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Dosage Calculations Practice – Nursing Problems & Step-by-Step Solutions

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Comprehensive Dosage Calculations practice guide for nursing students. Includes practice problems covering unit conversions, oral and IV medications, pediatric and adult dosing, and safe administration techniques. Each question includes step-by-step solutions and rationales to strengthen understanding, improve accuracy, and enhance clinical reasoning. Perfect for NCLEX-RN preparation, classroom study, self-study, and practical application in clinical nursing rotations. Build confidence and mastery in medication math with targeted practice exercises.

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Dosage Calculations
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Dosage Calculations

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Dosage Calculations Practice 2026-03-04




Order: Biaxin 200 mg p.o. q 12 h for a child who weighs 45 lbs.
Have: Biaxin 125 mg per 5 mL

Biaxin label states 15 mg/kg/day in two equal doses.

Is this dosage safe?


1. Convert lbs to kgs. 45lbs = 20.5 kg

2. Calculate the recommended dose per day. A child weighing 20.5 kg can have 307.5 mg PER DAY. So,
divide 307.5 by 2 to get a single dose. So, the maximum single dose is 153.75 mg.

3. NO, the ordered dose is not safe. The doctor ordered 200 mg which is more than 153.75 mg.


How many mcg in a mg?


1000




Page 1 Dosage Calculations Practice Dosage Calculations Practice.pdf

,Dosage Calculations Practice 2026-03-04




Order: D5LR 1250 mL IV over 8 hours.

What is the infusion rate in mL/h?


Answer: 156 mL/h

Divide 1250 by 8

156.25 => 156


Order: Amoxil 200 mg q 8 h
Have: 50 mg/ml

Label: 20 to 40 mg/kg/day in divided doses every 8 hours.

The patient weighs 10 kg. Is this order safe?


1. First, calculate the minimum and maximum dose per day. The minimum amount would be 200 mg. (20 x
10) The maximum amount would be 400 mg. (40 x 10)

2. Now, since the dose is given every 8 hours, divide the minimum and maximum by 3, since 3 doses can be
given in one day (24 hours). The minimum single dose is 66.7 mg, and the maximum single dose is 133.3 mg.

3. NO, the ordered dose is not safe. The doctor ordered 200 mg for a single dose which is more than the
maximum allowed single dose of 133.3 mg.



Page 2 Dosage Calculations Practice Dosage Calculations Practice.pdf

,Dosage Calculations Practice 2026-03-04




How many mL in a teaspoon (tsp)?


5


How many grams are in a kilogram?


1000


How many teaspoons are in a tablespoon?


3


How many ounces are in a pound?


16


How many pounds are in a kilogram?


2.2




Page 3 Dosage Calculations Practice Dosage Calculations Practice.pdf

, Dosage Calculations Practice 2026-03-04




Convert 21.3 kg to lbs.


46.86


Tridil is infusing at 15 mL/hr on an infusion pump. The drug is mixed 50 mg in 500 mL DsW. How many
mcg/min is the patient receiving?


Answer: 25 mcg/min

First, convert the 50 mg to mcg. 50 mg = 50,000 mcg

Now, how many mcg is in 1 mL?
50,000 mcg/500 mL = 100 mcg/mL

Now, how many mcg/hr is the pt receiving?
100 mcg x 15 mL = 1,500 mcg/hr

So, 1500 mcg/60 min = 25 mcg/min


How many mL in a tablespoon (T or tbs)?


15




Page 4 Dosage Calculations Practice Dosage Calculations Practice.pdf

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