Dosage Calculations FINAL Exam Version 1 KEY; answered, Retake 2021

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Name: Date: 1. Furosemide 50mg IV push now. Available: Furosemide 40mg/10mL How many mL will you give? 2. The IV order is for D5W to infuse at 100 mL/hr. The drop factor is 10 gtt/mL. How many drops p... er minute (gtt/min) should the IV be regulated? 3. 4 Tablespoons = teaspoons? 4. Order: Cinoxacin 1 g/day, PO, in two divided doses Drug available: 500 mg capsules How many milligrams would you give per dose? 5. The medication order is to administer Prozac 40 mg PO qid. Available: Prozac liquid 20 mg per 5 mL How many mL will you administer? 6. Order: 35 mg of a medication by mouth tid Patient weight: 99 pounds Safe dose range: 2 to 4 mg/kg/day This is a safe medication order. A) True B) False 7. The nurse wants to give 2 g of magnesium sulfate and has available a medication labeled 50% magnesium sulfate in 20 mL. How many mL will the nurse administer? 8. The BSA of a 5-year-old patient is 0.9 m2 Medication order: Carmustine 75 mg/m2 every day times 2 days Available: 100 mg/10 mL vial The patient would receive a dose of mL/day times 2 days. 9. Order: LR 1000 mL at 90 mL/hr. How many hours are required to administer the following fluid at the given rate? 10. The BSA of a patient who is 3 years old is 0.62 m2. Medication order: Daunorubicin 25 mg/m2 weekly Available: 2 mg/mL in 25 mL vial The patient would receive a dose of mg/week. 11. Medication order: lidocaine, continuous infusion at 2 mg/min on the infusion pump. Available: IV of 500 mL D5W with 2 g lidocaine added What will be the hourly rate for the infusion pump (mL/hour)? 12. Patient weight: 32 kg Medication order: Nitroprusside 2 mcg/kg/min Pediatric dose: 200-500 mcg/kg/hr Drug available: Nitroprusside 50 mg/5 mL Dilution: 50.5 mg in 250 mL of NS at 19 mL/hr Will this dilution deliver 2 mcg/kg/min? A) True B) False 13. What is the weight in pounds of someone who weighs 100 KGs? 14. Calculate the total dose of a medication to be administered if a patient weighs 22 pounds and is to be given 60 mg/kg/day? 15. Order: D5 1/4 1000 mL at 100 mL/hr. How many hours are required to administer the following fluid at the given rate? 16. Medication order: Meperidine (Demerol) 35 mg, IM, q4–6h, prn. Using the following drug label, how many milliliters of Demerol would you give per dose? 17. Medication order: Heparin 25,000 units in 500 mL, infuse 4000 units/hr How many mL per hour do you need to infuse to deliver 4000 units/hr? 18. Order: D10W at 40 mL/hr. What is the drop rate per minute if the drop factor is 15 gtt/mL? 19. Medication order: Meperidine 70 mg and Atropine sulfate 0.4 mg, IM, STAT. Using the following drug labels, how many milliliters of meperidine would you give? 20. Medication on hand: Insulin 50 units in 100 mL How many units per mL? 21. Order: Clindamycin 300 mg, PO, q8h Available: Clindamycin 75 mg/mL How many milliliters of clindamycin will you give per dose? 22. The medication order is for Amiken IV for a 45-pound child. Calculate the dosage if the normal pediatric dose is 15 mg/kg. 23. Convert 422 grams to kilograms. 24. The doctor overs Amoxicillin 1 gram in 1000 mls of normal saline over 8 hours. What is the rate in mls/hours? 25. Order: Cephalexin 0.5 g, PO, q6h. Using the following drug label, how many milligrams equal 0.5 g? 26. Order: Cloxacillin 1 g/d, PO, in four divided doses, q6h. Using the following drug label, how many capsule(s) would you give per dose? 27. Medication order: Dobutamine 250 mg in 250 mL at 4.5 mcg/kg/min Patient Weight: 125 lb Calculate the flow rate in milliliters per hour. 28. What should the nurse do if the medication order is not legible? A) Call the prescriber for clarification B) Do the best he or she can to interpret the drug order C) Refuse to give the medication D) Call the pharmacy for interpretation of the drug order 29. Medication order: Meperidine 70 mg and Atropine sulfate 0.4 mg, IM, STAT. Using the following drug labels, how many milliliters of Atropine would you give? 30. Medication order: Amikacin 500 mg/IM, q12h Patient's weight: 149 lb How many kilograms does the patient weigh? 31. Medication order: Dyphylline 0.5 g, IM, q6h Drug available: Dyphylline 250 mg/mL How many milliliters of dyphylline would you give per dose? 32. Medication order: Oxacillin 250 mg, IM, q6h. Using the following drug label, how many milliliters of oxacillin would you give per dose? 33. Order: Amoxicillin 200 mg, PO, q8h Using the following drug label, how many milliliters of Amoxicillin would you give per dose? 34. Convert 90 mcg to mg. 35. Order: Ethambutol HCl 800 mg, PO, daily Parameter: 15 mg/kg/d Patient weight: 121 lb How many kilograms does your patient weigh? 36. Medication order: Diabinese 0.1 g PO daily The drug container label reads: Diabinese 100 mg/tablet How many tablets will you give? 37. The patient is to receive 500 mL of D5W with 20 units of synthetic oxytocin (Pitocin) IV at the rate of 0.004 units/min. How many mL per hour will the patient receive? 38. Order: Amoxicillin/clavulanate (Augmentin) 0.25 g, PO, q8h Using the following label, how many milliliters of Augmentin will you give per dose? 39. Medication order: magnesium sulfate 9 g IV Available: magnesium sulfate 50% in 50 mL vials How many mL will the nurse administer? 40. Order: methyldopa (Aldomet) 0.75 g, PO, bid. Using the following drug label, how many milligrams of Aldomet should the patient receive per day? 41. Medication order: Ampicillin 500 mg, IM, q6h. Using the following drug label, how many milliliters of diluent would you add to the ampicillin vial? 42. Medication on hand: Heparin 25,000 units in 500 mL How many units per mL 43. If 300 mL of a 15% solution is being prepared, mL of medication solution (solute) will be used. 44. Child's BSA: 1.1 m2 Medication order: Betamethasone 4 mg/m2/day PO, divided into four doses Available: syrup 0.6mg/5ml How many mL will you administer per dose? 45. Order: Doxycycline monohydrate (Vibramycin) 100 mg, PO, initially, then 100 mg, PO, in two divided doses per day Using the following drug label, how many milligrams will the patient receive per dose after the initial dose? 46. Medication order: 35 mg of a medication by mouth tid Patient weight: 99 pounds Safe dose range: 2 to 4 mg/kg/day This is a safe medication order. A) True B) False 47. A child weighs 65 pounds. Convert to kilograms. 48. Order: Timolol maleate (Blocadren) 10 mg, PO, bid; then, after 2 weeks, the patient is to receive 40 mg in two divided doses. Using the following drug label, how many tablet(s) should the patient receive per dose during the first 2 weeks? 49. A child weighs 22 pounds. Convert to kilograms. 50. Order: D5W at 60 mL/hr. What is the drop rate per minute if the drop factor is 15 gtt/mL? 51. 1 decigram (dg) = g 52. Order: Potassium chloride (KCl) 15 mEq, PO, bid Available: Potassium chloride 10 mEq/15 mL How many milliequivalents (mEq) of KCl will the patient receive per day? 53. The medication order is to mix 18 units of oxytocin in 650 mL normal saline. Start infusion at 20 mL/hr. Increase by 5 mL every 10 minutes until uterine contractions are 2 to 3 minutes apart. Do not exceed 45 miliunits/min. Maintain total IV fluid volume at 100 mL/hr. How many miliunits/min will the patient receive in the first 10 minutes? 54. Order: D5LR 1000 mL at 150 mL/hr. How many hours are required to administer the following fluid at the given rate? 55. Change 60% to a decimal. 56. Medication order: Prednisone (Deltazone) 6 mcg/kg/min Patient Weight: 165 lb Available: 250 mL D5W with Delta zone 50 mg How many milliliters per hour will the nurse need to run the infusion? 57. Medication order: 50 mg/kg/day Patient weight: 65 pounds The patient weighs kg. 58. If 30 mL of a 0.5% solution is being prepared from a 6% solution, mL of the 6% solution will be used. 59. There are various types of drug orders. The nurse must have an understanding of these drug orders. What is a one-time order? A) An order that is to be given at the patient’s request and at the discretion of the nurse B) A routine order for all patients who had the same type of procedures C) An order that is to be given one time a day at hs (hours of sleep) D) An order that is given once, usually at a specified time 60. Order: Digoxin (Lanoxin) 0.5 mg, PO, daily. Using the following drug label, how many tablet(s) would you give? 61. Medication order: Oxacillin 250 mg, IM, q6h. Using the following drug label, how much diluent would you add to the oxacillin vial? 62. The medication order is to administer Panadol 10 mg/kg. The child weighs 80 pounds. Available: Panadol 160 mg/mL How many mL will the nurse administer? 63. Medication order: Heparin 7500 units, SubQ q6h. Using the following drug label, how many milliliters of heparin would you give per dose? 64. 1 g: 15 mL expressed as a fraction is g/100 mL. 65. Order: Tagamet 0.4 g, PO, bid, and 0.8 g, at hour of sleep. Drug available: Tagamet 200 mg/tab. How many tablet(s) would you give per dose at hour of sleep? 66. Order: Docusate sodium (Colace) 200 mg, PO, daily per NG tube Available: Colace 50 mg/5 mL How many milliliters of Colace will the patient receive? 67. Patient weight: 21 kg Medication order: Aminophylline 110 mg in 500 mL of NS at 80 mL/hr Pediatric Dose: 0.84 mg/kg/hr Drug available: Aminophylline 250 mg/10 mL Will this dilution deliver 0.84 mg/kg/hr? A) True B) False 68. Order: Dexamethasone (Decadron) 3 mg, PO, bid Drug available: Decadron 1.5 mg/tablet How many tablet(s) would you give per dose? 69. The medication order is to administer a loading dose of digoxin (Lanoxin) 30 mcg/kg. The neonate weighs 5.8 pounds. Available: an ampule labeled Lanoxin 0.25 mg/mL How many mL will you administer? 70. Order: 20 mg of a medication by mouth tid Patient weight: 132 pounds (60 kg) Safe dose range: 1 to 3 mg/kg/day This is a safe medication order. A) True B) False 71. Order: Megestrol acetate (Megace) 160 mg, PO, in four divided doses. Using the following label, how many tablet(s) should the patient receive per dose? 72. Order: D5LR at 100 mL/hr. What is the drop rate per minute if the drop factor is 10 gtt/mL? 73. 32 oz = medium size glass (es) 74. What is the dosage on the following drug label? A) 100 tablets B) 40 mg C) Lot number D) Expiration date 75. Medication order: Dexamethasone (Decadron) 3 mg, IM, STAT. Using the following drug label, how many milliliters of Decadron would you give per dose? 76. Order: D5LR at 150 mL/hr. What is the drop rate per minute if the drop factor is 10 gtt/mL? 77. Order: Cimetidine (Tagamet) 200 mg, PO, qid with meals Using the following drug label, how many milliliters of Tagamet will you give? 78. Medication order: Atropine 0.3 mg Available: Atropine 0.5 mg/mL How many mL will you administer? 79. How much water is in a 40% solution of 100 mls? 80. The medication order is to administer tetracycline (Sulycin) 0.25 g, PO tid. The bottle of tetracycline is labeled 125 mg/5 mL. How many mL will the nurse give per dose? 81. Medication order: Morphine 10 mg, IM, STAT. Using the following drug label, how many milliliters of morphine would you give? 82. Cover 0.35% of a decimal. 83. The medication order is for Amikacin IV for a 25-pound child. Calculate the dosage if the normal pediatric dose is 12 mg/kg. 84. Order: Azithromycin (Zithromax) 300 mg, PO, first day, then 160 mg, PO, daily for the second through the fifth day Using the following drug label, how many milliliters will the patient receive the first day? 85. Order: methyldopa (Aldomet) 0.75 g, PO, bid. Using the following drug label, how many milligrams of Aldomet should the patient receive per day? 86. Medication order: 100 mg/kg/day Patient weight: 60 pounds The patient will receive mg/day. 87. Medication order: Morphine 3 mg, IM, q4–6h, PRN for 3 days Drug available: Morphine 4 mg per 1 mL How many milliliters of morphine would you give per dose? 88. Order: Megestrol acetate (Megace) 160 mg, PO, in four divided doses. Using the following label, how many tablet(s) should the patient receive per dose? 89. How much medication is in a 40% solution of 100 mls? 90. Order: D5 1/4 NS at 150 mL/hr. What is the drop rate per minute if the drop factor is 10 gtt/mL? 91. The medication order is to administer V-Cillin K 600,000 units PO qid. Available: V-Cillin K 200,000 units/5 mL How many mL will the nurse administer? 92. The nurse is providing education for a patient who has been ordered a steroid metered dose inhaler. What would be important for the nurse to teach this patient? A) To rinse and gargle after use of the inhaler B) To rinse the mouth thoroughly before using the inhaler C) To eat or drink milk with the administration of this medication D) To take three long breaths after inhalation of this medication 93. Medication order: Bretylium tosylate 50 mg (Bretylol) in 50 mL of D5W at 5 mg/kg/hour Patient Weight: 40 kg Calculate the flow rate in milliliters per hour. Order: Cinoxacin 1 g/day, PO, in two divided doses Drug available: 500 mg capsules How many capsules would you give per dose? 94. Medication order: Hydroxyzine (Vistaril) 75 mg, IM, STAT Drug available: Vistaril 100 mg/2 mL How many milliliters of hydroxyzine would the patient receive? 95. Order: Give 500 mg of Augmentin by mouth now. Using the following label, how many tablets would you need to give? 96. Order: Carvedilol (Coreg) 12.5 mg, PO, bid. Using the following label, how many milligrams should the patient receive per day? 97. Order: TPN 1000 mL at 30 mL/hr. How many hours are required to administer the following fluid at the given rate? 98. Order: Promethazine 25 mg, PO, bid Available: Promethazine 6.25 mg/5 mL How many milliliters of promethazine will you give per dose? 99. Patient weight: 15 kg Medication order: Lidocaine 5 mcg/kg/min Usual Pediatric dose: 2-5 mcg/kg/min Drug available: Lidocaine 1 g/5 mL Dilution: Lidocaine 300 mg in 250 mL of NS at 30 mL/hr Will this dilution deliver 5 mcg/kg/min at 30 mL/hr? A) True B) False [Show More]

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