NIGHTNGALE COLLEGE/BSN 246-SCHOOL OF NURSING AND
HEALTH SCIENCES
FACULTY OF HEALTH SCIENCES | FINAL SPRING EXAMINATION
QUESTIONS AND ANSWERS WITH CORRECT RATIONALES |
HIGHER TIER EXAM {2025/2026} LATEST UPDATE
ALREADY GRADED A+ | PASS GUARANTEED
The healthcare provider prescribes acetaminophen elixir (Tylenol elixir) 600 mg PO every 6
hours for an adult client experiencing pain associated with maxillofacial surgery. The bottle is
labeled 500 mg/15 ml. How many ml should the nurse administer? (Enter numeric value only. If
rounding is required, round to the nearest tenth.)
600 mg/500mg x 15 ml = 18 ml
The healthcare provider prescribes acetazolamide (Diamox) 600 mg/m2/day divided into 3
doses. The nurse calculates the child's body surface area (BSA) as 0.7 m2 . How many mg should
the child receive per dose? (Enter the numeric value, whole number, only.)
420 mg/day/3 doses = 140 mg/dose
Heparin 20,000 units in 500 ml D5W at 50 ml/hour has been infusing for 5.5 hours. How many
units of heparin has the client received?
The correct calculation: 20,000 units/500 ml = 40 units (the amount of units in one ml of fluid).
40 units/ml x 50 ml/hr = 2,000 units/hour (1,000 units in 1/2 hour). 5.5 x 2,000 = 11,000
, units.OR, multiply 5 x 2,000 and add the 1/2 hour amount of 1,000 to reach the same
conclusion = 11,000 units.
A client with a gastrostomy tube (GT) receives a prescription for a 250 ml bolus feeding of
Glucerna60% enteral formula. The nurse should dilute the full-strength formula with how many
ml of water? (Enter numeric value only).
Use the formula, Desired strength/strength on Hand x Volume = 60/100 x 250 = 15000/100 =
150 ml of Glucernaenteral formula
A client who has a gastrostomy feeding tube is receiving 3/4 strength Ensure 240 ml every 6
hours. Full strength Ensure is available in a 240 ml can. The nurse should use how many ml of
Ensure to prepare the feeding? (Enter numeric value only. If needed, round to the nearest
whole number.)
X = 240 x 0.75 = 180 ml Ensure + 60 ml water = 240 ml
A healthcare provider prescribes a continuous infusion of 0.9% sodium chloride 250 ml with
pancuronium (Pavulon) 25 mg at a rate of 0.1 mg/kg/hour for a client with coronary artery
bypass grafting. The client weighs 78 kg. The nurse should program the infusion pump to deliver
how many ml/hour? (Enter numeric value only. If rounding is required, round to the nearest
tenth.)
First calculate the number of mg the client will receive in 1 hour: 0.1 mg x 78 kg = 7.8
mg/hourNext calculate the number of ml containing 7.8 mg of medication: 25 mg : 250 ml :: 7.8
mg : X25 mg/ 7.8 mg :: 250 ml/X25X = 1950X = 78 ml/hour
A client who is experiencing cardiogenic shock receives a prescription for an IV solution of 0.9%
normal saline 100 ml with milrinone (Primacor) 10 mg in at an infusion rate of 46 mcg/minute.
HEALTH SCIENCES
FACULTY OF HEALTH SCIENCES | FINAL SPRING EXAMINATION
QUESTIONS AND ANSWERS WITH CORRECT RATIONALES |
HIGHER TIER EXAM {2025/2026} LATEST UPDATE
ALREADY GRADED A+ | PASS GUARANTEED
The healthcare provider prescribes acetaminophen elixir (Tylenol elixir) 600 mg PO every 6
hours for an adult client experiencing pain associated with maxillofacial surgery. The bottle is
labeled 500 mg/15 ml. How many ml should the nurse administer? (Enter numeric value only. If
rounding is required, round to the nearest tenth.)
600 mg/500mg x 15 ml = 18 ml
The healthcare provider prescribes acetazolamide (Diamox) 600 mg/m2/day divided into 3
doses. The nurse calculates the child's body surface area (BSA) as 0.7 m2 . How many mg should
the child receive per dose? (Enter the numeric value, whole number, only.)
420 mg/day/3 doses = 140 mg/dose
Heparin 20,000 units in 500 ml D5W at 50 ml/hour has been infusing for 5.5 hours. How many
units of heparin has the client received?
The correct calculation: 20,000 units/500 ml = 40 units (the amount of units in one ml of fluid).
40 units/ml x 50 ml/hr = 2,000 units/hour (1,000 units in 1/2 hour). 5.5 x 2,000 = 11,000
, units.OR, multiply 5 x 2,000 and add the 1/2 hour amount of 1,000 to reach the same
conclusion = 11,000 units.
A client with a gastrostomy tube (GT) receives a prescription for a 250 ml bolus feeding of
Glucerna60% enteral formula. The nurse should dilute the full-strength formula with how many
ml of water? (Enter numeric value only).
Use the formula, Desired strength/strength on Hand x Volume = 60/100 x 250 = 15000/100 =
150 ml of Glucernaenteral formula
A client who has a gastrostomy feeding tube is receiving 3/4 strength Ensure 240 ml every 6
hours. Full strength Ensure is available in a 240 ml can. The nurse should use how many ml of
Ensure to prepare the feeding? (Enter numeric value only. If needed, round to the nearest
whole number.)
X = 240 x 0.75 = 180 ml Ensure + 60 ml water = 240 ml
A healthcare provider prescribes a continuous infusion of 0.9% sodium chloride 250 ml with
pancuronium (Pavulon) 25 mg at a rate of 0.1 mg/kg/hour for a client with coronary artery
bypass grafting. The client weighs 78 kg. The nurse should program the infusion pump to deliver
how many ml/hour? (Enter numeric value only. If rounding is required, round to the nearest
tenth.)
First calculate the number of mg the client will receive in 1 hour: 0.1 mg x 78 kg = 7.8
mg/hourNext calculate the number of ml containing 7.8 mg of medication: 25 mg : 250 ml :: 7.8
mg : X25 mg/ 7.8 mg :: 250 ml/X25X = 1950X = 78 ml/hour
A client who is experiencing cardiogenic shock receives a prescription for an IV solution of 0.9%
normal saline 100 ml with milrinone (Primacor) 10 mg in at an infusion rate of 46 mcg/minute.
