Nursing 150 Dosage Calculation Test 3, Exams of Nursing

A nursing dosage calculation test covering various medication administration scenarios. It includes multiple questions and answers related to calculating the appropriate infusion rates, doses, and volumes for different medications and patient weights. Topics such as heparin infusions, titration of medication infusions, pediatric dosing, and unit conversions. The questions test the student's ability to apply dosage calculation principles and formulas to real-world clinical situations. This document could be useful for nursing students preparing for exams, practicing dosage calculations, or reviewing key concepts in medication administration.

Typology: Exams

2023/2024

Available from 08/01/2024

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Nursing 150 dosage calculation test 3
Ordered: heparin infusion 1000 units per hour
Available: heparin 20,000 units in 1000 mL 0.9 NaCl solution
How many mL/hr will the nurse run the infusion? - correct answer โœ”โœ”1000ml/20000units x
1000units/hr= 50
remember when ever the unit answer reads like mcg/kg/min the last part of the equation will always be
the persons weight. - correct answer โœ”โœ”
Ordered: heparin infusion 750 units per hour
Available: heparin 25,000 units in 500 mL
How many mL/hr will the nurse run the infusion? (Round answer to the nearest whole number.) - correct
answer โœ”โœ”500ml/25000units x 750units/1hr = 15
A 400 mg in 250 mL solution is ordered for a 89.7 kg patient to titrate between 4 and 10 mcg/kg/min.
What is the maximum infusion rate (ml/hr)? (Round answer to the nearest whole number.) - correct
answer โœ”โœ”250ml/400mg x 1mg/1000mg x 10mcg/1hr x 60min/1hr x 89.7kg = 33.63 = 34
A child weighing 19.3 kg is to receive 7.5-9 mg/kg/dose. Each dose is to infuse over 50 minutes. The
supply is labeled 10 mg/mL. What is the recommended "maximum" dose (mg)? (Round answer to the
nearest whole number.) - correct answer โœ”โœ”9mg x 19.3kg = 173.7 = 174
A child weighing 25 kg is to receive 7.5-9 mg/kg/dose. Each dose is to infuse over 60 minutes. The supply
is labeled 25 mg/mL. What is the recommended "minimum" dose (mg)? (Round answer to the nearest
whole number.) - correct answer โœ”โœ”7.5mg x 25kg = 187.5 = 188
A child weighing 35 kg is to recieve Tegretol elixir 30 mg BID. How many mL will be administered per
dose?
pic of bottle- label reads 100mg/5ml - correct answer โœ”โœ”30mg divided by 100mg x 5ml = 1.5
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Nursing 150 dosage calculation test 3

Ordered: heparin infusion 1000 units per hour Available: heparin 20,000 units in 1000 mL 0.9 NaCl solution How many mL/hr will the nurse run the infusion? - correct answer โœ”โœ”1000ml/20000units x 1000units/hr= 50 remember when ever the unit answer reads like mcg/kg/min the last part of the equation will always be the persons weight. - correct answer โœ”โœ” Ordered: heparin infusion 750 units per hour Available: heparin 25,000 units in 500 mL How many mL/hr will the nurse run the infusion? (Round answer to the nearest whole number.) - correct answer โœ”โœ”500ml/25000units x 750units/1hr = 15 A 400 mg in 250 mL solution is ordered for a 89.7 kg patient to titrate between 4 and 10 mcg/kg/min. What is the maximum infusion rate (ml/hr)? (Round answer to the nearest whole number.) - correct answer โœ”โœ”250ml/400mg x 1mg/1000mg x 10mcg/1hr x 60min/1hr x 89.7kg = 33.63 = 34 A child weighing 19.3 kg is to receive 7.5-9 mg/kg/dose. Each dose is to infuse over 50 minutes. The supply is labeled 10 mg/mL. What is the recommended "maximum" dose (mg)? (Round answer to the nearest whole number.) - correct answer โœ”โœ”9mg x 19.3kg = 173.7 = 174 A child weighing 25 kg is to receive 7.5-9 mg/kg/dose. Each dose is to infuse over 60 minutes. The supply is labeled 25 mg/mL. What is the recommended "minimum" dose (mg)? (Round answer to the nearest whole number.) - correct answer โœ”โœ”7.5mg x 25kg = 187.5 = 188 A child weighing 35 kg is to recieve Tegretol elixir 30 mg BID. How many mL will be administered per dose? pic of bottle- label reads 100mg/5ml - correct answer โœ”โœ”30mg divided by 100mg x 5ml = 1.

A patient is receiving an infusion at 75 mL/hr. How many mg/min is the patient receiving if the solution strength is 1 g in 500 mL and the patient weighs 73 kg? ( Round answer to nearest tenth.) - correct answer โœ”โœ”forget about the weight, it doesn't mater in this convert g to mg 1000mg/500ml x 75ml/1hr x 60min/1hr = 2. A solution of 500 mg in 1000 mL is infusing at 5 mL/hr. The order reads titrate infusion between 0.4 and 0.8 mcg/kg/min. Is the current infusion within ordered limits if the patient weighs 61.4 kg? - correct answer โœ”โœ”mcg/kg/min 1000mcg/1mg x 500mg/1000mg x 5ml/1hr x 1/hr x 1/61.4kg = 0. A solution of 4 g in 250 mL is ordered to infuse at 60 mcg/kg/min for a patient weighing 82.7 kg. How many mL/hr will the nurse administer the infusion? ______ mL/hr (Round answer to the nearest whole number.) - correct answer โœ”โœ”ml/hr 250ml/4000mg x 1mg/1000mcg x 60mcg/kg-min x 60min/1hr x 82.7kg= 18.6 = 19 A 10 mcg/kg/min dosage is ordered for an adult weighing 61 kg. The solution available is 500 mg in 250 mL. How many mL/hr will the nurse administer the infusion? _______ mL/hr (Round answer to the nearest whole number.) - correct answer โœ”โœ”ml/hr 250ml/500mg x 1mg/1000mcg x 10mcg/1min x 60/1hr x 61 = 18.3 = 18 An Heparin IV bag of 25,000 units in 500 mL NS is infusing at 40 ml/hr. How many units/hr are infusing? - correct answer โœ”โœ”units/hrs 25000units/500ml x 40ml/1hr =

The drug label states the recommended dose is 50-75 mcg/kg/day given in 2 divided doses. The client's weight is 50 kg. What is the lower single dose amount (mcg)? (Round answer to the nearest whole number.) - correct answer โœ”โœ”50 is the lowest. remember it is divided into 2 doses. 50mcg x 50kg = 2500 divided by 2 = 1250 The drug label states that the ususal dosage is 50-75 mcg/kg/day given in 2 divided doses. The client's weight is 43.8 kg. What is the higher single dose amount (mcg) that can be administered? (Round answer to the nearest whole number.) - correct answer โœ”โœ”75mcg x 43.8kg = 3285 divided by 2 = 1642.5= 1643 18 Ordered: An anticholinergic, Scopolamine 300 mcg IV stat for a child with nausea and vomiting SDR: 6 mcg per kg per dose up to a maximum of 0.3 mg per dose. May repeat every 6-8 hr. The child's weight is 40 kg. Dilute with an equal volume of sterile water for injection (SWI) and administer by direct IV injection over 2 minutes. Is the order within the recommended dose guidelines? - correct answer โœ”โœ” The drug label states that the ususal dosage is 25 mg/kg given every 4-6 hours. The client weighs 84.2 kg. How many mg will the client recieve per dose? - correct answer โœ”โœ”25 x 84.2 = 2105 The drug label indicates that the recommended dosage for adults and children over 6 years of age is 250 mg/kg 3 times daily. For infants, the recommended dosage is 140-170 mg/kg 3 times daily. What is the maximum recommended 24 hour amount (mg) for a child weighing 80 lb? ________ mg (Round answer to the nearest whole number.) - correct answer โœ”โœ”be careful,,, one set of # is for kids and the other is for infants convert lbs to kg 80 divided by 2.2= 36. 36.363 x 250 = 9090.75 = 9091 9091 x 3 = 27273 17 Ordered: A diuretic, furosemide 15 mg IV initial dose, for a child with edema The child's weight is 14 kg.

SDR: 1-2 mg per kg per dose every 6 to 12 hr The medication is diluted in IV fluids with a total volume of 20 mL to be administered over 20 minutes. - correct answer โœ”โœ” Ordered: Hydrocortisone, IV push, 25 mg bolus dose, for an adolescent with adrenal insufficiency. Patient weight is 45 kg. SDR: 1-2 mg per kg the label reads; 2 ml actovial solu-cortef 250mg - correct answer โœ”โœ”25mg divided by 250mg x 2ml = 0. Ordered: heparin infusion 1000 units per hour, for a patient with thrombophlebitis Available: heparin 25,000 units in 500 mL NS Currently infusing: heparin solution at 40 mL per hour Does the current infusion rate match the physicians order? - correct answer โœ”โœ”remember divide the units with like amounts of the on hand drug,,, unit to unit,, mg to mg,, ml to ml. In this one its asking to see if the existing infusion matches a new order. 40ml divivded by 500ml x 25000 = 2000 so no is the answer The drug label indicates that the recommended dosage for adults and children over 6 years of age is 250 mg/kg 3 times daily. For infants, the recommended dosage is 140-170 mg/kg 3 times daily. What is the maximum recommended 24 hour amount (mg) for a child weighing 62 lb? ________ mg (Round answer to the nearest whole number.) - correct answer โœ”โœ”be careful,,, one set of # is for kids and the other is for infants convert lbs into kg 62 divided by 2.2 = 28.181x 250= 7045.25= 7045 7045 x 3 = 21135 Ordered: An anticholinergic, Scopolamine 300 mcg IV stat for a child with nausea and vomiting SDR: 6 mcg per kg per dose up to a maximum of 0.3 mg per dose. May repeat every 6-8 hr. The child's weight is 40 kg. Dilute with an equal volume of sterile water for injection (SWI) and administer by direct IV injection over 2 minutes. Is the order within the recommended dose guidelines? - correct answer โœ”โœ”6mcg x 40kg = 240 The recommended dose is 240 mcg up to a maximum of 300 mcg per dose. So, yes the order is within range.

43.8 x 75 = 3285 divided by 2 = 1642. yes it is in the dosage range Ordered: Lanoxin pediatric elixir 200 mcg PO three times a day loading dose, for a child with heart failure. SDR for child over 2 years of age: loading dose 0.02-0.04 mg per kg per 24 hr in 3 divided doses; maintenance dose 0.006-0.012 mg per kg per 24 hr in 2 divided doses Child's weight: 12 kg Is the ordered loading dose within recommended range? - correct answer โœ”โœ”12kg x 200 mcg = 2400 converted to mg is 2.4 mg,,,, no The drug label states the recommended dose is 60-75 mcg/kg/day given in 3 divided doses. The client's weight is 70 kg. What is the lower single dose amount (mcg)? (Round answer to the nearest whole number.) - correct answer โœ”โœ”60is the smallest so multiply it by 70. it is then divided into 3 doses. 60 x 70 = 4200 divided by three = 1400