Dosage Calculation RN Adult Medical Surgical Proctored Assessment 3.2

Part of our ATI RN guide, which covers Content Mastery, proficiency levels, the Comprehensive Predictor, Capstone and study tips.

QUESTION 1

Dosage Calculation RN Adult Medical Surgical Proctored Assessment 3.2. A nurse is preparing to administer potassium chloride 40 mEq in dextrose 5% in 0.9% sodium chloride 1,000 mL IV to infuse over 8 hr. The tubing has a drop factor of 15 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) Answer: 31

QUESTION 2

A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?

• Meloxicam 15 mg PO daily
• Regular insulin 8 units subcutaneous before meals
• Docusate sodium 200 mg PO at bedtime
• Fentanyl 25 mcg/hr transdermal patch
  
  Answer: Regular insulin 8 units subcutaneous before meals

QUESTION 3

A nurse is preparing to administer clindamycin 1,200 mg IV bolus over 1 hr to a client who is allergic to penicillin. Available is clindamycin 1,200 mg in dextrose 5% in water 100 mL. The drop factor on the manual IV tubing is 15 gtt/mL. The nurse should set the flow rate to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer: 25

QUESTION 4

A nurse is preparing to administer ceftriaxone 250 mg IM to an adult client who has a gonococcal infection. The label on the vial indicates to reconstitute each vial with sterile water 2.1 mL to yield ceftriaxone 350 mg/mL. How many mL of the reconstituted medication should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)
Answer: 0.71

QUESTION 5

A nurse is preparing to administer darbepoetin 0.45 mcg/kg subcutaneous once weekly to a client who weighs 158 lb. The amount available is darbepoetin 300 mcg/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.) Answer: 0.1

QUESTION 6

A nurse is preparing to administer acetaminophen 15 mg/kg via intermittent IV bolus to a client who weighs 99 lb. The amount available is acetaminophen 1,000 mg/100 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.) Answer: 68

QUESTION 7

A nurse is preparing to administer voriconazole 6 mg/kg via intermittent IV bolus to a client who weighs 127 lb. Available is voriconazole 5 mg/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.) Answer: 69

QUESTION 8

A nurse is preparing to administer methylprednisolone sodium succinate 30 mg/kg via intermittent IV bolus to a client who weighs 169 lb. Available is methylprednisolone sodium succinate 125 mg/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.) Answer: 18

QUESTION 9

A nurse is preparing to administer ondansetron 0.15 mg/kg IV to a client who weighs 132 lb. Available is ondansetron 2 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.) Answer: 4.5

QUESTION 10

A nurse is preparing to administer megestrol 200 mg PO to a client. Available is megestrol oral suspension 40 mg/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.) Answer: 5

QUESTION 11

A nurse is preparing to administer amoxicillin 750 mg PO. Available is amoxicillin liquid suspension 250 mg/5 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.) Answer: 15

QUESTION 12

A nurse is preparing to administer belimumab 10 mg/kg via intermittent IV bolus to a client who weighs 136 lb. Available is belimumab 80 mg/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.) Answer: 8

QUESTION 13

A nurse is preparing to administer epoetin 7,000 units subcutaneously for management of anemia related to chronic kidney disease. Available is 10,000 units/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.) Answer: 0.7

QUESTION 14

A nurse is preparing to administer tobramycin 3 mg/kg/day IM in three divided doses to a client who weighs 85 kg. The amount available is tobramycin 40 mg/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.) Answer: 2.1

QUESTION 15

A nurse is preparing to administer cefazolin 1 g intermittent IV bolus in 0.9% sodium chloride 250 mL over 30 min. The drop factor on the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV flow rate to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) Answer: 83

QUESTION 16

A nurse is preparing to administer 1.2 L lactated Ringer’s IV to infuse over 24 hr. Half of the fluid is to be administered in the first 8 hr. The nurse should set the IV pump to deliver how many mL/hr during the first 8 hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) Answer: 75

QUESTION 17

A nurse is preparing to administer hydrocortisone 150 mg via IV bolus. Available is hydrocortisone 50 mg/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.) Answer: 3

QUESTION 18

A nurse is preparing to administer heparin 7,500 units subcutaneous. Available is heparin 10,000 units/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.) Answer: 0.75

QUESTION 19

A nurse is preparing to administer enoxaparin 40 mg subcutaneous for prevention of deep vein thrombosis. Available is enoxaparin 100 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.) Answer: 0.4

QUESTION 20

A nurse is preparing to administer 0.9% sodium chloride 1,200 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) Answer: 150

QUESTION 21

A nurse is preparing to administer exenatide 10 mcg subcutaneous. Available is exenatide 250 mcg/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.) Answer: 0.04

QUESTION 22

A nurse is preparing to administer amoxicillin 775 mg PO. Available is amoxicillin oral suspension 400 mg/5 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.) Answer: 10

QUESTION 23

A nurse is preparing to administer ampicillin 500 mg IM every 6 hr. Available is ampicillin 500 mg vial. The package insert instructs adding 1.8 mL of sterile water to yield ampicillin 250 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) Answer: 2

QUESTION 24

A nurse is preparing to administer 0.45% sodium chloride 2.5 L IV to infuse over 24 hr. 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.) Answer: 2500

QUESTION 25

A nurse is preparing to administer venlafaxine 75 mg/day in two divided doses to a client who has depression. Available is 37.5 mg tablets. How many tablets 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.) Answer: 1

QUESTION 26

A nurse is preparing to administer phenytoin 200 mg via a gastrostomy tube. Available is phenytoin oral suspension 125 mg/5 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.) Answer: 8

QUESTION 27

A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 3 L IV to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) Answer: 125

QUESTION 28

A nurse is obtaining a medication history from a client who reports taking 1 oz of magnesium hydroxide daily as a laxative. The nurse should identify that this dose equates to how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) Answer: 30

QUESTION 29

A nurse is preparing to administer morphine 7.5 mg subcutaneous. Available is morphine injection 10 mg/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.) Answer: 0.75

QUESTION 30

A nurse is preparing to administer gentamicin 5 mg/kg via intermittent IV bolus to a client who weighs 210 lb. The amount available is gentamicin 10 mg/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.) Answer: 48

QUESTION 31

A nurse is preparing to administer hydrochlorothiazide 150 mg PO daily in 3 equally divided doses. Available is hydrochlorothiazide oral solution 50 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) Answer: 5

QUESTION 32

A nurse is preparing to administer phenytoin 125 mg oral suspension to a client who has epilepsy. Which of the following information should the nurse interpret from the medication label? (Refer to the medication label below.)

• Store the medication at room temperature
• Administer the medication with a teaspoon
• Avoid shaking the medication
• The medication should be kept in a well-lit area Answer: Store the medication at room temperature

QUESTION 33

A nurse is preparing to administer cefazolin 250 mg via intermittent IV bolus every 8 hr. Available is cefazolin 500 mg vial. The package insert instructs to add 2 mL of sterile water to yield a concentration of 225 mg/mL and then add to 50 mL of 0.9% sodium chloride. How many mL of cefazolin should the nurse add to the 50 mL of 0.9% sodium chloride? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) Answer: 1.1

QUESTION 34

A nurse is preparing to administer pentamidine 4 mg/kg IM to a client who weighs 154 lb. Available is pentamidine 100 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.) Dosage Calculation RN Adult Medical Surgical Proctored Assessment 3.2 Answer: 2.8

QUESTION 35

A nurse is preparing to administer rifampin 20 mg/kg/day PO in two divided doses to a client who weighs 132 lb and has tuberculosis. The amount available is rifampin 150 mg capsules. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) Answer: 4