ATI Dosage Calculations Final Exam 1 PDF

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Practice ATI questions for the final proctored dosage exam....

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*Dosage Calculations FINAL Exam* Version 1 KEY

Name: ________________________________________

Date: _____________________

1. Furosemide 50mg IV push now. Available: Furosemide 40mg/10mL How many mL will you give?

Answer ________________12.5

2. The IV order is for D5W to infuse at 100 mL/hr. The drop factor is 10 gtt/mL. How many drops per minute (gtt/min) should the IV be regulated?

Answer ________________17 3. 4 Tablespoons = ______________teaspoons? Answer ________________12 4. Order: Cinoxacin 1 g/day, PO, in two divided doses Drug available: 500 mg capsules How many milligrams would you give per dose? Answer ________________500

5. The medication order is to administer Prozac 40 mg PO qid. Available: Prozac liquid 20 mg per 5 mL How many mL will you administer?

*Dosage Calculations FINAL Exam* Version 1 KEY Answer ________________10 6. Order: 35 mg of a medication by mouth tid Patient weight: 99 pounds Safe dose range: 2 to 4 mg/kg/day This is a safe medication order. A) True B) False Answer ________________A) True

7. The nurse wants to give 2 g of magnesium sulfate and has available a medication labeled 50% magnesium sulfate in 20 mL. How many mL will the nurse administer? Answer ________________4

8. The BSA of a 5-year-old patient is 0.9 m2 Medication order: Carmustine 75 mg/m2 every day times 2 days Available: 100 mg/10 mL vial The patient would receive a dose of _____ mL/day times 2 days. Answer ________________6.8

9. Order: LR 1000 mL at 90 mL/hr. How many hours are required to administer the following fluid at the given rate? Answer ________________11.1 10. The BSA of a patient who is 3 years old is 0.62 m2. Medication order: Daunorubicin 25 mg/m2 weekly Available: 2 mg/mL in 25 mL vial The patient would receive a dose of _____ mg/week.

*Dosage Calculations FINAL Exam* Version 1 KEY

Answer ________________15.5

11. Medication order: lidocaine, continuous infusion at 2 mg/min on the infusion pump. Available: IV of 500 mL D5W with 2 g lidocaine added What will be the hourly rate for the infusion pump (mL/hour)?

Answer ________________30

12. Patient weight: 32 kg Medication order: Nitroprusside 2 mcg/kg/min Pediatric dose: 200-500 mcg/kg/hr Drug available: Nitroprusside 50 mg/5 mL Dilution: 50.5 mg in 250 mL of NS at 19 mL/hr Will this dilution deliver 2 mcg/kg/min? A) True B) False Answer ________________A) True

13. What is the weight in pounds of someone who weighs 100 KGs? Answer: ________________220

14. Calculate the total dose of a medication to be administered if a patient weighs 22 pounds and is to be given 60 mg/kg/day?

*Dosage Calculations FINAL Exam* Version 1 KEY Answer ________________600

15. Order: D5 1/4 1000 mL at 100 mL/hr. How many hours are required to administer the following fluid at the given rate? Answer ________________10

16. Medication order: Meperidine (Demerol) 35 mg, IM, q4–6h, prn. Using the following drug label, how many milliliters of Demerol would you give per dose?

Answer ________________0.7

17. Medication order: Heparin 25,000 units in 500 mL, infuse 4000 units/hr How many mL per hour do you need to infuse to deliver 4000 units/hr?

*Dosage Calculations FINAL Exam* Version 1 KEY Answer ________________80

18. Order: D10W at 40 mL/hr. What is the drop rate per minute if the drop factor is 15 gtt/mL? Answer ________________10

19. Medication order: Meperidine 70 mg and Atropine sulfate 0.4 mg, IM, STAT. Using the following drug labels, how many milliliters of meperidine would you give?

Answer ________________0.7

20. Medication on hand: Insulin 50 units in 100 mL How many units per mL? Answer ________________0.5

*Dosage Calculations FINAL Exam* Version 1 KEY 21. Order: Clindamycin 300 mg, PO, q8h Available: Clindamycin 75 mg/mL How many milliliters of clindamycin will you give per dose? Answer ________________4

22. The medication order is for Amiken IV for a 45-pound child. Calculate the dosage if the normal pediatric dose is 15 mg/kg. Answer ________________306.82 23. Convert 422 grams to kilograms. Answer ________________0.42

24. The doctor overs Amoxicillin 1 gram in 1000 mls of normal saline over 8 hours. What is the rate in mls/hours? Answer ________________125

*Dosage Calculations FINAL Exam* Version 1 KEY 25. Order: Cephalexin 0.5 g, PO, q6h. Using the following drug label, how many milligrams equal 0.5 g?

Answer ________________500

26. Order: Cloxacillin 1 g/d, PO, in four divided doses, q6h. Using the following drug label, how many capsule(s) would you give per dose?

Answer ________________1

*Dosage Calculations FINAL Exam* Version 1 KEY

27. Medication order: Dobutamine 250 mg in 250 mL at 4.5 mcg/kg/min Patient Weight: 125 lb Calculate the flow rate in milliliters per hour. Answer ________________15.34

28. What should the nurse do if the medication order is not legible? A) Call the prescriber for clarification B) Do the best he or she can to interpret the drug order C) Refuse to give the medication D) Call the pharmacy for interpretation of the drug order Answer ________________ A) Call the prescriber for clarification

29. Medication order: Meperidine 70 mg and Atropine sulfate 0.4 mg, IM, STAT. Using the following drug labels, how many milliliters of Atropine would you give?

Answer ________________1

*Dosage Calculations FINAL Exam* Version 1 KEY

30. Medication order: Amikacin 500 mg/IM, q12h Patient's weight: 149 lb How many kilograms does the patient weigh? Answer ________________67.7

31. Medication order: Dyphylline 0.5 g, IM, q6h Drug available: Dyphylline 250 mg/mL How many milliliters of dyphylline would you give per dose? Answer ________________2

32. Medication order: Oxacillin 250 mg, IM, q6h. Using the following drug label, how many milliliters of oxacillin would you give per dose?

Answer ________________1.5

*Dosage Calculations FINAL Exam* Version 1 KEY

33. Order: Amoxicillin 200 mg, PO, q8h Using the following drug label, how many milliliters of Amoxicillin would you give per dose?

Answer ________________4

34. Convert 90 mcg to mg. Answer ________________0.09

35. Order: Ethambutol HCl 800 mg, PO, daily Parameter: 15 mg/kg/d Patient weight: 121 lb How many kilograms does your patient weigh? Answer ________________55 36. Medication order: Diabinese 0.1 g PO daily The drug container label reads: Diabinese 100 mg/tablet How many tablets will you give?

*Dosage Calculations FINAL Exam* Version 1 KEY Answer ________________1

37. The patient is to receive 500 mL of D5W with 20 units of synthetic oxytocin (Pitocin) IV at the rate of 0.004 units/min. How many mL per hour will the patient receive? Answer ________________6

38. Order: Amoxicillin/clavulanate (Augmentin) 0.25 g, PO, q8h Using the following label, how many milliliters of Augmentin will you give per dose?

Answer ________________10 39. Medication order: magnesium sulfate 9 g IV Available: magnesium sulfate 50% in 50 mL vials How many mL will the nurse administer? Answer ________________18

*Dosage Calculations FINAL Exam* Version 1 KEY

40. Order: methyldopa (Aldomet) 0.75 g, PO, bid. Using the following drug label, how many milligrams of Aldomet should the patient receive per day?

Answer ________________1500

41. Medication order: Ampicillin 500 mg, IM, q6h. Using the following drug label, how many milliliters of diluent would you add to the ampicillin vial?

Answer ________________3.5

*Dosage Calculations FINAL Exam* Version 1 KEY

42. Medication on hand: Heparin 25,000 units in 500 mL How many units per mL Answer ________________50

43. If 300 mL of a 15% solution is being prepared, ___ mL of medication solution (solute) will be used. Answer ________________45 44. Child's BSA: 1.1 m2 Medication order: Betamethasone 4 mg/m2/day PO, divided into four doses Available: syrup 0.6mg/5ml How many mL will you administer per dose? Answer ________________9.17

45. Order: Doxycycline monohydrate (Vibramycin) 100 mg, PO, initially, then 100 mg, PO, in two divided doses per day Using the following drug label, how many milligrams will the patient receive per dose after the initial dose?

Answer ________________50

*Dosage Calculations FINAL Exam* Version 1 KEY

46. Medication order: 35 mg of a medication by mouth tid Patient weight: 99 pounds Safe dose range: 2 to 4 mg/kg/day This is a safe medication order. A) True B) False Answer ________________ A) True

47. A child weighs 65 pounds. Convert to kilograms. Answer ________________29.55

48. Order: Timolol maleate (Blocadren) 10 mg, PO, bid; then, after 2 weeks, the patient is to receive 40 mg in two divided doses. Using the following drug label, how many tablet(s) should the patient receive per dose during the first 2 weeks?

Answer ________________1

*Dosage Calculations FINAL Exam* Version 1 KEY

49. A child weighs 22 pounds. Convert to kilograms. Answer ________________10

50. Order: D5W at 60 mL/hr. What is the drop rate per minute if the drop factor is 15 gtt/mL? Answer ________________15

51. 1 decigram (dg) = ______________g Answer ________________0.1

52. Order: Potassium chloride (KCl) 15 mEq, PO, bid Available: Potassium chloride 10 mEq/15 mL How many milliequivalents (mEq) of KCl will the patient receive per day?

Answer ________________30 53. The medication order is to mix 18 units of oxytocin in 650 mL normal saline. Start infusion at 20 mL/hr. Increase by 5 mL every 10 minutes until uterine contractions are 2 to 3 minutes apart. Do not exceed 45 miliunits/min. Maintain total IV fluid volume at 100 mL/hr. How many miliunits/min will the patient receive in the first 10 minutes? Answer ________________9.23

*Dosage Calculations FINAL Exam* Version 1 KEY

54. Order: D5LR 1000 mL at 150 mL/hr. How many hours are required to administer the following fluid at the given rate?

Answer ________________6.7

55. Change 60% to a decimal.

Answer ________________0.6

56. Medication order: Prednisone (Deltazone) 6 mcg/kg/min Patient Weight: 165 lb Available: 250 mL D5W with Delta zone 50 mg How many milliliters per hour will the nurse need to run the infusion?

Answer ________________135 57. Medication order: 50 mg/kg/day Patient weight: 65 pounds The patient weighs _____ kg. Answer ________________29.55 58. If 30 mL of a 0.5% solution is being prepared from a 6% solution, ___ mL of the 6% solution will be used. Answer ________________2.5

*Dosage Calculations FINAL Exam* Version 1 KEY

59. There are various types of drug orders. The nurse must have an understanding of these drug orders. What is a one-time order? A) An order that is to be given at the patient’s request and at the discretion of the nurse B) A routine order for all patients who had the same type of procedures C) An order that is to be given one time a day at hs (hours of sleep) D) An order that is given once, usually at a specified time

Answer ________________ D) An order that is given once, usually at a specified time

60. Order: Digoxin (Lanoxin) 0.5 mg, PO, daily. Using the following drug label, how many tablet(s) would you give?

Answer ________________2

61. Medication order: Oxacillin 250 mg, IM, q6h. Using the following drug label, how much diluent would you add to the oxacillin vial?

*Dosage Calculations FINAL Exam* Version 1 KEY

Answer ________________5.7

62. The medication order is to administer Panadol 10 mg/kg. The child weighs 80 pounds. Available: Panadol 160 mg/mL How many mL will the nurse administer? Answer ________________2.27

63. Medication order: Heparin 7500 units, SubQ q6h. Using the following drug label, how many milliliters of heparin would you give per dose?

Answer ________________0.8

*Dosage Calculations FINAL Exam* Version 1 KEY 64. 1 g: 15 mL expressed as a fraction is ___ g/100 mL. Answer ________________6.67

65. Order: Tagamet 0.4 g, PO, bid, and 0.8 g, at hour of sleep. Drug available: Tagamet 200 mg/tab. How many tablet(s) would you give per dose at hour of sleep?

Answer ________________4 66. Order: Docusate sodium (Colace) 200 mg, PO, daily per NG tube Available: Colace 50 mg/5 mL How many milliliters of Colace will the patient receive? Answer ________________20 67. Patient weight: 21 kg Medication order: Aminophylline 110 mg in 500 mL of NS at 80 mL/hr Pediatric Dose: 0.84 mg/kg/hr Drug available: Aminophylline 250 mg/10 mL Will this dilution deliver 0.84 mg/kg/hr? A) True B) False Answer ________________ A) True 68. Order: Dexamethasone (Decadron) 3 mg, PO, bid Drug available: Decadron 1.5 mg/tablet How many tablet(s) would you give per dose? Answer ________________2 69. The medication order is to administer a loading dose of digoxin (Lanoxin) 30 mcg/kg. The neonate weighs 5.8 pounds.

*Dosage Calculations FINAL Exam* Version 1 KEY Available: an ampule labeled Lanoxin 0.25 mg/mL How many mL will you administer? Answer ________________0.32 70. Order: 20 mg of a medication by mouth tid Patient weight: 132 pounds (60 kg) Safe dose range: 1 to 3 mg/kg/day This is a safe medication order. A) True B) False

Answer ________________ A) True

71. Order: Megestrol acetate (Megace) 160 mg, PO, in four divided doses. Using the following label, how many tablet(s) should the patient receive per dose?

Answer ________________2

72. Order: D5LR at 100 mL/hr. What is the drop rate per minute if the drop factor is 10 gtt/mL?

*Dosage Calculations FINAL Exam* Version 1 KEY Answer ________________16.7; 17

73. 32 oz = ______________ medium size glass (es) Answer ________________4

74. What is the dosage on the following drug label?

A) 100 tablets B) 40 mg C) Lot number D) Expiration date Answer ________________ B) 40 mg

75. Medication order: Dexamethasone (Decadron) 3 mg, IM, STAT. Using the following drug label, how many milliliters of Decadron would you give per dose?

*Dosage Calculations FINAL Exam* Version 1 KEY

Answer ________________0.8

76. Order: D5LR at 150 mL/hr. What is the drop rate per minute if the drop factor is 10 gtt/mL? Answer ________________25

77. Order: Cimetidine (Tagamet) 200 mg, PO, qid with meals Using the following drug label, how many milliliters of Tagamet will you give?

Answer ________________3.3

*Dosage Calculations FINAL Exam* Version 1 KEY

78. Medication order: Atropine 0.3 mg Available: Atropine 0.5 mg/mL How many mL will you administer? Answer ________________0.6

79. How much water is in a 40% solution of 100 mls? Answer ________________60

80. The medication order is to administer tetracycline (Sulycin) 0.25 g, PO tid. The bottle of tetracycline is labeled 125 mg/5 mL. How many mL will the nurse give per dose? Answer ________________10

81. Medication order: Morphine 10 mg, IM, STAT. Using the following drug label, how many milliliters of morphine would you give?

Answer ________________0.7

*Dosage Calculations FINAL Exam* Version 1 KEY

82. Cover 0.35% of a decimal. Answer ________________.0035

83. The medication order is for Amikacin IV for a 25-pound child. Calculate the dosage if the normal pediatric dose is 12 mg/kg. Answer ________________136.36

84. Order: Azithromycin (Zithromax) 300 mg, PO, first day, then 160 mg, PO, daily for the second through the fifth day Using the following drug label, how many milliliters will the patient receive the first day?

Answer ________________7.5

85. Order: methyldopa (Aldomet) 0.75 g, PO, bid. Using the following drug label, how many milligrams of Aldomet should the patient receive per day?

*Dosage Calculations FINAL Exam* Version 1 KEY

Answer ________________1500

86. Medication order: 100 mg/kg/day Patient weight: 60 pounds The patient will receive _____ mg/day. Answer ________________2727.27

87. Medication order: Morphine 3 mg, IM, q4–6h, PRN for 3 days Drug available: Morphine 4 mg per 1 mL How many milliliters of morphine would you give per dose? Answer ________________0.8 88. Order: Megestrol acetate (Megace) 160 mg, PO, in four divided doses. Using the following label, how many tablet(s) should the patient receive per dose?

*Dosage Calculations FINAL Exam* Version 1 KEY

Answer ________________2 89. How much medication is in a 40% solution of 100 mls? Answer ________________40 90. Order: D5 1/4 NS at 150 mL/hr. What is the drop rate per minute if the drop factor is 10 gtt/mL? Answer ________________25

91. The medication order is to administer V-Cillin K 600,000 units PO qid. Available: V-Cillin K 200,000 units/5 mL How many mL will the nurse administer? Answer ________________15 92. The nurse is providing education for a patient who has been ordered a steroid metered dose inhaler. What would be important for the nurse to teach this patient? A) To rinse and gargle after use of the inhaler B) To rinse the mouth thoroughly before using the inhaler C) To eat or drink milk with the administration of this medication D) To take three long breaths after inhalation of this medication Answer ________________ A) To rinse and gargle after use of the inhaler 93. Medication order: Bretylium tosylate 50 mg (Bretylol) in 50 mL of D5W at 5 mg/kg/hour Patient Weight: 40 kg

*Dosage Calculations FINAL Exam* Version 1 KEY Calculate the flow rate in milliliters per hour. Answer ________________200 94. Order: Cinoxacin 1 g/day, PO, in two divided doses Drug available: 500 mg capsules How many capsules would you give per dose? Answer ________________1 95. Medication order: Hydroxyzine (Vistaril) 75 mg, IM, STAT Drug available: Vistaril 100 mg/2 mL How many milliliters of hydroxyzine would the patient receive? Answer ________________1.5

96. Order: Give 500 mg of Augmentin by mouth now. Using the following label, how many tablets would you need to give?

Answer ________________2 97. Order: Carvedilol (Coreg) 12.5 mg, PO, bid. Using the following label, how many milligrams should the patient receive per day?

*Dosage Calculations FINAL Exam* Version 1 KEY

Answer ________________25 98. Order: TPN 1000 mL at 30 mL/hr. How many hours are required to administer the following fluid at the given rate? Answer ________________33.3

99. Order: Promethazine 25 mg, PO, bid Available: Promethazine 6.25 mg/5 mL How many milliliters of promethazine will you give per dose? Answer ________________20 100. Patient weight: 15 kg Medication order: Lidocaine 5 mcg/kg/min Usual Pediatric dose: 2-5 mcg/kg/min Drug available: Lidocaine 1 g/5 mL Dilution: Lidocaine 300 mg in 250 mL of NS at 30 mL/hr Will this dilution deliver 5 mcg/kg/min at 30 mL/hr? A) True B) False Answer ________________ B) False

*Dosage Calculations FINAL Exam* Version 1 KEY 101. It is essential that the nurse follow the “seven rights” of drug administration. One of the “seven rights” is the “right drug”. To ensure the right drug is given, the nurse should check the drug label three times. When should the drug label be checked? A) At first contact with the drug bottle, before pouring the drug, and after pouring the drug B) At first con...