Medication Questions to Review ACTUAL
QUESTIONS AND CORRECT ANSWERS
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives from the
pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the IVPB dose over 20
minutes. For how many ml/hr should the infusion pump be set to deliver the secondary infusion?
- Correct answers✔✔The infusion rate is calculated as a ratio proportion problem, i.e., 50 ml/ 20
min : x ml/ 60 min. Multiply extremes and means 50 × 60 /20x 1= 300/20=150
Correct Answer: 150
A client is receiving a cephalosporin antibiotic IV and complains of pain and irritation at the
infusion site. The nurse observes erythema, swelling, and a red streak along the vessel above the
IV access site. Which action should the nurse take at this time?
A. Administer the medication more rapidly using the same IV site.
B. Initiate an alternate site for the IV infusion of the medication.
C. Notify the healthcare provider before administering the next dose.
D. Give the client a PRN dose of aspirin while the medication infuses. - Correct answers✔✔A
cephalosporin antibiotic that is administered IV may cause vessel irritation. Rotating the infusion
site minimizes the risk of thrombophlebitis, so an alternate infusion site should be initiated (B)
before administering the next dose. Rapid administration (A) of intravenous cephalosporins can
potentiate vessel irritation and increase the risk of thrombophlebitis. (C) is not necessary to
initiate an alternative IV site. Although aspirin has antiinflammatory actions, (D) is not indicated.
Correct Answer: B
A loading dose of acetylcysteine (Mucomyst) 8 grams, which is available as a 20% solution (200
mg acetylcysteine per ml) is prescribed by nasogastric tube for a client with acetaminophen
toxicity. How many ml of diluent should be added to the medication to obtain a 1:4
concentration? (Enter the numerical value only. If rounding is required, round to the whole
number.) - Correct answers✔✔8 grams = 8,000 mg prescribed dose. Using the formula, D/H x Q,
8,000 mg / 200 mg x 1 ml = 40 ml of the 20% solution. Dilute the 40 ml to a 1:4 concentration
for administration using ratio and proportion, 1 : 4 solution :: 40 ml : X X= 160 ml total volume
QUESTIONS AND CORRECT ANSWERS
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives from the
pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the IVPB dose over 20
minutes. For how many ml/hr should the infusion pump be set to deliver the secondary infusion?
- Correct answers✔✔The infusion rate is calculated as a ratio proportion problem, i.e., 50 ml/ 20
min : x ml/ 60 min. Multiply extremes and means 50 × 60 /20x 1= 300/20=150
Correct Answer: 150
A client is receiving a cephalosporin antibiotic IV and complains of pain and irritation at the
infusion site. The nurse observes erythema, swelling, and a red streak along the vessel above the
IV access site. Which action should the nurse take at this time?
A. Administer the medication more rapidly using the same IV site.
B. Initiate an alternate site for the IV infusion of the medication.
C. Notify the healthcare provider before administering the next dose.
D. Give the client a PRN dose of aspirin while the medication infuses. - Correct answers✔✔A
cephalosporin antibiotic that is administered IV may cause vessel irritation. Rotating the infusion
site minimizes the risk of thrombophlebitis, so an alternate infusion site should be initiated (B)
before administering the next dose. Rapid administration (A) of intravenous cephalosporins can
potentiate vessel irritation and increase the risk of thrombophlebitis. (C) is not necessary to
initiate an alternative IV site. Although aspirin has antiinflammatory actions, (D) is not indicated.
Correct Answer: B
A loading dose of acetylcysteine (Mucomyst) 8 grams, which is available as a 20% solution (200
mg acetylcysteine per ml) is prescribed by nasogastric tube for a client with acetaminophen
toxicity. How many ml of diluent should be added to the medication to obtain a 1:4
concentration? (Enter the numerical value only. If rounding is required, round to the whole
number.) - Correct answers✔✔8 grams = 8,000 mg prescribed dose. Using the formula, D/H x Q,
8,000 mg / 200 mg x 1 ml = 40 ml of the 20% solution. Dilute the 40 ml to a 1:4 concentration
for administration using ratio and proportion, 1 : 4 solution :: 40 ml : X X= 160 ml total volume
