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2024 ATI RN Dosage Calculation RN Maternal Newborn Proctored Exam New Best Studying Material
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2024 ATI RN Dosage Calculation RN Maternal Newborn Proctored Exam New Best Studying Material
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2024 ATI RN Dosage Calculation RN Maternal Newborn Proctored Exam New Best Studying Material Question 1: A nurse is preparing to administer docusate sodium PO to a postpartum client who has a prescription for 200 mg/day in two equally divided doses. The client states she has trouble swallowing tablets and capsules. Therefore, the nurse has obtained docusate s odium liquid 50 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it Show correct answer and explanation Explanation The question is asking for the amount of docusate sodium liquid the nurse should administer per dose. The prescription is for 200 mg/day in two equally divided doses, and the liquid form of the medication is 50 mg/5 mL. Step 1 is to determine the amount of medication needed per dose. Since the total daily dose is 200 mg and it’s divided into two doses, each dose will be 200 mg ÷ 2 = 100 mg. Step 2 is to convert this dose from mg to mL using the concentration of the liquid medication. The concentration is 50 mg/5 mL, which means that 1 mL contains 50 mg ÷ 5 = 10 mg of the medication. Step 3 is to calculate the volume of the medication needed for a 100 mg dose. Since 1 mL contains 10 mg, we need 100 mg ÷ 10 mg/mL = 10 mL. So, the nurse should administer 10 mL of docusate sodium liquid per dose. Question 2: A nurse is preparing to administer enoxaparin 55 mg subcutaneous to a client who has a deep -vein thrombosis after undergoing a cesarean birth. Available is enoxaparin solution for injection 60 mg/0.6 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.) Show correct answer and explanation Explanation 60mg=0.6 55mg= 55*0.6/60 Volume (mL) = 0.55 mL Rounding to the nearest tenth, the nurse should administer 0.6 mL of enoxaparin solution to the client. Question 3: A nurse prepares to administer 0.9% sodium chloride 200 mL over 30 min. The nurse should set the IV infusion pump to administer 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.) Show correct answer and explanation Explanation Infusion rate (mL/hr) = 200 mL / 0.5 hr Infusion rate (mL/hr) = (200 mL/hr) *2 = 400mls/hr Question 4: 1.A nurse is caring for a client who is postpartum and has a prescription for oxytocin 10 units IM one time only for the saturation of a perineal pad in 15 min or less. How should the nurse interpret this prescription? A. Give the medication each time the client saturates the perineal pad within 15 min. B. Administer the medication once if the client saturates the perineal pad within 15 min. C. Wait 15 min to administer the medication after the client saturates a perineal pad. D. Offer the medication now to prevent saturation of perineal pad. Show correct answer and explanation Explanation The correct answer is Choice B. Choice A rationale: This is incorrect because the prescription is for one time only, not for repeated doses. Giving the medication each time the client saturates the perineal pad within 15 min could cause uterine hyperstimulation, water intoxication, or hypotension 1. Choice B rationale: This is correct because the prescription is for one time only and the indication is saturation of a perineal pad in 15 min or less. This is a sign of postpartum hemorrhage, which is a common and potentially life -threatening complication of childbirth 2.Oxytocin is a uterotonic agent that helps the uterus contract and reduce bleeding 3. Choice C rationale: This is incorrect because waiting 15 min to administer the medication after the client saturates a perineal pad could result in excessive blood loss and hypovolemic shock. The medication should be given as soon as possible after the indication is met. Choice D rationale: This is incorrect because offering the medication now to prevent saturation of perineal pad is not the intended use of the prescription. The medication is for treatment, not prevention, of postpartum hemorrhage. Prophylactic oxytocin is usually given intr avenously or intramuscularly during or immediately after the delivery of the placenta. Question 5: A nurse is preparing to administer enoxaparin 55 mg subcutaneously to a client who has a deep -vein thrombosis after undergoing a cesarean birth. Available is enoxaparin solution for injection 60 mg/0.6 mL. How many mL should the nurse administer? (Round th e answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) Show correct answer and explanation Explanation 60mg=0.6ml 55mg= 55*0.6/60 Volume (mL) = 0.55 mLThe benefits of buying summaries with Stuvia:
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