NCLEX Medication/IV Calculations
A health care provider's prescription reads as follows: "Ampicillin, 125 mg intramuscular every 6 hours." The medication label reads, "1 gram when reconstituted with 7.4 mL of bacteriostatic water." How many milliliters should the nurse draw up for one dose?
0.92
The intravenous prescription is 3000 mL of 5% dextrose (D5W) to run over a 24-hour period. The drop factor is 10 gtts/1 mL. The nurse plans to adjust the flow rate to how many gtts/minute? Fill in the blank and record the answer to the nearest whole number.
21
A health care provider's prescription reads ciprofloxacin (Cipro) 0.5 g orally twice daily. The medication label reads ciprofloxacin 500 mg tablets. The nurse prepares how many tablet(s) to administer 1 dose? Fill in the blank.
1
A health care provider prescribes a bolus of 500 mL of 0.9% normal saline (NS) to run over 4 hours. The drop (gtt) factor is 10 drops (gtt) per 1 mL. The nurse plans to adjust the flow rate at how many gtt per minute? Fill in the blank. Record your answer to the nearest whole number.
21
A health care provider's prescription reads "meperidine hydrochloride (Demerol) 125 mg by the intramuscular route stat." The medication vial reads 100 mg/mL. How many milliliters of the medication should the nurse draw into the syringe for injection? Fill in the blank. Record answer to two decimal places.
1.25
The nurse is preparing to administer 30 mEq of liquid potassium chloride (KCl) to an adult client. The label on the medication bottle reads 40 mEq/15 mL. The nurse prepares how many milliliters of KCl to administer the correct dose of medication? Fill in the blank. Round your answer to the nearest whole number.
11
Ampicillin sodium 250 mg in 50 mL of normal saline (NS) is being administered over a period of 30 minutes. The drop (gtt) factor is 10 drops (gtt) per mL. The nurse is asked to check the flow rate of the infusion. The nurse determines that the infusion is running at the prescribed rate if the infusion is delivering how many drops per minute? Fill in the blank. Record your answer to the nearest whole number.
17
A health care provider prescribes 1000 mL of normal saline (NS) to be infused over a period of 10 hours. The drop (gtt) factor is 15 drops (gtt) per mL. The nurse adjusts the flow rate at how many drops per minute? Fill in the blank.
25
A health care provider prescribes phenobarbital (Luminal), 10 mg by mouth daily. The medication bottle is labeled 15 mg/5 mL. How many milliliters (mL) will the nurse administer? Fill in the blank. Record your answer using one decimal place.
3.3
The prescription reads to infuse an insulin drip at 12 mL/hr. There are 100 units regular insulin in 250 mL of normal saline. How many units of insulin will the client receive per hour? Fill in the blank.
4.8
The prescription reads to give ondansetron hydrochloride 0.15 mg/kg of body weight 30 minutes before receiving chemotherapy. The client weighs 132 pounds. How many milligrams (mg) of ondansetron hydrochloride will the nurse administer? Fill in the blank.
9
The medication prescribed is meperidine hydrochloride (Demerol), 35 mg intramuscularly. The medication label states meperidine hydrochloride (Demerol), 50 mg/mL. The nurse plans to prepare how much medication to administer the dose? Fill in the blank.
0.7
The medication prescribed is digoxin (Lanoxin), 0.25 mg orally, daily. The medication label reads digoxin (Lanoxin), 0.125 mg/tablet. The nurse should prepare how many tablet(s) to administer the dose? Fill in the blank.
2
The medication prescribed is levodopa 1 g orally, daily. The medication label states levodopa, 500-mg tablets. The nurse prepares to administer how many tablets at the evening dose? Fill in the blank.
2
The health care provider's prescription reads "levothyroxine (Synthroid), 150 mcg orally daily." The medication label reads "levothyroxine, 0.1 mg/tablet." The nurse prepares to administer how many tablet(s) to the client? Fill in the blank. Record your answer using one decimal place.
1.5
A client originally was prescribed oral sertraline (Zoloft) 25 mg daily for depression. The dose has been gradually increased in an effort to control the symptoms. The current dose is 75 mg daily. The medication label reads 25 mg/tablet.To receive the correct dose, the nurse instructs the client to take how many tablets once daily? Fill in the blank.
3
A health care provider has prescribed phenobarbital sodium (luminal sodium), 25 mg orally twice daily, for a child with febrile seizures. The medication label reads as follows: "Phenobarbital sodium, 20 mg/5 mL." The nurse has determined that the dose prescribed is a safe dose for the child. How many milliliters per dose should the nurse administer to the child?
6.25
A health care provider has prescribed a liquid oral suspension of amoxicillin (Amoxil). The prescription reads 0.25 gram (g) orally 3 times daily. How many milliliters (mL) should the nurse administer to the client per dose? Refer to the figure. Fill in the blank.
10
A health care provider prescribes potassium chloride (KCl) elixir, 20 mEq orally daily. The medication label states potassium chloride (KCl), 30 mEq/15 mL. How many milliliters should the nurse prepare to administer the dose? Fill in the blank.
10
The nurse is checking the remaining volume in a 1000-mL intravenous (IV) bag that is scheduled to infuse over 8 hours on an electronic infusion pump. The nurse has just noted at 11:00 am that the remaining IV fluid is at the 500-mL level. At 12:00 noon at which numerical level (mL) should the IV fluid be? Fill in the blank.
375
A health care provider prescribes atenolol (Tenormin) 0.05 g orally daily. The label on the medication bottle states, atenolol 50-mg tablets. How many tablet(s) will the nurse administer to the client? Fill in the blank.
1
A health care provider's prescription reads atenolol (Tenormin), 0.025 g orally daily. The medication bottle reads atenolol, 25-mg tablets. The nurse prepares how many tablet(s) to administer the dose? Fill in the blank.
1
A licensed practical nurse (LPN) is asked to prepare an intravenous (IV) infusion of 1000 mL 5% dextrose in lactated Ringer's at 80 mL/hr to be administered to an assigned client. The LPN time-tapes the bag with a start time of 09:00. After making hourly marks on the time-tape, the LPN notes that which time would mark the completion time for the bag?
21:30
A health care provider prescribes tetracycline hydrochloride (Sumycin) 0.5 g orally 4 times daily. The medication label on the bottle of medication reads tetracycline hydrochloride 250 mg tablets. The nurse prepares how many tablet(s) to administer one dose? Fill in the blank.
2
The medication prescribed is hydromorphone hydrochloride (Dilaudid), 3 mg intramuscularly, every 4 hours as needed. The medication label reads hydromorphone hydrochloride (Dilaudid), 4 mg/1 mL. The nurse should prepare to administer how many mL to the client? Fill in the blank.
0.75
A health care provider has prescribed prochlorperazine 4 mg intramuscularly for a client who is vomiting. The nurse reads the label on the medication vial and administers how many milliliters (mL) to the client? Fill in the blank. Refer to the figure.
0.8
A pediatric client with a ventricular septal defect repair is placed on a maintenance dose of digoxin (Lanoxin). The safe dose is 0.03 mg/kg/day, and the client's weight is 7.2 kg. The health care provider (HCP) prescribes the digoxin to be given twice daily. How much digoxin should the nurse administer to the client at each dose?
0.1
The medication prescribed is prochlorperazine 5 mg intramuscularly, every 4 hours as needed. The medication label states prochlorperazine 10 mg/mL. The nurse prepares how much medication to administer the dose? Fill in the blank.
0.5
A health care provider prescribes meperidine hydrochloride (Demerol) 15 mg intramuscularly for a client in pain. The medication label states, meperidine hydrochloride (Demerol) 25 mg per mL. How many milliliters will the nurse administer to the client? Fill in the blank.
0.6
The nurse is preparing to hang an intravenous (IV) solution of 1000 mL 5% dextrose in lactated Ringer's to flow at 80 mL/hour. The nurse time-tapes the bag with a start time of 07:00. After making hourly marks on the time-tape, the nurse notes that the completion time for the bag would be what?
19:30
A client diagnosed with bipolar disorder is prescribed oral lorazepam (Ativan) 4 mg daily to help manage his manic behavior. The medication label reads 2 mg/mL. To ensure the correct dose, the nurse administers how many milliliters per dose? Fill in the blank.
2
A health care provider prescribes 1000 mL of 0.9% normal saline (NS) to run over 8 hours. The drop (gtt) factor is 10 drops (gtt) per 1 mL. The nurse adjusts the flow rate to run at how many drops per minute? Fill in the blank. Record your answer to the nearest whole number.
21
A health care provider prescribes 1000 mL of normal saline to be infused over a period of 12 hours. The drop (gtt) factor is 15 drops (gtt)/mL. The nurse sets the flow rate at how many drops per minute? Fill in the blank. Record your answer to the nearest whole number.
21
A health care provider prescribes 3000 mL of 0.9% normal saline to run over 24 hours. The drop (gtt) factor is 15 gtt/mL. The nurse plans to adjust the flow rate at how many drops per minute? Fill in the blank. Record your answer to the nearest whole number.
31
A health care provider prescribes 3000 mL of 5% dextrose in water (D5W) to run over a 24-hour period. The drop (gtt) factor is 15 drops (gtt) per 1 mL. The nurse adjusts the flow rate to run at how many gtt per minute? Fill in the blank. Record your answer to the nearest whole number.
31
The medication prescription states to administer acetaminophen (Tylenol), 650 mg orally for a temperature of more than 38° C. The medication bottle states Tylenol (acetaminophen), 325 mg tablets. The nurse takes the client's temperature and notes that it is 101° F. The nurse plans to take which action?
Administer two Tylenol tablets.
A client is complaining of abdominal pain and nausea. The prescription is as follows: give hydroxyzine (Vistaril) 25 mg intramuscularly and meperidine (Demerol) 25 mg intramuscularly, stat. Hydroxyzine (Vistaril) is available 50 mg/mL. Meperidine (Demerol) is available in 25 mg/0.5 mL. The nurse should combine the doses in one syringe for administration to the ventrogluteal muscle. How many milliliters should the nurse administer in total? Fill in the blank.
1
A health care provider prescribes phenytoin (Dilantin) 0.1 g orally twice daily. The medication label states, 100-mg capsules. How many capsule(s) will the nurse prepare to administer the dose? Fill in the blank.
1
A health care provider's prescription reads triazolam (Halcion), 125 mcg orally at bedtime daily. The medication bottle is labeled triazolam, 0.125-mg tablets. The nurse prepares how many tablet(s) to administer 1 dose? Fill in the blank.
1
The nurse is caring for a client with chronic cancer pain who is requesting pain medication. The health care provider's prescription reads MS Contin (morphine sulfate) 0.6 mg/kg orally every 4 hours as needed for pain. The client weighs 110 pounds. The liquid morphine sulfate available is 10 mg/5 mL. How many milliliters should the nurse administer?
15
A postoperative client has a prescription to receive an intravenous (IV) infusion of 1000 mL normal saline solution over a period of 10 hours. The drop (gtt) factor for the IV infusion set is 15 gtts/mL. The nurse sets the flow rate at how many drops per minute? Fill in the blank.
25
Sulfisoxazole (Gantrisin), 1 g orally four times daily, is prescribed for an adolescent with a urinary tract infection. The medication label reads, "500-mg tablets." The nurse has determined that the prescribed dose is safe. How many tablets per dose should the nurse administer to the adolescent?
2
The nurse is preparing to administer 35 mg of a prescribed intramuscular (IM) dose of medication to a client. The medication label reads 50 mg/mL. How many milliliters should the nurse administer to the client? Fill in the blank.
0.7
A health care provider's prescription reads: tobramycin sulfate, 7.5 mg intramuscularly twice daily. The medication label states 10 mg/mL. How many milliliters (mL) will the nurse give to administer 1 dose? Fill in the blank. Record your answer to two decimal places.
0.75
Penicillin G procaine, 1,000,000 units given intramuscularly, is prescribed for an adolescent with an infection. The medication label reads as follows: "1,200,000 units/2 mL." The nurse has determined that the prescribed dose is safe. How many milliliters per dose should the nurse administer to the adolescent?
1.66
A health care provider has prescribed phenobarbital sodium (Luminal Sodium), 25 mg orally twice daily for a child with febrile seizures. The child's weight is 7.2 kg. The safe pediatric dosage is 1 to 6 mg/kg/day. What should the nurse determine about the medication dosage?
The dosage is too high.
Cloxacillin sodium 100 mg orally every 8 hours is prescribed for a child with an elevated temperature who is suspected of having a respiratory tract infection. The child weighs 17 pounds. The safe pediatric dosage is 50 mg/kg/day. Which statement accurately describes the prescribed dosage for this child?
The dosage is within the safe dosage range.
Penicillin V 250 mg orally every 8 hours, is prescribed for a child with a respiratory infection. The child's weight is 45 pounds. The safe pediatric dosage is 25 to 50 mg/kg/day. Which statement accurately describes the prescribed dosage for this child?
The dosage is within the safe dosage range.
The nurse is asked to regulate the flow rate of an intravenous (IV) solution being administered to a client. The IV bag contains 50 mL of solution and the solution is to be administered over 30 minutes. The administration set has a drop factor of 10 drops (gtts)/mL. The nurse should regulate the roller clamp on the infusion set to deliver how many drops per minute? Fill in the blank. Round answer to the nearest whole number.
17
A health care provider prescribes atenolol (Tenormin) 0.05 g by mouth daily. The label on the medication bottle states atenolol 25-mg tablets. How many tablets will the nurse administer to the client? Fill in the blank.
2
The intravenous prescription is 1000 mL of 0.9% NaCl (normal saline) to run over 12 hours. The drop factor is 15 gtts/1 mL. The nurse plans to adjust the flow rate to how many gtts/minute? Fill in the blank and record the answer to the nearest whole number.
21
A health care provider prescribes an intramuscular (IM) dose of 250,000 units of penicillin G benzathine (Bicillin). The label on the 10-mL ampule sent from the pharmacy reads penicillin G benzathine 300,000 units/mL. How much medication will the nurse prepare to administer the correct dose? Fill in the blank. Record your answer to one decimal place.
0.8
Diphenhydramine hydrochloride (Benadryl) 25 mg orally every 6 hours is prescribed for a child with an allergic reaction. The child weighs 25 kg. The safe pediatric dosage is 5 mg/kg/day. What should the nurse determine about the medication dosage?
The dosage is within the safe range.
The nurse is checking postoperative prescriptions and planning care for a 110-pound child after spinal fusion. Morphine sulfate, 8 mg subcutaneously every 4 hours as needed (PRN) for pain, is prescribed. The pediatric drug reference states that the safe dosage is 0.1 to 0.2 mg/kg/dose every 2 to 4 hours. What should the nurse determine about the medication dosage?
The dosage is within the safe range.
A client diagnosed with schizophrenia who is being prepared for discharge has been prescribed oral risperidone (Risperdal) 6 mg daily. The medication label reads 2 mg/tablet. To ensure the correct dose, the nurse instructs the client to take how many tablets once daily? Fill in the blank.
3
The health care provider prescribes 1000 mL of 0.45% normal saline to run over 8 hours. The drop (gtt) factor is 15 gtt/mL. The nurse plans to adjust the flow rate to how many gtt/min? Fill in the blank. Round your answer to the nearest whole number.
31
The health care provider prescribes 1000 mL of 5% dextrose in water (D5W) to run at 125 mL/hr. The nurse calculates the infusion rate, knowing that it will take how many hours for 1 liter (L) to infuse? Fill in the blank.
8
The medication prescribed is atropine sulfate, 0.4 mg. The medication label states atropine sulfate, 0.5 mg/0.5 mL. How many milliliters will the nurse prepare to administer to the client? Fill in the blank.
0.4
The medication prescribed is heparin sodium 650 units subcutaneously, every 12 hours. The medication vial reads heparin sodium 1000 units/mL. The nurse prepares how many milliliters to administer one dose? Fill in the blank.
0.65
The medication prescribed is atropine sulfate, 0.4 mg intramuscularly, immediately. The medication label states atropine sulfate, 0.3 mg/0.5 mL. The nurse prepares how much medication to administer the dose? Fill in the blank and round answer to one decimal place.
0.7
The medication prescribed is zidovudine (Retrovir), 0.2 g orally, three times daily. The medication label states zidovudine, 100-mg tablets. The nurse prepares to administer how many tablets for one dose? Fill in the blank.
2
A client is scheduled to receive digoxin (Lanoxin), 0.125 mg by mouth. The licensed practical nurse (LPN) reads the medication label and notes that each tablet contains 0.25 mg.The LPN should perform which action?
Administer half of a medication tablet.
A health care provider prescribes meperidine hydrochloride (Demerol), 40 mg intramuscularly stat, for a postoperative client in pain. The medication label states meperidine hydrochloride, 50 mg/mL. How many milliliters (mL) will the nurse prepare to administer to the client? Fill in the blank.
0.8
The health care provider's prescription reads "levothyroxine (Synthroid), 100 mcg orally daily." The medication label reads "levothyroxine, 0.1 mg/tablet." The nurse prepares to administer how many tablet(s) to the client? Fill in the blank. Record your answer using one decimal place.
1
The nurse is reading a health care provider's prescription and notes that a client is to receive a medication at 1:00 pm. Using the military time clock, the nurse administers the medication at which time? Refer to figure.
1
Penicillin G procaine (Wycillin), 1 million units intramuscularly, has been prescribed for the child with a throat infection. The child's weight is 62 pounds. The safe pediatric dosage for a child that weighs greater than 60 pounds is 600,000 to 1,200,000 units daily. Which should the nurse determine about the medication dosage?
The dosage is within safe range
Morphine sulfate, 2.5 mg, is prescribed for a child. The safe pediatric dose is 0.05 to 0.1 mg/kg/dose. The child weighs 50 kg. Which statement describes the prescribed dosage for this child?
The dose is within the safe dosage range.
A health care provider prescribes 3000 mL of 5% dextrose to be administered over a 24-hour period. The nurse prepares to set the infusion rate knowing that how many milliliters per hour are to be administered? Fill in the blank.
125
The health care provider's prescription reads "phenytoin (Dilantin) 0.2 g orally, twice daily." The medication label states 100-mg capsules. How many capsule(s) should the nurse plan to administer over a 24 hour period? Fill in the blank.
4
A client with sickle cell anemia is being treated for sickle cell crisis. The health care provider prescribes morphine sulfate 2 mg. The concentration of the vial is 10 mg/mL of solution. How many milliliters of solution should the nurse administer? Fill in the blank.
0.2
A health care provider's prescription reads "cyanocobalamin (vitamin B12) 100 mcg intramuscular." The medication label reads "cyanocobalamin (vitamin B12), 0.5 mg/mL." The nurse administers how many milliliters to the client? Fill in the blank. Record the answer to one decimal place.
0.2
The medication is an intramuscular dose of 400,000 units of penicillin G benzathine (Bicillin). The medication label reads penicillin G benzathine (Bicillin) 300,000 units/mL. The nurse prepares how much medication to administer the correct dose? Fill in the blank and record the answer using one decimal place.
1.3
Penicillin V potassium 250 mg orally every 8 hours is prescribed for a child with a respiratory infection. The medication label reads: Penicillin, 125 mg per 5 mL. The nurse has determined that the dosage prescribed is a safe dose for the child. How many milliliters (mL) will the nurse administer to the child per dose? Fill in the blank.
10
The health care provider prescribes ibuprofen (children's Motrin) 5 mg per kg for a child who weighs 13 pounds. How many milligrams (mg) should the nurse administer to the child? Fill in the blank. Record your answer using one decimal place.
143
A client is to receive 1000 mL of 5% dextrose in water (D5W) at a rate of 100 mL/hr. The drop (gtt) factor is 10 drops (gtt) per mL. The nurse adjusts the flow rate to deliver how many drops per minute? Fill in the blank. Record your answer to the nearest whole number.
17
The medication prescription reads phenytoin (Dilantin), 0.2 g orally, twice daily. The medication label states 100-mg capsules. The nurse prepares how many capsule(s) to administer one dose? Fill in the blank.
2
A health care provider has prescribed phytonadione 2.5 mg intramuscularly. The nurse reads the label on the medication vial and administers how many mL to the client? Refer to the figure and fill in the blank. Record your answer to two decimal places.
0.25
A health care provider's prescription reads "ketorolac (Toradol), 30 mg intramuscular every 6 hours as needed." The medication label reads "ketorolac (Toradol), 15 mg/mL." The nurse prepares to administer how many milliliters to the client? Fill in the blank.
2
The medication prescribed is metoclopramide hydrochloride (Reglan) 10 mg intramuscularly times one dose. The medication label reads metoclopramide hydrochloride (Reglan), 5 mg/mL. The nurse prepares how much medication to administer the dose? Fill in the blank.
2
The nurse hangs a 1000-mL intravenous (IV) bag of 5% dextrose in water (D5W) at 0700. The IV is to infuse at 100 mL/hr, and the nurse places a time tape on the IV bag. At noon the nurse should expect that the infusion line on the IV bag would be at which point? Refer to figure.
2
A health care provider prescribes 2000 mL of 5% dextrose in water to run over 24 hours. The drop (gtt) factor is 15 gtt/mL. The nurse plans to adjust the flow rate at how many drops per minute? Fill in the blank. Round answer to the nearest whole number.
21
The nurse is preparing a small dose of a medication for administration to an infant. The nurse selects which syringe for preparing the medication? Refer to figure.
2
Morphine sulfate, 2.5 mg subcutaneously, is prescribed for a client postoperatively. The medication label reads 2 mg/mL. How many milliliters should the nurse administer? Fill in the blank.
1.25
A health care provider prescribes digoxin (Lanoxin) 0.5 mg orally daily for a client with heart failure. The medication label states, 0.25 mg per tablet. How many tablet(s) will the nurse administer to the client? Fill in the blank.
2
A health care provider's prescription reads theophylline 100 mg orally every 6 hours. The medication label reads 50-mg capsules. How many capsules will the nurse give to administer one dose? Fill in the blank.
2
