The healthcare provider prescribes morphine sulfate 4mg IM STAT. Morphine comes in 8
mg per ml. How many ml should the nurse administer?
A. 0.5 ml.
B. 1 ml.
C. 1.5 ml.
D. 2 ml
✅- Using ratio and proportion: 8mg: 1ml :: 4mg:Xml 8X=4 X=0.5 Correct
Answer: A
Which intervention is most important for the nurse to implement for a male client who is
experiencing urinary retention?
A. Apply a condom catheter.
,B. Apply a skin protectant.
C. Encourage increased fluid intake.
D. Assess for bladder distention
✅- Urinary retention is the inability to void all urine collected in the bladder,
which leads to uncomfortable bladder distention (D). (A and B) are useful
actions to protect the skin of a client with urinary incontinence. (C) may
worsen the bladder distention. Correct Answer: D
The nurse mixes 50 mg of Nipride in 250 ml of D5W and plans to administer the solution
at a rate of 5 mcg/kg/min to a client weighing 182 pounds. Using a drip factor of 60
gtt/ml, how many drops per minute should the client receive?
A. 31 gtt/min.
B. 62 gtt/min.
C. 93 gtt/min.
D. 124 gtt/min
✅- (D) is the correct calculation: Convert lbs to kg: 182/2.2 = 82.73 kg.
Determine the dosage for this client: 5 mcg × 82.73 = 413.65 mcg/min.
Determine how many mcg are contained in 1 ml: 250/50,000 mcg = 200 mcg
per ml. The client is to receive 413.65 mcg/min, and there are 200 mcg/ml; so
the client is to receive 2.07ml per minute. With a drip factor of 60 gtt/ml, then
60 × 2.07 = 124.28 gtt/min (D) OR, using dimensional analysis: gtt/min = 60
gtt/ml X 250 ml/50 mg X 1 mg/1,000 mcg X 5 mcg/kg/min X 1 kg/2.2 lbs X 182
lbs.
Correct Answer: D
, The nurse prepares a 1,000 ml IV of 5% dextrose and water to be infused over 8 hours.
The infusion set delivers 10 drops per milliliter. The nurse should regulate the IV to
administer approximately how many drops per minute?
A. 80
B. 8
C. 21
D. 25
✅- The accepted formula for figuring drops per minute is: amount to be
infused in one hour × drop factor/time for infusion (min)= drops per minute.
Using this formula: 1,000/8 hours = 125 ml/ hour 125 × 10 (drip factor) = 1,250
drops in one hour. 1,250/ 60 (number of minutes in one hour) = 20.8 or 21
gtt/min (C). Correct Answer: C
The UAPs working on a chronic neuro unit ask the nurse to help them determine the
safest way to transfer an elderly client with left-sided weakness from the bed to the chair.
What method describes the correct transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side before moving.
B. Assist the client to a standing position, then place the right hand on the armrest.
C. Have the client place the left foot next to the chair and pivot to the left before sitting.
D. Move the chair parallel to the right side of the bed, and stand the client on the right
foot
mg per ml. How many ml should the nurse administer?
A. 0.5 ml.
B. 1 ml.
C. 1.5 ml.
D. 2 ml
✅- Using ratio and proportion: 8mg: 1ml :: 4mg:Xml 8X=4 X=0.5 Correct
Answer: A
Which intervention is most important for the nurse to implement for a male client who is
experiencing urinary retention?
A. Apply a condom catheter.
,B. Apply a skin protectant.
C. Encourage increased fluid intake.
D. Assess for bladder distention
✅- Urinary retention is the inability to void all urine collected in the bladder,
which leads to uncomfortable bladder distention (D). (A and B) are useful
actions to protect the skin of a client with urinary incontinence. (C) may
worsen the bladder distention. Correct Answer: D
The nurse mixes 50 mg of Nipride in 250 ml of D5W and plans to administer the solution
at a rate of 5 mcg/kg/min to a client weighing 182 pounds. Using a drip factor of 60
gtt/ml, how many drops per minute should the client receive?
A. 31 gtt/min.
B. 62 gtt/min.
C. 93 gtt/min.
D. 124 gtt/min
✅- (D) is the correct calculation: Convert lbs to kg: 182/2.2 = 82.73 kg.
Determine the dosage for this client: 5 mcg × 82.73 = 413.65 mcg/min.
Determine how many mcg are contained in 1 ml: 250/50,000 mcg = 200 mcg
per ml. The client is to receive 413.65 mcg/min, and there are 200 mcg/ml; so
the client is to receive 2.07ml per minute. With a drip factor of 60 gtt/ml, then
60 × 2.07 = 124.28 gtt/min (D) OR, using dimensional analysis: gtt/min = 60
gtt/ml X 250 ml/50 mg X 1 mg/1,000 mcg X 5 mcg/kg/min X 1 kg/2.2 lbs X 182
lbs.
Correct Answer: D
, The nurse prepares a 1,000 ml IV of 5% dextrose and water to be infused over 8 hours.
The infusion set delivers 10 drops per milliliter. The nurse should regulate the IV to
administer approximately how many drops per minute?
A. 80
B. 8
C. 21
D. 25
✅- The accepted formula for figuring drops per minute is: amount to be
infused in one hour × drop factor/time for infusion (min)= drops per minute.
Using this formula: 1,000/8 hours = 125 ml/ hour 125 × 10 (drip factor) = 1,250
drops in one hour. 1,250/ 60 (number of minutes in one hour) = 20.8 or 21
gtt/min (C). Correct Answer: C
The UAPs working on a chronic neuro unit ask the nurse to help them determine the
safest way to transfer an elderly client with left-sided weakness from the bed to the chair.
What method describes the correct transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side before moving.
B. Assist the client to a standing position, then place the right hand on the armrest.
C. Have the client place the left foot next to the chair and pivot to the left before sitting.
D. Move the chair parallel to the right side of the bed, and stand the client on the right
foot
