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1.You are to give antibiotics 60mg po. The medication is supplied 125mg per 5 ml. How many ml do you need?
a. 1.2
b. 2.4
c. 25

2.A patient is to receive 1gm po of medication, the medication is available as 250mg per tablet. How many tablets should you give?
a.1
b. 2
c. 4

3.A patient is to receive Vitamin B12 30mcg IM. It is available in 100mcg per ml. How many ml. should you give?
a. 0.1
b. 0.3
c.3.0

4. Penicillin G comes in 250,000 units per ml. How many units in 2.5 ml.?
a. 575,000
b. 625,000
c.675,000

5. A patient will receive 500ml. Of IV fluids in 3 hours. You should set the infusion to run at how many ml. Per hour?
a. 83
b. 138
c. 167

6. A patient will receive 300 ml. of IV fluids, during a two and one half hour period. The setup delivers 15drops per ml. You should set it to deliver how many drops per minute?
a. 10
b. 20
c. 30

7. A patient is receiving 1000ml. of IV fluid over 8 hours, four hours later, 620ml remain. The infusion set delivers 15drops/ml. To receive the remaining fluid within the prescribed time period, the set should deliver how many drops/minute?
a. 39
b. 62
c. 100

8. Select the major principle of pain management that should be used when a nurse is administering analgesics to patients:
a. The patient is the authority on the pain experience
b. The patient with acute pain has more pain than one with chronic pain
c. The patient with psychogenic pain does not experience real pain

9. An older patient receiving a large volume of IV solution develops tachycardia and shortness of breath. Which of these is the first nursing action?
a. Check infusion site for infiltration
b. Decrease rate of infusion
c. Monitor oral fluid intake

10. Tigan suppositories are given to a patient for nausea and vomiting. The nurse should
a. Have the patient take slow deep breaths during insertion
b. Ask the patient to assume lithotomy position
c. Check patient's vital signs

11. Which of these should be instructions for a patient taking Tenormin for his/her hypertension:
a. If you feel dizzy when taking the medication, schedule to take it and rest for half hour
b. If you feel dizzy skip the next dose
c. Report any dizziness as a dosage change may be indicated

12. A patient is started on Synthroid for his hypothyroidism. At which times should he schedule to take it?
a. Before breakfast
b. With lunch
c. At bedtime

13. A patient is receiving Aminophylline IV for a bronchospasm. You should monitor respiratory rate and:
a. Temperature
b. Pulse rate
c. Urinary output

14. A major advantage for a patient that is on a PCA pump is that:
a. The nurse can assess the patient's pain at less frequent intervals
b. There is a record of how much medication is used
c. The pain relief is more sustained

15. When administering medication through an NG tube, the nurse should:
a. Depress the bulb of the syringe to facilitate the flow of the medication
b. Avoid adding water to prevent dilution of the medication
c. Hold the syringe high enough to allow the medication to flow by gravity

16. When using heparin subcutaneous, you should:
a. Use a 22ga, 1inch needle
b. Aspirate after inserting to check for entry into a blood vessel
c. Apply gentle pressure to injection site for 5-10 seconds with no massage

17.A patient with angina pectoris needs to take nitroglycerin, you would:
a. Tell them if pain is not relieved after one tablet, wait 30 minutes and take another
b. Tell them if pain is not relieved with one tablet, you may take another
c. Tell them if pain is not relieved, next time take two tablets

18. When you administer eye drops, the nurse should place the drops in the conjunctiva:
a. To reduce systemic absorption of the medication
b. To increase circulation to the area
c. To prevent injury to the cornea

19. A patient needs 20units NPH insulin and 10 units of Regular insulin, the nurse:
a. Will draw each insulin in a separate syringe
b. Draw the NPH insulin first and then the regular in the same syringe
c. Draw the regular insulin first and then the NPH in the same syringe

20. A patient needs prednisone 10 mg po qid, the nurse should instruct:
a. Take medication before meals and at bedtime
b. Every six hours
c. After meals and at bedtime

21. A patient receiving morphine is likely to have:
a. A hyperactive cough reflex
b. Decreased intestinal mobility
c. A widening pulse pressure

22. A patient receiving garamycin should be assessed for:
a. Acoustic nerve damage
b. Hypertension
c. Hypoglycemia

23. A patient on diuretics should be instructed:
a. To include potassium rich foods in the diet
b. Restrict sodium intake
c. Avoid eating high fiber foods

24. Lidocaine is used for:
a. Induce alterations to the autonomic regulation of the heart
b. Slow myocardial cell repolarization
c. Control ventricular irritability

25. A patient receiving NPH insulin at 7am, the nurse should:
a. Instruct the patient to have a snack in the mid afternoon
b. Instruct the patient to eat lunch by noon
c. Eat breakfast immediately after the injection

26. Which of these drugs may be used with antipsychotic drugs to relieve the extra pyramidal effects of the antipsychotics?
a. Levadopa
b. Cogentin
c. Robaxin

27. A patient receiving chemotherapy is to receive Neupogen for:
a. To stimulate the metabolism of T cells in the lymph nodes
b. To regulate production of neutrophils in the bone marrow
c. To increase the destruction of monocytes in the liver

28. A patient receiving the antineoplastic drug Amethopterin, and is also taking Calcium Folenate. The purpose of the calcium is:
a. Protect normal cells from the effects of the Amethopterin
b. Increase the duration of the Amethopterin
c. Potentiate the action of the Amethopterin

29. A patient receiving Dalmane, the nurse should:
a. Observe the patient for a widening pulse pressure
b. Encourage the patient to sleep in semi-fowler position
c. Keep a night light on

30. A patient in renal failure is receiving Epogen for what purpose?
a. To neutralize the iron binding factor in the red blood cells
b. To decrease the red cells from clumping
c. To stimulate red blood cell production