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Exam Review

Ati dosage calculation mce proctored fall 2024

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Total Questions : 23

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Question 1:

A nurse is preparing to administer potassium chloride 20 mEq suspension PO daily. The amount available is potassium chloride suspension 10 mEq/mL How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailingzero

Answer and Explanation
Correct Answer: "2" mL

Explanation

Step 1: Set up the calculation.
You need to determine how many mL of the available solution will provide the ordered 20 mEq.
Use the formula:
Volume to administer=Desired dose / Concentration
Where:
• Desired dose = 20 mEq
• Concentration = 10 mEq/mL

Step 2: Plug in the values and calculate.
Volume to administer=20 mEq / 10 mEq/mL

Volume to administer=2 mL


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Question 2:

A nurse is preparing to administer 1 mg vitamin K to a newborn. The medication is available in 1 mg/0.5 mL. How much should the nurse administer? (Round to the nearest tenth. Use a leading zero when applicable. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "0.5" mL

Explanation

Step 1: Set up the calculation.
You need to determine how many mL of the available solution will provide the ordered 1 mg.
Use the formula:
Volume to administer=Desired dose / Concentration
Where:
• Desired dose = 1 mg
• Concentration = 1 mg/0.5 mL


Step 2: Plug in the values and calculate.
Volume to administer=1 mg / 1 mg/0.5 mL

Volume to administer=0.5 mL

Step 3: Round the answer.
In this case, the calculation gives an exact value, so no rounding is necessary.


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Question 3:

A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units that the nurse should prepare in the insulin syringe?

Answer and Explanation

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Question 4:

A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25 mg elixir every 4 hr as needed. The amount available is diphenhydramine elixir 12.5 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: "10" mL

Explanation

Step 1: Determine the ratio of milligrams per millilitre from the available elixir.

The available elixir is labelled "12.5 mg/5 mL." This means that for every 5 mL of the solution, there are 12.5 milligrams of diphenhydramine.

Step 2: Calculate the number of millilitres needed for 25 milligrams.

We can set up a proportion to solve for the unknown number of millilitres:

(12.5 mg) / (5 mL) = (25 mg) / (x mL)

Cross-multiplying:

12.5 mg x x mL = 5 mL x 25 mg

Step 3: Solve for x (the number of millilitres).

Divide both sides of the equation by 12.5 mg:

x mL = (5 mL x 25 mg) / (12.5 mg)

x mL = 10 mL


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Question 5:

A nurse is preparing to administer desipramine 150 mg PO daily to a client to treat diabetic neuropathy. The amount available is desipramine 100 mg/tablet. How many tablets 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: "1.5" tablets

Explanation

Step 1: Determine the ratio of milligrams per tablet from the available tablets.

The available tablets are labelled "100 mg/tablet." This means that for every 1 tablet, there are 100 milligrams of desipramine.

Step 2: Calculate the number of tablets needed for 150 milligrams.

We can set up a proportion to solve for the unknown number of tablets:

(100 mg) / (1 tablet) = (150 mg) / (x tablets)

Cross-multiplying:

100 mg x x tablets = 1 tablet x 150 mg

Step 3: Solve for x (the number of tablets).

Divide both sides of the equation by 100 mg:

x tablets = (1 tablet x 150 mg) / (100 mg)

x tablets = 1.5 tablets


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Question 6:

A nurse is 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 examples should the nurse use to show appropriate transcription of this dosage?

Answer and Explanation

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Question 7:

A provider prescribes dextrose 5% in water IV to infuse at 100 mL/hr. The drop factor on the manual IV tubing Is 60 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min, (Round the answer to the nearest whole number.)

Answer and Explanation
Correct Answer: "100" gtt/min

Explanation

To calculate the flow rate in drops per minute (gtt/min), we can use the following formula:

Flow rate (gtt/min) = (Volume (mL/hr) x Drop factor (gtt/mL)) / 60 minutes/hour

Substituting the given values:

Flow rate (gtt/min) = (100 mL/hr x 60 gtt/mL) / 60 minutes/hour
Flow rate (gtt/min) = 6000 gtt/hr / 60 minutes/hr

Flow rate (gtt/min) = 100 gtt/min


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Question 8:

A nurse is preparing to administer chlordiazepoxide 50 mg PO every 8 hr to a client. The amount available is chlordiazepoxide 25 mg/capsule. How many capsules 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: "2" capsules

Explanation

To calculate the correct dosage, let's use the following steps:

Step 1: Determine the ratio of milligrams per capsule from the available capsules.

The available capsules are labelled "25 mg/capsule." This means that for every 1 capsule, there are 25 milligrams of chlordiazepoxide.

Step 2: Calculate the number of capsules needed for 50 milligrams.

We can set up a proportion to solve for the unknown number of capsules:

(25 mg) / (1 capsule) = (50 mg) / (x capsules)

Cross-multiplying:

25 mg x x capsules = 1 capsule x 50 mg

Step 3: Solve for x (the number of capsules).

Divide both sides of the equation by 25 mg:

x capsules = (1 capsule x 50 mg) / (25 mg)

x capsules = 2 capsules


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Question 9:

A nurse is preparing to administer valproic acid 400 tog PO bid for migraine headaches. Available is valproic acid 250 mg/5mL. How many ml 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: "8" mL

Explanation

Step 1: Determine the ratio of milligrams per millilitre from the available valproic acid.
The available valproic acid is labelled "250 mg/5 mL." This means that for every 5 mL of the solution, there are 250 milligrams of valproic acid.

Step 2: Calculate the number of millilitres needed for 400 milligrams.
We can set up a proportion to solve for the unknown number of millilitres:

(250 mg) / (5 mL) = (400 mg) / (x mL)
Cross-multiplying:
250 mg * x mL = 5 mL * 400 mg

Step 3: Solve for x (the number of millilitres).
Divide both sides of the equation by 250 mg:

x mL = (5 mL * 400 mg) / (250 mg)
x mL = 8 mL


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Question 10:

A nurse is caring for a 1-month-old infant who weighs 3500g and is prescribed a dose of cephazolin 50 mg/kg by intermittent IV bolus three times daily. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do  3  m anot use a trailing zero.)

Answer and Explanation
Correct Answer: "175" mg

Explanation

Step 1: Convert the weight of the infant from grams to kilograms.

1 kilogram = 1000 grams

So, 3500 grams = 3500/1000 = 3.5 kilograms

Step 2: Calculate the dosage based on the infant's weight and the prescribed dose.

Dosage = Weight (kg) x Prescribed dose (mg/kg)

Dosage = 3.5 kg x 50 mg/kg

Dosage = 175 mg


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