Question

1..Order: Humulin NPH 16 units and Humulin regular 5 units subcutaneous at 7:30 AM. What is the total insulin dose? _______________

a. 21 units
b. 16 units
c. 5 units
d. 37 units

2..A volume of 150 mL of NS is to be infused at 25 mL/hr. The IV was started at 3:10 AM. When will the IV be completed? _______________

.3.Directions: Refer to the following Sliding Scale for Regular Insulin:

Blood Sugar	Regular Insulin
0-120	0 units
121-140	4 units
141-180	6 units
181-220	9 units
221-260	12 units
261-300	15 units
>301	Call physician

Order: PM dose: 30 units of Humulin 70/30 insulin subcutaneous. The PM blood sugar is 238. How much of each insulin should be given? _______________

a. 30 units of 70/30 + 12 units of regular insulin

b. 30 units of 70/30 insulin + 0 units of regular insulin; notify the physician

c. 70 units of 70/30 insulin + 9 units of regular insulin

d. 30 units of 70/30 insulin + 15 units of regular insulin

4.How much IV fluid would you document as fluid intake if 150 mL is left in a 500-mL IV bag? _______________

.5 Order: 120 mL Osmolyte to infuse NG over 6 hr.

Available: 240 mL Osmolyte

What is the rate for this tube feeding? _______________

6.The physician orders Solu-Cortef 90 mg IM q8 h. Available: 125 mg/mL. How many milliliters will the nurse administer? ____________________

7.The physician orders a 3-week trial of Benadryl 25 mg p.o. nightly for Mrs. Johnson, 80 years old, who has difficulty falling asleep and awakens frequently since the death of her husband 2 months ago. Benadryl Elixir 12.5 mg/5 mL is available. The bottle of Benadryl Elixir should contain _______________.

___________mL __________oz

8.The recommended dosage of morphine IM for a child is 0.1 to 0.2 mg/kg/dose. A safe dosage for a child weighing 15.5 kg is _______________.

9.The physician orders 20 mEq of potassium chloride in 50 mL 0.9% NS to infuse over 2 hours. Calculate the flow rate in milliliters per hour. ____________________

10. Order: Heparin 1,000 units/hr
Available: Heparin 20,000 units in 500 mL D5W
The IV flow rate is _______________.

11. Insert the correct response. Round to the nearest hundredth if the dose is less than 1 mL. Round to the nearest tenth if the dose is greater than 1 mL.

The physician orders heparin 5500 units subcutaneous for deep vein thrombosis prevention. The medication is supplied in 10,000 units/mL. How many milliliters will the nurse administer? ____________________

Shade the syringe to the appropriate dose.

12. The physician orders insulin Levemir 24 units subcutaneous. The medication is supplied in 100 units/mL.

Answer 1