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Medication Safety Test Practice Test

PRINT NAME: ___________________ Test ID #: ___________________

DIRECTIONS:
Sign honor statement or see the faculty.
Write in a 4 digit code above; test results will be coded to your id #.
Calculators are permitted. Faculty will provide calculator.
If a dose unsafe, please write down “Dose unsafe. Do not give.”
No partial credit is given for incorrect answers.
Write your answers in the column on the right, including the label for the amount given (e.g., “mg”).
Remember: No trailing zeros or naked decimals.
A blank page is attached for your use; if detached, please put your name on it and staple when test is turned in.
You have one hour to complete the test.
When you are done, turn in your exam and you may leave the room.

Honor Statement:
I know that integrity is a professional expectation for all nurses. My answers were obtained honestly.
Signature____________________________________________

QUESTIONS ANSWERS
Equipment:
1. Order: The new order is D5 ½ NS to run 1000 ml over 8 hours. 1. __________ml
Supply: D5 ½ NS 1000 ml IV
Give: What should the pump be set at? ______ml/ hr

Drug order: 2. __________ml

2. Order: Dilantin 75 mg IV every 6 hours.
Supply: 50 mg/ml
Give: How many ml is the dose? _________ml

Safety: Refer to the label below for questions 3 and 4 Circle answer
3. Order: Lanoxin 0.12 mg oral every 12 hours. The child weighs
65 pounds. Is this a safe dose? 3. yes no
Recommended dose: 7-10 mcg /kg/day given in divided doses two
times per day.

Drug label:
If the dose is safe, how much of this solution will you administer?
4. 4. __________ ml
LANOXIN®
(digoxin)
ELIXIR PEDIATRIC
Each ml contains
50 mcg (0.05 mg)
PLEASANTLY FLAVORED

GlaxoSmithKline

Research Triangle Park, NC 27709

Made in Canada
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Conversions
5. 25 lbs = _____kg 5. _________kg

6. A teen has had the following on your 8 hour shift: 6. _________ml

1 cans of pop (12oz); 2 cartons of milk (8oz each);
2 cups of jello (120 ml each); 1 popsicles (60 ml);
2 bowls of soup (6oz each) and 1 cup of ice cream (120 ml).
What was his 8 hr intake? _______ml

Calculations
7. Order: Ancef 1 gram in 100 ml D5W IV every 8 hours. 7. ______ gtts/min
Supply: Ancef 1 gram in 100 ml over 30 minutes. The tubing has a
drop factor of 60 gtts/ml
Give: _____________ gtts/min

8. Order: Lanoxin 600 mcg IV stat.

Supply: Lanoxin 500 mcg per ml 8. ______ml
Give: _______________ml

Oral administration
9. Order: Tylenol 0.5 grams orally every 4 hours as needed for pain 9. ______ ml
Supply: Tylenol 500 mg in 5 ml
Give: _____________ml

10. Order : Lopressor 100 mg orally daily

Supply: Lopressor 50 mg tablets
Give:_______________tablets 10. ______ tablets

IV Rates
11. Order: Heparin infusion 1200 units/hr. 11. ______ ml/hour
Supply: 500 cc D5W with Heparin 25,000 units.
Give: _____________ml/hr

12. Order: Administer a bolus of 500ml of NS over 1 hour.

Supply: 1000 ml NS. Tubing has a drop factor of 10gtts/ml 12. ______ gtts/min
Give: ____________gtts/min

Pediatrics
13. Order: Amoxil suspension 200 mg orally every 8 hours. The child 13. _____ml
weighs 17 kg
Recommended dose range 20-40 mg/kg/day.
Supply: 250 mg/5ml
Give: ____________________ ml
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14. Order: 0.2 units/kg/hour regular insulin IV drip. The child weighs
20 kg. 14. ______ml/hr
Supply: 100 units regular insulin / 100 cc NS
Give: How fast should the IV run?
_____________ml/hour

15. Order: A baby who weighs 3200 grams has an order for
Rocephin 120 mg IV every 12 hours. 15. ______ml
Recommended dose: infants & children: 50-75 mg/kg/day
Have: Available inj: 100 mg/ml. If this is a safe dose how much
would you administer?
Give______________ml

16. Order: Albuterol 1.5 mg oral three times/day for a child who weighs
22 pounds. 16. ______ ml
Recommended dose: 0.1 mg/kg/dose
Supply: Albuterol syrup 2 mg/5 ml
Is this a safe dose? If yes, how many ml would you give per dose?
Give: _________________ ml

17. Order: A child requires 1200 ml/24hr for fluids.

Supply: The IV is running at 40 ml/hr. 17. ______ ml
Give: How much fluid must the child ingest orally in 24hrs to meet
the 24 hour fluid needs? _________________ml

18. Order: A 9 year old child with a seizure disorder weighs 40 kg.
Tegretol is ordered-200 mg po qid. 18. ______ml/dose
Recommended dose: Tegretol 6-12 yrs maintenance 20-30mg/kg/day
in 3-4 doses
Supply: Tegretol suspension 100mg/5ml
Give _____________ml per dose

Reconstituting:
19. Order: Librium 25 mg intramuscular every 6 hours as needed for 18. ______ ml
agitation
Supply: 100 mg reconstituted with 2 ml diluent.
Give: __________ml per dose

20. Order: The child is to receive 1000 ml of 1/3 strength formula per
day. 20.________ ml H2O
Supply: 500 ml full strength formula and 1 liter of water.
Give: How much formula and how much water must you mix to and
make 24 hours of solution? ____________ml
_________ml water and ___________ml formula formula
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Scratch Paper (please re-staple to test)

Answers
1. 125 ml
2. 1.5
3. Safe
4. 2.4 ml
5. 11.36 kg
6. 1620 ml
7. 200 gtts/min
8. 1.2 ml
9. 5 ml
10. 2 tablets
11. 24 ml/hour
12. 83 gtts/min
13. 4 ml
14. 4 ml/hour
15. Safe, 1.2 ml
16. Not safe, do not give
17. 240 ml
18. 10 ml
19. 0.5 ml
20. 666 of water, 333 of formula