Practice I/O problems 1. A nurse is preparing to administer morning insulin to a client who has a prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneous daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe? A. 14 units B. 28 units C. 32 units D. 42 units 2. A nurse is assisting in preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of two tenths of a milligram. Which of the following transcription examples should the nurse use? A. .2 mg B. 0.2 mg C. 0.20 mg D. 2.0 mg 3. A nurse is calculating the fluid intake for an infant at the end of an 8-hr shift. For oral intake, the infant had 10 mL of medication, 3 oz of formula, and 2 oz of juice. In addition, the infant had IV fluid infusing at 20 mL/hr via an IV pump. The nurse should record how many mL of intake on the client’s record? (Round the answer to the nearest whole number.) ______ mL 4. A nurse is calculating a client's fluid intake over the past 8 hr. The client had one 8-oz cup of coffee, 3 oz of juice, and 12 oz of soda. The client’s water pitcher had 800 mL and 200 mL remain. The client also had IV fluids infusing at 40 mL/hr via an IV pump. How many mL should the nurse document as the client’s total intake for the shift? ______ mL 5. A nurse is calculating a client’s intake and output for an 8-hr shift. The client’s intake included 1,000 mL 0.9% sodium chloride IV solution, one 6-oz cup of coffee, 6 oz of water, one 180-mL bowl of soup, 3 oz of flavored gelatin, and 3 oz of ice cream. How many mL should the nurse document as the client’s total intake for the shift? ______ mL Practice I/O problems 6. A nurse is calculating the total fluid intake for a client during a 4-hr period. The client consumed 1 cup of coffee, 4 oz of orange juice, 3 oz of water, 1 cup of flavored gelatin, 1 cup of tea, 5 oz of broth, and 3 oz of water. The nurse should record how many mL of intake on the client’s record? (Round the answer to the nearest whole number.) ______ mL 7. A nurse is calculating the total fluid intake for a client during an 8-hr period. The client had an IV bolus of 150 mL and consumed 4 oz of juice, 6 oz of hot tea, 100 mL of water, and 8 oz of clear broth. The nurse should record how many mL of intake on the client’s record? (Round the answer to the nearest whole number.) ______ mL 8. A nurse is caring for a client who has a percutaneous endoscopic gastrostomy (PEG) tube and is prescribed to receive 40 mL of fluid replacement every 4 hr for each 100 mL of output. The client's output over the last 4 hr was 250 mL. How much water should the nurse administer to the client? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) ______ mL 9. A nurse is caring for a client who has a percutaneous endoscopic gastrostomy (PEG) tube and a prescription to receive 25 mL of fluid replacement every 4 hr for each 100 mL of output. The client's output over the last 4 hr was 500 mL. How much water should the nurse administer to the client? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) ______ mL 10. A nurse is calculating a client’s fluid output over a 12-hr period. It includes Jackson-Pratt (JP) drainage 35 mL, NG suction 120 mL, and incontinence pads weighing 240 g, 275 g, 310 g, and 270 g. The dry weight of the incontinence pads is 90 g. The nurse should record how many mL of output on the client’s record? (Round the answer to the nearest whole number.) ______ mL 11. A nurse is completing the 8-hr I&O record for a client who consumed 4 oz of clear soda, 1 piece of toast, 12 oz of water, 1 cup of fruit-flavored gelatin, and 1/2 cup of chicken broth. The client also received 300 mL of 0.9% sodium chloride IV. The nurse should record how many mL of intake on the client’s record? (Round the answer to the nearest whole number.) ______ mL