UNIVERSITY OF MASSACHUSETTS BOSTON
College of Nursing and Health Sciences
SAFE ADMINISTRATION OF MEDICATION EXAM (SAME)
SAMPLE 300 Level

 

Name:

Email:

Phone number where a message can be left:

If you need to retake the SAME, would you prefer to be notified by email ____ or telephone _____?

 

DIRECTIONS:

 

1. You may use 2 hours to complete the exam. There are 20 questions. Please review your work before turning in your exam for grading.

 

2. Include all of your work and calculations on this paper.

 

3. NO CALCULATORS.

 

4. Carry out your work to three (3) decimal places and round the final answer to 2 decimal places (i.e. 1.25).

 

5. Place your answer on the line provided including the correct label (i.e. mg, ml, gtts/min, etc.)

 

6. GRADING:

·        The Passing score is 9 out of 10 correct on Part I and Part II.

·        Answers without labels and problems that do not show the math calculations will be marked incorrect.

·        Only students who need to retake the SAME will be notified.

·        Passing scores will be posted outside the CNHS office on the bulletin board by the number on the upper right hand corner or this page.

·        You will be notified as soon as possible if your grade is less than 9 out of 10 correct on Part I and Part II.

 

7. In recognition of both the spirit and intent of the UMB Student Code of Conduct, no student should collaborate with another during the testing period today. Each member of the class agrees to do their own thinking and work on the exam. Members of this class agree not to discuss the content of this exam with anyone who has not yet taken the SAME exam.

 

 

________________________________________________________________________

(Student’s signature of acknowledgement and agreement)

Part I: You must answer 9 out of 10 correctly in order to pass.

 

1. ORDER: glipizide 10 mg PO daily

AVAILABLE: glipizide 5 mg scored tablets

What will you give?

(Show all work, place your answer on the line provided and label it)

 

 

 

 

 

 

 

 

___________

 

2. ORDER: captopril 12.5 mg PO QID

AVAILABLE: captopril 25 mg scored tablets

What will you give?

(Show all work, place your answer on the line provided and label it)

 

 

 

 

 

 

 

 

 

____________

 

3. ORDER: cimetadine (Tagamet) 0.2 gm PO QID

AVAILABLE: cimetadine 400 mg tablets

What will you give?

(Show all work, place your answer on the line provided and label it)

 

 

 

 

 

 

 

 

 

____________


 

4. ORDER: digoxin (Lanoxin) 0.5 mg PO daily

AVAILABLE: digoxin 250 mcg tablets

What will you give?

(Show all work, place your answer on the line provided and label it)

 

 

 

 

 

 

 

 

 

____________

 

5. ORDER: potassium chloride 40 mEq PO

AVAILABLE: potassium chloride 20 mEq/15 ml

What will you give?

(Show all work, place your answer on the line provided and label it)

 

 

 

 

 

 

 

 

 

____________

 

6. ORDER: cefuroxime axetil (Ceftin) 400 mg PO q12h

AVAILABLE: cefuroxime axetil (Ceftin) 250 mg per 5 ml

What will you give?

(Show all work, place your answer on the line provided and label it)

 

 

 

 

 

 

 

 

 

____________


 

7. ORDER: heparin 7500 units sc

AVAILABLE: heparin 10,000 units/1 ml

What will you give?

(Show all work, place your answer on the line provided and label it)

 

 

 

 

 

 

 

 

 

____________

 

8. ORDER: clarthromycin (Biaxin) 0.5 g, BID, PO

AVAILABLE: clarthromycin (Biaxin) 250 mg per tablet

What will you give?

(Show all work, place your answer on the line provided and label it)

 

 

 

 

 

 

 

 

 

____________

 

 

9. ORDER: Procaine penicillin G 420,000 units IM Q12 hours

AVAILABLE: Procaine penicillin G 600,000 units per ml

What will you give?

(Show all work, place your answer on the line provided and label it)

 

 

 

 

 

 

 

 

 

____________


 

10. ORDER: Nafcillin 300 mg IV Q4 hours

AVAILABLE: Nafcillin 500mg/5ml What will you give?

(Show all work, place your answer on the line provided and label it)

 

 

 

 

 

 

 

 

 

____________

 

 

Part II: You must answer 9 out of 10 correctly in order to pass.

 

1. ORDER: Give 1 Liter D5W over 8 hours

AVAILABLE: 1 liter D5W; IV set labeled 10 gtts/ml

How many gtts/min should the patient receive?

(Show all work, place your answer on the line provided and label it)

 

 

 

 

 

 

 

 

____________

 

2. ORDER: Give one liter of .9% Saline over 2 hours

AVAILABLE: One liter bag of saline, IV pump

At how many ml per hour will you set the pump?

(show all work, place your answer on the line provided and label it)

 

 

 

 

 

 

 

____________

 

3. ORDER: Give Gentamycin 40 mg IV over 1 hour

AVAILABLE: Gentamycin 40 mg in 40 ml NS; IV set labeled 60 gtts/ml

How many gtts/minute should the patient receive?

(show all work, place your answer on the line provided and label it)

 

 

 

 

 

 

 

 

 

____________

 

4. ORDER: Give 3 Liters NS over 24 hours

AVAILABLE: 1 Liter bags of NS; IV set labeled 15 gtts/ml

How many gtts/min should the patient receive?

(show all work, place your answer on the line provided and label it)

 

 

 

 

 

 

 

 

 

____________

 

5. ORDER: Give 100 ml of D5W per hour

AVAILABLE: IV set labeled 20 gtts/ml

How many gtts/min should the patient receive?

(show all work, place your answer on the line provided and label it)

 

 

 

 

 

 

 

 

 

____________

 

6. ORDER: Heparin 1,000 units/hr continuous IV

AVAILABLE: Heparin 50,000 units/500 cc D5W, IV infusion pump

At how many ml per hour will you set the pump?

(show all work, place your answer on the line provided and label it)

 

 

 

 

 

 

 

 

 

____________

 

7. ORDER: Zantac 50 mg IV Q6h; infuse over 15 minutes

AVAILABLE: Zantac premixed 50 mg in 50 ml of 0.45 % NaCL; IV infusion pump

At how many ml. per hour will you set the pump?

(show all work, place your answer on the line provided and label it)

 

 

 

 

 

 

 

 

 

____________

 

8. ORDER: Aminophyllin 45 mg per hour IV

AVAILABLE: Aminophyllin 500 mg in 1,000 ml NS; IV infusion pump

At how many ml per hour will you set the pump?

(show all work, place your answer on the line provided and label it)

 

 

 

 

 

 

 

 

 

____________

 

9. ORDER: Give cimetidine (Tagamet) 200 mg in 50 ml of D5W.

Infuse over 20 minutes

AVAILABLE: cimetidine 200 mg in 50 ml bag of D5W; IV infusion pump

At how many ml per hour will you set the pump?

(Show all work, place your answer on the line provided and label it)

 

 

 

 

 

 

____________

10. ORDER: Kefzal (Cefazolin sodium) 1 gm every 8 hours IV. Administer in one hour. Mix Kefzal in 100 ml normal saline.

AVAILABLE: Kefzal 1 gm; 100 ml bag of normal saline; an IV pump

At how many ml per hour will you set the pump?

(show all work, place your answer on the line provided and label it)

 

 

 

 

 

 

 

____________

 

SLM

KLC

8.24.04