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

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.

Question 2 of 5

The healthcare provider prescribes cefazolin 800 mg IM every six hours. The available vial is labeled, 'Cefazolin 1 gram,' and the instructions for reconstitution state, For IM use add 2.5 mL sterile water for injection to provide a total volume of 3.0 mL'. After reconstitution, the solution contains how many mg/mL? (Enter numeric value only. If rounding is required, round to the nearest whole number.)

Correct Answer: 333

Rationale: Concentration: 1000 mg / 3 mL = 333.333 mg/mL, rounded to 333.

Question 3 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 4 of 5

A client receives a prescription for warfarin 2 mg IM daily. The pharmacy delivers a vial labeled, warfarin 5 mg/single-use vial. The instructions read, reconstitute with 2.7 mL of sterile water for injection to yield 2 mg/mL. How many mL should the nurse administer? (Enter the numerical value only.)

Correct Answer: 1

Rationale: Volume: 2 mg / 2 mg/mL = 1 mL.

Question 5 of 5

Filgrastim 5 mcg/kg/day subcutaneous is prescribed for a child with cancer who weighs 88 pounds. The medication is labeled 300 mcg/mL. How many mL should the nurse administer daily to this child? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)

Correct Answer: 0.7

Rationale: Weight: 88 × 0.454 = 39.952 kg. Dose: 5 mcg/kg/day × 39.952 = 199.76 mcg/day. Volume: 199.76 / 300 = 0.66587 mL, rounded to 0.7 mL.

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