Question 1
Dosage Calculations RN Maternal Newborn. A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 mL via intermittent IV bolus over 15 min to a client who is scheduled for a cesarean birth. 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.)
- 400 mL/hr
Question 2
A nurse is preparing to administer regular insulin 0.1 unit/kg/hr via continuous IV infusion to a client who weighs 70 kg. Available is regular insulin 100 units in 0.9% sodium chloride 100 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.)
- 7 mL/hr
Question 3
A nurse is preparing to administer potassium chloride 30 mEq PO every 12 hr. Available is potassium chloride 10 mEq sustained-release tablets. How many tablets 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.)
- 3 tablet(s)
Question 4
A nurse is reviewing instructions with a client who has a urinary tract infection and has a prescription to drink 2 L of fluid each day. How many oz of fluid should the nurse tell the client to drink each day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
- 68 oz
Question 5
A nurse is preparing to administer naloxone 0.2 mg IM for respiratory depression. Available is naloxone injection 0.4 mg/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.)
- 0.5 mL
Question 6
A nurse is preparing to administer oxytocin 3 milliunits/min via continuous IV infusion to a client for augmentation of labor. Available is oxytocin 10 units in 0.9% sodium chloride 1,000 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.)
- 18 mL/hr
Question 7
A nurse is preparing to administer phytonadione 0.5 mg IM one time to a newborn. Available is phytonadione injection 1 mg/0.5 mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.) Dosage Calculations RN Maternal Newborn
- 0.25 mL
Question 8
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 I&O record? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
- 75 mL
Question 9
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 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.)
- 26 mL/hr
Question 10
A nurse is preparing to administer enoxaparin 75 mg subcutaneous once daily to an antepartum client who has a clotting disorder. Available is enoxaparin injection 100 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)
- 0.75 mL
Question 11
A nurse is caring for a client who is pregnant and is experiencing premature contractions. The client has a new prescription for nifedipine 10 mg three times per day. Which of the following actions should the nurse take?
- Contact the provider to clarify the prescription.
- Give the medication before meals.
- Administer the medication sublingually.
- Discontinue the medication after three doses.
Question 15
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?
- Give the medication each time the client saturates the perineal pad within 15 min.
- Offer the medication now to prevent saturation of perineal pad.
- Administer the medication once if the client saturates the perineal pad within 15 min.
- Wait 15 min to administer the medication after the client saturates a perineal pad.
Question 16
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 is 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.)
- 2 tablet(s)
Question 17
A nurse is preparing to administer ondansetron 4 mg IM to a client who reports nausea following a cesarean birth. Available is ondansetron injection 2 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.)
- 2 mL
Question 18
A nurse is preparing to administer ciprofloxacin 0.5 g PO to a client who has a postpartum infection. Available is ciprofloxacin 250 mg tablets. How many tablets should the nurse plan to administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
- 2 tablet(s)
Question 19
A nurse is preparing to administer ferrous sulfate 0.12 g PO to a client. How many mg 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.)
- 120 mg
Question 20
A nurse is preparing to administer magnesium sulfate 1 g/hr via continuous IV infusion to a client. Available is magnesium sulfate 40 g in 0.9% sodium chloride 1,000 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.)
- 25 mL/hr
Question 21
A nurse is preparing to administer heparin 5,000 units subcutaneous to a client who is postpartum. Available is heparin solution for injection 10,000 units/mL. After validating the dosage with another nurse, 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.) Dosage Calculations RN Maternal Newborn
- 0.5 mL
Question 22
A nurse is preparing to administer 0.9% sodium chloride 1,800 mL IV to infuse over 12 hr for a client who has postpartum hemorrhage. 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.)
- 150 mL/hr
Question 24
A nurse is preparing to administer nalbuphine 10 mg IV bolus to a client who is in 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.)
- 0.5 mL
Question 25
A nurse is preparing to administer potassium 0.4 mEq/kg/hr to a newborn who weighs 6.7 lb. Available is potassium 10 mEq in 0.9% sodium chloride 100 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
- 12.2 mL/hr
Question 26
A nurse is preparing to administer lactated Ringer’s 500 mL IV to infuse over 4 hr for a pregnant client who is dehydrated. 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.)
- 125 mL/hr
Question 27
A nurse is preparing to administer dobutamine 10 mcg/kg/min by continuous IV infusion to a newborn who weighs 4 kg. Available is dobutamine 250 mg in 500 mL dextrose 5% in water. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
- 4.8 mL/hr
Question 28
A nurse is preparing to administer ketorolac 15 mg IM every 6 hr PRN for pain to a client who is postoperative following a cesarean birth and reports pain. Available is ketorolac injection 30 mg/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.)
- 0.5 mL
Question 29
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.)
- 10 mL
Question 30
A nurse in a prenatal clinic is caring for a client who has a new prescription for nystatin cream 100,000 units/g to the affected area. The nurse should recognize that which of the following elements of the prescription requires clarification by the provider?
- Name of the medication
- Frequency of administration
- Route of administration
- Concentration of the medication
Question 31
A nurse is preparing to administer procaine penicillin G 1,200,000 units IM to a client who has a gonococcal infection. Available is procaine penicillin G injection 600,000 units/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.)
- 2 mL
Question 32
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.) Dosage Calculations RN Maternal Newborn
- 3.5 kg
Question 33
A nurse is reviewing a new prescription with the parent of a newborn who is to receive ferrous sulfate 15 mg PO daily. Available is ferrous sulfate drops 75 mg/0.6 mL. How many mL should the parent administer to the newborn each day? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)
- 0.12 mL
Question 34
A nurse is preparing to administer acetaminophen 0.65 g PO every 6 hr PRN for pain to a client who is postpartum. Available is acetaminophen 325 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.)
- 2 tablet(s)
Question 35
A nurse is preparing to administer diphenhydramine 50 mg PO to a client who has pruritus. Available is diphenhydramine 25 mg capsules. How many capsules 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.)
- 2 capsule(s)
