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Nur 324 medication calculation Proctored exam

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Total Questions : 20

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Question 1:

The client has an order for glyburide 2.5 mg orally. The medication available is 2.5 mg per scored tablet. How many tablets will the nurse administer? (If needed, round to the nearest whole number.)

Answer and Explanation
Correct Answer: "1" tablet

Explanation

Calculation:

  • Identify the ordered dose and available strength

Ordered Dose: 2.5 mg

Available Strength: 2.5 mg/tablet

  • Calculate the number of tablets

Tablets = Ordered Dose ÷ Available Strength

Tablets = 2.5 ÷ 2.5

= 1


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Question 2:

The healthcare provider ordered metronidazole 500 mg in 250 mL to infuse over 60 minutes. The available tubing delivers 20 gtt/mL. At what rate will the nurse set the infusion? (If needed, round to the nearest whole number.)

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

Explanation

Calculation:

  • Identify the volume, time, and drop factor

Volume = 250 mL
Time = 60 min
Drop Factor = 20 gtt/mL

  • Calculate the flow rate in gtt/min

Flow Rate = (Volume × Drop Factor) ÷ Time

Flow Rate = (250 × 20) ÷ 60

Flow Rate = 5000 ÷ 60

Flow Rate ≈ 83.33

  • Round to the nearest whole number

= 83 gtt/min


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Question 3:

The client has an order for potassium chloride 17.5 mEq twice a day orally. The medication available is 20 mEq/15 mL. How many mL will the nurse administer for each dose? (If needed, round to the nearest tenth.)

Answer and Explanation
Correct Answer: "13.1" mL

Explanation

Calculation:

  • Identify the ordered dose and available concentration

Ordered Dose: 17.5 mEq

Available Concentration: 20 mEq/15 mL

  • Calculate the volume to administer

Volume (mL) = (Ordered Dose ÷ Concentration) × Quantity

Volume (mL) = (17.5 ÷ 20) × 15

Volume (mL) = 0.875 × 15

Volume (mL) = 13.125

  • Round to the nearest tenth

= 13.1 mL


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Question 4:

The client has an order for erythromycin 500 mg orally. The medication available is 500 mg/5 mL. How many mL will the nurse administer? (If needed, round to the nearest whole number.)

Answer and Explanation
Correct Answer: "5" mL

Explanation

Calculation:

  • Identify the ordered dose and available concentration

Ordered Dose: 500 mg

Available Concentration: 500 mg/5 mL

  • Calculate the volume to administer

Volume (mL) = Ordered Dose ÷ Concentration × Quantity

Volume (mL) = 500 ÷ 500 × 5

Volume (mL) = 1 × 5

= 5


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Question 5:

The client has an order for packed red blood cells 375 mL to infuse over 4 hours. At what rate will the nurse set the infusion? (If needed, round to the nearest whole number.)

Answer and Explanation
Correct Answer: "94" mL/hr

Explanation

Calculation:

To determine the IV infusion rate:

Rate (mL/hr) = Total Volume ÷ Time (hours)

Rate = 375 mL ÷ 4 hr

Rate = 93.75 mL/hr

  • Rounded to the nearest whole number

= 94 mL/hr


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Question 6:

The client has an order for potassium chloride 40 mEq in 1 L D5 0.9% sodium chloride to infuse at 1 mEq/hr. At what rate will the nurse set the infusion? (If needed, round to the nearest whole number.)

Answer and Explanation
Correct Answer: "25" mL/hr

Explanation

Calculation:

  • Identify the total volume and total mEq:

Total potassium = 40 mEq
Total volume = 1,000 mL

  • Determine the concentration:

Concentration = 40 mEq ÷ 1,000 mL

= 0.04 mEq/mL

  • Determine the infusion rate for 1 mEq/hr:

Rate (mL/hr) = Desired dose ÷ Concentration
= 1 ÷ 0.04

= 25 mL/hr


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Question 7:

The healthcare provider ordered 800 mL of 0.45% sodium chloride to infuse over 8 hours. The available tubing delivers 15 gtt/mL. At what rate will the nurse set the infusion? (If needed, round to the nearest whole number.)

Answer and Explanation
Correct Answer: "25" gtt/min

Explanation

Calculation:

  • Identify the total volume, time, and drop factor

Total Volume = 800 mL

Time = 8 hours × 60 min/hr

= 480 min

Drop factor = 15 gtt/mL

  • Use the formula for manual IV flow rate:

Flow rate (gtt/min) = (Volume × Drop factor) ÷ Time

Flow rate = (800 × 15) ÷ 480

Flow rate = 12,000 ÷ 480

= 25 gtt/min


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Question 8:

The client has an order for rosuvastatin 40 mg orally. The medication available is 20 mg per scored tablet. How many tablets will the nurse administer? (If needed, round to the nearest whole number.)

Answer and Explanation
Correct Answer: "2" tablets

Explanation

Calculation:

  • Identify the ordered dose and available tablet strength

Ordered Dose: 40 mg

Available Tablet: 20 mg per tablet

  • Calculate the number of tablets

Number of tablets = Ordered Dose ÷ Tablet Strength

Number of tablets = 40 ÷ 20

= 2


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Question 9:

The client has an order for amoxicillin 750 mg orally. The medication available is 250 mg/5 mL. How many mL will the nurse administer? (If needed, round to the nearest whole number.)

Answer and Explanation
Correct Answer: "15" mL

Explanation

Calculation:

  • Identify the dose ordered and concentration available

Ordered dose = 750 mg

Available concentration = 250 mg/5 mL

  • Use the formula:

Volume to administer (mL) = (Ordered dose ÷ Available dose) × Volume

Volume = (750 ÷ 250) × 5

Volume = 3 × 5

= 15 mL


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Question 10:

The client has an order for ceftriaxone 225 mg intramuscularly every 12 hours. The medication available is 0.5 g/mL. How many mL will the nurse administer for each dose?  (If needed, round to the nearest tenth.)

Answer and Explanation
Correct Answer: "0.5" mL

Explanation

Calculation:

  • Identify the ordered dose and available concentration

Ordered Dose: 225 mg

Available Concentration: 0.5 g/mL

= 500 mg/mL

  • Calculate the volume to administer

Volume to administer = Ordered Dose ÷ Concentration

Volume to administer = 225 ÷ 500

Volume to administer = 0.45 mL

  • Round to the nearest tenth

= 0.5 mL


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