Question

A nurse is preparing to administer dextrose 5% in water 1.000 mL IV to infuse over 6 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer 1

Correct Answers:

167

Rationale :

Order: D5W 1,000 mL IV over 6 hr

Asked: mL/hr on the IV pump

🧮 Step-by-step Working

🔹 Step 1: Total volume = 1,000 mL

🔹 Step 2: Total time = 6 hr

🔹 Step 3: Formula → mL/hr = Total mL ÷ Hours

🔹 Step 4: 1,000 ÷ 6 = 166.666…

🔹 Step 5: Round to nearest whole number → 167

✅ Final Answer: 167 mL/hr

✅ Answer: 167 mL/hr

Distractor Analysis :

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Answer 2

Correct Answers:

1.5

Rationale :

Cefazolin 500 mg IM q8hr

Supply: 330 mg/mL

🧮 Step-by-step Working

🔹 Step 1: Needed dose = 500 mg

🔹 Step 2: Concentration = 330 mg/mL

🔹 Step 3: Formula → mL = mg ordered ÷ mg/mL

🔹 Step 4: 500 ÷ 330 = 1.51515…

🔹 Step 5: Round to nearest tenth → 1.5 mL

✅ Final Answer: 1.5 mL

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Answer 3

Correct Answers:

2.1

Rationale :

Tobramycin 3 mg/kg/day IM in 3 divided doses

Weight = 85 kg

Supply = 40 mg/mL

🔹 Step 1: Daily dose = 3 mg × 85 kg = 255 mg/day

🔹 Step 2: Divide into 3 doses → 255 ÷ 3 = 85 mg per dose

🔹 Step 3: Formula → mL = mg ordered ÷ mg/mL

🔹 Step 4: 85 ÷ 40 = 2.125 mL

🔹 Step 5: Round to nearest tenth → 2.1 mL

Distractor Analysis :

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Answer 4

Correct Answers:

1.5

Rationale :

🔹 Step 1: Needed dose = 15 mg

🔹 Step 2: Tablet strength = 10 mg each

🔹 Step 3: Formula → Tablets = mg ordered ÷ mg per tablet

🔹 Step 4: 15 ÷ 10 = 1.5 tablets

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Answer 5

Correct Answers:

Fentanyl 25 mcg/hr transdermal patch

Rationale :

🟦 Fentanyl patches are only appropriate for chronic, severe pain and require the client to be opioid-tolerant to prevent respiratory depression.

🟦 This form delivers continuous, potent opioid absorption, which is dangerous in opioid-naïve clients.

🟦 Using this patch without verifying pain history or opioid tolerance risks sedation, hypoventilation, and overdose.

🟦 Fentanyl transdermal systems carry a black box warning, requiring strict safety evaluation before use.

🟦 Because of its potency and risk profile, this order must be verified with the provider before administration.

❌ Incorrect Options

🟩 Regular insulin 8 units before meals

🟩 This is a standard dose and routine timing for short-acting insulin to manage post-meal glucose.

🟩 Order is complete and appropriate.

🟩 Meloxicam 15 mg PO daily

🟩 This is a common NSAID dose used for arthritis and chronic pain.

🟩 No safety concerns requiring clarification unless patient-specific factors apply.

🟩 Docusate sodium 200 mg at bedtime

🟩 This is a typical dose of a stool softener, used safely for constipation prevention.

🟩 Order is clear and appropriate.

Distractor Analysis :

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Answer 6

Correct Answers:

67

Rationale :

⭐ Convert weight: 99 lb × 0.45 = 44.55 kg

⭐ Dose required: 15 mg × 44.55 kg = 668.25 mg

⭐ Concentration: 1,000 mg ÷ 100 mL = 10 mg/mL

⭐ Volume: 668.25 mg ÷ 10 mg/mL = 66.825 mL → 67 mL

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Answer 7

Correct Answers:

10

Rationale :

Penicillin G 1,000,000 units IV

Supply: 100,000 units/mL after reconstitution

⭐ Volume needed: 1,000,000 units ÷ 100,000 units/mL = 10 mL

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Answer 8

Correct Answers:

5

Rationale :

Megestrol 200 mg PO

Supply: 40 mg/mL

⭐ Volume: 200 mg ÷ 40 mg/mL = 5 mL

✅ Answer: 5 mL

Distractor Analysis :

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Answer 9

Correct Answers:

0.5

Rationale :

Promethazine 25 mg IM

Supply: 50 mg/mL

✨ Step-by-step:

⭐ Volume: 25 mg ÷ 50 mg/mL = 0.5 mL

✅ Answer: 0.5 mL

Distractor Analysis :

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Answer 10

Correct Answers:

47

Rationale :

Gentamicin 5 mg/kg IV — Client weight 210 lb

Supply: 10 mg/mL

✨ Step-by-step:

⭐ Convert: 210 lb × 0.45 = 94.5 kg

⭐ Dose required: 5 mg × 94.5 kg = 472.5 mg

⭐ Volume: 472.5 mg ÷ 10 mg/mL = 47.25 mL → 47 mL

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Dosage Calculation RN Adult Medical Surgical Proctored Assessment 3.2

No.

1 :
A nurse is preparing to administer dextrose 5% in water 1.000 mL IV to infuse over 6 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

🧮 Step-by-step Working

✅ Final Answer: 167 mL/hr

4 :
A nurse is preparing to administer prednisone 15 mg PO to a client who has rheumatoid arthritis. Available is prednisone 10 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

5 :
A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?

8 :
A nurse is preparing to administer megestrol 200 mg PO to a client. Available is megestrol oral suspension 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

9 :
A nurse is preparing to administer promethazine 25 mg IM to a client. Available is promethazine 50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

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Dosage Calculation RN Adult Medical Surgical Proctored Assessment 3.2

No.

1 : A nurse is preparing to administer dextrose 5% in water 1.000 mL IV to infuse over 6 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

🧮 Step-by-step Working

✅ Final Answer: 167 mL/hr

4 : A nurse is preparing to administer prednisone 15 mg PO to a client who has rheumatoid arthritis. Available is prednisone 10 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

5 : A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?

8 : A nurse is preparing to administer megestrol 200 mg PO to a client. Available is megestrol oral suspension 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

9 : A nurse is preparing to administer promethazine 25 mg IM to a client. Available is promethazine 50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

1 :
A nurse is preparing to administer dextrose 5% in water 1.000 mL IV to infuse over 6 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

4 :
A nurse is preparing to administer prednisone 15 mg PO to a client who has rheumatoid arthritis. Available is prednisone 10 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

5 :
A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?

8 :
A nurse is preparing to administer megestrol 200 mg PO to a client. Available is megestrol oral suspension 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

9 :
A nurse is preparing to administer promethazine 25 mg IM to a client. Available is promethazine 50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)