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Exam Review

Ati dosage calculation pn adult medical surgical 3.2

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Total Questions : 30

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Question 1:

A nurse is preparing to administer nystatin 400,000 units PO every 6 hr. Available is nystatin oral suspension 100,000 units/mL. 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: "4" mL

Explanation

Determine the total daily dosage:

The client is prescribed 400,000 units of nystatin every 6 hours.

There are 24 hours in a day, so the medication is given 24/6 = 4 times a day.

Total daily dosage is 400,000 units/dose x 4 doses = 1,600,000 units per day.

Calculate the dosage per dose:

The medication is to be administered in divided doses every 6 hours.

There are 24 hours in a day, so the medication is given 24/6 = 4 times a day.

Dosage per dose is 1,600,000 units / 4 doses = 400,000 units per dose.

Determine the number of mL per dose:

The nystatin oral suspension contains 100,000 units per mL.

The nurse needs to administer 400,000 units per dose.

Divide 400,000 units / 100,000 units per mL = 4 mL per dose.


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Question 2:

A nurse is preparing to administer lisinopril 2.5 mg PO to an older adult client. Available is lisinopril 5 mg table nurse administer? (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: "0.5" tablets

Explanation

Determine the total daily dosage:

The client is prescribed 2.5 mg of lisinopril.

Calculate the dosage per dose:

The medication is to be administered in a single dose.

Dosage per dose is 2.5 mg.

Determine the number of tablets per dose:

Each tablet contains 5 mg of lisinopril.

The nurse needs to administer 2.5 mg per dose.

Divide 2.5 mg / 5 mg per tablet = 0.5 tablets per dose.


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Question 3:

A nurse is preparing to administer enoxaparin 40 mg subcutaneous for prevention of deep-vein thrombosis. Available is enoxaparin 100 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use trailing zero.)

Answer and Explanation
Correct Answer: "0.4" mL per dose

Explanation

Determine the total daily dosage:

The client is prescribed 40 mg of enoxaparin.

Calculate the dosage per dose:

The medication is to be administered in a single dose.

Dosage per dose is 40 mg.

Determine the volume per dose:

The enoxaparin solution contains 100 mg per mL.

The nurse needs to administer 40 mg per dose.

Divide 40 mg / 100 mg per mL = 0.4 mL per dose.


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Question 4:

A nurse is preparing to administer calcitonin 8 units/kg IM to a client who weighs 165 lb. Available is 200 units/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "3" mL

Explanation

Convert the client's weight from pounds to kilograms:

There are 2.205 pounds in 1 kilogram.

165 lb = 165 lb / 2.205 lb/kg = 75 kg.

Determine the total dosage:

The client is prescribed 8 units/kg of calcitonin.

The client weighs 75 kg.

Dosage is 8 units/kg x 75 kg = 600 units.

Determine the volume per dose:

The calcitonin solution contains 200 units/mL.

The nurse needs to administer 600 units.

Divide 600 units / 200 units/mL = 3 mL.


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Question 5:

A nurse is preparing to administer ketorolac 30 mg IM for loading dose. Available is ketorolac injection 15 mg/mL. How many mL 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" mL

Explanation

Determine the total daily dosage:

The client is prescribed 30 mg of ketorolac.

Calculate the dosage per dose:

The medication is to be administered in a single dose.

Dosage per dose is 30 mg.

Determine the volume per dose:

The ketorolac injection contains 15 mg per mL.

The nurse needs to administer 30 mg per dose.

Divide 30 mg / 15 mg per mL = 2 mL per dose.


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Question 6:

A nurse is preparing to administer megestrol 200 mg PO to a client. Available is megestrol oral suspension 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use: trailing zero.)

Answer and Explanation
Correct Answer: "5" mL

Explanation

Determine the total daily dosage:

The client is prescribed 200 mg of megestrol.

Calculate the dosage per dose:

The medication is to be administered in a single dose.

Dosge per dose is 200 mg.

Determine the volume per dose:

The megestrol oral suspension contains 40 mg per mL.

The nurse needs to administer 200 mg per dose.

Divide 200 mg / 40 mg per mL = 5 mL per dose.


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Question 7:

A nurse is preparing to administer furosemide 30 mg IM to client. Available is furosemide 10 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "3" mL

Explanation

Determine the total daily dosage:

The client is prescribed 30 mg of furosemide.

Calculate the dosage per dose:

The medication is to be administered in a single dose.

Dosage per dose is 30 mg.

Determine the volume per dose:

The furosemide injection contains 10 mg per mL.

The nurse needs to administer 30 mg per dose.

Divide 30 mg / 10 mg per mL = 3 mL per dose.


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Question 8:

A nurse is preparing to administer heparin 17,500 units subcutaneous every 12 hr to a client. Available is heparin injection 20,000 units/mL. How many mL should the nurse administer per dose? (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: "0.875" mL per dose

Explanation

Determine the total daily dosage:

The client is prescribed 17,500 units of heparin every 12 hours.

There are 24 hours in a day, so the medication is given 24/12 = 2 times a day.

Total daily dosage is 17,500 units/dose * 2 doses = 35,000 units per day.

Calculate the dosage per dose:

The medication is to be administered in divided doses every 12 hours.

There are 24 hours in a day, so the medication is given 24/12 = 2 times a day.

Dosage per dose is 35,000 units / 2 doses = 17,500 units per dose.

Determine the volume per dose:

The heparin injection contains 20,000 units per mL.

The nurse needs to administer 17,500 units per dose.

Divide 17,500 units / 20,000 units per mL = 0.875 mL per dose.


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Question 9:

A nurse is preparing to administer chlorpromazine 0.55 mg/kg IM to a child who weighs 66 lb. Available is chlorpromazine 25 mg/mL for injection. How many mL should the nurse administer? (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: "0.66" mL

Explanation

Convert the child's weight from pounds to kilograms:

There are 2.205 pounds in 1 kilogram.

Divide: 66 lb / 2.205 lb/kg = 30 kg.

Determine the total dosage:

The child is prescribed 0.55 mg/kg of chlorpromazine.

The child weighs 30 kg.

Total dosage is 0.55 mg/kg x 30 kg = 16.5 mg.

Determine the volume per dose:

The chlorpromazine injection contains 25 mg per mL.

The nurse needs to administer 16.5 mg per dose.

Divide 16.5 mg / 25 mg per mL = 0.66 mL per dose.


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Question 10:

A nurse preparing to administer morphine 7.5 mg subcutaneous. Available is morphine injection 10 mg/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: "0.75" mL

Explanation

Determine the total daily dosage:

The client is prescribed 7.5 mg of morphine.

Calculate the dosage per dose:

The medication is to be administered in a single dose.

Dosage per dose is 7.5 mg.

Determine the volume per dose:

The morphine injection contains 10 mg per mL.

The nurse needs to administer 7.5 mg per dose.

Divide 7.5 mg / 10 mg per mL = 0.75 mL per dose.


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