RN Hesi Med Surg Dosage Calculations | Nurselytic

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RN Hesi Med Surg Dosage Calculations Questions

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Question 1 of 5

A client is receiving one liter of DW 0.45% normal saline IV every 8 hours by gravity infusion. The IV tubing has a drip factor of 12 gtt/mL. The nurse should regulate the IV to deliver how many drops per minute? (Enter numeric value only. If rounding is required, round to the nearest whole number.)

Correct Answer: 25

Rationale: Infusion rate: 1000 mL / 8 hours = 125 mL/hour. Flow rate: (125 × 12) / 60 = 25 gtt/min.

Question 2 of 5

A client with a gram-positive bacterial skin Infection is receiving daptomycin 500 mg IV every 24 hours. The pharmacy delivers a secondary Infusion of 0.9% Sodium Chloride with daptomycin 500 mg/100 ml to be infused in 30 minutes. How many mL/hour should the nurse program the infusion pump? (Enter the numerical value only.)

Correct Answer: 200

Rationale: Infusion rate = 100 mL / 0.5 hours = 200 mL/hour.

Question 3 of 5

The healthcare provider prescribes liraglutide 1.2 mg subcutaneously daily for a client with type 2 diabetes mellitus. The liraglutide Pen contains 18 mg of liraglutide and will deliver doses of 0.6 mg, 1.2 mg, or 1.8 mg. When teaching the client about the use of the liraglutide Pen, how many doses should the nurse tell the client is available in each Pen? (Enter the numerical value only.)

Correct Answer: 15

Rationale: Doses =
Total amount / Dose = 18 mg / 1.2 mg = 15 doses.

Question 4 of 5

A client scheduled for coronary artery bypass surgery is to receive an intravenous infusion of 1 gram cefazolin in 50 mL 0.9% Sodium Chloride, USP over 30 minutes. The nurse should program the infusion pump to deliver how many mL/hour? (Enter numeric value only, as a whole number.)

Correct Answer: 100

Rationale: Infusion rate = Volume / Time. Volume is 50 mL, time is 30 minutes = 0.5 hours. So, 50 / 0.5 = 100 mL/hour.

Question 5 of 5

The healthcare provider prescribes enoxaparin 1 mg/kg subcutaneously every 12 hours for a client who weighs 132 pounds. The medication is available in 60 mg/0.6 mL prefilled syringe. How many mL should the nurse administer per day? (Enter numerical value only.)

Correct Answer: 1.2

Rationale: Weight: 132 × 0.454 = 59.928 kg. Dose: 1 mg/kg × 59.928 = 59.928 mg. Volume per dose: (59.928 × 0.6) / 60 = 0.59928 mL. Daily volume: 0.59928 × 2 = 1.19856 mL, rounded to 1.20 mL.

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