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ATI RN Dosage calculation

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Total Questions : 35

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Question 1:

A nurse is preparing to administer lactated Ringer's 250 mL IV to infuse over 15 min.

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.). mL/hr.

Answer and Explanation
Correct Answer: "1000" mL/hr

Explanation

Step 1 is to calculate the total volume to be infused in mL/hr. This is done by dividing the total volume (250 mL) by the time in hours (15 min ÷ 60 min/hr). So, 250 mL ÷ (15 min ÷ 60 min/hr) = 1000 mL/hr.

So, the correct answer is 1000 mL/hr.


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Question 2:

A nurse is preparing to administer cefazolin 1g intermittent IV bolus in 0.9% sodium chloride 250 mL over 30 min.

The drop factor on the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV flow rate to deliver how many gtt/min? (Round the answer to the nearest whole number.

Use a leading zero if it applies.

Do not use a trailing zero.). gtt/min.

Answer and Explanation
Correct Answer: "83" gtt\/min

Explanation

Step 1 is to calculate the total volume to be infused in mL/min. This is done by dividing the total volume (250 mL) by the time in minutes (30 min). So, 250 mL ÷ 30 min = 8.33 mL/min. Step 2 is to convert mL/min to gtt/min using the drop factor. So, (8.33 mL/min) × (10 gtt/mL) = 83.3 gtt/min. Round off to the nearest whole number, the correct answer is 83 gtt/min.


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Question 3:

A nurse is preparing to reconstitute ampicillin for IM administration to a client who has urethritis.

Which of the following information should the nurse interpret from the medication label? (Refer to the medication label below.). *This vial contains ampicillin sodium equivalent to 1 gram ampicillin.

For IM use, add 3.5 ml diluent (read accompanying insert). Resulting solution contains 250 mg ampicillin per mL. Use solution within 1 hour.

Usage dosage: Adults-250 to 500 mg IM qóh. READ ACCOMPANYING INSERT.

T tor. detailed indications, IM or IV dosage, and precautions.

Store the dry powder at 20° to 25° C (68° to 77° F) (See USP]). NDC 1234-1234-10. Ampicillin for Injection, UŠP. 1 gram per vial.

For IM or IV Use.

End of label.

Answer and Explanation

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Question 4:

A nurse is preparing to administer ketorolac 30 mg IM to a client.

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.). mL.

Answer and Explanation
Correct Answer: "2 mL" mL

Explanation

Step 1 is to determine the amount of medication needed. The order is for 30 mg and the available medication is 15 mg/mL. So, we calculate 30 mg ÷ 15 mg/mL = 2 mL. So the correct answer is 2 mL.


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Question 5:

A nurse is preparing to administer morphine oral solution 30 mg PO for breakthrough pain to a client who has cancer.

Available is morphine oral solution 20 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.). mL.

Answer and Explanation
Correct Answer: "1.5 mL" mL

Explanation

Step 1 is to determine the amount of medication needed. The order is for 30 mg and the available medication is 20 mg/mL. So, we calculate 30 mg ÷ 20 mg/mL = 1.5 mL. Rounded to the nearest tenth, this is 1.5 mL. So the correct answer is 1.5 mL.


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Question 6:

A nurse is teaching a client who has a new prescription for sucralfate 1 g PO BID.

Available is sucralfate 1 g/10 mL. How many tsp should the nurse instruct the client to self-administer per dose? (Round the answer to the nearest whole number.

Use a leading zero if it applies.

Do not use a trailing zero.). tsp.

Answer and Explanation
Correct Answer: "2" tsp

Explanation

Step 1 is to determine the amount of medication needed. The order is for 1 g and the available medication is 1 g/10 mL. So, we calculate 1 g ÷ 1 g/10 mL = 10 mL. Since 1 tsp is approximately 5 mL, we then calculate 10 mL ÷ 5 mL/tsp = 2 tsp. So the correct answer is 2 tsp.


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Question 7:

A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 1 L with magnesium sulfate 1 g to infuse IV bolus over 12 hr. 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.). mL/hr.

Answer and Explanation
Correct Answer: "83 mL\/hr" mL

Explanation

Step 1 is to calculate the total volume to be infused. The total volume is 1 L, which is equal to 1000 mL. Step 2 is to divide the total volume by the total time. The total time is 12 hours. So, the calculation is 1000 mL ÷ 12 hr = 83.33 mL/hr.

So, the correct answer is 83 mL/hr, after rounding to the nearest whole number.


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Question 8:

A nurse is reviewing medications prescribed for a client.
For which of the following prescriptions should the nurse contact the provider for clarification?.

Answer and Explanation

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Question 9:

A nurse is preparing to administer hydrochlorothiazide 150 mg Po daily in 3 equally divided doses.

Available is hydrochlorothiazide oral solution 50 mg/5 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.). mL. .

Answer and Explanation
Correct Answer: "5 mL" mL

Explanation

Step 1 is to calculate the total daily dose. The total daily dose is 150 mg. Step 2 is to divide the total daily dose by the number of doses. The number of doses is 3. So, the calculation is 150 mg ÷ 3 = 50 mg/dose. Step 3 is to calculate the volume to administer using the available medication concentration. The available medication concentration is 50 mg/5 mL. So, the calculation is 50 mg ÷ (50 mg/5 mL) = 5 mL.

So, the correct answer is 5 mL, after rounding to the nearest whole number.


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Question 10:

A nurse is preparing to administer acetylcysteine 140 mg/kg PO stat to a client who weighs 178 lb. Available is acetylcysteine 200 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.). mL.

Answer and Explanation
Correct Answer: "57 mL" mL

Explanation

Step 1 is to convert the client’s weight from pounds to kilograms. We know that 1 kg is approximately 2.2 lb. So, the client’s weight in kg is 178 lb ÷ 2.2 lb/kg = 80.91 kg. Step 2 is to calculate the total dose of acetylcysteine. The total dose is 140 mg/kg × 80.91 kg = 11327.4 mg. Step 3 is to calculate the volume to administer. The volume is 11327.4 mg ÷ 200 mg/mL = 56.637 mL.

So, the correct answer is 57 mL after rounding to the nearest whole number.


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