Question 1

Ms Jackie Robinson is a young woman who has been admitted to hospital following a motor vehicle accident in which she sustained fractures to her pelvis and left femur. Jackie is a diabetic and has a three-week-old baby as a boarder. She has an intravenous infusion of 1 L of fluid and the drop factor for the giving set is 20 drops/ml. You have been assigned to care for her and the baby, under the guidance of a registered nurse.
-The breast milk in the jug in the fridge contains approximately 280 kilojoules/100 ml of milk. The volume of milk/feed that the infant should have is approximately

Accepted Answer

A)   76 ml
B)   102 ml
C)   106 ml
D)   110 ml A

Question 2

Ms Jackie Robinson is a young woman who has been admitted to hospital following a motor vehicle accident in which she sustained fractures to her pelvis and left femur. Jackie is a diabetic and has a three-week-old baby as a boarder. She has an intravenous infusion of 1 L of fluid and the drop factor for the giving set is 20 drops/ml. You have been assigned to care for her and the baby, under the guidance of a registered nurse.
-While Jackie is out of the ward you have been asked to bath, weigh, measure and feed the infant. The baby's weight is 3.24 kg and her length is 0.51 m. These measurements
Could also be expressed as

Accepted Answer

A)   3420 grams, 50 cm
B)   3240 grams, 50 mm
C)   3240 grams, 51 cm
D)   3420 grams, 51 mm C

Question 3

Mr James Chifley has been admitted to hospital with a compound, comminuted fracture of his right arm. He is scheduled for surgery to stabilise his fractures in 30 minutes. His premedication is due and he is to have 12 mg of morphine and 400 mcg of Atropine.
-Atropine stock is 0.5 mg/ml, what volume should be drawn up?

Accepted Answer

0.8 ml

Question 4

Mr James Chifley has been admitted to hospital with a compound, comminuted fracture of his right arm. He is scheduled for surgery to stabilise his fractures in 30 minutes. His premedication is due and he is to have 12 mg of morphine and 400 mcg of Atropine.
-An intravenous line has been established in his left arm and 1 L of 0.9% sodium chloride is to infuse over 6 hours. Calculate the volume to be run into the burette every hour.

Accepted Answer

The answer of Mr James Chifley has been admitted to...

Question 5

Jackie returns to the ward. She is to have a morphine infusion to deliver pain relief via a syringe driver. You note that the order is for 45 mg of morphine in 60 ml of fluid. You assist the registered nurses to set up this infusion.
-Sliding-scale insulin has been ordered for Jackie while she is not eating. She is to have no insulin if her reading is below 8 mmol/L, but if her reading is 8 mmol/L, she is to have 2 units of insulin. For every 4 mmol/L above 8 mmol/L (e.g. 12 or 16 mmol/L), she is to have an additional 2 units. The reading you have just taken is 22 mmol/L. The number of units of insulin she should receive is

Accepted Answer

A)   6 units
B)   8 units
C)   10 units
D)   12 units

Question 6

After an hour, Mr Chifley calls you and says his pain is unbearable. His medication chart indicates he may have a bolus dose of 12 mg of pethidine over a 4-minute period. The registered nurse is supervising your calculations as you work out the change in the rate of flow to deliver this order.
-What volume of fluid/minute contains the dose/minute he is to have?

Accepted Answer

The answer of After an hour, Mr Chifley calls you...

Question 7

After an hour, Mr Chifley calls you and says his pain is unbearable. His medication chart indicates he may have a bolus dose of 12 mg of pethidine over a 4-minute period. The registered nurse is supervising your calculations as you work out the change in the rate of flow to deliver this order.
-To what rate of flow will the volume/hour need to be adjusted, to deliver the ordered dose in the prescribed time?

Accepted Answer

The answer of After an hour, Mr Chifley calls you...

Question 8

Jackie returns to the ward. She is to have a morphine infusion to deliver pain relief via a syringe driver. You note that the order is for 45 mg of morphine in 60 ml of fluid. You assist the registered nurses to set up this infusion.
-The volume of fluid that contains the mg/minute in this bolus dose is

Accepted Answer

A)   0.5 ml
B)   0.75 ml
C)   1 ml
D)   2 ml

Question 9

Ms Jackie Robinson is a young woman who has been admitted to hospital following a motor vehicle accident in which she sustained fractures to her pelvis and left femur. Jackie is a diabetic and has a three-week-old baby as a boarder. She has an intravenous infusion of 1 L of fluid and the drop factor for the giving set is 20 drops/ml. You have been assigned to care for her and the baby, under the guidance of a registered nurse.
-If the baby has seven feeds each day, her approximate kilojoule intake/feed would be

Accepted Answer

A)   196
B)   213
C)   245
D)   262

Question 10

Jackie returns to the ward. She is to have a morphine infusion to deliver pain relief via a syringe driver. You note that the order is for 45 mg of morphine in 60 ml of fluid. You assist the registered nurses to set up this infusion.
-The volume/hour that will deliver this bolus dose over the 3-minute period is

Accepted Answer

A)   50 ml
B)   75 ml
C)   100 ml
D)   120 ml

Question 11

After an hour, Mr Chifley calls you and says his pain is unbearable. His medication chart indicates he may have a bolus dose of 12 mg of pethidine over a 4-minute period. The registered nurse is supervising your calculations as you work out the change in the rate of flow to deliver this order.
-How many mg/minute does this order entail?

Accepted Answer

The answer of After an hour, Mr Chifley calls you...

Question 12

Ms Jackie Robinson is a young woman who has been admitted to hospital following a motor vehicle accident in which she sustained fractures to her pelvis and left femur. Jackie is a diabetic and has a three-week-old baby as a boarder. She has an intravenous infusion of 1 L of fluid and the drop factor for the giving set is 20 drops/ml. You have been assigned to care for her and the baby, under the guidance of a registered nurse.
-When you visit Jackie, she asks for 'something for a headache'. You check her medication sheet and note she can have 1 gram of paracetamol for mild to moderate pain
4/24 PRN. Stock is 500 mg/tablet, so the number of tablets that she should be given is

Accepted Answer

A)   1
B)   1 1/2
C)   2
D)   2 1/2

Question 13

Jackie returns to the ward. She is to have a morphine infusion to deliver pain relief via a syringe driver. You note that the order is for 45 mg of morphine in 60 ml of fluid. You assist the registered nurses to set up this infusion.
-The amount of 0.9% sodium chloride required to complete this task is

Accepted Answer

A)   58 ml
B)   57.5 ml
C)   57 ml
D)   56 ml

Question 14

Ms Jackie Robinson is a young woman who has been admitted to hospital following a motor vehicle accident in which she sustained fractures to her pelvis and left femur. Jackie is a diabetic and has a three-week-old baby as a boarder. She has an intravenous infusion of 1 L of fluid and the drop factor for the giving set is 20 drops/ml. You have been assigned to care for her and the baby, under the guidance of a registered nurse.
-Atropine is also due to be given. She is to have 500 mcg. Stock is 0.5 mg/ml. The volume required is

Accepted Answer

A)   0.4 ml
B)   0.6 ml
C)   0.8 ml
D)   1 ml

Question 15

Jackie returns to the ward. She is to have a morphine infusion to deliver pain relief via a syringe driver. You note that the order is for 45 mg of morphine in 60 ml of fluid. You assist the registered nurses to set up this infusion.
-The concentration, in mg/ml, of this medicated solution is

Accepted Answer

A)   0.5 mg/ml
B)   0.75 mg/ml
C)   1 mg/ml
D)   1.25 mg/ml

Question 16

Ms Jackie Robinson is a young woman who has been admitted to hospital following a motor vehicle accident in which she sustained fractures to her pelvis and left femur. Jackie is a diabetic and has a three-week-old baby as a boarder. She has an intravenous infusion of 1 L of fluid and the drop factor for the giving set is 20 drops/ml. You have been assigned to care for her and the baby, under the guidance of a registered nurse.
-She has an intravenous infusion of 1 L of 0.9% of sodium chloride which is infusing at the rate of 40 drops/minute. The volume/hour that is currently being delivered is

Accepted Answer

A)   80 ml
B)   100 ml
C)   120 ml
D)   140 ml

Question 17

Jackie returns to the ward. She is to have a morphine infusion to deliver pain relief via a syringe driver. You note that the order is for 45 mg of morphine in 60 ml of fluid. You assist the registered nurses to set up this infusion.
-This infusion is to commence with a bolus dose of 4.5 mg of morphine over a 3-minute
Period. The number of mg/minute that she would receive from this order is

Accepted Answer

A)   1.5
B)   1.75
C)   2
D)   2.25

Question 18

Ms Jackie Robinson is a young woman who has been admitted to hospital following a motor vehicle accident in which she sustained fractures to her pelvis and left femur. Jackie is a diabetic and has a three-week-old baby as a boarder. She has an intravenous infusion of 1 L of fluid and the drop factor for the giving set is 20 drops/ml. You have been assigned to care for her and the baby, under the guidance of a registered nurse.
-Jackie is being prepared for the operating theatre to have her fractured femur stabilised. As part of her premedication she is to have 60 mg of pethidine . Stock is 100 mg/2 ml, so the volume required for this order is

Accepted Answer

A)   0.8 ml
B)   1 ml
C)   1.2 ml
D)   1.4 ml

Question 19

Jackie returns to the ward. She is to have a morphine infusion to deliver pain relief via a syringe driver. You note that the order is for 45 mg of morphine in 60 ml of fluid. You assist the registered nurses to set up this infusion.
-Subcutaneous Heparin 6000 units is to be given, using an 0.5 ml insulin syringe. Stock is 5000 units/0.2 ml, so the volume required is

Accepted Answer

A)   0.18 ml
B)   0.24 ml
C)   0.27 ml
D)   0.29 ml

Question 20

Jackie returns to the ward. She is to have a morphine infusion to deliver pain relief via a syringe driver. You note that the order is for 45 mg of morphine in 60 ml of fluid. You assist the registered nurses to set up this infusion.
-Jackie has been ordered 10 units of Actrapid insulin. Remembering that insulin is available as 100 units/ml, the volume drawn up in the insulin syringe is equivalent to

Accepted Answer

A)   0. 1 ml
B)   0.12 ml
C)   0.18 ml
D)   0.2 ml

Exam 3: Advanced Medication and Intravenous Calculations

Jackie returns to the ward. She is to have a morphine infusion to deliver pain relief via a syringe driver. You note that the order is for 45 mg of morphine in 60 ml of fluid. You assist the registered nurses to set up this infusion. -The concentration, in mg/ml, of this medicated solution is