ADULT MEDICAL SURGICAL DOSAGE
CALCULATION PN ATI 2026 ACTUAL TEST
PAPER QUESTIONS SOLUTIONS VERIFIED
COMPLETE STUDY PACKAGE
◉ A client with multiple sclerosis and muscle spasms receives a
prescription for baclofen (Kemstro) 30 mg PO daily. The medication
is supplied from the pharmacy in 20 mg scored tablets. How many
tablets should the nurse administer? (Enter numeric value only. If
rounding is required, round to the nearest tenth.)
Answer: Use ratio and proportion, 30 mg : X tablets = 20 mg : 1
tablet
20X = 30
X = 1.5
◉ A client with dehydration receives a prescription for an IV of
Lactated Ringer's 1,000 ml to be administered over 8 hours. The
nurse should program the infusion pump to deliver how many
ml/hour? (Enter numeric value only, using whole number.)
Answer: Use the ratio of: 1000 ml : 8 hours :: X : 1 hour
1000/X :: 8/1
X = 125 ml/hour
,◉ The nurse plans to administer labetalol hydrochloride (Trandate)
0.3 grams PO to a client with hypertension. Trandate is available in
200 mg scored tablets. How many tablets should the nurse
administer? (Enter numeric value only.)
Answer: First convert grams to milligrams using the known
conversion: 1 gram = 1000 mg.
0.1 gram = 100 mg as 0.3 gram = 300 mg
Next using the formula, Desired/Available x 1 tablet =
300 mg/200 mg x 1 = 1.5 tablets
◉ A 110-pound, adult female is admitted to the Emergency Center
after receiving burns to 40 percent of her body. Using the Parkland
formula, the client's fluid requirements for the first 24 hours after
injury is calculated using Lactated Ringer's 4 ml solution x Body
weight (in kilograms) x Percent burn. The client should receive one-
half of the 24-hour calculated fluid volume in the first 8 hours of
treatment. The nurse should set the infusion pump to deliver how
many ml/hour during the first 8 hours? (Enter the numerical value
only. If rounding is required, round to the nearest whole number.)
Answer: Using the Parkland formula, the client's fluid requirements
for the first 24 hours after injury is calculated using 4 ml lactated
Ringer's solution x Body weight (in kilograms) x Percent burn
Convert 110 pounds to kg = .2 = 50 kg
4 ml x 50 kg x 40 = 8,000 ml
One-half in first 8 hours = 4,000 ml
, 4,000 ml / 8 hours = 500 = 500 ml/hour
◉ A client who has heart failure with paroxysmal atrial tachycardia
is receiving digoxin (Lanoxin) 0.45 mg IV as the inital digitalizing
dose. The pharmacy provides 0.25 mg/ml. How many ml should the
nurse administer? (Enter numeric value only. If rounding is required,
round to the nearest tenth.)
Answer: Using the formula D/H x Q = 0.45 mg/0.25 mg x 1 mL = 1.8
ml
◉ Mineral oil U.S.P 30 ml PO daily for 3 days is prescribed for a
client who is experiencing severe constipation. The dose cup is
marked in tablespoons. How many tablespoons should the nurse
administer? (Enter numeric value only.)
Answer: 15 ml equals 1 Tablespoon. Use the ratio equation: 15 ml : 1
Tbs :: 30 ml : X
:: 1 / X
15X = 30
X = 2 Tablespoons
◉ A client is receiving an IV solution of 2 grams of medication
diluted in 100 ml of normal saline over a one hour time period. How
many mg of medication is the client receiving per minute? (Enter
numeric value only. If rounding is required, round to the nearest
whole number.)
CALCULATION PN ATI 2026 ACTUAL TEST
PAPER QUESTIONS SOLUTIONS VERIFIED
COMPLETE STUDY PACKAGE
◉ A client with multiple sclerosis and muscle spasms receives a
prescription for baclofen (Kemstro) 30 mg PO daily. The medication
is supplied from the pharmacy in 20 mg scored tablets. How many
tablets should the nurse administer? (Enter numeric value only. If
rounding is required, round to the nearest tenth.)
Answer: Use ratio and proportion, 30 mg : X tablets = 20 mg : 1
tablet
20X = 30
X = 1.5
◉ A client with dehydration receives a prescription for an IV of
Lactated Ringer's 1,000 ml to be administered over 8 hours. The
nurse should program the infusion pump to deliver how many
ml/hour? (Enter numeric value only, using whole number.)
Answer: Use the ratio of: 1000 ml : 8 hours :: X : 1 hour
1000/X :: 8/1
X = 125 ml/hour
,◉ The nurse plans to administer labetalol hydrochloride (Trandate)
0.3 grams PO to a client with hypertension. Trandate is available in
200 mg scored tablets. How many tablets should the nurse
administer? (Enter numeric value only.)
Answer: First convert grams to milligrams using the known
conversion: 1 gram = 1000 mg.
0.1 gram = 100 mg as 0.3 gram = 300 mg
Next using the formula, Desired/Available x 1 tablet =
300 mg/200 mg x 1 = 1.5 tablets
◉ A 110-pound, adult female is admitted to the Emergency Center
after receiving burns to 40 percent of her body. Using the Parkland
formula, the client's fluid requirements for the first 24 hours after
injury is calculated using Lactated Ringer's 4 ml solution x Body
weight (in kilograms) x Percent burn. The client should receive one-
half of the 24-hour calculated fluid volume in the first 8 hours of
treatment. The nurse should set the infusion pump to deliver how
many ml/hour during the first 8 hours? (Enter the numerical value
only. If rounding is required, round to the nearest whole number.)
Answer: Using the Parkland formula, the client's fluid requirements
for the first 24 hours after injury is calculated using 4 ml lactated
Ringer's solution x Body weight (in kilograms) x Percent burn
Convert 110 pounds to kg = .2 = 50 kg
4 ml x 50 kg x 40 = 8,000 ml
One-half in first 8 hours = 4,000 ml
, 4,000 ml / 8 hours = 500 = 500 ml/hour
◉ A client who has heart failure with paroxysmal atrial tachycardia
is receiving digoxin (Lanoxin) 0.45 mg IV as the inital digitalizing
dose. The pharmacy provides 0.25 mg/ml. How many ml should the
nurse administer? (Enter numeric value only. If rounding is required,
round to the nearest tenth.)
Answer: Using the formula D/H x Q = 0.45 mg/0.25 mg x 1 mL = 1.8
ml
◉ Mineral oil U.S.P 30 ml PO daily for 3 days is prescribed for a
client who is experiencing severe constipation. The dose cup is
marked in tablespoons. How many tablespoons should the nurse
administer? (Enter numeric value only.)
Answer: 15 ml equals 1 Tablespoon. Use the ratio equation: 15 ml : 1
Tbs :: 30 ml : X
:: 1 / X
15X = 30
X = 2 Tablespoons
◉ A client is receiving an IV solution of 2 grams of medication
diluted in 100 ml of normal saline over a one hour time period. How
many mg of medication is the client receiving per minute? (Enter
numeric value only. If rounding is required, round to the nearest
whole number.)
