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Ati pn dosage calculation fundamentals proctored assessment 3.1

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Total Questions : 35

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Question 1:

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

Given:

Ordered dose: 480 mcg filgrastim

Available concentration: 300 mcg/mL

To find:

Volume to administer (mL)

Calculation:

We need to find the volume that contains 480 mcg of filgrastim.

We can achieve this by dividing the ordered dose (480 mcg) by the concentration (300 mcg/mL).

Volume (mL) = Ordered dose (mcg) / Concentration (mcg/mL)

Volume (mL) = 480 mcg / 300 mcg/mL

Round the answer to the nearest tenth:

Volume (mL) = 1.6 mL (rounded)

Answer:

The nurse should administer 1.6 mL of filgrastim injection per dose.


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Question 2:

A nurse is preparing to administer dicloxacillin 6.25 mg/kg PO to a child who weighs 14 lb. Available is dicloxacillin 62.5 mg/5 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: "3.2" ml

Explanation

To calculate the dosage of dicloxacillin to administer to the child, we need to follow these steps

Convert the child's weight from pounds to kilograms:

1 pound (lb) = 0.453592 kilograms (kg)

Child's weight in kg = 14 lb × 0.453592 = 6.35 kg

Determine the dose in mg:

Dosage required = 6.25 mg/kg

Dose = 6.25 mg/kg × 6.35 kg = 39.6875 mg

Determine how many mL of the medication to administer:

The concentration of dicloxacillin is 62.5 mg/5 mL

Using the formula:

Volume(mL)= Dose(mg)/Concentration(mg/mL)

Concentration (mg/mL) = 62.5 mg / 5 mL = 12.5 mg/mL

Volume (mL) = 39.6875 mg / 12.5 mg/mL = 3.175 mL

Round to the nearest tenth:

Volume to administer = 3.2 mL

The nurse should administer 3.2 mL of dicloxacillin.


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Question 3:

A nurse is preparing to administer hepatitis B vaccine 5 mcg IM to a newborn. Available is hepatitis B vaccine injection 5 mcg/0.5 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: "0.5" ml

Explanation

The nurse should administer 0.5 mL of the hepatitis B vaccine injection.

Here's the calculation

Desired dose: 5 mcg

Concentration of available vaccine: 5 mcg/0.5 mL

To find the volume to administer, we can divide the desired dose by the concentration:

Volume to administer = Dose / Concentration

= 5 mcg / (5 mcg/0.5 mL)

= 0.5 mL

Therefore, the nurse should administer the full 0.5 mL of the available vaccine injection.


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Question 4:

A nurse is instructing a client to take guaifenesin 1 tsp PO. How many mL should the nurse instruct the client to take? (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

The nurse should instruct the client to take 5 mL of guaifenesin.

Here’s the calculation for your reference:

In the United States, 1 teaspoon (tsp) is approximately equivalent to 5 milliliters (mL).

So, if the client is instructed to take 1 tsp of guaifenesin, this would be:

VolumeinmL=1tsp×5mL/tsp=5mL

However, the question asks to round the answer to the nearest whole number.

So, the nurse should instruct the client to take 5 mL of guaifenesin.


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Question 5:

A nurse is preparing to administer diazepam 10 mg IM stat to a client. Available is diazepam injection 5 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

The nurse should administer 2 mL of diazepam injection

Here's the calculation:

Desired dose: 10 mg

Concentration of available diazepam: 5 mg/mL

We can find the volume to administer by dividing the desired dose by the concentration and rounding to the nearest whole number:

Volume to administer (rounded) = Dose / Concentration

= 10 mg / (5 mg/mL)

= 2 mL (rounded to nearest whole number)

Therefore, the nurse should administer 2 mL of the diazepam injection.


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Question 6:

A nurse is preparing to administer nifedipine 20 mg PO three times a day. Available is nifedipine 10 mg capsules. 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

The nurse should administer 2 capsules of nifedipine per dose

Here's the breakdown:

Desired dose per administration: 20 mg

Strength of available capsules: 10 mg per capsule

To find the number of capsules needed, we can divide the desired dose by the amount of medication in each capsule and round to the nearest whole number:

Number of capsules (rounded) = Desired dose / Medication per capsule

= 20 mg / 10 mg/capsule

= 2 capsules (rounded to nearest whole number)

Therefore, the nurse should administer 2 capsules of nifedipine per dose.


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Question 7:

A nurse is preparing to administer cetirizine 5 mg PO. Available is cetirizine 2.5 mg/5 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: "10" ml

Explanation

To administer 5mg of cetirizine with a concentration of 2.5mg/mL, the nurse should indeed administer 10 mL.

Here's the corrected calculation:

Desired dose: 5 mg

Concentration of available cetirizine: 2.5 mg/mL

We can find the volume to administer by dividing the desired dose by the concentration

Volume to administer = Dose / Concentration

= 5 mg / (2.5 mg/mL)

= 2 mL

However, since each milliliter only contains 2.5mg, we need to administer more than 2mL to reach the desired dose of 5mg.

To get to 5mg, we need to administer twice the amount (2 x 2.5mg = 5mg). This translates to:

Total volume to administer = 2 mL/dose x 2 doses

= 10 mL

Therefore, the nurse should administer 10 mL of the cetirizine solution.


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Question 8:

A nurse is preparing to administer morphine 4 mg subcutaneous to a client. Available is morphine 10 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: "0.4" ml

Explanation

The nurse should administer 0.4 mL of morphine.

Here's the calculation:

Desired dose: 4 mg

Concentration of available morphine: 10 mg/mL

We can find the volume to administer by dividing the desired dose by the concentration and rounding to one decimal place:

Volume to administer (rounded to one decimal) = Dose / Concentration

= 4 mg / (10 mg/mL)

= 0.4 mL

Therefore, the nurse should administer 0.4 mL of the morphine solution.


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Question 9:

A nurse is preparing to administer calcium carbonate 3.9 g PO daily in equally divided doses every 12 hr. Available is calcium carbonate 650 mg 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: "3.00" tablets

Explanation

The nurse should administer 3 tablets of calcium carbonate per dose.

Here's the breakdown:

Daily dose: 3.9 g

Dose frequency: Every 12 hours (meaning two doses per day)

Tablet strength: 650 mg per tablet

Step 1: Convert daily dose to milligrams

Since tablets are typically measured in milligrams (mg), we need to convert the daily dose from grams (g) to milligrams (mg). There are 1000 milligrams in one gram:

Daily dose (mg) = 3.9 g x 1000 mg/g

= 3900 mg

Step 2: Calculate the dose per administration

Since the total daily dose is given to be administered in equally divided doses every 12 hours, we need to find the amount to be administered per dose

Dose per administration = Daily dose / Number of doses per day

= 3900 mg / 2 doses/day

= 1950 mg

Step 3: Find the number of tablets per dose

Now, we can determine how many tablets are needed to deliver the calculated dose per administration.

We can divide the dose per administration by the strength of each tablet (rounding to the nearest whole number):

Number of tablets (rounded) = Dose per administration / Tablet strength

= 1950 mg / 650 mg/tablet

= 3.00 tablets (round to 3)


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Question 10:

A nurse is preparing to administer enoxaparin 1 mg/kg subcutaneously to a client who weighs 220 lb. Available is enoxaparin 30 mg/0.3 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: "1" ml

Explanation

To calculate the correct dose of enoxaparin, we need to follow these steps:

  1. Convert pounds to kilograms:

    • 220 lb * 0.4536 kg/lb = 99.8 kg
  2. Calculate the daily dose in micrograms:

    • 1 mg/kg * 99.8 kg = 99.8 mg
  3. Determine the volume needed from the available concentration:

    • 99.8 mg * (0.3 mL / 30 mg) = 0.998 mL

Therefore, the nurse should administer 1 mL of enoxaparin.

Answer: 1 mL


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