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Ati Dosage calculation RN fundamentals assessment 3.2

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Total Questions : 35

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Question 1:

A nurse is preparing to administer lidocaine 200 mg IM stat and repeat in 60 min. Available is lidocaine injection 300 mg/3 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: "2" mL

Explanation

Determine the desired dosage:

The nurse needs to administer 200 mg of lidocaine.

Determine the volume per dose:

The lidocaine injection contains 300 mg per 3 mL.

The nurse needs to administer 200 mg per dose.

To find the volume per dose, we can set up a proportion:

300 mg / 3 mL = 200 mg / x mL

300x = 600

Dividing both sides by 300, we get:

x = 2 mL


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Question 2:

A nurse is preparing to administer isoniazid 187 mg IM. Available is isoniazid injection 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 a trailing zero.)

Answer and Explanation
Correct Answer: "1.9" mL

Explanation

Determine the desired dosage:

The nurse needs to administer 187 mg of isoniazid.

Determine the volume per dose:

The isoniazid injection contains 100 mg per 1 mL.

The nurse needs to administer 187 mg per dose.

To find the volume per dose, we can set up a proportion:

100 mg / 1 mL = 187 mg / x mL

Cross-multiplying gives us:

100x = 187

Dividing both sides by 100, we get:

x = 1.87 mL

Round the answer to the nearest tenth:

Rounding 1.87 to the nearest tenth gives us 1.9 mL.


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Question 3:

A nurse is preparing to administer bumetanide 5 mg, PO daily. Available is bumetanide 0.5 mg tablets. How many tablets 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" tablets

Explanation

Determine the desired dosage:

The nurse needs to administer 1.5 mg of bumetanide.

Determine the number of tablets per dose:

Each tablet contains 0.5 mg of bumetanide.

The nurse needs to administer 1.5 mg per dose.

To find the number of tablets per dose, we can set up a proportion:

0.5 mg / 1 tablet = 1.5 mg / x tablets

0.5x = 1.5

Dividing both sides by 0.5, we get:

x = 3 tablets


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Question 4:

A nurse is converting a medication dose from to mcg. The amount available is 5 g. The nurse should recognize that this amount is equal to how many mcg? (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: "5000000" mcg

Explanation

Determine the conversion factor:

There are 1,000,000 micrograms (mcg) in 1 gram (g).

Convert grams to micrograms:

To convert 5 grams to micrograms, we can multiply by the conversion factor:

5g x 1,000,000 mcg/g = 5,000,000 mcg


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Question 5:

A nurse l preparing to administer methylprednisolone acetate 60 mg IM weekly. Available is methylprednisolone acetate suspension for injection 80 mg/mL. How many mi should the nurse administer per dose? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use trailing zero.)

Answer and Explanation
Correct Answer: "1.2" mL

Explanation

Determine the desired dosage:

The nurse needs to administer 60 mg of methylprednisolone acetate.

Determine the volume per dose:

The methylprednisolone acetate suspension contains 50 mg per 1 mL.

The nurse needs to administer 60 mg per dose.

To find the volume per dose, we can set up a proportion:

50 mg / 1 mL = 60 mg / x mL

50x = 60

Dividing both sides by 50, we get:

x = 1.2 mL


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Question 6:

A nurse is preparing to administer gentamicin 1 mg/kg IM to a client who weighs 154 lb. Available is gentamicin solution 40 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 a trailing zero.)

Answer and Explanation
Correct Answer: "1.8" mL

Explanation

Convert the client's weight from pounds to kilograms:

There are 2.205 pounds in 1 kilogram.

154 lb = 154 lb / 2.205 lb/kg = 70 kg (rounded to the nearest whole number).

Determine the total dosage:

The client is prescribed 1 mg/kg of gentamicin.

The client weighs 70 kg.

The total dosage is 1 mg/kg x 70 kg = 70 mg.

Determine the volume per dose:

The gentamicin solution contains 40 mg per 1 mL.

The nurse needs to administer 70 mg per dose.

To find the volume per dose:

40 mg / 1 mL = 70 mg / x mL

Cross-multiplying gives us:

40x = 70

Dividing both sides by 40, we get:

x = 1.75 mL

Round the answer to the nearest tenth:

Rounding 1.75 to the nearest tenth gives us 1.8 mL.


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Question 7:

A nurse preparing to administer diciofenac sodium 200 mg PO daily equally divided doses every 6 hr. How many mg 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: "50" mg

Explanation

Determine the total daily dosage:

The client is prescribed 200 mg of diclofenac sodium daily.

Calculate the dosage per dose:

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

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

The dosage per dose is 200 mg / 4 doses = 50 mg per dose.


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Question 8:

A nurse is preparing to administer filgrastim 480 mcg subcutaneous daily. Available is filgrastim injection 300 mcg/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: "1.6" mL

Explanation

Determine the desired dosage:

The nurse needs to administer 480 mcg of filgrastim.

Determine the volume per dose:

The filgrastim injection contains 300 mcg per 1 mL.

The nurse needs to administer 480 mcg per dose.

To find the volume per dose:

300 mcg / 1 mL = 480 mcg / x mL

Cross-multiplying gives us:

300x = 480

Dividing both sides by 300, we get:

x = 1.6 mL


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Question 9:

A nurse preparing to administer heparin 10,000 units subcutaneous every 8 hr. Available i heparin injection 20,000 units/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: "0.5" mL

Explanation

Determine the desired dosage:

The nurse needs to administer 10,000 units of heparin.

Determine the volume per dose:

The heparin injection contains 20,000 units per 1 mL.

The nurse needs to administer 10,000 units per dose.

To find the volume per dose:

20,000 units / 1 mL = 10,000 units / x mL

Cross-multiplying gives us:

20,000x = 10,000

Dividing both sides by 20,000, we get:

x = 0.5 mL


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Question 10:

A nurse is preparing to administer methy prednisolone 7 mg/kg/day IM in two divided doses to a school-age child who weighs 64 lb. Available is methyiprednisolone 20 mg/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: "1.2" mL

Explanation

Convert the child's weight from pounds to kilograms:

There are 2.205 pounds in 1 kilogram.

Therefore, 64 lb = 64 lb / 2.205 lb/kg = 29.03 kg (rounded to two decimal places).

Determine the total daily dosage:

The child is prescribed 1.7 mg/kg/day of methylprednisolone.

The child weighs 29.03 kg.

Therefore, the total daily dosage is 1.7 mg/kg/day x 29.03 kg = 49.351 mg/day.

Calculate the dosage per dose:

The medication is to be administered in two divided doses.

Therefore, the dosage per dose is 49.351 mg/day / 2 doses = 24.6755 mg/dose.

Determine the volume per dose:

The methylprednisolone injection contains 20 mg per 1 mL.

The nurse needs to administer 24.6755 mg per dose.

To find the volume per dose, we can set up a proportion:

20 mg / 1 mL = 24.6755 mg / x mL

Cross-multiplying gives us:

20x = 24.6755

Dividing both sides by 20, we get:

x = 1.233775 mL

Round the answer to the nearest tenth:

Rounding 1.233775 to the nearest tenth gives us 1.2 mL.


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