RN Hesi Med Surg Dosage Calculations | Nurselytic

Questions 55

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RN Hesi Med Surg Dosage Calculations Questions

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Question 1 of 5

The nurse plans to provide the next shift with the IV fluid balance for a client who had a 440 mL secondary infusion that was started 2 hours ago at a rate of 85 ml/hour via an infusion pump. What is the remaining volume to be infused? (Enter numeric value only.)

Correct Answer: 270

Rationale: Infused volume = 85 mL/hour × 2 hours = 170 mL. Remaining volume = 440 - 170 = 270 mL.

Question 2 of 5

A child with a seizure disorder receives a prescription for phenytoin 20 mg by mouth every 8 hours. The suspension is available in 125 mg/5 mL. How many ml. should the nurse administer? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)

Correct Answer: 0.8

Rationale: Volume = 20 mg × (5 mL / 125 mg) = 0.8 mL.

Question 3 of 5

A child who weighs 66 pounds receives a prescription for amoxicillin 80 mg/kg/day by mouth in divided doses every 12 hours. The bottle is labeled, 'Amoxicillin for Oral Suspension, USP 400 mg per 5 mL.' How many mL should the nurse administer with each dose? (Enter numerical value only.)

Correct Answer: 15

Rationale: Weight: 66 / 2.2 = 30 kg. Daily dose: 80 mg/kg/day × 30 = 2400 mg/day. Per dose (every 12 hours): 2400 / 2 = 1200 mg. Volume: (1200 × 5) / 400 = 15 mL.

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

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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