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ATI Dosage calculation lpn maternal newborn proctored assessment 3.2

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Total Questions : 34

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Question 1:

A nurse is preparing to administer oxycodone 10 mg PO every 6 hr PRN severe pain to a client who is postpartum following a cesarean birth Available is oxycodone 5 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "2" tablets

Explanation

Given:

Prescribed dose: 10 mg of oxycodone per dose

Available tablets: 5 mg tablets

Steps to solve:

Determine the number of tablets per dose:

Find how many 5 mg tablets are needed to make 10 mg of oxycodone.

Set up a proportion to solve for the unknown number of tablets (X):

5 mg/tablet = 10 mg/X tablets

Cross-multiplying gives us:

5 mg x X tablets = 10 mg x 1 tablet

Simplifying:

5X = 10

Solving for X:

X = 10 / 5 = 2 tablets


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Question 2:

A nurse is preparing to administer 0.9% sodium chloride 000 mL IV to infuse over 5 hr to a client who is postoperative following a cesarean birth. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "200" mL/hr

Explanation

Given:

Total volume: 1000 mL

Time: 5 hours

Steps to solve:

Determine the flow rate:

Set up a proportion to solve for the unknown flow rate (X):

1000 mL/5 hr = X mL/1 hr

Cross-multiplying gives us:

1000 mL x 1 hr = 5 hr x X mL

Simplifying:

1000 = 5X

Solving for X:

X = 1000 / 5 = 200 mL/hr


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Question 3:

A nurse is assisting with the care of a client who is pregnant and has a prescription for dextrose 5% in 0.9% sodium chloride 250 mL IV to infuse over 4 hr. The nurse should ensure that the IV pump is set to administer how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "63" mL/hr

Explanation

Given:

Total volume: 250 mL

Time: 4 hours

Steps to solve:

Determine the flow rate:

Set up a proportion to solve for the unknown flow rate (X):

250 mL/4 hr = X mL/1 hr

Cross-multiplying gives us:

250 mL x 1 hr = 4 hr x X mL

Simplifying:

250 = 4X

Solving for X:

X = 250 / 4 = 62.5 mL/hr

Round to the nearest whole number:

63 mL/hr.


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Question 4:

A nurse is preparing to administer lactated Ringer's 1,500 mL IV to infuse over 8 hr to a pregnant client who has gastroenteritis. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "188" mL

Explanation

Given:

Total volume: 1500 mL

Time: 8 hours

Steps to solve:

Determine the flow rate:

Set up a proportion to solve for the unknown flow rate (X):

1500 mL/8 hr = X mL/1 hr

Cross-multiplying gives us:

1500 mL x 1 hr = 8 hr x X mL

Simplifying:

1500 = 8X

Solving for X:

X = 1500 / 8 = 187.5 mL/hr

Round to the nearest whole number:

188 mL/hr.


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Question 5:

A nurse is preparing to administer potassium chloride 30 mEq PO every 12 hr. Available are potassium chloride 10 mEq sustained-release tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "3" tablets

Explanation

Given:

Prescribed dose: 30 mEq of potassium chloride per dose

Available tablets: 10 mEq tablets

Steps to solve:

Determine the number of tablets per dose:

Find how many 10 mEq tablets are needed to make 30 mEq of potassium chloride.

Set up a proportion to solve for the unknown number of tablets (X):

10 mEq/tablet = 30 mEq/X tablets

Cross-multiplying gives us:

10 mEq x X tablets = 30 mEq x 1 tablet

Simplifying:

10X = 30

Solving for X:

X = 30 / 10 = 3 tablets


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Question 6:

A nurse is reviewing a new prescription for propranolol 20 mg PO four times daily for a client who has premenstrual migraine headaches. Available is propranolol solution 4 mg/mL. The nurse should recognize that the client should take how many mL per dose? (Round the answer to the nearest whole number. Use a leading zero If it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "5" mL

Explanation

Given:

Prescribed dose: 20 mg of propranolol per dose

Available concentration: 4 mg/mL

Steps to solve:

Determine the volume to be administered:

Set up a proportion to solve for the unknown volume (X):

4 mg/mL = 20 mg/X mL

Cross-multiplying gives us:

4 mg x X mL = 20 mg x 1 mL

Simplifying:

4X = 20

Solving for X:

X = 20 / 4 = 5 mL


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Question 7:

A nurse is preparing to administer heparin 5.000 units subcutaneous every 12 hr to a client who is pregnant and has atrial fibrillation. Available is heparin solution for injection 7.500 units/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "0.67" mL

Explanation

Given:

Prescribed dose: 5,000 units of heparin

Available concentration: 7,500 units/mL

Steps to solve:

Determine the volume to be administered:

Set up a proportion to solve for the unknown volume (X):

7,500 units/mL = 5,000 units/X mL

Cross-multiplying gives us:

7,500 units x X mL = 5,000 units x 1 mL

Simplifying:

7,500X = 5,000

Solving for X:

X = 5,000 / 7,500 = 0.67 mL


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Question 8:

A nurse is assisting with the care of a client who is in labor and is receiving penicillin G 5.000.000 units via intermittent IV bolus over 60 min. Available is penicillin G 5,000,000 units in 0.9% sodium chloride 100 mL. The nurse should ensure that the IV pump is set to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "100" mL/hr

Explanation

Given:

Total volume: 100 mL

Time: 60 minutes

Steps to solve:

Determine the flow rate:

Set up a proportion to solve for the unknown flow rate (X):

100 mL/60 min = X mL/1 min

Cross-multiplying gives us:

100 mL x 1 min = 60 min x X mL

Simplifying:

100 = 60X

Solving for X:

X = 100 / 60 = 1.67 mL/min

Convert to mL/hr:

1.67 mL/min x 60 min/hr = 100 mL/hr


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Question 9:

A nurse is preparing to administer methadone 2.5 mg PO every 8 hr to a client who is postpartum. Available is methadone oral solution 10 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "1.25" mL

Explanation

Given:

Prescribed dose: 2.5 mg of methadone per dose

Available concentration: 10 mg/5 mL

Steps to solve:

Determine the volume to be administered:

Set up a proportion to solve for the unknown volume (X):

10 mg/5 mL = 2.5 mg/X mL

Cross-multiplying gives us:

10 mg x X mL = 2.5 mg x 5 mL

Simplifying:

10X = 12.5

Solving for X:

X = 12.5 / 10 = 1.25 mL


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Question 10:

A nurse is caring for a newborn who weighs 6 lb. The nurse should record the newborn's weight as how many g? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "2722" g

Explanation

Let's convert pounds to grams.

We know that 1 pound= 453.592 grams.

Convert 6 pounds to grams, we multiply:

6 pounds x 453.592 grams/pound = 2721.552 grams

Rounding this to the nearest whole number gives 2722 grams.


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