DOSAGE EXAM PRACTICE 30 Qs 1.5 HOURs

12. Naloxone 0.1 mg IV every 30 minutes is ordered for a respiratory rate below 8 per minute. The naloxone is available in 0.4 mg per 1 milliliter vials. What volume would the nurse administer with each dose? LABEL: 0.4mg/mL

0.25 mL

8. The provider orders methylergonovine 0.3 mg IM for postpartum bleeding. The medication is supplied in 0.2 mg/mL. How much will the nurse administer? ____________________

1.5 mL

45. A patient is receiving norepinephrine at 6 mL/h. Norepinephrine concentration is 8mg in 250 mL. The patient's weight is 75 kg. Calculate the micrograms per minute the patient is receiving. ____________________

3.2 mcg/min

21. A patient is receiving dopamine at 6 mL/hr. The concentration of dopamine is 800 mg/250 mL of 0.9% NS. The patient's weight is 75 kg. Calculate the weight-based dose the patient is receiving in mcg/kg/min.

4.3 mcg/kg/min

28. Mrs. Davis has an order for dobutamine at 7 mcg/kg/min. The concentration is dobutamine 1 g in 200 mL of 0.9% NS. The patient's weight is 55 kg. What infusion rate should the pump be programmed for?

4.6 mL/hr

19. The provider orders a nitroglycerin IV drip to infuse at 8 mcg/min for chest pain. The medication is supplied in 25 mg/250 mL of D5W. Calculate the flow rate.

4.8 mL/hr

9. The provider orders furosemide 60 mg IV push stat for edema. How much will the nurse administer? LABEL: 10 mg/mL ____________________

6 mL

13. The provider gives orders to infuse 1 L of lactated Ringer's in 15 hours. Calculate the flow rate if infused on a pump.

66.7 ml/hr

10. The provider orders sumatriptan 4 mg subcutaneous for migraine headache. The medication is supplied in 12 mg/mL. What volume will the nurse administer?

0.33 mL

32. A 4 month old is febrile and needs an anti-pyrexial drug. Paracetamol is effective and the safe dosage us 15 mg/kg and the child weighs 17.38 lbs, what is the dose required?

118.5 mg/dose

22. The provider orders a continuous heparin drip at 1250 units/h for pulmonary embolus. The IV is supplied in 25,000 units heparin in 500 mL D5W. What infusion rate should the pump be programmed for?

25 mL/hr

16. TPN 2000 mL is ordered to infuse from 1900 to 0700. Using an IV controller, what is the infusion rate?

166.7 ml/hr

3. A patient is ordered Fentanyl 100 mcg IV every 2 hours PRN for pain after surgery. Fentanyl is available in 0.05 mg per 1 mL vials. What's the volume?

2 mL

34. Calculate the dose of amoxicillin suspension otitis media for a 1 year old child weighing 22 lbs. the dose required is 40 mg/kg/day divided BID and the suspension comes in a concentration of 400 mg/5mL.

2.5 mL BID

42. Order: Flagyl 500 mg in 100 mL D5W to infuse over 45 minutes. The IV tubing drop factor is 10 gtt/mL. When the IV has infused at the correct rate for 20 minutes, the patient will have received how much Flagyl? _______________

222 mg

25. Ms. Farmer, who has tachycardia, has an order for Brevibloc to be started at 50 mcg/kg/min. The concentration is Brevibloc 5 g in 500 mL of D5W. The patient weighs 80 kg. What infusion rate should the pump be programmed for?

24 mL/hr

35. You want to give 15 mg of phenobrabital PO to a pediatric patient. It is supplied as 20 mg/5mL. How much do you give?

3.75 mL

24. A patient with hypotension has dopamine ordered at 3 mcg/kg/min. The patient weighs 85 kg. The concentration is dopamine 2 g in 500 mL of D5W. What infusion rate should the pump be programmed for?

3.8 mL/hr

40. The provider orders LR at 125mL/hour via gravity with tubing calibrated at 15gtt/mL. Calculate the drip rate.

31 gtt/min

1. A provider orders 500 mL of NS to infuse at 175 mL/hr for a patient. The drop factor is 15 gtt/mL. Calculate the flow rate.

44 gtt/min

33. Calculate the daily dose of ceftriaxone for meningitis for a 5 year old weighing 39.6 lbs. The dose required is 100 mg/kg/day given IV once daily and the drug comes prediluted in a concentration of 40 mg/mL

45 mL/day OR 1800 mg/day

43. Order: Dopamine 6 mcg/kg/min Available: Dopamine 400 mg in 100 mL NS Client's weight: 68 kg The IV flow rate is _______________

6.1 mL/hr

29. A patient in shock has an order for Isuprel to be infused at 2 mcg/min. The concentration is Isuprel 1 mg in 500 mL of D5W. What infusion rate should the pump be programmed for?

60 mL/hr

37. Order: Pitocin 20 units in 1000 mL D5W. When 625 mL of IV solution remains to be given, the patient will have recieved how much Pitocin?

7.5 units

15. The provider orders ampicillin 1 g in 100 mL of D5W IVPB to infuse over 20 minutes. Tubing drop factor is 15 gtt/mL. Calculate the flow rate.

75 gtt/min

27. Mr. Wu has an order for a vasopressor at 10 mcg/min. The concentration is vasopressor 4 mg in 500 mL of D5W. What infusion rate should the pump be programmed for?

75 mL/hr

26. A patient with a ventricular dysrhythmia has an order for amiodarone at 0.5 mg/min. The concentration is amiodarone 900 mg in 250 mL of D5W. What infusion rate should the pump be programmed for?

8.3 mL/hr

5. The patient is recieving IV heparin infusion using the hospital heparin protocol. The morning APTT is 33. According to the ordered protocol, the patient is to recieve a 3500 unit IV push dose of heparin and an increase of the heparin infusion to 1400 units/hour. Heparin is supplied for IV bolus is 5000 units/mL. The supplied IV heparin infusion bag concentration is 25,000 units/500 mL D5W. a. The nurse will administer what volume for the IV push heparin bolus? b. The IV heparin infusion rate on the pump will be adjusted to what?

a. 0.7 mL b. 28 mL/hr

7. The provider orders prednisone 10 mg oral every 12 hours for a child weighing 22 lb. The prednisone syrup is available in a 5 mg/5 mL concentration. The recommended dose is 0.5 to 2 mg/kg/24 h. a. What is the child's weight in kg? _____________ b. How many milligrams per kilogram per 24 hours is the patient receiving? ___________ c. Is the order safe? _______________ d. If yes, how much will be administered for each dose? _________________

a. 10 kg b. 2 mg/kg/24 h c. Yes d. 10 mL

39. The provider orders 2.95 mg prednisone oral every 6 hours for a child weighing 52 lb. The prednisone syrup is available in a 5 mg/5 mL concentration. The recommended dose is 0.1 to 2 mg/kg/24 h. a. What is the child's weight in kg? _____________ b. How many milligrams per kilogram per 24 hours is the patient receiving? ___________ c. Is the order safe? _______________ d. If yes, how many milliliters are needed for each dose? _________________

a. 23.6 kg b. 0.5 mg/kg/day c. Yes d. 2.95 mL

50. 5 A child has a fever of 101.5° F orally and needs acetaminophen. Calculate an S&T dosage or range of acetaminophen for this child, who weighs 62 lb. Recommended dosage range for acetaminophen is 10 to 15 mg/kg/dose q 4-6 h. It is available as an elixir 160 mg/5 mL. a. Child's weight is _______ kg. b. What is an S&T dosage range for this child? _______ c. How many milliliters are needed for this range? _______

a. 28.2 kg b. 281.82 - 422.73 mg/dose c. 8.81 - 13.21 mL/dose

49. 4 The physician orders morphine sulfate 4 mg IM STAT for a child weighing 78 lb. Available is morphine sulfate 15 mg/mL. The recommended intramuscular (IM) dosage for a child is 0.1 to 0.2 mg/kg/dose q 2-4 h as needed. a. Child's weight is _______ kg. b. What is the safe recommended dosage or range? _______ c. Is the order safe? Prove. d. If yes, how many milliliters will you administer? _______

a. 35.5 kg b. 3.55 - 7.09 mg/dose c. yes d. 0.27 mL

31. The recommended dosage of amoxicillin is 20 to 40 mg/kg/day divided in equal doses q8 hours. The medication is supplied 50 mg/mL oral suspension. The child weighs 72.6 lbs. Calculate the safe dosage range for this child per day ______a______. What volume will be administered for a single dose if the child is receiving 20 mg/kg/day dosage? _______b_______.

a. 660 - 1320 mg/day b. 4.4 mL

30. Ms. Shepard's blood pressure is 60/30 mm Hg. Levophed is infusing at 75 mL/h. The Levophed concentration is 2 mg in 250 mL of 0.9% NS. How many micrograms per minute of Levophed is infusing?

10 mcg/min

17. D5W 1000 mL is to infuse over 10 hours. Using tubing with a 60 gtt/mL drip factor, calculate the flow rate?

100 gtt/min

20. The provider orders esmolol IV drip at 50 mcg/kg/min for tachycardia. The patient weighs 132 lb. The medication is supplied in 5 g/500 mL of D5W. Calculate the flow rate.

18 mL/hr

2. Naloxone is ordered 0.2 mg IV every 30 mins for blah. It is available in 0.4 mg per 1 mL vials. What is the volume?

0.5 mL

23. The provider orders heparin 7,000 units subcutaneous daily. The medication is supplied in heparin 10,000 units/mL. What volume will the nurse administer?

0.7 mL

11. The provider orders hydrocortisone 90 mg IM q8 h. What volume will the nurse administer? LABEL: 2 mL/250 mg

0.72 mL

18. The provider orders magnesium sulfate IV drip at 1 g/hr for pregnancy-induced hypertension. The medication is supplied in magnesium sulfate 25 g/500 mL of D5W. Calculate the flow rate.

20 mL/hr

41. Regular insulin IV drip is ordered at 20 units/hr. The IV bag is 250 mL NS with 250 units of Regular insulin. What rate will the nurse program into the IV pump? ____________________

20 mL/hr

46. The provider orders dopamine at 5mcg/kg/min. Dopamine is supplied as 400 mg in 250 mL. The patient weighs 242 pounds. What rate will the nurse program in the IV pump?

20.6mL/hr

36. The PCP orders Pepcid 20 mg IVPB every 12 hours. The medication is supplied in 20 mg/100 mL to influse over 30 mins. What rate do you set on the IV pump?

200 mL/hr

44. The recommended maximum dosage of morphine sulfate is 0.1 to 0.2 mg/kg/dose. The safe dosage range for a child weighing 74 lb is _______________

3.36- 6.73 mg/dose

4. The provider orders magnesium sulfate to infuse at 500 mg/hr. The medication is supplied as 4g/250 mL NSS. Calculate infusion pump flow rate.

31.3 mL/hr

14. The provider gives orders to infuse 1000 mL 0.9% NS at 200 mL/h for dehydration. Tubing drop factor is 10 gtt/mL. Calculate the flow rate.

33 gtt/min

6. The recommended safe dosage of erythromycin for a child is 20 mg/kg/day in four equal doses. The child's weight is 33 lb. The medication is supplied in 125 mg/mL. a. The child's weight is ____________________ kg. b. Calculate the safe 24 hr. dose for this child. ____________________ c. How much will be administered for each dose? ____________________

a. 15 kg b. 75 mg/dose c. 0.6 mL

48. The physician orders Keflex 300 mg po q 8 h for a child who weighs 34 lb. Keflex is supplied in an oral suspension of 125 mg/5 mL. The recommended daily oral dosage for a child is 50 to 100 mg/kg/24 h divided q 8 h. a. Child's weight is _______ kg. b. How many milligrams per kilogram per 24 hours is the child receiving? _______ c. If the dosage is S&T, how many milliliters will you administer? _______

a. 15.5 kg b. 58.24 mg/kg/day c. 12 mL

47. The physician orders amoxicillin 500 mg po q 6 h for a child weighing 44 lb. Amoxicillin is supplied in 250-mg capsules. The recommended daily oral dosage is 25 to 50 mg/kg/24 h in divided doses q 6 h. a. Child's weight is _______ kg. b. What is the S&T single-dose range for this child? _______ c. Is the order safe? Explain. d. If the order is safe, how many capsules will the nurse administer? _______

a. 20 kg b. 125 - 250 mg/dose c. no d. question order

38. The recommended safe dosage of cefaclor for a child is 20 mg/kg/day divided into doses every 8 hours. The child's weight is 44 lb. The medication is supplied in 125 mg/5mL. a. The child's weight is ____________________ kg. b. Calculate the safe dose for this child. ____________________ c. How many milliliters will be administered for each dose? ____________________

a. 20 kg b. 133.33mg c. 5.33 mL