NABP NAPLEX Exam - Topic 3 Question 54 Discussion

Actual exam question for NABP's NAPLEX exam

Question #: 54
Topic #: 3

Octreotide 50mcg/hr is ordered for a patient with esophageal varices, nurses prepared by mixing 1ml of concentration 0.5mg/ml of octreotide in 50mls NS. What rate should the bag be infused?

A50ml/hr

B5ml/hr

C5ml/min

D0.5ml/min

E7ml/hr

Show Suggested Answer

Suggested Answer: B

The concentration is the first thing to calculate, using 1 mL of octreotide solution containing a concentration of 0.5mg/mL is really using 0.5mg of octreotide. If this is placed in 50 mL NS then it is 0.5mg/50mL which is 0.01mg/mL or 10 mcg/mL. If the patient needs 50 mcg of octreotide per hour then the patient will need 5, 10 mcg/mL doses or 5 mLs. So the rate for this patient would be 5 mL/hr.

by Kiley at Oct 28, 2022, 02:53 PM

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Sherman

4 months ago

I agree, 5ml/hr sounds correct based on the dose!

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Fabiola

4 months ago

Wait, are we sure about the calculations? Seems off.

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Mona

4 months ago

No way, it’s definitely 5ml/hr.

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Cassandra

4 months ago

I think it should be 50ml/hr, right?

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Marleen

4 months ago

The concentration is 0.5mg/ml, so 1ml has 0.5mg.

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Sharan

5 months ago

I'm leaning towards option B, but I just want to double-check my calculations to make sure I'm not missing anything.

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Roslyn

5 months ago

I feel like I saw a similar question about infusion rates in our last practice exam, but I can't recall the exact steps.

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Audra

5 months ago

I think if we mix 1ml of 0.5mg/ml in 50ml, that gives us a total of 0.5mg in 50ml, which is 10mcg/ml. So, to get 50mcg/hr, we might need to infuse at 5ml/hr?

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Maddie

5 months ago

I remember we practiced calculating infusion rates, but I'm not entirely sure how to convert mcg/hr to ml/hr for this one.

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Tasia

5 months ago

Got it, I see the difference now. Option B is the correct way to access the Top Pages report, while option A is for a different report. I'll make sure to double-check my work on this type of question.

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Azalee

5 months ago

Hmm, there's a lot of information to take in here. I'll need to carefully read through the scenario and make sure I understand the context before trying to answer the question.

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Wilda

5 months ago

Blocked ports sounds familiar, but I'm questioning if it's actually part of the AMP lists.

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William

5 months ago

Okay, I've got this. The right answer is clearly B - ask him who hired him and refer him to that person. Can't just let anyone wander around the computers.

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Alona

5 months ago

I'm pretty confident that the answer is B, accounts receivable. That's the one that represents money owed to the firm, which can provide a spontaneous source of financing as the business operates.

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