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NURS 165 MEDICATION ADMINISTRATION DOSAGES & CALCULATIONS COMPLETE GUIDE

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This is a comprehensive guide for NURS 165 on medication administration dosages and calculations. It contains over 140 practice questions with detailed rationales, covering all essential topics for nursing students. This edition includes systems of measurement and conversions, basic dosage calculations, weight-based and pediatric calculations, injectable medications (IM/IV/SC), IV infusion and flow rates, and mixed practice problems. It covers metric, apothecary, and household conversions, the formula method (D/H x V = X), dimensional analysis, weight-based dosing (mg/kg), IV drip rates with microdrip and macrodrip tubing, and safe medication administration principles like the "Five Rights." This study guide is designed to ensure success on dosage calculation exams and safe clinical practice. Perfect for nursing students at the University of Pennsylvania School of Nursing or any nursing program.

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Institution
NURS 165
Course
NURS 165

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# NURS 165 – MEDICATION ADMINISTRATION
DOSAGES AND CALCULATIONS
## COMPLETE GUIDE FOR 2026-2027
### UNIVERSITY OF PENNSYLVANIA SCHOOL
OF NURSING
### HELENE FULD PAVILION FOR INNOVATIVE
LEARNING



# PART 1: SYSTEMS OF MEASUREMENT & CONVERSIONS


**Q1. The healthcare provider prescribes digoxin 0.25 mg PO daily. The
medication is available as 250 mcg tablets. How many tablets should the nurse
administer?**


A) 0.5 tablet
B) 1 tablet
C) 2 tablets
D) 0.25 tablet


**Correct Answer: B**


**Rationale:** Convert 0.25 mg to mcg: 0.25 mg × 1000 mcg/mg = 250 mcg. The
available tablet is 250 mcg, so 1 tablet should be administered .

,2|Page


**Q2. A patient's daily intake includes the following: 240 mL of coffee, 120 mL of
juice, 180 mL of soup, and 480 mL of water. What is the total intake in mL?**


A) 820 mL
B) 920 mL
C) 1020 mL
D) 1120 mL


**Correct Answer: C**


**Rationale:** Add all intakes: 240 mL + 120 mL + 180 mL + 480 mL = 1020
mL. This calculation is essential for accurate intake and output documentation .


---


**Q3. A patient produces 360 mL of urine, 200 mL of diarrhea, 2 teaspoons of
blood drainage, and 180 mL of nasogastric suction. What is the total output in
mL?**


A) 740 mL
B) 750 mL
C) 760 mL
D) 770 mL


**Correct Answer: B**

,3|Page




**Rationale:** Convert 2 tsp to mL: 2 tsp × 5 mL/tsp = 10 mL. Total output = 360
mL + 200 mL + 10 mL + 180 mL = 750 mL .


---


**Q4. The nurse converts 0.3 grams to milligrams. What is the correct result?**


A) 30 mg
B) 300 mg
C) 3000 mg
D) 3 mg


**Correct Answer: B**


**Rationale:** To convert grams to milligrams, multiply by 1000: 0.3 g × 1000 =
300 mg .


---


**Q5. The nurse converts 2 fluid ounces to mL. What is the correct result? (1 oz =
30 mL)**


A) 15 mL
B) 30 mL

, 4|Page


C) 45 mL
D) 60 mL


**Correct Answer: D**


**Rationale:** 2 fl oz × 30 mL/fl oz = 60 mL. Remember: 1 oz = 30 mL, 1 tsp = 5
mL, 1 tbsp = 15 mL .


---


**Q6. Which of the following is the most accurate conversion for 1 tablespoon?**


A) 5 mL
B) 10 mL
C) 15 mL
D) 20 mL


**Correct Answer: C**


**Rationale:** 1 tablespoon (tbsp) = 3 teaspoons = 15 mL. This is a standard
conversion for medication administration .


---


**Q7. 1 kilogram is equal to how many pounds?**

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NURS 165
Course
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Uploaded on
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