Dosage Calculation: RN MENTAL HEALTH

Question 1

A nurse is preparing to administer 0.2 g of clozapine PO to a client. Available is clozapine 100 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

• 2

Question 2

A nurse is preparing to administer fluoxetine 15 mg PO to a client who has premenstrual dysphoric disorder. Available is fluoxetine oral solution 20 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

• 3.8

Question 3

A nurse is preparing to administer diazepam 2.5 mg PO once a day at bedtime to a client who has anxiety. Available is diazepam oral solution 5 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

• 2.5

Question 4

A nurse is preparing to administer venlafaxine 225 mg PO to a client who has generalized anxiety disorder. Available is venlafaxine 75 mg sustained-release capsules. How many capsules should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

• 3

Question 5

A nurse is preparing to administer naloxone 0.2 mg IM to a client who is experiencing an opioid overdose. Available is naloxone 0.4 mg/mL for injection. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

• 0.5

Question 6

A nurse is preparing to administer naloxone 40 mcg IM to a client. How many mg should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

• 0.04

Question 7

A nurse is caring for a client who has a prescription for chlorpromazine 1 g/day PO divided into four equal doses. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

• 250

Question 8

A nurse is preparing to administer haloperidol 500 mcg PO to a client. How many mg should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

• 0.5

Question 9

A nurse is planning to administer chlorpromazine 0.8 g PO daily to a client. How many mg should the nurse plan to administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

• 800

Question 10

A nurse is preparing to administer hydroxyzine hydrochloride 75 mg IM to a client who has anxiety. Available is hydroxyzine hydrochloride injection 50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

• 1.5

Question 11

A nurse is reviewing a client’s prescription for buspirone 1 tablet PO every 12 hr. Before administering this medication, the nurse should ask the provider to add which of the following components of a medication prescription?

• Medication
• Frequency
• Route
• Dose

Question 12

A nurse is preparing to administer amitriptyline 300 mg PO to a client who has major depressive disorder. Available is amitriptyline 75 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

• 4

Question 13

A nurse is reviewing new prescriptions for several clients. Which of the following prescriptions should the nurse clarify with the provider? Dosage Calculation: RN MENTAL HEALTH

• Guanfacine 1 mg PO daily
• Fluoxetine 20 mg PO every a.m.
• Temazepam 15 mg PO at bedtime PRN sleep
• Adderall XR 10 mg PO hs

Question 14

A nurse is reviewing a new prescription for escitalopram 10 mg daily for a client who has depression. Which of the following should the nurse clarify with the provider about the prescription?

• Route
• Medication
• Time
• Dose

Question 15

A nurse is preparing to administer aripiprazole 160 mg IM to a client. Available is aripiprazole 400 mg/2 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

• 0.8

Question 16

A nurse is preparing to administer diazepam 7.5 mg IM to a client who is experiencing anxiety. Available is diazepam injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

• 1.5

Question 17

A nurse is reconciling the medications of a client who was newly admitted for management of mania. Which of the following prescriptions should the nurse clarify with the provider?

• Clonazepam 0.5 mg PO three times daily
• Divalproex 1.5g PO twice daily
• Lithium 300 \ mg PO three times daily
• Risperidone 3.0 \ mg PO daily

Question 18

A nurse is preparing to administer sertraline $0.05 g PO to a school-age child who has obsessive-compulsive disorder. Available is sertraline oral solution $20 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

• 2.5

Question 19

A nurse is caring for a client who has a new prescription for lithium 900 mg PO daily divided equally every 8 hrs. Available is lithium 150 mg capsules. How many capsules should the nurse administer in each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

• 2

Question 20

A nurse is preparing to administer bupropion 0.3 g PO daily to a client. How many mg should the nurse administer? (Round the answer to the nearest whole number.)

• 300

Question 21

A nurse is reviewing a client’s prescription for lorazepam 3 mg PO BID. The nurse should interpret which of the following information from the prescription?

• The nurse should administer 1.5 mg twice daily.
• The medication is administered with every meal.
• The medication is administered orally.
• The medication should be administered as needed.

Question 22

A nurse is reviewing a client’s medication administration record. The nurse should identify that which of the following prescriptions requires further clarification? Dosage Calculation: RN MENTAL HEALTH

• Flunisolide 80 mcg inhalation twice daily
• Albuterol metered dose inhaler 2 inhalations every 4 to 6 hr PRN for bronchospasm
• Haloperidol .5 mg PO 2 times each day
• Clozapine 25 mg PO daily

Question 23

A nurse is preparing to administer perphenazine 0.032 g PO divided in four equal doses daily to a client who has psychosis. Available is perphenazine oral solution 16 mg /5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

• 2.5

Question 24

A nurse is preparing to administer ziprasidone 10 IM to a client who has acute agitation and schizophrenia. Available is ziprasidone injection 20 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

• 0.5

Question 25

A nurse is preparing to administer fluphenazine hydrochloride 3 mg IM to a client who has schizophrenia. Available is fluphenazine hydrochloride injection 2.5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

• 1.2

Question 26

A nurse is preparing to administer phenelzine 90 mg PO divided in three equal doses daily to a client who has depression. Available is phenelzine 15 mg tablets. How many tablets should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

• 6

Question 27

A nurse is preparing to administer gabapentin 900 mg PO to a client. The nurse should identify that this is equivalent to how many g? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

• 0.9

Question 28

A nurse is preparing to administer olanzapine extended release 200 mg IM to a client who has schizophrenia. Available is olanzapine injection 150 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

• 1.3

Question 29

A nurse is preparing to administer paliperidone 234 mg IM to a client. Available is paliperidone 273 mg/0.875 mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

• 0.75

Question 30

A nurse is preparing to administer risperidone 25 mg IM to an older adult client who has schizophrenia. Available is risperidone injection 25 mg/2 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

• 2

Question 31

A nurse is preparing to administer fentanyl 400 mcg via the buccal route. Which of the following actions should the nurse take? Dosage Calculation: RN MENTAL HEALTH

• Place the tablet between the client’s cheek and gums.
• Dissolve the tablet in 118 mL 4 oz liquid.
• Mix the medication in 5mL (1tsp) soft food.
• Have the client chew the medication before swallowing.

Question 32

A nurse is preparing to administer temazepam 0.015 g PO to assist a client with sleep. Available is temazepam 15 mg capsules. How many capsules should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

• 1

Question 33

A nurse is preparing to administer benztropine mesylate 2 mg IM to a client who has schizophrenia and is experiencing an extrapyramidal reaction to antipsychotic medication. Available is benztropine mesylate injection 1 mg/mL in 2 mL ampules. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

• 2