ATI - Safe Dosage, Medication Administration Test - Dosage Calculation and Safe Medication Administration 3.0, ATI: Oral Medications Test, Injectable Meds, Dosages by Weight, ATI Parenteral (IV) Medications Test
A nurse is preparing to administer haloperiodol (Haldol) 3mg IM to a client for agitation. Available is haloperidol 5 mg/mL for injection. How many mL should the nurse administer?
0.6
A nurse is preparing to administer furosemide (Lasix) 30 mg IV bolus stat. Available is furosemide injection 10 mg/mL. How many mL should the nurse administer?
3
A nurse is preparing to administer cefuroxine 750 mg by intermittent IV bolus every 8 hr. Available is cefuroxine injection 750 mg in 0.9% sodium chloride (0.9% NaCl) 50 mL to infuse over 15 min. The nurse should set the IV pump to deliver how many mL/hr?
200 mL/hr
A nurse is preparing to administer lactated Ringer's 2 L to infuse over 16 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
21 gtt / min
A nurse is preparing to administer magnesium gluconate 270 mg PO. Available is magnesium gluconate liquid 54 mg/5 mL. How many mL should the nurse administer?
25 mL
A nurse is preparing to administer epinephrine hydrochloride 0.5 mg subcutaneous stat. How many mcg should the nurse administer?
500 mcg
A nurse is preparing to administer diazepam (Valium) 3 mg IV bolus every 3 hr PRN for anxiety. Available is diazepam injection 5 mg/mL. How many mL should the nurse administer per dose?
0.6
A nurse is transcribing medication prescriptions for a group of clients. Which of the following is the appropriate way for the nurse to record medications that require the use of a decimal point?
0.6 ml The nurse should place a leading zero to the left of the decimal point when the dose is less than 1.
A nurse is preparing a medication and calculates the dosage as 0.893 mL. Rounding this amount to the nearest hundredth, the nurse should administer how many mL?
0.89 mL
A nurse is preparing to administer regular insulin 15 units and isophane insulin 40 units subcutaneous at 6:30 a.m. At which of the following times should the nurse administer the medication?
0630
A nurse is preparing to administer digoxin 0.125 mg PO at 9:00 a.m. At which of the following times should the nurse administer the medication?
0900
A nurse is preparing to administer codeine oral solution 30 mg PO to a client. The amount available is codeine 10mg/5mL. How many Tbsp should the nurse administer?
1 Tbsp
A nurse is preparing to administer sucralfate 1 g PO twice daily to a client. Available is sucralfate 1,000 mg tablets. How many tablets should the nurse administer per dose?
1 tablet
A nurse is preparing to administer ethosuximide 750 mg PO daily. Available is ethosuximide syrup 250 mg/tsp. How many mL should the nurse administer?
15 ml
A nurse is preparing to administer potassium chloride powder 20 mEq PO in 6 oz of water. How many mL of water should the nurse administer?
180 mL
A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride (D50.45% NaCl) 1,500 mL to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr?
188 mL/hr
A nurse is preparing to administer digoxin (Lanoxin) 0.2 mg IV bolus daily. Available is digoxin injection 0.1 mg/mL. How many mL should the nurse administer per dose?
2
A nurse is preparing to administer penicillin G benzathine (Bicillin L-a) 1,200,000 units IM every week for 3 weeks. Available is penicillin G benzathine injection 2,400,000 units/4mL. How many mL should the nurse administer per dose?
2
A nurse is preparing to administer digoxin 250 mcg PO daily. Available is digoxin 0.125 mg tablets. How many tablets should the nurse administer?
2 tablets
A nurse is preparing to administer doxycycline 100 mg PO every 12 hr. Available is doxycycline 50 mg tablets. How many tablets should the nurse administer per dose?
2 tablets
A nurse is preparing to administer methylprednisolone 4 mg PO daily. Available is methylprednisolone 8 mg tablets. How many tablets should the nurse administer daily?
2 tablets
A nurse is preparing to administer quinapril 40 mg PO daily. Available is quinapril 20 mg tablets. How many tablets should the nurse administer daily?
2 tablets
A nurse is preparing to administer amoxicillin 500 mg PO every 8 hr. Available is amoxicillin oral suspension 250 mg/5 mL. How many tsp should the nurse administer per dose?
2 tsp
A nurse is preparing to administer haloperidol 5 mg IM at 1715. At which of the following times should the nurse administer the medication?
5:15 p.m.
A nurse is preparing a medication and calculates the dosage as 6.25 mL. Rounding this amount to the nearest tenth, the nurse should administer how many mL?
6.3 mL
A nurse is preparing to administer lamivudine 150 mg PO every 12 hr. Available is lamivudine oral solution 10 mg/mL. How many mL should the nurse administer per dose?
15 mL
A nurse is preparing to administer dextrose 5% in water 2 L to infuse over 6 hr. The nurse should administer how many mL?
2000 mL
A nurse is preparing to administer dextrose 5% in water (D5W) 1 L IV to infuse over 12 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
21 gtt/min
A nurse is preparing to administer levothyroxine 0.075 mg PO to a client. Available is levothyroxine 25 mcg tablets. How many tablets should the nurse administer?
3 tablets
A nurse is preparing to administer medication to a client who has a prescription for doxycycline (Vibramycin) 100 mg PO daily at 0800. Which of the following times are appropriate for the nurse to administer the medication? (Select all that apply.)
anywhere within 30 min of the scheduled time (ex: 0745 or 0830)
A nurse is preparing to administer zolpidem 10 mg PO at bedtime. Available is zolpidem 5 mg tablets. How many tablets should the nurse administer per dose?
2 tablets
A nurse is preparing to administer epoetin alfa 50 units/kg subcutaneous toa preschooler who weighs 40 lb. Available is epoetin alfa 2,000 units/ml. How many ml should the nurse administer? (Round to the nearest whole number. Use a leading 0 if it applies. Don't use a trailing zero.)
2.2 lb/kg = 40 lb -> 18.181818 kg 50 units/kg x 18.181818 kg = 909.090909 units 2,000 units/ml = 909.090909 units -> 0.454545ml ANS: 0.45 ml
A nurse is preparing to 0.9% sodium chloride (0.9% NaCl) 500 mL IV to infuse over 2 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
42 gtt/min
A nurse is preparing to administer a medication subcutaneously. Which of the following should the nurse use?
5/8-inch, 25 gauge needle This is the appropriate size needle for the nurse to use when giving a subcutaneous injection.
A nurse is preparing to administer methylprednisolone acetate (Depo-Medrol) 15 mg IM every other week. Available is methylprednisolone acetate injection 20 mg/mL. How many mL should the nurse administer per dose?
0.8
A nurse is preparing to administer clindamycin 900 mg by intermittent IV bolus over 45 min. Available is clindamycin 900 mg in 100 mL dextrose 5% (D5W). The nurse should set the IV pump to deliver how many mL/hr?
133 mL/hr
A nurse is preparing to administer trazodone 25 mg PO at bedtime. Available is trazadone 50 mg tablets. How many tablets should the nurse administer per dose?
0.5 tablets
A nurse is preparing a medication and calculates the dosage as 0.547 mL. Rounding this amount to the nearest hundredth, the nurse should administer how many mL?
0.55 mL
A nurse is preparing to administer furosemide 40 mg PO in 0.5 oz of orange juice. How many mL of orange juice should the nurse administer?
15 mL
A nurse is caring for a client who states that his provider told him he is at risk for anaphylaxis following administration of amoxicillin (Amoxil) and that he does not understand what this means. Which of the following is an appropriate response by the nurse?
"Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-threatening." Anaphylaxis is a severe reaction and can result in severe bronchoconstriction with laryngeal edema and a precipitous drop in blood pressure.
A nurse should use which of the following units when measuring weight?
Gram
A nurse is preparing to administer diphenhydramine (Benadryl) 10 mg IV bolus stat. Available is diphenhydramine injection 50 mg/mL. How many mL should the nurse administer?
0.2
A nurse is preparing to administer morphine 2.5 mg IV bolus every 2 PRN for pain. Available is morphine injection 10 mg/mL. How many mL should the nurse administer per dose?
0.25
A nurse is preparing to administer digoxin (lanoxin) 0.125 mg IV bolus stat. Available is digoxin injection 0.25 mg/mL. How many mL should the nurse administer?
0.5
A nurse is preparing to administer levothyroxine (Synthroid) 0.25 mg IV bolus stat. Available is levothyroxine injection 500 mcg/mL. How many mL should the nurse administer?
0.5
A nurse is preparing to administer lorazepam (Ativan) 2 mg IV bolus 20 min prior to surgery. Available is lorazepam injection 4 mg/mL. How many mL should the nurse administer?
0.5
A nurse is planning atraumatic care for a preschooler who has a prescription for an intramuscular medication. A parent is with the child. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)
1. provide an explanation of the hospital alarm system 2. suggest the parent bring the child's favorite toy to the hospital 3. use a doll to demonstrate how the nurse will administer the IM medication
A nurse is preparing to administer ceftriaxone (Rocephin) 400 mg IM every 12 hr. Available is ceftriaxone injection 350 mg/mL. How many mL should the nurse administer per dose?
1.1
A nurse is preparing to administer meperidine (Demerol) 100 mg IM stat. Available is meperidine injection 75 mg/mL. How many mL should the nurse administer?
1.3
A nurse is preparing to administer meperidine (Demerol) 125mg subcutaneous every 4hr PRN for pain. Available is meperidine injection 100 mg/mL. How many mL should the nurse administer per dose?
1.3
A nurse is preparing to administer diazepam (Valium) 7mg IV bolus every 4 hr PRN for muscle spasm. Available is diazepam injection 5 mg/mL. How many mL should the nurse administer per dose?
1.4
A nurse is preparing a medication and calculates the dosage as 1.42 mL. Rounding this amount to he nearest tenth, the nurse should administer how many mL?
1.4 mL
A nurse is preparing to administer diphenhydramine 25 mg PO to a client. The amount available is diphenhydramine elixir 12.5 mg/5 mL. How many mL should the nurse administer?
10 mL
A nurse is preparing to administer erythromycin ethylsuccinate 800 mg PO every 12 hr. Available is erythromycin ethylsuccinate suspension 400mg/5mL. How many mL should the nurse administer per dose?
10 mL
A nurse is preparing to administer haloperidol 5 mg by intermittent IV bolus over 30 min. Available is haloperidol 5 mg in 50 mL dextrose 5% (D5W). The nurse should set the IV pump to deliver how many mL/hr?
100 mL/hr
A nurse is preparing to administer ondansetron 4 mg by intermittent IV bolus. Available is ondansetron injection 4 mg in 0.9% sodium chloride (0.9% NaCl) 25 mL to infuse over 15 min. The nurse should set the IV pump to deliver how many mL/hr?
100 mL/hr
A nurse is preparing to administer potassium chloride 15 mEq PO every 12 hr. Available is potassium chloride liquid 20 mEq/15 mL. How many mL should the nurse administer per dose?
11 mL
A nurse is preparing to administer dextrose 5% in water (D5W) 250 mL to infuse over 30 min. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
125 gtt/min
A nurse is preparing to administer lactated Ringer's 1 L to infuse over 2 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
125 gtt/min
A nurse is preparing to administer diphenhydramine 25 mg PO every 6 hr. Available is diphenhydramine syrup 12.5mg/5mL. How many tsp should the nurse administer per dose?
2 tsp
A nurse is preparing to administer famotidine 0.5 mg/kg PO to a child who weighs 50 lb. How many mg should the nurse administer per dose? (Round to the nearest whole number.)
2.2 kg/lb x 50 lb = 22.727272 kg 0.5 mg/kg x 22.727272 kg = 11.363636 mg ANS: 11.4 mg
A nurse is preparing to administer potassium gluconate 2 mEq/kg/day PO divided equally every 12 hr to a child who weighs 50 lb. How many mEq should the nurse administer per dose? (Round to the nearest whole number.)
2.2 lb/kg x 50 lb = 22.727272 kg 2 mEq/kg x 22.727272 kg = 45.454545 mEq 45.454545 mEq / 2(q12h) = 22.727272 mEq ANS: 22.7 mEq
A nurse is preparing to administer potassium chloride 5 mEq/kg/day PO divided in equal doses every 6 hr to a child who weighs 64 lb. Available is potassium chloride liquid 40 mEq/15 ml. How many ml should the nurse administer per dose? (Round to the nearest whole number.)
2.2 lb/kg x 64 lb = 29.090909 kg 5 mEq/kg x 29.090909 kg = 145.454545 mEq 145.454545 mEq / 4(q6h) = 36.363636 mEq 40 mEq/15 ml x 36.363636 mEq = 13.636363 ml ANS: 13.6 ml
A nurse is preparing to administer acyclovir 5 mg/kg IV bolus every 8 hr to a client who weighs 75 lb. How many mg should the nurse administer per dose? (Round to the nearest whole number.)
2.2 lb/kg x 75 lb = 34.090909 kg 5 mg/kg x 34.090909 kg = 170.454545 mg ANS: 170.5 mg
A nurse is preparing to administer amoxicillin 30 mg/kg/day PO divided in equal doses every 12 hr to an infant who weighs 5.5 kg. Available is amoxicillin suspension 125 mg/5 ml. How many ml should the nurse administer per dose? (Round to the nearest whole number.)
30 mg/kg x 5.5 kg = 165 mg 165 mg/ 2 (Q12H) = 82.5 mg 125 mg/5 ml x 82.5 mg = 3.3 ml ANS: 3.3 ml
A nurse is preparing to administer dextrose 5% in water (D5W) to infuse at 125 mL/hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
31 gtt/min
A nurse is preparing to administer dextrose 5% in water (D5W) 250 mL via IV bolus to infuse over 45 min. The nurse should set the IV pump to deliver how many mL/hr?
333 mL/hr
A nurse is preparing to administer furosemide (Lasix) 40 mg IV bolus stat. Available is furosemide injection 10 mg/mL. How many mL should the nurse administer?
4
A nurse is preparing to administer hydromorphone 4 mg PO every 4 hr PRN for pain. Available is hydromorphone oral liquid 1 mg/1 mL. How many mL should the nurse administer per dose?
4 mL
A nurse is preparing to administer vancomycin 1 g every 12 hr. Available is vancomycin injection 1 g in 0.9% sodium chloride (0.9% NaCl) 250 mL to infuse over 60 min. The nurse should set the IV pump to deliver how many mL/hr?
63 mL/hr
A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus every 8 hr. Available is clindamycin injection 300 mg in 0.9% sodium chloride (0.9% NaCl) 50 mL to infuse over 45 min. The nurse should set the IV pump to deliver how many mL/hr?
67 mL/hr
A nurse is preparing to administer fluoxetine 35 mg PO daily. Available is fluoxetine solution 20 mg/5 mL. How many mL should the nurse administer daily?
8.8 mL ?
A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 1.5 L IV infuse over 6 hr. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
83 gtt/min
A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 500 mL IV to infuse over 6 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
83 gtt/min
A nurse on a medical surgical unit is caring for a client who has type 2 diabetes mellitus and has a prescription for metformin (Glucophage) 500 mg PO every 12 hr. The client is scheduled for a chest X-ray in the morning. Which of the following is an appropriate action by the nurse?
Administer the medication as prescribed. The nurse should withhold metformin when a client is scheduled for a procedure that requires the use of contrast dye. Because routine chest X-rays do not require contrast dye, the nurse should administer the medication as prescribed.
A nurse manager is reviewing a client's medical record and discovers that the client received a double dose of a prescribed medication. Which of the following actions should the nurse manager take first?
Assess the client for adverse effects. Using the nursing process, the first step the nurse should take is to assess the client for adverse effects.
A nurse is preparing to administer glipizide 5 mg PO AC. At which of the following times should the nurse administer the medication?
Before meals
A nurse working in a medical surgical unit is preparing to administer medications to a client. The nurse plans to use two forms of identification to verify that she has the right client. Which of the following actions should the nurse take to identify the client? (Select all that apply.)
Compare the name on the client's wristband with the name on the MAR. Ask the client to state his date of birth. Ask the client to state his name. Use the bar code scan to identify the client.
A nurse is assisting with the orientation of a newly licensed nurse. The nurse should explain that it is important to have a second nurse review the dosage of high-alert medications, such as heparin and insulin, for which of the following reasons?
Dosage errors have the potential for significant harm to the client. The nurse should have a second nurse check the dosage of high-alert medications because serious harm with excessive dosing can occur. Heparin overdose can lead to hemorrhage, and insulin overdose can lead to shock.
A nurse is preparing to administer insulin subcutaneously to a client. The nurse should document the administration of the medication immediately after which of the following actions?
Injecting the insulin The nurse should not delay documentation because this could lead to errors, such as omission of the documentation or administration of a second dose of medication to the client by another nurse.
A nurse is teaching a class about error - prone abbreviations in medication prescriptions. The nurse should include that which of the following prescriptions has acceptable abbreviations?
Metoclopramide 10 mg IM Q6H PRN nausea
A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of the following prescriptions?
Morphine 2.5 mg IV bolus PRN for incisional pain This prescription requires clarification because it is missing the frequency of medication administration.
A nurse is caring for a client who received lisinopril (Zestril) 30 min ago and is now reporting dizziness and headache. Which of the following actions should the nurse take first?
Obtain the client's vital signs. The first action the nurse should take using the nursing process is to assess the client. Therefore, the first action the nurse should take is to obtain the client's vital signs.
A nurse is providing teaching regarding medication administration to a group of newly licensed nurses. Which of the following is a legal responsibility of a nurse?
Reporting medication errors The nurse is legally responsible for reporting medication errors according to facility policy.
A nurse is caring for a client who is to receive omeprazole (Prilosec) 40 mg PO daily. The client tells the nurse that the pill is too hard to swallow. Which of the following actions should the nurse take?
Request a liquid form of medication from the pharmacy. The nurse can administer a liquid form of an oral medication if available. This is not changing the route of the medication.
A nurse is preparing to administer penicillin G benzathine (Bicillin L-A) 900,000 units IM every week for 3 weeks. Available is penicillin G benzathine injection 1,200,000 units/1mL. How many mL should the nurse administer per dose?
0.8
A nurse is preparing to administer acetaminophen 325 mg PO every 6 hr. Available is acetaminophen oral suspension 160 mg/5 mL. How many mL should the nurse administer per dose?
10 mL
A nurse is preparing to administer amoxicillin/clavulanate 250 mg PO to a client. Refer to the medication label below. How many mL should the nurse administer?
10 mL
A nurse is preparing to administer phenytoin 5 mg/kg/day PO divided equally every 12 hr for an infant who weighs 12 lb 4 oz. How many mg should the nurse administer per dose? (Round to the nearest whole number. Use a leading 0 if it applies. Don't use a trailing zero.)
16 oz/lb x 4 oz = 0.25lb 12 lb + 0.25 lb = 12.25 lb 2.2 lb/kg x 12.25 lb = 5.568181 kg 5 mg/kg x 5.568181 kg = 27.840909 mg 27.840909 mg / 2(Q12H) = 13.920454 mg ANS: 13.9 mg
A nurse is converting a toddler's weight from lb to kg. IF the toddler weighs 20 lb 8 oz, what is the toddler's weight in kg? (Round to the nearest whole number.)
16 oz/lb x 8 oz = 0.5 lb 20 lb + 0.5 lb = 20.5 lb 2.2 lb/kg x 20.5 lb = 9.318181 kg ANS: 9.3 kg
A nurse is preparing to administer lithium 600 mg PO every 8 hr. Available is lithium carbonate 300 mg capsules. How many capsules should the nurse administer?
2 capsules
A nurse is preparing to administer midazolam IM to a client who is preoperative and weighs 132 lb. The medication reference states the safe dosage range is 0.07 to 0.08 mg/kg. What is the maximum safe dose the nurse should expect to administer? (Round to the nearest whole number.)
2.2 lb/kg x 132 lb = 60 kg 0.08 mg/kg x 60 kg = 4.8 mg ANS: 4.8 mg
A nurse is converting an infant's weight from lb to kg. If the infant weighs 6 lb 2 oz, what is the infant's weight in kg? (Round to the nearest whole number.)
16 oz/lb x 2 oz = 0.125 lb 6 lb + 0.125 lb = 6.125 lb 2.2 lb/kg x 6.125 lb = 2.784090 kg ANS: 2.8 kg
A nurse is converting an infant's weight from lb to kg. If the infant weighs 10 lb 4 oz, what is the infant's weight in kg? (Round to the nearest whole number.)
16 oz/lb x 4 oz = 0.25 lb 10 lb + 0.25 lb = 10.25 lb 2.2 lb/kg x 10.25 lb = 4.659090 kg ANS: 4.7 kg
A nurse is converting a toddler's weight from lb to kg. If the toddler weighs 17 lb 9 oz, what is the toddler's weight in kg? (Round to the nearest whole number.)
16 oz/lb x 9 oz = 0.5625 lb 17 lb + 0.5625 lb = 17.5625 lb 2.2 lb/kg x 17.5625 lb = 7.982954 kg ANS: 8 kg
A nurse is preparing to administer codeine 30 mg PO every 4 hr PRN for pain. The client last received the medication at 1 p.m. The earliest the nurse should administer the next dose is at which of the following times?
1700
A nurse is preparing to administer gabapentin 1,800 mg per day divided into three equal doses. The amount available is gabapentin 300 mg capsules. How many capsules should the nurse administer per dose?
2 capsules
A nurse is preparing to administer triazolam 0.25 mg PO. Available is triazolam 0.125 mg tablets. How many tablets should the nurse administer per dose?
2 tablets
A nurse is preparing to administer gentamicin to a client who weighs 165 lb. The medication reference recommends administering 2 mg/kg IM every 8 hr. How many mg should the nurse plan to administer per dose? (Round to the nearest whole number.)
2.2 lb/kg x 165 lb = 75 kg 2 mg/kg x 75 kg = 150 mg ANS: 150 mg
A nurse is preparing to administer 0.9% sodium chloride 2,500 mL to infuse over 12 hr. The nurse should administer how many L?
2.5 L
A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of the following prescriptions?
Acetaminophen (Tylenol) 325 mg by mouth PRN for headache This prescription contains name of medication, dosage, route, and circumstance for administration, but not the frequency.
A nurse is transcribing a provider's prescription for a client. The prescription reads morphine 2 mg IV bolus at 1400. The nurse recognizes this as which of the following types of medication orders?
Single order A single (one-time) order stipulates to administer the medication one time either at a specific time the provider indicates or as soon as possible.
A nurse is preparing to administer potassium chloride 40 mEq PO daily. Available is potassium chloride 20 mEq effervescent tablets. In addition to checking the correct dosage before administering the medication, the nurse should check which of the following? (Select all that apply.)
The amount of liquid in which to dissolve the tablets The type of liquid in which to dissolve the tablets The acceptable dose range of the medication
A nurse is preparing to administer cefaclor 40 mg/kg/day PO divided in equal doses every 8 hr to a child who weighs 48 lb. Available is cefaclor suspension 375 mg/5 ml. How many ml should the nurse administer per dose? (Round to the nearest whole number.)
2.2 lb/kg x 48 lb = 21.818181 kg 40 mg/kg x 21.818181 kg = 872.727272 mg 872.727272 mg / 3(q8h) = 290.909090 mg 375 mg/5 ml x 290.909090 mg = 3.878787 ml ANS: 3.9 ml
A nurse is preparing to administer valproic acid 45 mg/kg/day PO divided in equal doses every 8 hr to a child who weighs 66 lb. Available is valproic acid syrup 250 mg/5 ml. How many ml should the nurse administer per dose? (Round to the nearest whole number.)
2.2 lb/kg x 66 lb = 30 kg 45 mg/kg x 30 kg = 1350 mg 1350 mg/3 (q8h) = 450 mg 250 mg/ 5 ml x 450 mg = 9 ml ANS: 9 ml
A nurse is preparing to administer tobramycin 2.5 mg/kg IM to a preschooler who weighs 20 kg. Available is tobramycin injection 40 mg/ml. How many ml should the nurse administer per dose? (Round to the nearest whole number.)
2.5 mg/kg x 20 kg = 50 mg 40 mg/ml x 50 mg = 1.25 ml ANS: 1.3 ml
A nurse is preparing to administer a liquid medication to a toddler. Which of the following actions should the nurse take?
Offer the child a choice of taking the medication with either a cup or a spoon. Toddlers respond well to choosing between two options.
A nurse is in a client's room preparing to administer docusate sodium (Colace) PO and acetaminophen (Tylenol) PO. The client refuses to take the medications because of nausea. Which of the following actions should the nurse take?
Withhold the medications. The client has the right to refuse the medications. The nurse should collect data to determine the cause of the nausea before taking any further action. The nurse should also document the client's refusal and the reason in the medical record.
A nurse is preparing to administer amikacin IM to a client who weighs 176 lb. The medication reference states that the safe dosage range is 7.5 to 15 mg/kg/day divided every 12 to 24 hr. What is the maximum safe dose the nurse should expect to administer per day? (Round to the nearest whole number.)
2.2 lb/kg x 176 lb = 80 kg 15 mg/kg x 80 kg = 1200 mg ANS: 1200 mg
A nurse is preparing to administer ceftazidime 40 mg/kg IV bolus every 8 hr to a toddler who weighs 22 lb. Available is ceftazidime injection 40 mg/ml. How many ml should the nurse administer per dose? (Round to the nearest whole number.)
2.2 lb/kg x 22 lb = 10 kg 40 mg/kg x 10 kg = 400 mg 40 mg/ml x 400 mg = 10 ml ANS: 10 ml
A nurse is preparing to administer cefdinir to a child who weighs 44 lb. The medication reference recommends administering 7 mg/kg PO every 12 hr. How many mg should the nurse plan to administer per dose? (Round to the nearest whole number.)
2.2 lb/kg x 22 lb = 20 kg 7 mg/kg x 20 kg = 140 mg ANS: 140 mg
A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 1 L IV to infuse over 5 hr. The nurse should set the IV pump to deliver how many mL/hr?
200 mL/hr
A nurse is preparing to administer 0.45% sodium chloride (0.45% NaCl) 750 mL to infuse over 10 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
75 gtt/min
A nurse is caring for a client who has a prescription for meperidine (Demerol) 75 mg PO every 3 hr PRN for severe pain and hydroxyzine (Vistaril) 50 mg PO every 6 hr for breakthrough pain. At 1200, the client reports back pain rated as 8 on a pain scale of 0 to 10. The client received meperidine 75 mg PO at 0700 and hydroxyzine 50 mg PO at 1000. Which of the following actions should the nurse plan to take?
Administer meperidine 75 mg PO now. The client is reporting severe pain and can receive another dose of meperidine now. The client last received meperidine 75 mg PO at 0700.
A nurse is preparing to administer methylprednisolone acetate (Depo-Medrol) 30 mg IM every week. Available is methylprednisolone acetate injection 40 mg/mL. How many mL should the nurse administer per dose?
0.8
A nurse is caring for an infant who weighs 11 lb 4 oz. What is the infant's weight in lb? (Round to the nearest whole number.)
16 oz/lb x 4 oz = 0.25 lb 11 lb + 0.25 lb = 11.25 lb ANS: 11.25 lb
A nurse is preparing to administer phenytoin 15 mg/kg/day PO divided in three equal doses to a client who weighs 120 lb. Available is phenytoin suspension 125 mg/5ml. How many ml should the nurse administer per dose? (Round to the nearest whole number.)
2.2 lb/kg x 120 lb = 54.545454 kg 15 mg/kg x 54.545454 kg = 818.18181 mg 818.18181 mg / 3 = 272.727272 mg 125 mg/5 ml x 272.727272 mg = 10.909090 ml ANS: 10.9 ml
A nurse is preparing to administer erythromycin ethyl succinate 50 mg/kg/day PO divided in equal doses every 6 hr to a toddler who weighs 32 lb. Available is erythromycin ethylsuccinate suspension 200mg/5ml. How many ml should the nurse administer per dose? (Round to the nearest whole number. Use a leading 0 if it applies. Don't use a trailing zero.)
2.2 lb/kg x 32 lb = 14.545454 kg 50 mg/kg x 14.545454 kg = 727.272727 mg 727.272727 mg / 4 (Q6H) = 181.818181 mg 200 mg/5ml x 181.818181 mg = 4.545454 mL ANS: 4.5 ml
A nurse is preparing the administer cephalexin 500 mg PO every 6 hr. Available is cephalexin suspension 250mg/5mL. How many mL should the nurse administer per dose?
10 mL
A nurse is preparing to administer cephalexin 0.25 g PO every 6 hr. Available is cephalexin 500 mg tablets. How many tablets should the nurse administer per dose?
0.5 tablet
A nurse is preparing to administer famotidine 20 mg PO every 12 hr. Available is famotidine 40 mg tablets. How many tablets should the nurse administer per dose?
0.5 tablets
A nurse is preparing to administer methadone 2.5 mg PO every 8 hr. Available is methadone 5 mg tablets. How many tablets should the nurse administer per dose?
0.5 tablets
A nurse is preparing to administer doxepin 75 mg PO at bedtime. Available is doxepin 50 mg tablets. How many tablets should the nurse administer?
1.5 tablets
A nurse is preparing to administer furosemide 60 mg PO daily. Available is furosemide 40 mg tablets. How many tablets should the nurse administer daily?
1.5 tablets
A nurse is preparing albuterol 4 mg PO every 6 hr. Available is albuterol syrup 2 mg/5 mL. How many mL should the nurse administer per dose?
10 mL
A nurse is preparing to administer ampicillin 50 mg/kg/day PO divided in equal doses every 8 hr to a child who weighs 39.6 lb. Available is ampicillin oral suspension 250 mg/5 ml. How many ml should the nurse administer per dose? (Round to the nearest whole number.)
2.2 lb/kg x 39.6 lb = 18 kg 50 mg/kg x 18 kg = 900 mg 900 mg / 3(q8h) = 300 mg 250 mg/ 5 ml x 300 mg = 6 ml ANS: 6 ml
A nurse is preparing to administer potassium gluconate 3 mEq/kg/day PO divided in equal doses every 6 hr to a preschooler who weighs 42 lb. Available is potassium gluconate liquid 20 mEq/15ml. How many ml should the nurse administer per dose? (Round to the nearest whole number.)
2.2 lb/kg x 42 lb = 19.090909 kg 3 mEq/kg x 19.090909 kg = 57.272727 mEq 57.272727 mEq / 4(Q6H) = 14.318181 mEq 20 mEq/15 ml x 14.318181 mEq = 10.738636 ml ANS: 11 ml
A nurse is preparing to administer amoxicillin 25 mg/kg/day PO divided equal doses every 8 hr to a preschooler who weighs 43 lb. Available is amoxicillin suspension 250 mg/5 ml. How many ml should the nurse administer per dose? (Round to the nearest whole number.)
2.2 lb/kg x 43 lb = 19.545454 kg 25 mg/kg x 19.545454 kg = 488.636363 mg 488.636363 mg/ 3(q8h) = 162.878787 mg 250 mg/5 ml x 162.878787 mg = 3.257575 ml ANS: 3.3 ml
A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 1 L to infuse over 5 hr. The nurse should set the IV pump to deliver how many mL/hr?
200 mL/hr
A nurse is preparing to administer cefazolin 500 mg every 8 hr. Available is cefazolin injection 500 mg in dextrose 5% in water (D5W) 100 mL to infuse over 30 min. The nurse should set the IV pump to deliver how many mL/hr?
200 mL/hr
A nurse is preparing to administer ceftazidime 1 g by intermittent IV bolus every 12 hr. Available is ceftazidime injection 1 g in 0.9% sodium chloride (0.9% NaCl) 50 mL to infuse over 15 min. The nurse should set the IV pump to deliver how many mL/hr?
200 mL/hr
A nurse is preparing to administer ceftriaxone 2 g by intermittent bolus every 24 hr. Available is ceftriaxone injection 2 g in dextrose 5% in water (D5W) 100 mL to infuse over 30 min. The nurse should set the IV pump to deliver how many mL/hr?
200 mL/hr
A nurse is preparing to administer ranitidine 50 mg by intermittent IV bolus every 8 hr. Available is ranitidine injection 50 mg in dextrose 5% water (D5W) 100 mL to infuse over 30 min. The nurse should set the IV pump to deliver how many mL/hr?
200 mL/hr
A nurse is preparing to administer 650 mg of acetaminophen syrup to a client. The amount available is acetaminophen syrup 160mg/5mL. How many tsp should the nurse administer per dose?
4 tsp
A nurse is preparing to administer famotidine 20 mg by intermittent IV bolus over 15 min. Available is famotidine 20 mg in 100 mL dextrose 5% (D5W). The nurse should set the IV pump to deliver how many mL/hr?
400 mL/hr
A nurse is preparing to administer phenytoin (Dilantin) 100 mg IV bolus every 8 hr. Available is phenytoin injection 50 mg/mL. How many mL should the nurse administer per dose?
2
A nurse is preparing to administer methylprednisolone sodium succinate (Solu-Medrol) 120 mg IV bolus every 6 hr. Available is methylprednisolone sodium succinate injection 80 mg/mL. How many mL should the nurse administer per dose?
1.5
A nurse is preparing to administer amlodipine 10 mg PO once per day to a client. The amount available is amlodipine 2.5 mg/tablet. How many tablets should the nurse administer?
4 tablets
A nurse is preparing to adminsiter rifampin 0.6 g PO daily. Available is rifampin 150 mg capsules. How many capsules should the nurse administer?
4 tablets
A nurse is preparing to administer pantoprazole 80 mg by intermittent IV bolus every 12 hr. Available is pantoprazole injection 80 mg in 0.9% sodium chloride (0.9% NaCl) 100 mL to infuse over 15 min. The nurse should set the IV pump to deliver how many mL/hr?
400 mL/hr