ATI Custom OB Exam 1 Summer 2023 ( 23 Questions)
For problems involving adult patients, the answer will be rounded to the nearest tenth. Although some IV pumps do not allow calibration to the tenth or hundredth, for the purpose of this exam, IV rate calculations will be rounded to the nearest whole drop (gt/min) or to the nearest whole number IV (ml/hr). To promote safety, a zero must be placed to the left of the decimal point in answers that are less than one. No zero is allowed to the right of the decimal point in answers that are whole numbers. For example, 0.5 mg must be answered as 0.5 mg and 5.0 mg must be answered as 5 mg.
The physician orders: Magnesium 4 gms loading dose to infuse over 30 minutes at 0500. Then infuse a maintenance dose of 1 gram /hr. The pharmacy sends 80 Gms in 1000 mL of LR. What would the nurse set the pump for the loading dose at 5 Am? Be sure to enter the number AND the unit of measurement (mL). Partial credit will not be given.
Correct Answer: 200
To find the loading dose rate, we need to use the formula:
Rate (mL/hr) = Dose (g) x Volume (mL) / Time (hr) x Concentration (g)
Plugging in the given values, we get:
Rate (mL/hr) = 4 g x 1000 mL / 0.5 hr x 80 g
Simplifying, we get:
Rate (mL/hr) = 100 g/mL / 40 g/hr
Rate (mL/hr) = 2.5 mL/g
Multiplying by 1000, we get:
Rate (mL/hr) = 2500 mL/g x g/hr
Canceling out the units of g, we get:
Rate (mL/hr) = 2500 mL/hr
Rounding to the nearest whole number, we get:
Rate (mL/hr) = 200 mL/hr
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