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

Accepted Answer

Jackie can have 1 gram of paracetamol and the stock is 500 mg/tablet. Therefore, she needs 2 tablets to make up the 1 gram dose.

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

Accepted Answer

C

Question 3

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

Accepted Answer

To calculate the volume required for a specific dose when you know the concentration, you use the formula: (Desired Dose / Stock Concentration) * Stock Volume. Here, it's (60 mg / 100 mg) * 2 ml = 1.2 ml.

Question 4

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

Accepted Answer

The stock concentration of Atropine is 0.5 mg/ml. Jackie needs 500 mcg, which is equivalent to 0.5 mg (since 1 mg = 1000 mcg). Therefore, to administer 0.5 mg using a stock solution of 0.5 mg/ml, you would need 1 ml of the solution.

Question 5

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

Accepted Answer

The baby's weight of 3.24 kg is equivalent to 3240 grams, and the length of 0.51 m is equivalent to 51 cm.

Question 6

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.
-Baby Robinson should have approximately 460 kilojoules/kg/day. Her daily kilojoule intake should be
A) 1260
B) 1370
C) 1490
D) 1520

Accepted Answer

To calculate the baby's daily kilojoule intake, you need to know the baby's weight. Assuming the baby weighs 3.2 kg (a common weight for a newborn), the calculation would be 460 kJ/kg/day * 3.2 kg = 1472 kJ/day, which is closest to option C, 1490 kJ/day.

Question 7

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

Accepted Answer

The answer of Ms Jackie Robinson is a young woman...

Question 8

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

Accepted Answer

The correct answer is A. The baby should have approximately 100 ml of milk per feed. The breast milk in the jug contains approximately 280 kilojoules/100 ml of milk. Therefore, the volume of milk/feed that the infant should have is approximately 100 ml.

Question 9

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.
-Stock of morphine is 15 mg/ml, so the volume required for this order is
A) 2 ml
B) 2.5 ml
C) 3 ml
D) 4 ml

Accepted Answer

To prepare 45 mg of morphine using a stock solution of 15 mg/ml, divide the total amount of morphine needed (45 mg) by the concentration of the stock solution (15 mg/ml). This calculation gives 45 mg / 15 mg/ml = 3 ml.

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 amount of 0.9% sodium chloride required to complete this task is
A) 58 ml
B) 57.5 ml
C) 57 ml
D) 56 ml

Accepted Answer

The answer of Jackie returns to the ward. She is...

Question 11

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 pain relief infusion is to last for 24 hours. The volume/hour that should be delivered from this order is
A) 1.5 ml/hour
B) 1.75 ml/hour
C) 2 ml/hour
D) 2.5 ml/hour

Accepted Answer

The answer of Jackie returns to the ward. She is...

Question 12

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

Accepted Answer

The concentration of the medicated solution is found by dividing the total amount of medication (45 mg) by the total volume of fluid (60 ml), which equals 0.75 mg/ml.

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

Accepted Answer

The bolus dose is 4.5 mg over 3 minutes, which means the rate is 4.5 mg / 3 minutes = 1.5 mg/minute.

Question 14

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

Accepted Answer

The answer of Jackie returns to the ward. She is...

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 volume/hour that will deliver this bolus dose over the 3-minute period is
A) 50 ml
B) 75 ml
C) 100 ml
D) 120 ml

Accepted Answer

To deliver 45 mg of morphine in 60 ml of fluid over a 3-minute period, we first calculate the flow rate in ml/hour. Since there are 60 minutes in an hour, and the infusion is to be delivered over 3 minutes, we divide 60 ml by 3 minutes to find the rate per minute, then multiply by 60 to convert to an hourly rate. This gives us 20 ml per minute * 60 minutes = 1200 ml/hour. However, since the question asks for the volume that will deliver the dose over the 3-minute period, the correct interpretation is to find the volume per hour to set the pump, which is not directly asked but implied to be 120 ml over the 3-minute period, which corresponds to the hourly rate needed to achieve this delivery speed. The confusion in explanation arises from the direct question's phrasing, but the correct setup for a 3-minute delivery at the specified concentration is indeed 120 ml/hour, considering the standard infusion rates and conversions.

Question 16

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's intravenous infusion, 1 L of 5% dextrose (she is not currently taking food or fluids), has 70 ml remaining and is dripping at 60 drops/minute. Remembering that the drop factor for the giving set is 20 drops/ml, this infusion should complete in
A) 20 minutes
B) 23 minutes
C) 25 minutes
D) 27 minutes

Accepted Answer

To calculate the time remaining for the infusion to complete, you can use the formula: Time = Volume / Rate. The volume remaining is 70 ml, and the rate is calculated by dividing the current drip rate (60 drops/minute) by the drop factor (20 drops/ml), which equals 3 ml/minute. Therefore, the time remaining is 70 ml / 3 ml/minute = 23.33 minutes, which rounds to approximately 23 minutes.

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

Accepted Answer

10 units of Actrapid insulin / 100 units/ml = 0.1 ml

Question 18

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.
-Intravenous metoclopramide (Maxolon) 7.5 mg has been ordered for Jackie's nausea. Stock in the ward is 10 mg/2 ml. The volume required for this order is
A) 0.5 ml
B) 1 ml
C) 1.5 ml
D) 2 ml

Accepted Answer

The volume required for a 7.5 mg dose of metoclopramide, given the stock concentration of 10 mg/2 ml, can be calculated using the formula: (desired dose / stock concentration) * stock volume. This results in (7.5 mg / 10 mg) * 2 ml = 1.5 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
A) 0.18 ml
B) 0.24 ml
C) 0.27 ml
D) 0.29 ml

Accepted Answer

To calculate the volume required for the Heparin dose, use the formula: (desired dose / stock concentration) x stock volume. Here, it's (6000 units / 5000 units) x 0.2 ml = 0.24 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.
-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
A) 6 units
B) 8 units
C) 10 units
D) 12 units

Accepted Answer

The answer of Jackie returns to the ward. She is...

Quiz 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