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 with a renal calculi receives a prescription for an intravenous infusion of 0.9% Sodium chloride Injection, USP 1,000 mL to be infused over 2.5 hours. The nurse should program the infusion pump to deliver how many mL/hour? (Enter numeric value only. If rounding is required, round to the nearest whole number.)

Correct Answer: 400

Rationale: Infusion rate = 1000 mL / 2.5 hours = 400 mL/hour.

Question 2 of 5

A client who weighs 60 kg receives a prescription for dalteparin 200 units/kg subcutaneously once a day for a month. The medication is available in 25,000 units/mL vial. How many mL should the nurse administer? (Enter numerical value. If rounding is required, round to the nearest tenth.)

Correct Answer: 0.5

Rationale: Dose: 200 units/kg × 60 = 12000 units. Volume: 12000 / 25000 = 0.48 mL, rounded to 0.5 mL.

Question 3 of 5

Penicillin G procaine 240,000 units Intramuscularly is prescribed for a 4-year-old child who has a streptococcal respiratory Infection. The medication vial is labeled 1,200,000 units/2 mL. How many ml. should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

Correct Answer: 0.4

Rationale: Concentration: 1,200,000 units / 2 mL = 600,000 units/mL. Volume = 240,000 / 600,000 = 0.4 mL.

Question 4 of 5

During a home visit, the nurse learns that a client is taking calcium polycarbophil, an over the counter laxative. A single tablet contains 625 mg and the daily maximum dosage is 5 grams in divided doses. How many tablets could the client safely take in one day? (Enter the numeric value only. If rounding is required, round to the nearest whole number.)

Correct Answer: 8

Rationale: Max dose = 5 grams = 5000 mg. Tablets = 5000 / 625 = 8 tablets.

Question 5 of 5

The healthcare provider prescribes lamivudine oral solution 150 mg twice daily for a client who is HIV positive. The available bottle contains 240 mL of lamivudine labeled, '10 mg/mL.' How many mL should the nurse administer in a 24 hour period? (Enter numeric value only.)

Correct Answer: 30

Rationale: Dose per administration: 150 mg / (10 mg/mL) = 15 mL. Daily volume: 15 × 2 = 30 mL.

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