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 returns from the PACU with a bag of IV fluids that has 630 mL remaining in the 1,000 mL bag. The prescription reads, 'Continue the present IV over the next 7 hours.' The IV administration set delivers 10 gtt/mL. The nurse should regulate the infusion to deliver how many drops/minute to accomplish the new prescription? (Enter numeric value only.)

Correct Answer: 15

Rationale: Flow rate = (630 mL × 10 gtt/mL) / (7 × 60) = 15 gtt/min.

Question 2 of 5

The healthcare provider prescribes metoclopramide 7.5 mg/mL IM every 3 hours PRN vomiting for a client who is receiving chemotherapy. The nurse prepares an injection using a 2 ml. prefilled syringe cartridge labeled, 'metoclopramide 5 mg/mL.' How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

Correct Answer: 1.5

Rationale: Volume = 7.5 mg / 5 mg/mL = 1.5 mL.

Question 3 of 5

A child is to receive vancomycin 40 mg/kg intravenously one hour before a scheduled procedure. The child weighs 44 pounds. How many mg of the medication should the nurse administer? (Enter numeric value only.)

Correct Answer: 798

Rationale: Weight: 44 × 0.4536 = 19.9584 kg. Dose: 40 mg/kg × 19.9584 = 798.336 mg, rounded to 798.

Question 4 of 5

A child who weighs 42 kg receives a prescription for methylprednisolone succinate 1.5 mg/kg/day intravenously in divided doses every 6 hours. The medication is available in 40 mg/mL vials. How many mL should the nurse administer with each dose? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

Correct Answer: 0.4

Rationale: Daily dose: 1.5 mg/kg/day × 42 = 63 mg/day. Per dose (every 6 hours, 4 doses/day): 63 / 4 = 15.75 mg. Volume: 15.75 / 40 = 0.39375 mL, rounded to 0.4 mL.

Question 5 of 5

The healthcare provider prescribes ganciclovir 375 mg intravenously (IV) every 12 hours to infuse over 90 minutes. The pharmacy delivers ganciclovir 375 mg in a 150 mL IV bag. How many mL/hour should the nurse program the infusion pump? (Enter a whole number only.)

Correct Answer: 100

Rationale: Infusion rate = 150 mL / (90 / 60) hours = 100 mL/hour.

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