Dose calc practice HESI

You have on hand hydromorphone (Dilaudid) 4 mg/mL. You need to administer 0.015 mg/kg to a patient who weighs 150 pounds. How many milliliters should you administer? Record your answer using two decimal places.

0.26 mL

Solumedrol 2.5 mg/kg is ordered for a child weighing 24 kg. Solumedrol is available as 125 mg / 1 mL is available. How many mL must the nurse administer?

0.48 mL

The nurse is preparing to administer Hepatitis B Vaccine, Recombinant (Energix-B) 5 mcg IM to a school-aged child. The vaccine is labeled, 10 mcg/ml. How many ml should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth).

0.5 mL

You need to administer 250 mg of erythromycin (Erythrocin) PO. You have on hand 0.5 g tablets. How many tablet(s) will you give?

0.5 tablets

Solumedrol 1.5 mg/kg is ordered for a child weighing 60 lb. Solumedrol is available as 75 mg / 1 mL is available. How many mL must the nurse administer?

0.55 mL

Metroprolol (Lopressor), 17 g PO, is ordered. Metropolol is available as 17,000 mg tablets. How many tablets would the nurse administer?

1 tablet

Solumedrol 2.5 mg/kg is ordered for a child weighing 20 kg. Solumedrol is available as 125 mg / 3 mL is available. How many mL must the nurse administer?

1.2 mL

You have an order to administer 40 mg of methadone (Dolophine) SC for opioid detoxification. You have on hand 30 mg/mL. How much should you draw into the syringe?

1.3 mL

Solumedrol 1.5 mg/kg is ordered for a child weighing 75 lb. Solumedrol is available as 75 mg / 2 mL is available. How many mL must the nurse administer?

1.36 mL

The physician writes a "now" order for codeine 45 mg IM for a patient with a vertebral compression fracture. You have on hand codeine 60 mg/2 mL. How many milliliters should you give?

1.5 mL

Calculate the IV flow rate for 0.26 L of 0.9% NaCl IV over 21.1 hr. Infusion set has drop factor of 51 gtts/mL. What is the IV flow rate in gtts/min?

10 gtt/min

The nurse notes that a client is receiving an oxytocin (Pitocin) infusion via a pump that is programmed to deliver 30 ml/hour. The available solution is Ringer's Lactated 1,000 ml with Pitocin 20 units. How many milliunits/minute is the client receiving? (Enter numeric value only.)

10 mu/minute

A client returns to the nursing unit from surgery with a prescription for Lactated Ringer's solution 1,000 ml to be infused over 10 hours. The IV administration set delivers 60 gtts/ml. The nurse should regulate the infusion to deliver how many gtts/minute?

100 gtt/min

The healthcare provider prescribes an IV solution of 5% dextrose in water with magnesium sulfate 4 gram/50 ml to be infused over 30 minutes for a client with preeclampsia. The nurse should program the infusion pump to deliver how many ml/hour?

100 mL/hr

A client who had mitral valve replacement surgery receives a prescription for dextrose 5% in water with 0.5 grams of dobutamine in 250 ml for IV infusion at a rate of 5 mcg/kg/minute. The client weighs 75 kg. The nurse should program the infusion pump to deliver how many ml/hr?

11.3 mL/hr

A child who is scheduled for a kidney transplant receives a prescription for basiliximab (Simulect) 20 mg IV 2 hours prior to surgery. The medication is available in a 20 mg vial that is reconstituted by adding 5 ml sterile water for injection, and administered in a 50 ml bag of normal saline over 30 minutes. The nurse should program the infusion pump to deliver how many ml/hour? (Enter the numeric value only.)

110 ml/hour

Calculate the IV flow rate for 841 mL of NS to be infused in 21.7 hr. The infusion set is calibrated for a drop factor of 20 gtts/mL. What is the IV flow rate in gtts/min?

13 gtt/min

Infuse 0.92 L over the next 300 min by infusion pump. What is the IV flow rate in mL/hr?

184 mL/hr

A client with pericardial effusion has phrenic nerve compression resulting in recurrent hiccups. The healthcare provider prescribes metoclopramide (Reglan) liquid 10 mg PO q 6 hours. Reglan is available as 5 mg/5 ml. A measuring device marked in teaspoons is being used. How many teaspoons should the nurse administer?

2

A male client receives a prescription for ondansetron hydrochloride (Zofran) 4 mg IV to prevent postoperative nausea after an inguinal hernia repair. The medication is available in 2 mg/ml. How many ml should the nurse administer? (Enter numeric value only.)

2 mL

A child who weighs 55 pounds receives a prescription for atovaquone with proguanil (Malarone Pediatric) 125 mg/50 mg PO daily. A drug reference states that children 11 to 20 kg should receive 1 pediatric tablet daily; 21 to 30 kg should receive 2 pediatric tablets daily; 31 to 40 kg should receive 3 pediatric tablets daily; and greater than 40 kg should receive 1 adult tablet daily with food. The drug is available as atovaquone 62.5 mg/proguanil 25 mg pediatric tablets. How many tablets should the nurse administer?

2 tablets

A client receives a prescription for azithromycin (Zithromax) 500 mg PO x 3 days. Azithromycin is available as 250 mg scored tablets. How many tablets should the nurse administer per dose?

2 tablets

You are caring for a patient at home who must take magnesium hydroxide/aluminum hydroxide (Maalox) 30 mL PO. How will you instruct the patient to measure the dose using ordinary household measuring devices?

2 tbsp

Your patient needs 2,000 mL of D5W IV over 24 hours, to be delivered with a tubing set with a drop factor of 15. How many drops per minute will you set for an infusion rate?

21 gtt/min

A client who has a gastrostomy feeding tube is receiving 3/4 strength Ensure 240 ml every 6 hours. Full strength Ensure is available in a 240 ml can. The nurse should use how many ml of Ensure to prepare the feeding? (Enter numeric value only. If needed, round to the nearest whole number.)

240 mL

You have an IVPB of ranitidine (Zantac) 50 mg in 50 mL D5W to run over 30 minutes. The tubing has a drip factor of 15. How many drops per minute will you set on the IV infusion controller?

25 gtt/min

Ordered Lasix 13,000 mg IV push now. Available: 8 g in 16 mL. How much will the nurse draw up?

26 mL

Ordered 18,000,000 mcg of Amoxicillin. Amoxicillin is available as 7,000 mg per 16 mL. How many mL will the nurse draw up?

41.1 mL

A patient has a primary IV of dextrose in water 1,000 mL to be infused over 24 hours. What would be the drip rate (gtts/min) using tubing with a drop factor of 60?

42 gtt/min

Your patient needs 2,000 mL of saline IV over 4 hours for severely deficient fluid volume. How many milliliters per hour will you set on a controller?

500 mL/hr

The physician orders an IV with heparin at 700 units/hour. You have a bag with 100 units/mL of solution. How many milliliters per hour will you set on the IV infusion controller?

7 mL/hr

You need to administer furosemide (Lasix) 2 mg/minute via continuous IV infusion on a controller. Pharmacy has sent a bag of Lasix 400 mg diluted in D5W 250 mL. How many milliliters per hour will you set on the controller?

75 mL/hr

A client with septic shock receives a prescription for dextrose 5% in water with dopamine (Intropin) 0.6 grams/250 ml at a rate of 5 mcg/kg/minute. The client's weight is 148 lbs. The nurse should set the infusion pump to deliver how many ml/hour?

8 mL/hr

Phenytoin (Dilantin), 9,000,000 mcg PO, is ordered to be given through a nasogastric tube. Phenytoin is available as 0.011 kg / 10 mL. How much would the nurse administer?

8.2 mL

A client receives a prescription for an intravenous infusion 0.45% sodium chloride 500 ml to be infused over 6 hours. The nurse should program the infusion pump to deliver how many ml/hour? (Enter numeric value only. If rounding is required, round to the nearest whole number.)

83 mL/hr

The nurse is preparing the change-of-shift report for a client who has a 265 ml secondary infusion that was started 2 hours ago at a rate of 85 ml/hour via an infusion pump. The nurse should report that how many ml remain to be infused by the on-coming nurse?

95 mL

A client is receiving dantrolene sodium (Dantrium) PO for malignant hyperthermia. The maximum safe dose is 8 mg/kg/day in 4 divided doses. The client currently weighs 48.5 kg. What is the maximum safe dose the nurse should administer? (Enter numeric value only. If rounding is required, round to the nearest whole number.)

97 mg

Metroprolol (Lopressor), 20,000 mg PO, is ordered. Metropolol is available as 13 g tablets. How many tablets would the nurse administer?

1.5 tablets

A client with hypertension who weighs 72.4 kg is receiving an infusion of nitroprusside (Nipride) 50 mg in D5W 250 ml at 75 ml/hour. How many mcg/kg/minute is the client receiving?

3.5 mcg/kg/min

Ordered Lasix 6,000 mg IV push now. Available: 19,000 mg in 3 mL. How much will the nurse draw up?

0.9 mL

Solumedrol 1.5 mg/kg is ordered for a child weighing 51 lb. Solumedrol is available as 75 mg / 2 mL is available. How many mL must the nurse administer?

0.93 mL

Calculate the IV flow rate for 0.05 L of NS to be infused in 1,344 min. The infusion set is calibrated for a drop factor of 20 gtts/mL. What is the IV flow rate in gtts/min?

1 gtt/min

The nurse is preparing to administer 0.25 mg of bumetanide (Bumex) IV. The medication is available in a vial labeled 1 mg/4 ml. How many ml of medication should the nurse administer?

1 mL

Potassium chloride is available as 25,000 mg per tablet. Potassium Chloride (K-Dur), 24,000 mg, is ordered. How many tablets would the nurse administer?

1 tablet

A patient has a bottle of warfarin (Coumadin) 5 mg tablets at home. After his most recent international normalized ratio (INR), the doctor calls and tells him to take 7.5 mg/day. How many tablets (scored) should the patient take?

1.5 tablets

A client has a prescription for inamrinone (Inocor) 0.75 mg/kg IV bolus to be delivered over 3 minutes. The client weighs 80 kg. Inamrinone is available for injection 100 mg/20 ml. How many ml of inamrinone should the nurse administer?

12 mL

The healthcare provider prescribes a continuous intravenous infusion of dextrose 5% and 0.45% sodium chloride with KCl 20 mEq/1000 ml to be delivered over 8 hours. The nurse should program the infusion pump to deliver how many ml/hour? (Enter numeric value only. If rounding is required, round to the nearest whole number.)

125 mL/hr

Aggrastat at 17.8 mg in 419 mL is to be infused at 6 mcg/kg/hr in a patient who weighs 98 kg. At what flow rate in mL/hr will you set the pump?

13.8 mL/hr

The healthcare provider prescribes a continuous infusion of 5% dextrose in 0.45% sodium chloride at 85 ml/hour. The IV administration set delivers 10 gtt/ml. The nurse should regulate the drop rate to deliver how many gtts/minute?

14 gtt/min

Docusate sodium (Colace) 0.3 grams is prescribed for a client who has frequent constipation. Each capsule contains 100 mg. How many capsules should the nurse administer?

3 capsules

The healthcare provider prescribes trimethoprim-sulfamethoxazole (Bactrim-DS Oral Suspension) 120 mg BID for a child with bronchitis. The Bactrim bottle is labeled 200 mg/5ml. How many ml should the nurse administer at each dose?

3 mL

The healthcare provider prescribes oxytocin (Pitocin) 0.5 milliunits/minute for a client in labor. One liter Ringer's Lactate with 10 units of oxytocin (Pitocin) is infusing. The nurse should program the infusion pump at how many ml/hour? (Enter numeric value only.)

3 mL/hr

A client with hypertension receives a prescription for carteolol (Cartel) 7.5 mg PO daily. The drug is available in 2.5 mg tablets. How many tablets should the nurse administer?

3 tablets

There is an order for 0.007 kg of Ampicillin. Ampicillin is available as 2,000 mg tablets. What should the nurse administer?

3.5 tablets

Ordered Lasix 5,000 mg IV push now. Available: 15 g in 19 mL. How much will the nurse draw up?

6.3 mL