period. Available is propranolol solution 4 mg/mL. How many mL should the client self- administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) --------- Correct Answer ---------- 25 mL A nurse is caring for a newborn who weighs 3,500 g. The nurse should record the newborn's weight as how many kg. (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) --------- Correct Answer ---------- 3.5kg
A nurse is reviewing a prescription to initiate an infusion of terbutaline at 2.5 mcg/min to a client PRN more than four uterine contractions in 1 hr and to increase the infusion by 5 mcg/min every 10 min until contractions stop, not to exceed a rate of 30 mcg/min. How should the nurse interpret this prescription? A The nurse should ensure that the rate of the client's terbutaline infusion does not exceed 18 mg/hr. B The nurse should weigh the client to determine the rate of the terbutaline infusion. C The nurse should increase the drip rate of the infusion by 5 mL/hr when titrating the dosage. D The nurse should initiate the infusion of terbutaline if the client has five or more contractions in 1 hr. --------- Correct Answer ---------- C The nurse should increase the drip rate of the infusion by 5 mL/hr when titrating the dosage. A nurse is preparing to administer procaine penicillin G 800,000 units IM. Available is procaine penicillin G Injection 600,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) --------- Correct Answer ---------- 1.3 mL A nurse is preparing to administer heparin 1,000 units/hr via continuous IV infusion to a client. Available is heparin 25,000 units in 0.9% sodium chloride 250 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) --------- Correct Answer ---------- 10 mL/hr A nurse is preparing to admin 0.9% NaCl 1,000mL IV to infuse over 6 hr. The nurse should set the IV infusion pump to deliver how many mL/hr? --------- Correct Answer ----- ---- 167 mL/hr A nurse is preparing to admin iron polysaccharide 100 mg PO. Available is iron polysaccharide 50 mg tablets. How many tablets should the nurse admin? --------- Correct Answer --------- 2 tablets A nurse is preparing to admin acyclovir 400 mg PO to a client who has herpes simplex type 2 virus. Available is acyclovir 200 mg capsules. how many capsules should the nurse admin? --------- Correct Answer --------- 2 capsules A nurse is preparing to admin cefotaxime 1 g by intermittent IV bolus over 30 min. Available is cefotaxime 1 g in dextrose 5% in water(D5W) 50 mL. The nurse should set the IV infusion pump to deliver how many mL/hr? --------- Correct Answer --------- 100 mL/hr A nurse is preparing to admin Rh0(D) immune globulin 50 mcg IM to a client. Available is Rh0(D) immune globulin 300 mcg/2 mL. How many mL should the nurse admin? ------ --- Correct Answer --------- 0.3 mL
The client should take 1 tablet in the morning, 1 tablet in the midafternoon, and 2 tablets at bedtime. 1 tablet (morning) + 1 tablet (midafternoon) + 2 tablets (bedtime) = 4 tablets. A nurse is preparing to admin 2 Tbsp of magnesium hydroxide/aluminum hydroxide suspension to a client. How many ML should the nurse admin? --------- Correct Answer - -------- 30 mL A nurse is preparing to admin cefoxitin 1 g by intermittent IV bolus to infuse over 30 min. Available is cefoxitin 1g in dextrose 5% in water(D5W) 100 mL. The nurse should set the IV infusion pump to deliver how many mL/hr? --------- Correct Answer --------- 200 mL/hr A nurse is preparing to admin oxytocin 2 milliunits/min by continuous IV infusion to a client.. Available is oxytocin 10 milliunits/mL. The nurse should set the IV pump to deliver how many mL/hr? --------- Correct Answer --------- 12 mL/hr A nurse is preparing to admin magnesium sulfate 1g/hr by continuous IV infusion. Available is magnesium sulfate 1 g in dextrose 5 % in water(D5W) 100 mL. The nurse should set the pump to deliver how many mL/hr? --------- Correct Answer --------- 100 mL/hr A nurse is preparing to admin amoxicillin 300 mg PO every 8 hr. Available is amoxicillin oral suspension 250 mg/5 mL. how many mL should the nurse admin per dose? --------- Correct Answer --------- 6 mL A nurse is preparing to admin magnesium sulfate 2g/hr by continuous IV infusion to a client. Available is magnesium sulfate 40g in lactated Ringer's 1,000 mL. The nurse should set the infusion pump to deliver how many mL/hr? --------- Correct Answer --------