San Jose State University
School of Nursing
N146 Calculation Exam 300--IG
Fall 2005                                                                                          CLICK HERE FOR ANSWERS:

 

Pediatric Calculation Practice Exams

 Instructions:  Correct all answers to two places to the right of the decimal point (greater than or equal to 0.5 add 1)  30 blanks--60 points total .  SHOW ALL CALCULATIONS  (90%=54 points)

  

  1. 750mg

=                               g

  1. 4.5L

=                               ml

  1. 0.060 Gm

=                               mg

  1. 48cc

=                               ml

  1. 350 mg`

=                               mcg

  1. 30kg

=                                gm

  1. 0.5 g

=                                mg

  1. 10cc

=                              tsp

  1. 2500Gm

=                                kg

  1. 0.001 Gm

=                               mg

  1. 0.25g

=                                mg

  1. 2 Tbsp

=                               cc

            You have just admitted your patient John who weighs 55lbs.  Your admission orders are as follows:  

Fluid Guidelines
kg ml/kg
0-10 100 ml/kg
11-20 50ml/kg
21 or more 20ml/kg

 
  • NPO—IV D5 ½ NS with 20 meq/ KCl/L @ 104cc/hr 
  • Ampicillin  625 mg IV q 6h 
  • Gentamycin 25 mg IV q 8h
  • Clindamycin 50 mg IV q 8h                 

                                                                                             

13.      Calculate the average 24 hours fluids for John in cc.______________________________  (use above guidelines

14.      Is the fluid order more or less than the average 24 hour fluids________________

      15.      For your IV order above, you have KCl 40 meq in 20 cc.  How much KCL do you need?_____________

You now have Ampicillin 250mg/5cc., Gentamycin 40 mg/ml, Clindamycin 300 mg/17cc

16.      How many cc of Ampicillin will you infuse over?_____________________

 17.      How many cc of Gentamycin will you infuse over?___________________

       18.      How many cc of Clindamycin will you infuse over ?__________________

19.      On hand you have Ampicillin 125 mg/5cc.  You have been asked to give 75mg po.  How many cc will you give?_____________________

      20.      Your nurse practitioner orders Cefotaxime 400mg IV q6h.  You have Cefotaxime 200 mg/5cc.  How many cc’s will you draw up in the syringe?______________

  21.      Your patient weighs 44 lbs.  The order is Nafcillin IV.  The recommended dose is 10-40 mg/kg/24 hours in divided doses q 4-8h.  What is the safe recommended dose range for this child?    __________________mg to______________________mg/24 hours

 

24       The order:  Nafcillin 80 mg IV q 8h.  Is this a safe dose?____________________________

       25.      Your reference tells you that Nafcillin can be safely infused at concentrations of 2mg to 30 mg/cc.  Can the 60 mg dose be safely delivered in 20 cc in a     volutrol?______________________

26.      You are caring for an infant who’s birth weight was 8#3oz.  She is 5 days old and weighs 6#12 oz.  Weight loss is_______________%. 

Order reads:  Phenobarbitol 48 mg IV times one NOW as loading dose.
27.      You have Phenobarbitol  60 mg/ml IV:  How many cc would you give?______________

  28.      You have Phenobarbitol 32 mg tablets:  How many tablets would you give?____________

  29.      You now have Phenobarbitol elixir 20mg/5cc.  How many cc do you give?_____________

30.      Calculate the 24 hr fluid requirement for a child who weighs 28 lbs:  __________________cc

31.      To provide a child’s  (weighs 28 lbs) average 24 hr fluid; at what rate should her IV pump be set at in cc/hr. ______________