ATI DOSAGE-STUDY GUIDE

ATI DOSAGE-STUDY GUIDE DOSAGE CALCULATIONS UPDATED GUIDE Mr. Cooper is in the critical care unit and requires sedation for an emergency procedure. The prescription reads midazolam (Versed) 10 mcg/kg intravenous now. The patient weighs 220 pounds. How many micrograms of Versed do you give Mr. Cooper? A: 22 mcg. B: 1,000 mcg. C: 100 mcg. D: 2,200 mcg. 2: You are preparing to give Mr. Hamptou his Lopressor (metoprolol tartrate) 100 mg PO daily as prescribed. The pharmacy sends up Lipitor 50-mg tablets. How many tablets do you give to Mr. Hamptou? A: 2 tablets. B: 1 tablet C: None; the pharmacy sent up the wrong medication. D: None; the prescription is for capsules and the pharmacy sent up tablets. 3: Prescription: Synthroid, generic name levothyroxine, 100 mcg PO daily. 50 mcg = 0.05 mg. The pharmacy sends up a 0.1-mg tablet of Synthroid. Is this the correct dose? A: No, it should be 0.5 mg. B: Yes, this is the correct dose. C: Yes, but you should give one-half of the tablet daily. D: No, you cannot convert micrograms to milligrams. 4: Prescription: Lamivudine 30 mg by mouth. Have: Lamivudine oral solution = 10 mg/mL. How much will you give? A: 300 mL. B: 30 mL. C: 3.33 mL. D: 3 mL. 5: Prescription: Indomethacin 20 mg by mouth every morning. Have: Indomethacin oral suspension = 25 mg/5 mL. How much Indomethacin will you give each morning? A: 3 mL. B: 4 mL. C: 5 mL. D: 100 mL. 6: Prescription: Valproic acid 400 mg by mouth now. Have: Valproic acid oral syrup = 250mg/5 mL. How much valproic acid will you give? A: 8 mL. B: 3.125 mL. C: 20 mL. D: 5 mL. 7: Prescription: Albuterol 1.6 mg by mouth. Have: Albuterol oral syrup = 2 mg/5 mL. How much will you give? A: 6 mL. B: 5 mL. C: 4 mL. D: 3 mL. 8: Prescription: Amprenivir 450 mg by mouth. Have: Amprenivir 150-mg capsules. How many capsules of Amprenivir will you give? A: 2 capsules. B: 3 capsules. C: 4 capsules. D: 5 capsules. 9: Nine-year-old Peter is diagnosed with otitis media and receives the following prescription: Cefprozil oral suspension 350 mg by mouth. Have: Cefprozil oral suspension = 250 mg/5 mL. How much Cefprozil will you give? A: 7 mL. B: 5 mL. C: 3.57 mL. D: 120 mL. 10: Mrs. Jennings has herpes zoster due to immunosuppression as a result of chemotherapy given to treat her breast cancer. She receives the following prescription: Acyclovir 200 mg IV. Have: Acyclovir solution for IV infusion = 500 mg/10 mL. How much will you give? A: 25 mL. B: 4 mL. C: 6 mL. D: 70 mL. 11: Mr. Markwood is diagnosed with severe adrenocortical insufficiency and is prescribed hydrocortisone sodium succinate (Solu-Cortef) 250 mg IV now. The pharmacy sends up multiple vials of Solu-Cortef intravenous solution 125 mg/2 mL. How much Solu-Cortef will you give? A: 75 mL. B: 187.5 mL. C: 4 mL. D: 2 mL. 12: Erica is seven years old and needs to be premedicated to prevent nausea from the chemotherapy that she is set to receive in 1 hour. The standing order reads as follows: Metaclopramide syrup 8 mg by mouth 1 hour prior to chemotherapy. The pharmacy sends up multiple containers of metaclopramide syrup 5 mg/5 mL. How much metaclopramide will you give 1 hour prior to chemotherapy? A: 40 mL. B: 8 mL. C: 3.125 mL. D: 5 mL. 13: Mr. Walberg has a history of seizures, and his laboratory work indicates that he has a therapeutic blood level of phenytoin. Therefore, the nurse practitioner prescribes the usual dose of phenytoin Mr. Walberg takes at home: phenytoin 75 mg orally by suspension every evening. The pharmacy sends up phenytoin 125 mg/5 mL. How much phenytoin will you give Mr. Walberg this evening? A: 7 mL. B: 8.33 mL. C: 2.5 mL. D: 3 mL. 14: Mrs. Corliss was in Mexico for vacation 3 months ago and has stomach complaints. She has just been diagnosed with intestinal amebiasis. The physician prescribes the following: erythromycin (Estolate suspension) 400 mg by mouth now. The pharmacy sends up Estolate suspension 250 mg/5 mL. How much Estolate suspension do you give now? A: 8 mL. B: 3.125 mL. C: 1.6 mL. D: 200 mL. 15: Mr. Johanson just arrived on the unit and is prescribed loracarbef (Lorabid) 400 mg orally now. The pharmacy dispenses Lorabid 200 mg/5 mL suspension. How much Lorabid do you give Mr. Johanson? A: 2.5 mL. B: 5 mL. C: 10 mL. D: 20 mL. 16: Mrs. Bailey says she cannot sleep without her sleeping pill. The nurse practitioner prescribes what Mrs. Bailey has been taking at home, which is lorazepam (Ativan) 1 mg orally every evening at bedtime. The pharmacy sends up scored 2-mg tablets of lorazepam. How much lorazepam do you give Mrs. Bailey tonight? A: 0.5 tablet. B: 1 tablet. C: 2 tablets. D: 4 tablets. 17: Mr. Doe comes into your clinic with an extreme case of poison ivy. He says the last time he had this problem, you gave him a ®shot® that worked miracles. His medical records show that he received dexamethasone (Decadron) 10 mg IM, so you prescribe the same medication and dose. The pharmacy dispenses dexamethasone 4 mg/mL per vial. How many milliliters of Decadron do you draw up? A: 0.4 mL. B: 1.5 mL. C: 2 mL. D: 2.5 mL. 18: Ms. Turner in prescribed fluoxetine hydrochloride (Prozac) oral solution 10 mg orally daily in the morning by her psychiatric Clinical Nurse Specialist. The pharmacy sends up Prozac liquid 20 mg/5 mL. How much Prozac do you draw up to give Ms. Turner? A: 4 mL. B: 2 mL. C: 2.5 mL. D: 10 mL. 19: The physician prescribes phenobarbital elixir 60 mg PO now for the patient. The pharmacy dispenses a 120-mL bottle of phenobarbital elixir labeled 20 mg/5 mL. How much of the elixir should you administer to this patient? A: 5 mL. B: 15 mL. C: 30 mL. D: 1.2 mL. 20: Randy has an infection in his foot from a cut he received at the beach. His nurse practitioner prescribes cephalothin (Keflin) 0.5 g orally every 8 hours ® 10 days. The pharmacist has dispensed Keflin in 250-mg capsules. How many capsules should you educate Randy to take every 8 hours? A: 1 capsule. B: 2 capsules. C: 4 capsules. D: 5 capsules. 21: Mr. Klingon is prescribed Demerol 150 mg intramuscularly as a preoperative medication. The pharmacy dispenses meperidine hydrochloride (Demerol) 100 mg/mL for IM use. How much Demerol do you draw up to administer? A: 1.5 mL. B: 2 mL. C: 2.5 mL. D: 0.66 mL. 22: Your patient in the intensive care unit has an infection that the culture and sensitivity indicate is sensitive to fluconazole (Diflucan). The physician prescribes 4 mg of fluconazole intravenously now. The pharmacy sends up multiple vials of fluconazole 2 mg/mL for IV infusion. How much Diflucan do you draw up in preparation for mixing the medication with the proper intravenous fluids per policy? A: 0.5 mL. B: 2 mL. C: 3 mL. D: 4 mL. 23: Ten-year-old Seraphima ate some peanuts about 5 minutes ago; she is allergic to nuts. She comes to the Emergency Department with hives. The nurse practitioner prescribes diphenhydramine hydrochloride (Benadryl) 25 mg intravenously now. The pharmacy dispenses a vial of Benadryl at 50 mg/mL for IM or IV use. How much Benadryl do you draw up to administer to Seraphima? A: 0.5 mL. B: 1 mL. C: 0.75 mL. D: 2 mL. 24: Daniel is a 9-year-old patient who broken his ankle while playing football. He is prescribed atropine sulfate 0.2 mg IV as a preoperative medication. The pharmacy dispenses a vial of atropine sulfate 0.4 mg/mL. How much atropine do you draw up to give Daniel preoperatively? A: 0.25 mL. B: 0.5 mL. C: 2 mL. D: 0.8 mL. 25: Mr. Cooper is prescribed midazolam HCl (Versed) 3 mg intramuscularly 30 minutes prior to colonoscopy. The pharmacy dispenses a multidose vial of Versed 1 mg/mL. How many milliliters do you draw up to give Mr. Cooper? A: 1 mL. B: 2 mL. C: 3 mL. D: 4 mL. 26: Mrs. Skiba has developed heart failure and is prescribed Lanoxin (digoxin) 250 mcg IV push now. The pharmacy dispenses digoxin 500 mcg/2 mL. How much digoxin do you administer? A: 0.25 mL. B: 0.5 mL. C: 1 mL. D: 4 mL. 27: Ms. Calugar has severe nausea related to a stomach virus. The physician in the Emergency Department prescribes cimetidine (Tagamet) 300 mg IM now. The pharmacy sends up vials of Tagamet 300 mg/2 mL for IM use. How much Tagamet do you draw up to give Ms. Calugar? A: 0.75 mL. B: 0.5 mL. C: 1 mL. D: 2 mL. 28: Mr. Holden is prescribed Fragmin (dalteparin sodium) 7,500 units SC daily for 5 days. The pharmacy dispenses Fragmin 5,000 units/0.2 mL. How much Fragmin do you draw up per day? A: 0.2 mL. B: 0.3 mL. C: 0.75mL. D: 1.5 mL. 29: Mrs. Fowler is prescribed Kenalog (triamcinolone) 60 mg IM ® 1. The pharmacy dispenses Kenalog 40 mg/mL for intramuscular use. How much Kenalog do you draw up to administer? A: 1.5 mL. B: 0.75 mL. C: 2 mL. D: 3.5 mL. 30: Mr. Havens comes to the Emergency Department with intractable hiccups lasting for 2 days. The physician prescribes chlorpromazine (Thorazine) 50 mg IM now. The pharmacy dispenses vials of Thorazine 25 mg/mL for IM use. How much medication do you draw up? A: 1 mL. B: 2 mL. C: 3 mL. D: 4 mL. 31: Your patient needs anticoagulation therapy, and the physician prescribes heparin sodium injection of 12,500 units SC now. The pharmacy sends up vials of heparin sodium 5,000 units/mL for subcutaneous injection. How much heparin sodium do you draw up? A: 0.4 mL. B: 2 mL. C: 2.5 mL. D: 5 mL. CONTINUED................DOWNLOAD FOR BEST UPDATED PRACTICE AND BEST GRADES