West Coast University: ATI Dosage Calculations Final Exam 1 Q &A,100% CORRECT

West Coast University: ATI Dosage Calculations Final Exam 1 Q &A Name: Date: 1. Furosemide 50mg IV push now. Available: Furosemide 40mg/10mL How many mL will you give? Answer 12.5 2. The IV order is for D5W to infuse at 100 mL/hr. The drop factor is 10 gtt/mL. How many drops per minute (gtt/min) should the IV be regulated? Answer 17 3. 4 Tablespoons = teaspoons? Answer 12 4. Order: Cinoxacin 1 g/day, PO, in two divided doses Drug available: 500 mg capsules How many milligrams would you give per dose? Answer 500 5. The medication order is to administer Prozac 40 mg PO qid. Available: Prozac liquid 20 mg per 5 mL How many mL will you administer? Answer 10 6. Order: 35 mg of a medication by mouth tid Patient weight: 99 pounds Safe dose range: 2 to 4 mg/kg/day This is a safe medication order. A) True B) False Answer A) True 7. The nurse wants to give 2 g of magnesium sulfate and has available a medication labeled 50% magnesium sulfate in 20 mL. How many mL will the nurse administer? Answer 4 8. The BSA of a 5-year-old patient is 0.9 m2 Medication order: Carmustine 75 mg/m2 every day times 2 days Available: 100 mg/10 mL vial The patient would receive a dose of mL/day times 2 days. Answer 6.8 9. Order: LR 1000 mL at 90 mL/hr. How many hours are required to administer the following fluid at the given rate? Answer 11.1 10. The BSA of a patient who is 3 years old is 0.62 m2. Medication order: Daunorubicin 25 mg/m2 weekly Available: 2 mg/mL in 25 mL vial The patient would receive a dose of mg/week. Answer 15.5 11. Medication order: lidocaine, continuous infusion at 2 mg/min on the infusion pump. Available: IV of 500 mL D5W with 2 g lidocaine added What will be the hourly rate for the infusion pump (mL/hour)? Answer 30 12. Patient weight: 32 kg Medication order: Nitroprusside 2 mcg/kg/min Pediatric dose: 200-500 mcg/kg/hr Drug available: Nitroprusside 50 mg/5 mL Dilution: 50.5 mg in 250 mL of NS at 19 mL/hr Will this dilution deliver 2 mcg/kg/min? A) True B) False Answer A) True 13. What is the weight in pounds of someone who weighs 100 KGs? Answer: 220 14. Calculate the total dose of a medication to be administered if a patient weighs 22 pounds and is to be given 60 mg/kg/day? Answer 600 15. Order: D5 1/4 1000 mL at 100 mL/hr. How many hours are required to administer the following fluid at the given rate? Answer 10 16. Medication order: Meperidine (Demerol) 35 mg, IM, q4–6h, prn. Using the following drug label, how many milliliters of Demerol would you give per dose? Answer 0.7 17. Medication order: Heparin 25,000 units in 500 mL, infuse 4000 units/hr How many mL per hour do you need to infuse to deliver 4000 units/hr? Answer 80 18. Order: D10W at 40 mL/hr. What is the drop rate per minute if the drop factor is 15 gtt/mL? Answer 10 19. Medication order: Meperidine 70 mg and Atropine sulfate 0.4 mg, IM, STAT. Using the following drug labels, how many milliliters of meperidine would you give? Answer 0.7 20. Medication on hand: Insulin 50 units in 100 mL How many units per mL? Answer 0.5 21. Order: Clindamycin 300 mg, PO, q8h Available: Clindamycin 75 mg/mL How many milliliters of clindamycin will you give per dose? Answer 4 22. The medication order is for Amiken IV for a 45-pound child. Calculate the dosage if the normal pediatric dose is 15 mg/kg. Answer 306.82 23. Convert 422 grams to kilograms. Answer 0.42 24. The doctor overs Amoxicillin 1 gram in 1000 mls of normal saline over 8 hours. What is the rate in mls/hours? Answer 125 25. Order: Cephalexin 0.5 g, PO, q6h. Using the following drug label, how many milligrams equal 0.5 g? Answer 500 26. Order: Cloxacillin 1 g/d, PO, in four divided doses, q6h. Using the following drug label, how many capsule(s) would you give per dose? Answer 1 27. Medication order: Dobutamine 250 mg in 250 mL at 4.5 mcg/kg/min Patient Weight: 125 lb Calculate the flow rate in milliliters per hour. Answer 15.34 28. What should the nurse do if the medication order is not legible? A) Call the prescriber for clarification B) Do the best he or she can to interpret the drug order C) Refuse to give the medication D) Call the pharmacy for interpretation of the drug order Answer A) Call the prescriber for clarification 29. Medication order: Meperidine 70 mg and Atropine sulfate 0.4 mg, IM, STAT. Using the following drug labels, how many milliliters of Atropine would you give? Answer 1 30. Medication order: Amikacin 500 mg/IM, q12h Patient's weight: 149 lb How many kilograms does the patient weigh? Answer 67.7 31. Medication order: Dyphylline 0.5 g, IM, q6h Drug available: Dyphylline 250 mg/mL How many milliliters of dyphylline would you give per dose? Answer 2 32. Medication order: Oxacillin 250 mg, IM, q6h. Using the following drug label, how many milliliters of oxacillin would you give per dose? Answer 1.5 33. Order: Amoxicillin 200 mg, PO, q8h Using the following drug label, how many milliliters of Amoxicillin would you give per dose? Answer 4 34. Convert 90 mcg to mg. Answer 0.09 35. Order: Ethambutol HCl 800 mg, PO, daily Parameter: 15 mg/kg/d Patient weight: 121 lb How many kilograms does your patient weigh? Answer 55 36. Medication order: Diabinese 0.1 g PO daily The drug container label reads: Diabinese 100 mg/tablet How many tablets will you give? Answer 1 37. The patient is to receive 500 mL of D5W with 20 units of synthetic oxytocin (Pitocin) IV at the rate of 0.004 units/min. How many mL per hour will the patient receive? Answer 6 38. Order: Amoxicillin/clavulanate (Augmentin) 0.25 g, PO, q8h Using the following label, how many milliliters of Augmentin will you give per dose? Answer 10 39. Medication order: magnesium sulfate 9 g IV Available: magnesium sulfate 50% in 50 mL vials How many mL will the nurse administer? Answer 18 40. Order: methyldopa (Aldomet) 0.75 g, PO, bid. Using the following drug label, how many milligrams of Aldomet should the patient receive per day? Answer 1500 41. Medication order: Ampicillin 500 mg, IM, q6h. Using the following drug label, how many milliliters of diluent would you add to the ampicillin vial? Answer 3.5 42. Medication on hand: Heparin 25,000 units in 500 mL How many units per mL Answer 50 43. If 300 mL of a 15% solution is being prepared, mL of medication solution (solute) will be used. Answer 45 44. Child's BSA: 1.1 m2 Medication order: Betamethasone 4 mg/m2/day PO, divided into four doses Available: syrup 0.6mg/5ml How many mL will you administer per dose? Answer 9.17 45. Order: Doxycycline monohydrate (Vibramycin) 100 mg, PO, initially, then 100 mg, PO, in two divided doses per day Using the following drug label, how many milligrams will the patient receive per dose after the initial dose? Answer 50 46. Medication order: 35 mg of a medication by mouth tid Patient weight: 99 pounds Safe dose range: 2 to 4 mg/kg/day This is a safe medication order. A) True B) False Answer A) True 47. A child weighs 65 pounds. Convert to kilograms. Answer 29.55 48. Order: Timolol maleate (Blocadren) 10 mg, PO, bid; then, after 2 weeks, the patient is to receive 40 mg in two divided doses. Using the following drug label, how many tablet(s) should the patient receive per dose during the first 2 weeks? Answer 1 49. A child weighs 22 pounds. Convert to kilograms. Answer 10 50. Order: D5W at 60 mL/hr. What is the drop rate per minute if the drop factor is 15 gtt/mL? Answer 15 51. 1 decigram (dg) = g Answer 0.1 52. Order: Potassium chloride (KCl) 15 mEq, PO, bid Available: Potassium chloride 10 mEq/15 mL How many milliequivalents (mEq) of KCl will the patient receive per day? Answer 30 53. The medication order is to mix 18 units of oxytocin in 650 mL normal saline. Start infusion at 20 mL/hr. Increase by 5 mL every 10 minutes until uterine contractions are 2 to 3 minutes apart. Do not exceed 45 miliunits/min. Maintain total IV fluid volume at 100 mL/hr. How many miliunits/min will the patient receive in the first 10 minutes? Answer 9.23 54. Order: D5LR 1000 mL at 150 mL/hr. How many hours are required to administer the following fluid at the given rate? Answer 6.7 55. Change 60% to a decimal. Answer 0.6 56. Medication order: Prednisone (Deltazone) 6 mcg/kg/min Patient Weight: 165 lb Available: 250 mL D5W with Delta zone 50 mg How many milliliters per hour will the nurse need to run the infusion? Answer 135 57. Medication order: 50 mg/kg/day Patient weight: 65 pounds The patient weighs kg. Answer 29.55 58. If 30 mL of a 0.5% solution is being prepared from a 6% solution, mL of the 6% solution will be used. Answer 2.5 59. There are various types of drug orders. The nurse must have an understanding of these drug orders. What is a one-time order? A) An order that is to be given at the patient’s request and at the discretion of the nurse B) A routine order for all patients who had the same type of procedures C) An order that is to be given one time a day at hs (hours of sleep) D) An order that is given once, usually at a specified time Answer D) An order that is given once, usually at a specified time 60. Order: Digoxin (Lanoxin) 0.5 mg, PO, daily. Using the following drug label, how many tablet(s) would you give? Answer 2 61. Medication order: Oxacillin 250 mg, IM, q6h. Using the following drug label, how much diluent would you add to the oxacillin vial? Answer 5.7 62. The medication order is to administer Panadol 10 mg/kg. The child weighs 80 pounds. Available: Panadol 160 mg/mL How many mL will the nurse administer? Answer 2.27 63. Medication order: Heparin 7500 units, SubQ q6h. Using the following drug label, how many milliliters of heparin would you give per dose? Answer 0.8 64. 1 g: 15 mL expressed as a fraction is g/100 mL. Answer 6.67 65. Order: Tagamet 0.4 g, PO, bid, and 0.8 g, at hour of sleep. Drug available: Tagamet 200 mg/tab. How many tablet(s) would you give per dose at hour of sleep? Answer 4 66. Order: Docusate sodium (Colace) 200 mg, PO, daily per NG tube Available: Colace 50 mg/5 mL How many milliliters of Colace will the patient receive? Answer 20 67. Patient weight: 21 kg Medication order: Aminophylline 110 mg in 500 mL of NS at 80 mL/hr Pediatric Dose: 0.84 mg/kg/hr Drug available: Aminophylline 250 mg/10 mL Will this dilution deliver 0.84 mg/kg/hr? A) True B) False Answer A) True 68. Order: Dexamethasone (Decadron) 3 mg, PO, bid Drug available: Decadron 1.5 mg/tablet How many tablet(s) would you give per dose? Answer 2 69. The medication order is to administer a loading dose of digoxin (Lanoxin) 30 mcg/kg. The neonate weighs 5.8 pounds. Available: an ampule labeled Lanoxin 0.25 mg/mL How many mL will you administer? Answer 0.32 70. Order: 20 mg of a medication by mouth tid Patient weight: 132 pounds (60 kg) Safe dose range: 1 to 3 mg/kg/day This is a safe medication order. A) True B) False Answer A) True 71. Order: Megestrol acetate (Megace) 160 mg, PO, in four divided doses. Using the following label, how many tablet(s) should the patient receive per dose? Answer 2 72. Order: D5LR at 100 mL/hr. What is the drop rate per minute if the drop factor is 10 gtt/mL? Answer 16.7; 17 73. 32 oz = medium size glass (es) Answer 4 74. What is the dosage on the following drug label? A) 100 tablets B) 40 mg C) Lot number D) Expiration date Answer B) 40 mg 75. Medication order: Dexamethasone (Decadron) 3 mg, IM, STAT. Using the following drug label, how many milliliters of Decadron would you give per dose? Answer 0.8 76. Order: D5LR at 150 mL/hr. What is the drop rate per minute if the drop factor is 10 gtt/mL? Answer 25 77. Order: Cimetidine (Tagamet) 200 mg, PO, qid with meals Using the following drug label, how many milliliters of Tagamet will you give? Answer 3.3 78. Medication order: Atropine 0.3 mg Available: Atropine 0.5 mg/mL How many mL will you administer? Answer 0.6 79. How much water is in a 40% solution of 100 mls? Answer 60 80. The medication order is to administer tetracycline (Sulycin) 0.25 g, PO tid. The bottle of tetracycline is labeled 125 mg/5 mL. How many mL will the nurse give per dose? Answer 10 81. Medication order: Morphine 10 mg, IM, STAT. Using the following drug label, how many milliliters of morphine would you give? Answer 0.7 82. Cover 0.35% of a decimal. Answer .0035 83. The medication order is for Amikacin IV for a 25-pound child. Calculate the dosage if the normal pediatric dose is 12 mg/kg. Answer 136.36 84. Order: Azithromycin (Zithromax) 300 mg, PO, first day, then 160 mg, PO, daily for the second through the fifth day Using the following drug label, how many milliliters will the patient receive the first day? Answer 7.5 85. Order: methyldopa (Aldomet) 0.75 g, PO, bid. Using the following drug label, how many milligrams of Aldomet should the patient receive per day? Answer 1500 86. Medication order: 100 mg/kg/day Patient weight: 60 pounds The patient will receive mg/day. Answer 2727.27 87. Medication order: Morphine 3 mg, IM, q4–6h, PRN for 3 days Drug available: Morphine 4 mg per 1 mL How many milliliters of morphine would you give per dose? Answer 0.8 88. Order: Megestrol acetate (Megace) 160 mg, PO, in four divided doses. Using the following label, how many tablet(s) should the patient receive per dose? Answer 2 89. How much medication is in a 40% solution of 100 mls? Answer 40 90. Order: D5 1/4 NS at 150 mL/hr. What is the drop rate per minute if the drop factor is 10 gtt/mL? Answer 25 91. The medication order is to administer V-Cillin K 600,000 units PO qid. Available: V-Cillin K 200,000 units/5 mL How many mL will the nurse administer? Answer 15 92. The nurse is providing education for a patient who has been ordered a steroid metered dose inhaler. What would be important for the nurse to teach this patient? A) To rinse and gargle after use of the inhaler B) To rinse the mouth thoroughly before using the inhaler C) To eat or drink milk with the administration of this medication D) To take three long breaths after inhalation of this medication Answer A) To rinse and gargle after use of the inhaler 93. Medication order: Bretylium tosylate 50 mg (Bretylol) in 50 mL of D5W at 5 mg/kg/hour Patient Weight: 40 kg Calculate the flow rate in milliliters per hour. Answer 200 94. Order: Cinoxacin 1 g/day, PO, in two divided doses Drug available: 500 mg capsules How many capsules would you give per dose? Answer 1 95. Medication order: Hydroxyzine (Vistaril) 75 mg, IM, STAT Drug available: Vistaril 100 mg/2 mL How many milliliters of hydroxyzine would the patient receive? Answer 1.5 96. Order: Give 500 mg of Augmentin by mouth now. Using the following label, how many tablets would you need to give? Answer 2 97. Order: Carvedilol (Coreg) 12.5 mg, PO, bid. Using the following label, how many milligrams should the patient receive per day? Answer 25 98. Order: TPN 1000 mL at 30 mL/hr. How many hours are required to administer the following fluid at the given rate? Answer 33.3 99. Order: Promethazine 25 mg, PO, bid Available: Promethazine 6.25 mg/5 mL How many milliliters of promethazine will you give per dose? Answer 20 100. Patient weight: 15 kg Medication order: Lidocaine 5 mcg/kg/min Usual Pediatric dose: 2-5 mcg/kg/min Drug available: Lidocaine 1 g/5 mL Dilution: Lidocaine 300 mg in 250 mL of NS at 30 mL/hr Will this dilution deliver 5 mcg/kg/min at 30 mL/hr? A) True B) False Answer B) False 101. It is essential that the nurse follow the “seven rights” of drug administration. One of the “seven rights” is the “right drug”. To ensure the right drug is given, the nurse should check the drug label three times. When should the drug label be checked? A) At first contact with the drug bottle, before pouring the drug, and after pouring the drug B) At first contact with the drug bottle, after pouring the drug, and after the patient takes the medication C) Before pouring the drug, after pouring the drug, and when charting the drug D) Before the patient takes the drug, after the patient takes the drug, and when charting the drug Answer A) At first contact with the drug bottle, before pouring the drug, and after pouring the drug 102. The primary care provider has ordered Albuterol inhaler, 2 puffs BID. How long should you instruct the patient to wait between puffs? A) Wait 1 to 2 minutes between puffs. B) Wait 30 minutes between puffs. C) You do not need to wait between puffs. D) Wait 10 to 15 minutes between puffs. Answer A) Wait 1 to 2 minutes between puffs. 103. The nurse is educating parents on an ear medication for a child with impacted cerumen (wax). What is the correct teaching on how to administer ear drops to a child? A) Pull the auricle of the ear down and back. B) Pull the auricle of the ear up and back. C) Insert the dropper one inch into the ear canal and administer the drop. D) Have the child remain on the unaffected side for 1 minute after the medication is administered. Answer A) Pull the auricle of the ear down and back. 104. How many times should a medication label be read before that medication is administered to a patient? A) 3 times B) 2 times C) 5 times D) 1 time Answer A) 3 times 105. What would 9:15 PM in traditional time be in military time? A) 2115 B) 0915 C) 1915 D) 1715 Answer A) 2115 106. A medication order must contain seven basic components. Five of the seven components include the following: the patient's name, the date and time the order was written, the drug name, the physician or health care provider's signature, and the frequency of administration. What are the other two components necessary for a medication order? A) The pharmacy name and the route of ad ministration B) The route of administration and the dosage C) The dosage and the pharmacy name D) The initials of the primary health care provider and the dosage Answer B) The route of administration and the dosage 107. When a nitroglycerine medication is ordered to be given transdermally, what precaution should the nurse take? A) The nurse should wear gloves when administering the medication. B) The nurse should encourage the patient to drink plenty of fluids. C) The nurse should administer this medication with food. D) The nurse should apply this medication directly over the area where the last medication was administered. Answer A) The nurse should wear gloves when administering the medication. 108. The primary care provider orders the medication to be given "ID". What does the abbreviation "ID" stand for? A) Individual dose B) Identification drug C) Intravenous D) Intradermal Answer D) Intradermal 109. Who is the manufacturer for the following drug label? A) NDC B) Zocor C) Merck & Co. D) Simvastatin Answer C) Merck & Co.