2023-2024 ATI Pharmacology Practice Exam With Answers (204 Solved Questions)

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ATI Dosage Calculations Exam|150+Questions and Verified Answers| 100%Correct (2023/ 2024 Update)-Grade AQUESTIONA client receives a prescription for an intravenous infusion of 0.45% sodium chloride 1000 mLto be infused over 7 hours. The nurse should program the infusion pump to deliver how manymL/hour?Round tothe nearest whole numberAnswer:143 ml/hrQUESTIONA client returns to the nursing unit from surgery with a prescription for Lactated Ringers solution750 mL to be infused over 10 hours. The IV administration set delivers 60 gtts/mL. The nurseshould regulate the infusion to deliver how many gtts/minute?Answer:75 gtt/minQUESTIONAn IV infusion of dextrose 5% normal saline with oxytocin (Pitocin) 40 units in 1000 mL isprescribed for a client to control postpartum bleeding. The solution is to be administered at a rateof 2 mU/minute. The nurse should program the infusion pump to administer how many mL/hr?Round to nearest whole numberAnswer:3 ml/hrQUESTIONThe healthcare provider prescribes an IV solution of 5% dextrose in water with magnesiumsulfate 4gram/450mL to be infused over 30 minutes for a client with preeclampsia. The nurse

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should program the infusion pump to deliver how many mL/hour? Round to nearest wholenumberAnswer:900 ml/hrQUESTIONA client who has a gastrostomy feeding tube is receiving ¾ strength Ensure 240 mL every 6hours. How many ml of Ensure will the nurse use to prepare enough feeding for the day?Answer:720 mlQUESTION0.9% normal saline with inamrinoe (Inocor) 0.5 grams/1000 mL is prescribed for the client withheart failure. The medication is to be delivered at a rate of 500 mcg/minute. The nurse shouldprogram the infusion pump to deliver how many mL/hour? Round to the nearest whole numberAnswer:60 ml/hrQUESTIONA client experiencing cardiogenic shock receives a prescription for an IV infusion of 0.9%normal saline with milrinone (Primacor) 20 mg in 500 mL at a rate of 50 mcg/minute. The nurseshould program the infusion pump to deliver how many mL/hour? Round tothe nearest wholenumberAnswer:75 ml/hrQUESTION

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A client with septic shock receives a prescription for dextrose 5% in water with dopamine(Intropin) 0.7 grams/250mL at a rate of 8 mcg/kg/minute. The client weighs 157 lbs. The nurseshould set the infusion pump to deliver how many mL/hour. Round to the nearest whole numberAnswer:12 ml/hrQUESTIONA client with type 2 diabetes is receiving metformin (Glucophage) ½ gram PO twice a day. Themedication is available in 250 mg tablets. How many tablets should the nurse administer perdose?Answer:2 tabletsQUESTIONA client with mycobacterium avium complex (MAC) is receiving an infusion of 5% dextrose inwater with amikacin (Amikin) 0.75 grams/500 mL every 12 hours. The nurse prepares the doseof amikacin using a vial labeled, 250 mg/ml. How many mL should the nurseadd to theinfusion? Round to the nearest tenthAnswer:3 mlQUESTIONA client with peridcardialeffusion has phrenic nerve compression resulting in recurrent hiccups.The healthcare provider prescribes Metoclopramide (Reglan) liquid 15 mg PO q 6 hours. Reglanis available as 5 mg/5mL. A measuring device marked in teaspoons is being used. How manyteaspoons should the nurse administer?Answer:3 tsp

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QUESTIONA client is receiving alprazolam (Xanax) 0.75 mg PO bid for anxiety. Alprazolam is available in0.5 mg scored tablets. How many tablets should the nurse administer?Answer:1.5 tabletsQUESTIONA client with multiple sclerosis is prescribed Dantrolene (Dantrium) 0.5 grams PO bid forspasticity. Dantrolene is available in 250 mg capsules. How many capsules should the nurseadminister?Answer:2 capsulesQUESTIONA client has a prescription for inamrinone (Inocor) 0.5 mg/kg IV bolus to be delivered over 3minutes. The client weighs 80 kg. Inamrinone is available for injection 100 mg/20 mL. Howmany mL of inamrinone should the nurse administer? Round to nearest tenthAnswer:8 mlQUESTIONA client whohad mitral valve replacement surgery received a prescription for dextrose 5% inwater with 0.5 grams of dobutamine in 500 mL for IV infusion at a rate of 10 mcg/kg/minute.The client weighs 80 kg. The nurse should program the infusion pump to deliver how manymL/hour? Round to the nearest tenth.Answer:48 ml/hrQUESTION

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A healthcare provider prescribes a continuous infusion of 0.9% sodium chloride withpancuronium (Pavulon) 50 mg/250 mL at a rate of 0.1 mg/kg/hr for a client with coronary arterybypass grafting. The client weighs 90 kg. The nurse should program the infusion pump to deliverhow many mL/hour? Round to the nearest tenthAnswer:45 ml/hrQUESTIONA client scheduled for surgery is to receive an IV infusion of 0.9% sodium chloride withprochlorperazine edisylate (Compazine) 20 mg/100 mL over 45 minutes. The nurse shouldprepare to deliver how many ml/hour? Round to the nearest whole number.Answer:133 ml/hrQUESTIONThe healthcare provider prescribes an IV infusion of 0.9% sodium chloride with 40 mEq KCl250 mL to infuse over 3 hours for a client with hypokalemia. The nurse should program theinfusion pump to deliver how many mL/hour? Round to the nearest whole numberAnswer:83 ml/hrQUESTIONThe healthcare provider prescribes a continuous infusion of 5% dextrose in 0.45% sodiumchloride at 75 mL/hour. The IV administration set delivers 10 gtt/mL. The nurse should regulatethe drop rate to deliver how many gtts/minute? Round to the nearest whole number.Answer:13 gtt/minQUESTION

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A client is receiving an IV solution of 2.5 grams of medication diluted in 250 ml of normal salineover a one hour time period. How many mg of medication is the client receiving per minute?Round to the nearest tenthAnswer:41.6 mg/minQUESTIONThe healthcare provider prescribe Diprivan at 10 mcg/kg/minute for a client during conscioussedation. The drugs is dispensed as 100mg/50 ml 0.9% normal saline. The client's weight is 220pounds. The nurse should program the infusion pump to deliver how many ml/hour? If roundingis required, round to the nearest tenth.Answer:30 ml/hrQUESTIONOxytocin (Pitocin) 3 milliunits/min is prescribed for a client with an ineffective contractionpattern. Toadminister the prescribed dosage, the nurse adds 20 units of oxytocin to 1,000 ml ofRinger's Lactate. The infusion pump should be set to deliver how many ml/hour?Answer:9 ml/hrQUESTIONThe healthcare provider prescribes the adjustment of the IV hourly rate based on the nasogastrictube (NGT) output q4h for a client who had abdominal surgery yesterday. From 1200 to 1600,the NGT output was 200 ml, and the IV of D5W 0.45% NS was infused ata rate of 100 ml/hour.At 1600 the nurse should regulate the IV to deliver how many ml/hour to replace this fluid loss?Answer:150 ml/hr

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QUESTIONA client is receiving an IV solution of 1.5 grams of medication diluted in 100 ml of normal salineover a one hour time period. How many mg of medication is the client receiving per minute? (Ifrounding is required, round to the nearest whole number.)Answer:25 mg/minQUESTIONA client weighing 76 kg is receiving dopamine at 8 mcg/kg/minute. The drug is dispensed asdopamine 800 mg/500 ml. The nurse should program the infusion pump to deliver how manyml/hour? (If rounding is required, round to thenearest tenth.)Answer:22.8 ml/hrQUESTIONA client with a gastrostomy tube (GT) receives a prescription for a 280 ml bolus feeding ofGlucerna® 60% enteral formula. The nurse should dilute the full-strength formula with howmany ml of water?Answer:112 mlQUESTIONA client with coronary artery disease receives a prescription for clopidogrel (Plavix) 225 mg PO.The medication is available in 75 mg tablets. How many tablets should the nurse administer?Answer:3 tabletsQUESTION

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A client who weighs 75 kg is receiving an infusion of dopamine 400 mg in 250 ml D5W at 12ml/hour. How many mcg/kg/minute is the client receiving? (If rounding is required, round to thenearest tenth.)Answer:4.3 mcg/kg/minQUESTIONA child who weighs 40 pounds receives aprescription for amoxicillin with clavulanate(Augmentin) 215 mg PO every 8 hours. The recommended dose is 40 mg/kg/day, and the bottlecontains 125 mg/5ml. How many mg will the child receive in a 24-hour period? (If rounding isrequired, round to the nearest tenth.)Answer:645 mgQUESTIONA client is receiving D5W 700 ml at 75 ml/hour. The nurse hangs the bag of IV fluids at 0300.At what time, based on the 24-hour clock, should the infusion be completed?Answer:1220QUESTIONThe nurse is preparing to administer vancomycin (Vancocin) 750 mg in 250 ml of D5W, andplans to administer the dosage over 55 minutes. The secondary infusion pump should beprogrammed to administer how many ml/hour? (If rounding is required, round to thenearestwhole number.)Answer:273 ml/hrQUESTION

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The healthcare provider prescribes a continuous feeding of half strength Osmolite® 220 ml to beinfused every 4 hours for a client with a gastrostomy tube (GT). The nurse should program theenteral pump to deliver how many ml/hour?Answer:55 ml/hrQUESTIONThe healthcare provider prescribes diltiazem (Cardizem) 0.15g PO four times daily for an infantwho weighs 22 pounds. The recommended maximum dose is 60 mg/kg/day. What action shouldthe nurse take?A. Give the prescribed dosages.B. Notify the healthcare providerC. Ask the pharmacist to clarify the calculations.D. Assess the child's heart rate before administration.Answer:AQUESTIONThe nurse needs to calculate a client's oral temperature of 100.2° Fahrenheit to Celsius. Whattemperature in Celsius (C) should the nurse document? (Round to the nearest tenth.)Answer:37.9 CelsiusQUESTIONA 121-pound, adult female is admitted to the Emergency Center after receiving burns to 40percent of her body. Using the Parkland formula, theclient's fluid requirements for the first 24hours after injury is calculated using 4 ml lactated Ringer's solution x Body weight (inkilograms) x Percent burn. The client should receive one-half of the 24-hour calculated fluidvolume in the first 8 hoursof treatment. The nurse should set the infusion pump to deliver howmany ml of fluid during the first 8 hours? (If rounding is required, round to the nearest wholenumber.)

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Answer:550 ml/hrQUESTIONHeparin protocol is prescribed for a client weighing 80 kg. Per protocol, the heparin loading doseis 60 units/kg IV rounded to the nearest 100 units, with a maximum loading dose of 4,000 units.The heparin vial is labeled 5,000 units/ml. How many ml should the nurse administer? (Ifrounding is required, round to the nearest tenth.)Answer:0.8 mlQUESTIONA client with impetigo receives a prescription for azithromycin (Zithromax) 500 mg PO on day1, then 250 mg/day on days 2 through 5 for a total administration of 1.5 gram. The pharmacy has250 mg tablets available. How many tablets total should the nurse give to the client on day 2 ofthe treatment?Answer:1 tabletQUESTIONA child weighing 32.4 kg is in hypertensive crisis. The healthcare provider prescribesmethyldopa (Aldomet) 40 mg/kg/day IV in 4 divided doses. The pharmacy provides a 50 mg/mlinjection vial. How many ml should the nurse administer? (If rounding is required, round to thenearest tenth.)Answer:6.5 mlQUESTIONAn IV infusion of 0.9% normal saline 500 ml with ammonium chloride 0.25 mEq/ml isprescribed for a client who was admitted for an amphetamine overdose. How many mEq of

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ammonium chloride should the nurse use to prepare the solution? (If rounding is required, roundto the nearest tenth.)Answer:125 mEqQUESTIONA healthcare provider prescribes an IV infusion of 0.9% normal saline with oxytocin (Pitocin) 30units/1000 ml at a rate of 1.5 mu/minute for a client at 42-weeks gestation. The nurse shouldprogram the infusion pump to deliver how many ml/hour? (If rounding is required, round to thenearest whole number.)Answer:3 ml/hrQUESTIONA client who has preeclampsia receives a prescription for an IV infusion of 0.9% normal salinewith magnesium sulfate 3gram/250 ml to be infused at a rate of 125 ml/hour. The nurse shouldadminister how many mg/hour of magnesium sulfate? (If rounding is required, round to thenearest whole number.)Answer:1500 mg/hrQUESTIONThe nurse is preparing a tube feeding ofEnsure 320 ml (50% solution). Full strength Ensure isavailable in a 240 ml can. The nurse should use how many ml of Ensure to prepare the feeding?(Round to nearest whole number if needed.)Answer:160 mlQUESTION

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A client who had a small bowel resection two weeks ago is receiving 3/4 strength Ensurefeedings 300 ml q4 hours via nasogastric tube. Full strength Ensure is available in a 240 ml can.The nurse should use how many ml of Ensure to prepare the feeding? (Round to nearest wholenumber if needed.)Answer:225 mlQUESTIONA client scheduled for a stress echocardiogram is to receive an IV infusion of dextrose 5% inwater with dobutamine (Dobutrex) 0.7 grams/250 ml at a rate of 1,200 mcg/minute. The nurseshould program the infusion pump to deliver how many ml/hour? (If rounding is required, roundto the nearest whole number.)Answer:26 ml/hrQUESTIONThe nurse is preparing to administer Hepatitis B vaccine, Recombinant (Energix-B) 2.5 mcg IMto a school aged child. The vaccine islabeled, 10 mcg/ml. How many ml should the nurseadminister? (Enter numeric value only. If rounding is required, round to the nearest tenth).Answer:0.3 mlQUESTIONA client's daily PO prescription for ariprazole (Abilify) is increased from 15 mg to 45 mg. Themedication is available in 15 mg tablets, and the client already received one tablet today. Howmany additional tablets should the nurse administer so the client receives the total newlyprescribed dose for the day.Answer:2 tablets

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QUESTIONThe nurse is administering 600 ml of IV solution to be infused over 4 hours. How many ml/hourshould the nurse program the infusion pump?Answer:150 ml/hrQUESTIONThe nurse is preparing to administer 0.75 mg of Bumex IV. The medication is available in a viallabeled 1 mg/4ml. How many ml of medication should the nurse administer?Answer:3 mlQUESTIONA client with hypertension receive a prescription for Cartel 7 mg PO daily. The drug is availablein 2 mg scored tablets. How many tablets should the nurse administer?Answer:3.5 tabletsQUESTIONThe healthcare provider prescribes Bactrim DS oral suspension 240 mg BID for a child withbronchitis. The Bactrim bottle is labeled 250 mg/5ml. How many ml should the nurseadminister? (if rounding is required, round to the nearest tenth).Answer:4.8 mlQUESTION

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The healthcare provider prescribes Diamox 800 mg/m2/day divided into 4 doses. The nursecalculates the childs body surface area (BSA) as 0.7m2. How many mg should the child receiveper dose?Answer:140mg/doseQUESTIONA loading dose of acetylcysteine (Mucomyst) 10 g, which is available as a 20% solution (200 mgacetylcysteine per ml) is prescribed by nasogastric tube for a client with acetaminophen toxicity.How many ml of diluent should be added to the medication to obtain 1:4 concentration? (Enternumeric value only. If rounding is required, round to the nearest tenth).Answer:200 mlQUESTIONA child who weighs 62 pounds receives a prescription for atovaquone with proguanil (MalaronePediatric) 125 mg/50mg PO daily. A drug reference states that children 11-20 kg should receive1 pediatric tablet daily, 21-30 kg should receive 2 pediatric tablets daily, 31-40 kg shouldreceive 3 pediatric tablets daily, and > 40 kg should receive 1 adult tablet daily with food. Thedrug is available as atovaquone 62.5mg/proguanil 25 mg pediatric tablets. How many tabletsshould the nurse administer?Answer:2 tabletsQUESTIONA client receives a prescription for azithromycin (Zithromax) 500 mg PO on day 1, then 250 mgon days 2-5. Azithromycin is available in 250 mg scored tablets. How many tablets shouldpharmacy send to the unit to cover the five day period the patient is onthe medication?Answer:6 tablets

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QUESTIONA client who is scheduled for a kidney transplant receives a prescription for basiliximab(Simulect) 20 mg IV 2 hours prior to surgery. The medication is available in a 20 mg vial that isreconstituted byadding 7.5 ml sterile water for injection, and administered in a 50 ml bag ofnormal saline over 30 minutes. The nurse should program the infusion pump to deliver howmany ml per hour?Answer:115 ml/hrQUESTIONThe nurse notes that a client is receiving an oxytocin (Pitocin) infusion via a pump that isprogrammed to deliver 40 ml/hr. The available solution is Ringers Lactated 1000 ml with Pitocin30 units. How many milliunits/minute is the client receiving?Answer:20 mU/minQUESTIONA client is receiving Heparin Sodium 15,000 units in 5% Dextrose injection 500 ml IV at 1000unit/hour per protocol for acute coronary syndrome (ACS). The client's partial thromboplastin(PTT) is 76 seconds. Based on ACS protocol, the infusion should be decreased by 100 units/hourfor a PTT between 71 to 80 seconds. The nurse should program the pump to deliver how manyml/hour?Answer:30 ml/hrQUESTIONThe healthcare provider prescribes oxytocin (Pitocin) 1.5 milliunits/minute for a client in labor.One liter of Ringers Lactate with 10 units of oxytocin (Pitocin) is infusing. The nurse shouldprogram the infusion pump at how many ml/hour?

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