Nclexreviewset 2 Fall 09

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NCLEX REVIEW QUESTIONS 2 Fall 2009

Identify these accepted abbreviations:


1. 2. 3. 4. 5. a.c. stat q.h. p.c. b.i.d.

Answers: 1. before meals 2. immediately, at once 3. every hour 4. after meals 5. twice a day

6. The order reads: Amoxicillin 300mg p.o. q 8h. The label reads: Amoxicillin 250mg/5mL. How many mL will you give the patient per dose?

Answer: 6 mL.

7. The order reads: Valproic acid 0.25g p.o. t.i.d. The label reads: Valproic acid 250mg/5mL. How many mLs do you give per dose?

Answer: 5mLs. First convert 0.25g into mg = 250mg. Label reads 250mg per 5mL.

8. Order reads: Ceclor 0.125g p.o. q 8h. The label reads: Ceclor 250mg/5mL. How many mLs per dose do you give your patient?

Answer: 2.5 mLs. First convert 0.125g into mg by X 1000 (1g = 1000mg) = 125mg. Next do D/H X Q = 125mg divided by 250 = 0.5 X 5mLs = 2.5mLs.

9. Order reads: Tegretol 150mg p.o. b.i.d. Label reads: Tegretol 100mg tablets. How many tablets do you give your patient?

Answer: 1.5 tablets.

10. Order reads: Flagyl 0.75g p.o. daily. Label reads: Flagyl 500mg tablets. How many tablets do you give your patient?

Answer: 1.5 tablets. Follow directions above: convert grams into mg then solve with D/H XQ equation.

Use the following sliding scale to determine the amount of insulin to give your patient: No coverage: Glucose less than 150 2 units: Glucose 150-200 4 units: Glucose 201-275 6 units: Glucose 276-350 8 units: Glucose 351-400 Glucose over 400 NHO stat

11. How much insulin would you give if you had a glucose of 140?

Answer: No coverage since the glucose is less than 150.

12. How much insulin would you give if the glucose was 280?

Answer: 6 units using an insulin syringe.

13. How much insulin would you give if the glucose was 401?

Answer: None. Immediately notify house office (NHO)!

14. How much insulin would you give if the patient had a glucose of 35?

Answer: None. Redo a finger stick to ensure an adequate amount of blood was obtained, and then NHO of low reading if another low reading was obtained.

Use this information below to answer the following questions: Vial reads Kefzol 500mg To prepare solution add 2mLs of NS. Shake well. Provides approximate volume of 2.2mLs (225mg/mL). Order: Kefzol 750mg IV q6h

15. How many mLs diluent will you use to reconstitute the med?

Answer: Add 2mLs of NS solution.

16. What is the concentration after reconstitution?

Answer: 225mg/mL. See label; concentration is in parentheses.

17. How many mLs will you draw up?

Answer: 3.3mLs.

For more practice refer to your dosage calculations book: Pickar, G.D. and Abernethy, A.P.(2008). 8th edition Dosage Calculations. Clifton Park, NY: Thomson Delmar Learning.

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