NR 442 COMMUNITY HEALTH NURSING
NR 442 Week 1 Medication Calculation Exam –75
Questions with correct answers and explanations
• 20 items for 30 minutes (needs 19/20 or 95% to pass)
• You must pass the 20-question medication calculation exam with a 95% grade to
pass medications and to continue in this course (for up to 3 chances), if not you will
have to withdraw and receive a failing grade.
• Make sure that you have uploaded the exam before leaving.
MEDICATION CALCULATION EXAM DIRECTIONS
• Rounding only applies to the final answer, when indicated. If 5 or greater,
round up; if less than 5, round down.
• Decimals are to be used to designate fractional amounts (e.g., 1.5 L, not 1 ½).
• Amounts less than 1, require a leading zero to left of the decimal (e.g., 0.6
ml).
• Avoid using a trailing zero (e.g., 2 mg, not 2.0 mg).
• Answers for gravity flow IV problems (i.e., gtt/min) should be whole
numbers.
• Write only your number answers, DO NOT write down unit of measurement
such as tablet, mg, etc.
• Good luck!
Table of Contents
NR 442 Week 1 Medication Calculation Exam ( I) ........................................................................... 2
NR 442 Week 1 Medication Calculation Exam (II)........................................................................... 4
NR 442 Week 1 Medication Calculation Exam (III).......................................................................... 6
NR 442 Week 1 Medication Calculation Exam (IV) ......................................................................... 8
Marking scheme.............................................................................................................................. 9
,NR 442 Week 1 Medication Calculation Exam ( I)
1. Question: The healthcare provider ordered acetaminophen 15 mg/kg. The client
weighs 77 lbs. How many mg will the nurse administer? laisb mg (If needed, round to
the nearest tenth.)
2. Question: The client has an order for amiodarone to infuse at 1 mg/min IV. Available is
amiodarone 300 mg/150 mL in dextrose 5%. At what rate will the nurse infuse the
medication?
3. Question: The healthcare provider ordered cefotaxime 150 mg/kg/day IV divided into
3 doses. The client weighs 33 lbs. How many mg will the nurse administer for each
dose?
4. Question: The client has an order for cephalexin 300 mg orally. The medication
available is cephalexin 500 mg/5 mL. How many mL will the nurse administer?
5. Question: The healthcare provider ordered diphenhydramine 10 mg IM. The
medication available is diphenhydramine 50 mg/mL. How many mL will the nurse
administer?
6. Question: The healthcare provider ordered dopamine 4 mcg/kg/min. The client
weighs 155 lbs. The pharmacy delivered dopamine 400 mg /250 mL in 0.45% sodium
chloride. At what rate will the nurse set the infusion?` tt) mL/hr (If needed, round to the
nearest tenth.)
7. Question: The healthcare provider ordered enoxaparin 1 mg/kg subcutaneously. The
client weighs 99 lbs. The pharmacy delivers enoxaparin 40 mg/0.4 mL. How many mL
will the nurse administer?
8. Question: The healthcare provider ordered filgrastim S mcg/kg/day IV. The
medication available is filgrastim 300 mcg/1 ml_. The client weighs 187 lbs. How many
mL will the nurse administer?
,9. Question: The client has an order for glipizide 20 mg P0. The medication available is
glipizide 5 mg scored tablets. How many tablets will the nurse administer?
10. Question: The client has an order for heparin 5,500 units IVP. The medication
available is heparin 10,000 units/1 mL. How many mL will the nurse administer?
11. Question: The healthcare provider ordered heparin 1,300 units/hr. The medication
available is heparin 50,000 units/500 m10.9% sodium chloride. At what rate will the
nurse set the infusion?
12. Question: The healthcare provider ordered isoniazid 6 mg/kg. The client weighs 44 kg.
The medication available is isoniazid 100 mg scored tablets. How many tablets will
the nurse administer?
13. Question: The client has an order for lidocaine to infuse at 3.75 mg/min IV. The
medication available is lidocaine 2 g/250 mt dextrose 5%. At what rate will the nurse
set the infusion? nearest whole number.)
14. Question: The client has an order for Lactated Ringers 1,500 mL to infuse over 12 hours.
The available tubing delivers 15 gtt/mL. At what rate will the nurse set the infusion?
15. Question: The client has an order for methylphenidate 30 mg orally. The medication
available is methylphenidate 10 mg per scored tablet. How many tablets will the
nurse administer?
16. Question: The healthcare provider ordered methylprednisolone 1 mg/kg IVP. The
medication available is methylprednisolone 125 mg/2 mL. The client weighs 121 lbs.
How many mL will the nurse administer? mL (If needed, round to the nearest tenth
17. Question: The client has an order for penicillin 1,000 mg IV to infuse over 45 minutes.
The medication available is penicillin 1000 mg/150 mL 0.9% sodium chloride. At what
rate will the nurse set the infusion? mL/hr (If needed, round to the nearest whole
number.)
18. Question: The client has an order for risperidone 40 mg IM. The medication available
is risperidone 50 mg/mL. How many mL will the nurse administer for each dose?
19. Question: The client has an order for tobramycin 150 mg IV every 8 hours. The client
weighs 143 lbs. The minimum therapeutic dose for tobramycin is 3 mg/kg/day in 3
dlided doses. What is the minimum therapeutic dosage of medication in mg this
client can receive per day? mg (If needed, round to the nearest whole number.)
, 20. Question: The client has an order for tobramycin 250 mg IV every 8 hours. The client
weighs 231 lbs. Tobramycin can be safely administered up to 6 mg/kg/day in 3
divided doses. What is the maximum dosage of medication in mg this 11 client can
receive per day
NR 442 Week 1 Medication Calculation Exam (II)
1. Question: The client has an order for cephalexin (Keflex) 500 mg orally. The
medication available is cephalexin 250 mg/5 mL. How many mL will the nurse
administer? ____ mL (If needed, round to the nearest tenth.)
2. Question: The client has an order for methylphenidate (Ritalin) 5 mg orally. The
medication available is methylphenidate 5 mg per scored tablet. How many tab will
the nurse administer? ___tab (If needed, round to the nearest whole number.
3. Question: The client has an order for risperidone (Risperdal Consta) 37.5 mg IM. The
medication available is risperidone 37.5 mg/1 mL. How many mL will the nurse
administer for each dose? ____ mL (If needed, round to the nearest whole number)
4. Question: The client has an order for heparin 7000 units IVP. The medication available
is heparin 5000 units/1 mL. How many mL will the nurse administer? ___mL (If
needed, round to the nearest tenth)
5. Question: The client has an order for amiodarone (Cordarone) to infuse at 0.5
mg/min IV. The fluid available is amiodarone 300 mg/200 mL dextrose 5%. At what
rate will the nurse infuse the medication? ____mL/hr (If needed, round to the nearest
whole number)
6. Question: The client has an order for penicillin 600 mg IV to infuse over 20 minutes.
The medication available is penicillin 600 mg/50 mL NS. At what rate will the nurse set
the infusion? ___mL/hr (If needed, round to the nearest whole number)
7. Question: The client has an order for lidocaine to infuse at 3 mg/min IV. The fluid
available is lidocaine 1 g/250 mL dextrose 5%. At what rate will the nurse set the
infusion? ____mL/ hr (If needed, round to the nearest whole number)
NR 442 Week 1 Medication Calculation Exam –75
Questions with correct answers and explanations
• 20 items for 30 minutes (needs 19/20 or 95% to pass)
• You must pass the 20-question medication calculation exam with a 95% grade to
pass medications and to continue in this course (for up to 3 chances), if not you will
have to withdraw and receive a failing grade.
• Make sure that you have uploaded the exam before leaving.
MEDICATION CALCULATION EXAM DIRECTIONS
• Rounding only applies to the final answer, when indicated. If 5 or greater,
round up; if less than 5, round down.
• Decimals are to be used to designate fractional amounts (e.g., 1.5 L, not 1 ½).
• Amounts less than 1, require a leading zero to left of the decimal (e.g., 0.6
ml).
• Avoid using a trailing zero (e.g., 2 mg, not 2.0 mg).
• Answers for gravity flow IV problems (i.e., gtt/min) should be whole
numbers.
• Write only your number answers, DO NOT write down unit of measurement
such as tablet, mg, etc.
• Good luck!
Table of Contents
NR 442 Week 1 Medication Calculation Exam ( I) ........................................................................... 2
NR 442 Week 1 Medication Calculation Exam (II)........................................................................... 4
NR 442 Week 1 Medication Calculation Exam (III).......................................................................... 6
NR 442 Week 1 Medication Calculation Exam (IV) ......................................................................... 8
Marking scheme.............................................................................................................................. 9
,NR 442 Week 1 Medication Calculation Exam ( I)
1. Question: The healthcare provider ordered acetaminophen 15 mg/kg. The client
weighs 77 lbs. How many mg will the nurse administer? laisb mg (If needed, round to
the nearest tenth.)
2. Question: The client has an order for amiodarone to infuse at 1 mg/min IV. Available is
amiodarone 300 mg/150 mL in dextrose 5%. At what rate will the nurse infuse the
medication?
3. Question: The healthcare provider ordered cefotaxime 150 mg/kg/day IV divided into
3 doses. The client weighs 33 lbs. How many mg will the nurse administer for each
dose?
4. Question: The client has an order for cephalexin 300 mg orally. The medication
available is cephalexin 500 mg/5 mL. How many mL will the nurse administer?
5. Question: The healthcare provider ordered diphenhydramine 10 mg IM. The
medication available is diphenhydramine 50 mg/mL. How many mL will the nurse
administer?
6. Question: The healthcare provider ordered dopamine 4 mcg/kg/min. The client
weighs 155 lbs. The pharmacy delivered dopamine 400 mg /250 mL in 0.45% sodium
chloride. At what rate will the nurse set the infusion?` tt) mL/hr (If needed, round to the
nearest tenth.)
7. Question: The healthcare provider ordered enoxaparin 1 mg/kg subcutaneously. The
client weighs 99 lbs. The pharmacy delivers enoxaparin 40 mg/0.4 mL. How many mL
will the nurse administer?
8. Question: The healthcare provider ordered filgrastim S mcg/kg/day IV. The
medication available is filgrastim 300 mcg/1 ml_. The client weighs 187 lbs. How many
mL will the nurse administer?
,9. Question: The client has an order for glipizide 20 mg P0. The medication available is
glipizide 5 mg scored tablets. How many tablets will the nurse administer?
10. Question: The client has an order for heparin 5,500 units IVP. The medication
available is heparin 10,000 units/1 mL. How many mL will the nurse administer?
11. Question: The healthcare provider ordered heparin 1,300 units/hr. The medication
available is heparin 50,000 units/500 m10.9% sodium chloride. At what rate will the
nurse set the infusion?
12. Question: The healthcare provider ordered isoniazid 6 mg/kg. The client weighs 44 kg.
The medication available is isoniazid 100 mg scored tablets. How many tablets will
the nurse administer?
13. Question: The client has an order for lidocaine to infuse at 3.75 mg/min IV. The
medication available is lidocaine 2 g/250 mt dextrose 5%. At what rate will the nurse
set the infusion? nearest whole number.)
14. Question: The client has an order for Lactated Ringers 1,500 mL to infuse over 12 hours.
The available tubing delivers 15 gtt/mL. At what rate will the nurse set the infusion?
15. Question: The client has an order for methylphenidate 30 mg orally. The medication
available is methylphenidate 10 mg per scored tablet. How many tablets will the
nurse administer?
16. Question: The healthcare provider ordered methylprednisolone 1 mg/kg IVP. The
medication available is methylprednisolone 125 mg/2 mL. The client weighs 121 lbs.
How many mL will the nurse administer? mL (If needed, round to the nearest tenth
17. Question: The client has an order for penicillin 1,000 mg IV to infuse over 45 minutes.
The medication available is penicillin 1000 mg/150 mL 0.9% sodium chloride. At what
rate will the nurse set the infusion? mL/hr (If needed, round to the nearest whole
number.)
18. Question: The client has an order for risperidone 40 mg IM. The medication available
is risperidone 50 mg/mL. How many mL will the nurse administer for each dose?
19. Question: The client has an order for tobramycin 150 mg IV every 8 hours. The client
weighs 143 lbs. The minimum therapeutic dose for tobramycin is 3 mg/kg/day in 3
dlided doses. What is the minimum therapeutic dosage of medication in mg this
client can receive per day? mg (If needed, round to the nearest whole number.)
, 20. Question: The client has an order for tobramycin 250 mg IV every 8 hours. The client
weighs 231 lbs. Tobramycin can be safely administered up to 6 mg/kg/day in 3
divided doses. What is the maximum dosage of medication in mg this 11 client can
receive per day
NR 442 Week 1 Medication Calculation Exam (II)
1. Question: The client has an order for cephalexin (Keflex) 500 mg orally. The
medication available is cephalexin 250 mg/5 mL. How many mL will the nurse
administer? ____ mL (If needed, round to the nearest tenth.)
2. Question: The client has an order for methylphenidate (Ritalin) 5 mg orally. The
medication available is methylphenidate 5 mg per scored tablet. How many tab will
the nurse administer? ___tab (If needed, round to the nearest whole number.
3. Question: The client has an order for risperidone (Risperdal Consta) 37.5 mg IM. The
medication available is risperidone 37.5 mg/1 mL. How many mL will the nurse
administer for each dose? ____ mL (If needed, round to the nearest whole number)
4. Question: The client has an order for heparin 7000 units IVP. The medication available
is heparin 5000 units/1 mL. How many mL will the nurse administer? ___mL (If
needed, round to the nearest tenth)
5. Question: The client has an order for amiodarone (Cordarone) to infuse at 0.5
mg/min IV. The fluid available is amiodarone 300 mg/200 mL dextrose 5%. At what
rate will the nurse infuse the medication? ____mL/hr (If needed, round to the nearest
whole number)
6. Question: The client has an order for penicillin 600 mg IV to infuse over 20 minutes.
The medication available is penicillin 600 mg/50 mL NS. At what rate will the nurse set
the infusion? ___mL/hr (If needed, round to the nearest whole number)
7. Question: The client has an order for lidocaine to infuse at 3 mg/min IV. The fluid
available is lidocaine 1 g/250 mL dextrose 5%. At what rate will the nurse set the
infusion? ____mL/ hr (If needed, round to the nearest whole number)
