1.

Order: Acetaminophen 500 mg

On hand: Acetaminophen 250 mg in 5 mL

Desired (D) = 500 mg

On hand (H) = 250 mg
Vehicle (V) = 5 mL

2.
Order: Erythromycin 750 mg
On hand: Erythromycin 250 mg capsules

Desired (D) = 750 mg

On hand (H) = 250 mg
Vehicle (V) = 1 capsule

3.
Order: Digoxin 0.25 mg
On hand: Digoxin 0.125 mg tablets

4. You are caring for a patient at home who must take magnesium hydroxide/aluminum
hydroxide (Maalox) 30 mL PO. How will you instruct the patient to measure the dose using
ordinary household measuring devices? Fill in the blanks. Record your answer to the
nearest whole number.

5. A patient has a bottle of warfarin (Coumadin) 5 mg tablets at home. After his most recent
international normalized ratio (INR), the doctor calls and tells him to take 7.5 mg/day. How
many tablet(s) should the patient take

6. Your patient is taking acetaminophen (Tylenol) gr 15 every 6 hours PO for headache

pain. You know the maximum safe dose is 4 g in 24 hours. Is the dose safe?

7. The physician orders alprazolam (Xanax) 0.5 mg PO. You have on hand Xanax 0.25 mg
tablets. How many tablet(s) will you give? Fill in the blanks.

8. You need to administer 250 mg of erythromycin (Erythrocin) PO. You have on hand 0.5 g
tablets. How many tablet(s) will you give?

9. You have available lorazepam (Ativan) 0.5 mg tablets, and you need to administer 1 mg
PO. How many tablet(s) will you administer
10. A patient with heart failure has a daily order for digoxin (Lanoxin) 0.25 mg PO. Digoxin
0.125 mg tablets are available. How many tablet(s) should you give?

11. The physician writes a “now” order for codeine 45 mg IM for a patient with a vertebral
compression fracture. You have on hand codeine 60 mg/2 mL. How many milliliters should
you give?

12. You have on hand hydromorphone (Dilaudid) 4 mg/mL. You need to administer 0.015
mg/kg to a patient who weighs 150 pounds. How many milliliters should you administer?

13. You have an order to administer 40 mg of methadone (Dolophine) SC for opioid

detoxification. You have on hand 30 mg/mL. How much should you draw into the syringe?

14. A patient has a primary IV of dextrose in water 1,000 mL to be infused over 24 hours.
What would be the drip rate (ggts/min) using tubing with a drop factor of 60?

15. Your patient needs 2,000 mL of saline IV over 4 hours for severely deficient fluid
volume. How many milliliters per hour will you set on a controller?

16. A nurse practitioner prescribes clindamycin (Cleocin) Oral Susp 600 mg po qid;
Directions for mixing: Add 100 mL of water and shake vigorously. Each 2.5 mL will contain
100 mg of Cleocin. How many tsp of Cleocin will you administer?

17. A health care provider ordered sulfasalazine (Azulfidine) Oral Susp 500 mg q 6 hr;
Directions for mixing: Add 125 mL of water and shake well. Each tbsp will yield 1.5 g of
sulfasalazine. How many mL will you give?

18. A health care provider prescribes potassium chloride (Klotrix) 0.35 mEq/ lb po dissolved
in 6 oz of oj at 8 am; Available: Klotrix 8 mEq/mL. How many mL of Klotrix will you add to
the oj for a 20.5 Kg patient?

19. A health care provider orders megestrol (Megace) Oral Suspension 160 mg po bid;
Directions for mixing: Add 100 mL of water and shake vigorously. Each 0.5 mL will contain
10.7 mg of Megace. How many tbsp of Megace will you administer?
20. A health care provider prescribes hydroxyzine (Vistaril) Oral Susp 10 mg q 4 hr prn
anxiety; Directions for mixing: Add 125 mL of water and shake well. Each tsp will yield 15
mg of Vistaril. How many mL will you give?

21. A health care provider prescribes ondansetron (Zofran) 8 mg p.o. t.i.d.; Available: Zofran
in a 100 ml bottle labeled 4 mg/tsp.; How many ml will the nurse administer for each dose?

22. A health care provider orders cefaclor (Ceclor) 45 mg/kg/day p.o. in 3 divided doses for
a patient who weighs 66 pounds. A 75 ml stock medication is labeled Ceclor 125 mg/ml.
How many ml would the nurse administer per dose?

23. You are providing home care for a patient who needs 15 mL of magnesium
hydroxide/aluminum hydroxide (Maalox) PO. She has only standard measuring spoons in
the house. How many tablespoon(s) do you instruct her to take her dose?

24. You have on hand ergocalciferol (Calciferol) liquid 8000 units/2 mL. Your order reads
ergocalciferol 225,000 units PO daily. How many ml should you prepare the correct dose?

25. Amoxil (amoxicillin) suspension 180 mg PO bid is ordered for a patient who cannot
swallow pills. It is supplied as 125 mg/5 mL. How many milliliters should you administer?

26. You have an order for phenobarbital (Luminal) 50 mg PO at bedtime. It is supplied as

phenobarbital elixir 20 mg/5 mL. How much in mL will you administer? :
27. You are caring for your ill grandmother at home. She has an order for magnesium
hydroxide/aluminum hydroxide (Maalox) 10 mL PO prn stomach upset. How do you
instruct her to measure her dose in tsp using household measuring spoons?

28. You need to administer 400 mg of erythromycin (Erythrocin) PO. You have on hand a
suspension of 125 mg/5 mL. How many ml will you prepare?

29. Your patient has a headache but has difficulty swallowing pills. The physician orders
acetaminophen (Tylenol) 1000 mg PO every 4 to 6 hours prn. You have acetaminophen
elixir 160 mg in 5 mL. How much will you administer?

30. A patient is instructed to take acetaminophen (Tylenol) liquid (elixir) 650 mg qid. The
elixir is 160 mg/5 mL. How many milliliters per dose should the patient take?

31. A patient is placed on methadone (Methadose) maintenance therapy of 15 mg/day PO.

It is supplied as 10 mg in 5 mL oral solution. How many milliliters should you instruct the
patient to take?

32. A homebound patient must take 400,000 units of nystatin PO every 4 hours, to swish in
the mouth, and then swallow. It is available as 100,000 units/5 mL. The patient has only
household measuring spoons. How should the patient be instructed to take the dose?

33. A health care provider prescribes ceftazidime (Fortaz) mg/kg/day p.o. 50 mg/kg p.o. t.i.d.
to a child who weighs 25.5 kg. Fortaz is available in an oral suspension labeled 100 mg/ml.
How many ml would the nurse administer per dose?

34. A nurse was instructed by a physician to give clarithromycin (Biaxin) for a child whose
BSA is 0.55 m2. The usual adult dose is 500 mg. Biaxin is available in an oral suspension.
The 100ml bottle is labeled 50 mg/ml. How many ml would the nurse give per dose?

35. A health care provider prescribes kanamycin (Kantrex) 7.5 mg/kg IM q 12 hr; Available:
kanamycin 0.35 Gm/mL. How many mL will you administer for each dose to a 157 lb
patient?
36. A health care provider orders Heparin 7,855 units subq bid; Available: Heparin 10,000
units per ml. How many mL will you administer?

37. A health care provider prescribes meperidine (Demerol) 50 mg IVP q 6 hr prn pain;
Available: Demerol 75 mg/ 1.3mL. How many mL will you administer?

38. A health care provider orders Streptomycin 1.75 mg/ lb IM q 12 hr; Available:
Streptomycin 0.35 g / 2.3 mL. How many mL will you administer a day to a 59 Kg patient?

39. A health care provider prescribes bumetanide (Bumex) 0.8 mg IV bolus bid;
Reconstitution instructions: Constitute to 1000 micrograms/3.1 mL with 4.8mL of 5%
Dextrose Water for Injection.

40. A health care provider orders ceftazidime (Tazidime) 0.3 g IM tid; Reconstitution
instructions: For IM solution add 1.5 mL of diluent. Shake to dissolve. Provides an
approximate volume of 1.8 mL (280 mg/mL). How many mL will you give?

41. A health care provider orders Tobramycin 1.25mg/Kg IM q 12 hr; Available: Tobramycin
0.2 g/mL. How many mL will you administer to a 183 lb patient for each dose?

42. A health care provider prescribes Heparin 4,390 units Sub Q bid; Available: Heparin
5,000 USP units per ml in 10 ml. How many mL will you administer?

43. A health care provider orders Penicillin G 223,500 units IM q 4 hr; Available: Penicillin G
500,000 units /2.5 mL. How many mL will you administer?

44. A health care provider orders amikacin (Amikin) 5 mg/ lb IM q 12 hr; Available: Amikacin
0.9 gm/ 2 mL. How many mL will you administer to a 72.7 Kg patient?A health care provider
orders fentanyl (Sublimaze) 0.05 mg IV bolus; Reconstitution instructions: Constitute to
Fentanyl 100 micrograms/2.3 mL with 2.4 mL of 5% Dextrose Water for Injection. How
many mL will you administer?

45. A health care provider prescribes cefazolin (Ancef) 0.4253 gm IM bid; Reconstitution
instructions: For IM solution add 1.25 mL of diluent. Shake to dissolve. Provides an
approximate volume of 1.6 mL (240 mg/mL). How many mL will you give?
46. A health care provider orders Morphine gr 1/10; Available: Morphine 10 mg/ml. How
many ml will the nurse give?

47. A health care provider orders Morphine gr 1/10; Available: Morphine 10 mg/ml. How
many ml will the nurse give?

48. A health care provider orders promethazine (Phenergan) for a child whose BSA is 1.2
m2. The usual adult dose is 25 mg. How many milligrams would the nurse administer for
the dose?

49. A patient with complaints of chest pain is ordered to receive diltiazem (Cardizem) 5 mg
IVP. The vial contains 10 mg/2 ml. How many ml will you give?

50. Lanoxin (digoxin) 125 mcg is ordered IVP every a.m. The vial contains 0.5 mg in 2 ml.
How many ml will you give?

51. A pre-op patient is ordered Atropine gr. 1/150 IM. The vial contains Atropine 0.4 mg in 1
ml. How much in ml will you give?

52. A patient with bacterial infection is ordered ceftazidime (Fortaz) 250 mg IM. The vial
contains 500 mg powder with directions to add 1.5 ml of sterile water for a total volume of
1.8 ml. How many ml will you administer?

53.You need to administer prochlorperazine (Compazine) 10 mg IM to a nauseated patient.

You have on hand Compazine 5 mg/mL. How many ml would you administer per dose?