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Ati med math exam

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Total Questions : 28

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Question 1:

A nurse is preparing to administer ticarcillin / clavulanate 3.1 g by intermittent IV bolus over 30 min. Available is ticarcillin clavulanate 3.1 g in 150 ml 0.9% sodium chloride (NSS). 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: "300" mL/hr

Explanation

Understanding the problem

We need to administer 150 mL of the medication over 30 minutes.

We need to determine the flow rate in mL/hr.

Step-by-step calculation

Convert minutes to hours:

30 minutes = 0.5 hours

Calculate the flow rate:

Flow rate (mL/hr) = Total volume (mL) / Infusion time (hours) = 150 mL / 0.5 hours = 300 mL/hr

Therefore, the nurse should set the IV pump to deliver 300 mL/hr.


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Question 2:

A nurse is preparing to administer tobramycin 3 mg/kg/day IM divided in three equal doses to a client who weighs 50 kg. Available is tobramycin 40 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: "1.3" mL

Explanation

Step-by-step solution:

1. Calculate the total daily dose:

Total daily dose = dose per kg/day x weight in kg = 3 mg/kg/day x 50 kg = 150 mg/day

2. Calculate the dose per administration:

Since the medication is divided into 3 doses per day,

Dose per administration = Total daily dose / number of doses = 150 mg/day / 3 doses = 50 mg/dose

3. Calculate the volume to administer:

The medication concentration is 40 mg/mL.

Volume = Dose per administration / Concentration = 50 mg / 40 mg/mL = 1.25 mL

4. Round to the nearest tenth:

Volume = 1.3 mL

Therefore, the nurse should administer 1.3 mL of tobramycin per dose


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Question 3:

A nurse is calculating the total fluid intake for a client on strict 180; during your shift the client had 12 oz of orange juice, 12 oz of ice chips, 6 oz of coffee with 4 oz of skim milk, 24 oz of water, and 1000 mL of IV fluid infusion. What was the client's total intake for your shift?

Answer and Explanation
Correct Answer: "2560" mL

Explanation

  1. Convert ounces to milliliters (mL):
  • 1 ounce (oz) is approximately equal to 30 mL.

  • Orange juice: 12 oz * 30 mL/oz = 360 mL

  • Ice chips: 12 oz * 30 mL/oz = 360 mL (Note: Ice melts to about half its volume, so we'll divide this by 2 later)

  • Coffee: 6 oz * 30 mL/oz = 180 mL

  • Skim milk: 4 oz * 30 mL/oz = 120 mL

  • Water: 24 oz * 30 mL/oz = 720 mL

  1. Account for ice chips melting:
  • Ice chips: 360 mL / 2 = 180 mL
  1. Add up all the fluid intake in mL:
  • Orange juice: 360 mL
  • Ice chips: 180 mL
  • Coffee: 180 mL
  • Skim milk: 120 mL
  • Water: 720 mL
  • IV fluid: 1000 mL

Total: 360 + 180 + 180 + 120 + 720 + 1000 = 2560 mL


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Question 4:

A nurse is preparing to administer Rosuvastatin 4000 mcg PO ac. Available: Rosuvastatin 2 mg tablet. How many tabs will the nurse administer? Round to the whole number. Use a leading zero if it applies. Do not use a trailing zero.

Answer and Explanation
Correct Answer: "2" tablets

Explanation

Understanding the problem

We need to administer 4000 mcg of Rosuvastatin.

The available tablets are 2 mg each.

We need to determine the number of tablets to administer.

Step-by-step calculation

Convert mcg to mg:

1 mg = 1000 mcg

4000 mcg = 4 mg

Calculate the number of tablets:

Number of tablets = Desired dose (mg) / Tablet strength (mg) = 4 mg / 2 mg/tablet = 2 tablets

Therefore, the nurse should administer 2 tablets of Rosuvastatin.


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Question 5:

A nurse is preparing to administer digoxin 8 mg/kg/day PC divided equally every 12 hr for a preschooler who weighs 33 b. Available is digoxin elixir 0.05 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

Step-by-step solution:

1. Convert pounds to kilograms:

1 lb = 0.453592 kg

33 lb x 0.453592 kg/lb = 14.97 kg

2. Calculate the total daily dose of digoxin:

Total daily dose = dose per kg/day x weight in kg = 8 mcg/kg/day x 14.97 kg = 119.76 mcg/day

3. Calculate the dose per administration:

Since the medication is divided into 2 doses per day,

Dose per administration = Total daily dose / number of doses = 119.76 mcg/day / 2 doses = 59.88 mcg/dose

4. Convert mcg to mg:

1 mg = 1000 mcg

59.88 mcg = 0.05988 mg

5. Calculate the volume to administer:

The medication concentration is 0.05 mg/mL.

Volume = Dose per administration / Concentration = 0.05988 mg / 0.05 mg/mL = 1.1976 mL

6. Round to the nearest tenth:

Volume = 1.2 mL

Therefore, the nurse should administer 1.2 mL of digoxin per dose.


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Question 6:

A nurse is preparing to administer daptomycin 475 mg IV bolus. The nurse reconstitutes a vial of daptomycin to yield a final concentration of 0.5 g/10 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: "9.5" mL

Explanation

We need to administer 475 mg of daptomycin.

The reconstituted solution has a concentration of 0.5 g/10 mL, which is equivalent to 50 mg/mL.

Calculation:

Volume (mL) = Desired dose (mg) / Concentration (mg/mL) = 475 mg / 50 mg/mL = 9.5 mL

Therefore, the nurse should administer 9.5 mL of the reconstituted daptomycin solution.


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Question 7:

A nurse is preparing to administer nafcillin 2 g IV bolus. The nurse reconstitutes a vial of nafcillin to yield a final concentration of 250 mg/ml. How many m 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: "8" mL

Explanation

Understanding the problem

We need to administer 2g of nafcillin.

The reconstituted solution has a concentration of 250 mg/mL.

We need to determine the volume to administer.

Step-by-step calculation

Convert grams to milligrams:

2 g = 2000 mg

Use the formula:

Volume (mL) = Desired dose (mg) / Concentration (mg/mL) = 2000 mg / 250 mg/mL

Calculate the volume:

Volume (mL) = 8 mL

Therefore, the nurse should administer 8 mL of the reconstituted nafcillin solution.


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Question 8:

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

Answer and Explanation
Correct Answer: "3" mL

No explanation


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Question 9:

A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which prescription?

Answer and Explanation

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Question 10:

A nurse is reviewing new prescriptions for a client who was just admitted. For which of the following prescriptions should the nurse obtain further clarification from the provider?

Answer and Explanation

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