National Drug Dosage Calculation Competition For Nurses

1. You have enoximone 100mg in 100ml, and the rate at which the pump is running is 30ml/h. What dose is the pump delivering in mcg/kg/min. (patient’s weight = 96kg)

2. A patient is ordered to start an IV Dopamine drip at 2mcg/kg/min. The patient weighs 90kg. You have a bag of Dopamine that reads 400mg/250ml. What will you set the IV pump drip rate?

3. A 12-year-old child was admitted to the emergency department because of an asthma attack. Upon assessment, you found out that the child’s weight measures 82.4 lbs. The primary care provider ordered 2 mg/kg of methylprednisolone (Solu-Medrol). The available stock dose is 125 mg/2mL. How many cubic centimeters will the nurse administer?

4. You have an order to administer heparin sodium IV at 500 units per hour. It is supplied by your pharmacy as 25,000 units in 250ml of D5W. For how many milliliters per hour should you program the controller?

5. The primary healthcare provider (PHCP) prescribes amoxicillin 500 mg daily for a client with sepsis. The medication label reads 500 mg of  amoxicillin mixed in 250 mL of 0.9% saline. The drop factor is 15 gtts/mL and it is to be infused over 1-hour. The nurse sets the flow rate at how many drops per minute?

6. Calculate the dose of vincristine in ml for a four years old boy with leukemia weighing 37 lb and is 97cm tall. The dose required is 2 mg/m^2 and the drug comes in 1 mg/ ml. Round off to 1 decimal place

7. The doctor orders a Dobutamine infusion to be started at 10mcg/kg/min. The patient weighs 180lbs. You are supplied with a 250mL bag of Dobutamine that reads 2mg/ml. How long will it take for the Dobutamine infusion to complete?

8. You have an order to administer 100 mL of Ceftriaxone Sodium 1g infusion for over 30 minutes. At what hourly rate will the infusion be set at?

9. The doctor orders 1000ml bag of IV Normal Saline to infuse at a rate of 50ml/hr. How long will it take for the IV bag to completely infuse?

10. A patient is receiving fluid from two IV lines. One line is running at 65ml/h; the other at 70ml/h. What volume of fluid would the patient receive via IV over 12 hours?

11. A 52 year old man was prescribed 1/4L of Dextrose b.d. How many ounces (oz) of fluid will the man receive daily

12. A patient is ordered to start an IV Dopamine drip t 5mcg/kg/min. The patoent weighs 180lbs. You have a bag of Dopmine that reads 400mg/250ml. What will you set the Iv pump drip rate (ml/hr) at?

13. A safe maintenance dose of aminophylline is 0.36mg/kg/hr. Your patient weighs 130 pounds. Calculate the dose in mg/hr.

14. The doctor orders a Heparin infusion to be started at 18units/kg/hour. The patient weighs 130lbs. You are supplied with a 500ml bag of Heparin that reads 25,000 units/500mL. You start the infusion at 0200 hours on 11/11. At what time will the infusion be complete?

15. 1000cc solution of D5NS with 20,000 units of Heparin is infusing at 20ml per hour. The IV set delivers 60gtts per cc. How many units of Heparin is the patient receiving each hour? 

16. A pediatric patient is ordered a medication dose of 100mg/m^2 a day by mouth for 5 days. The patient weighs 55 lbs and is 4 feet 5 inches tall. What’s the daily dose of medication he will receive ? Round off to 1 d.p

17. A 10-year old boy was admitted to the pediatric intensive unit on account of bacterial infection of the sinuses. On arrival to the unit, T: 38.5o C, P- 100b/m, RR: 28 c/m. Other assessments include weight 69.5lbs and Height: 53.0cm. Amoxil 50mg/kg/day every 8-hours, was prescribed. Calculate the dose of Amoxil to be administered per dose.

18. The nurse receives a prescription from the primary healthcare provider (PHCP) for 0.375 mg of digoxin intravenously (IV). The nurse has a vial that reads digoxin 0.25 mg/mL(0.5-2 ng/mL). How many mL will administer the appropriate dose?

19. The primary healthcare provider (PHCP) prescribes ½ gram of acetaminophen, by mouth, every six hours. The nurse has administered 3 doses. How many total milligrams has the client received?

20. What is the maximum safe daily dose to be administered to baby Sola whose doctor orders Zithromax. The safe dose range for this medication is 11-13 mg/kg/day and weight = 90 lbs

21. An infant weighs 2.5 kg. What is the required amount of fluid per day?

22. 500 mL of Packed Red Blood Cells is to be administered over 4 hours to a patient diagnosed with anemia, how many ml/hr will you administer the blood transfusion?

23. A pediatric patient has a body surface area of 1.03 square meter. The physician orders an IV medication that has a normal adult dose of 50 mg. Round off to the nearest whole number

24. The physician prescribed benadryl  for an 8 years old child who weighs 75 pounds and 5 feet tall. The normal adult dose is 25 mg four times daily. How many milligram will be administered to the child for each dosage.

25. The physician ordered 12.5 ml of antacid. The label reads 200 mcg/tsp. How many mg are contained in the dose?

26. The MD orders your patient to start an IV Heparin drip at 16 units/kg/hr and to administer a loading bolus dose of 60 units/kg IV before initiation of the drip. You’re supplied with a Heparin bag that reads 12,500 units/250 mL. The patient weighs 198 lbs. What is the flow rate you will set the IV pump at (mL/hr)?

27. A pediatric patient is 80 lbs and 4 feet 9 inches. The physician orders an oral medication that has a normal adult dose of 50 mg. What dose will be given to the patient? Round to nearest whole number

28. A patient is ordered to start an IV Dopamine drip at 7.5 mcg/kg/min. The patient weighs 115 lbs. You have a bag of Dopamine that reads 200mg/250ml. What will you set the IV pump drip rate?

29. A patient admitted with a head injury has been ordered for D5NS at 25ml/h. The IV tubing has a calibration of 10gtt/ml. What is the correct rate of flow for this patient?

30. The Doctor orders Amoxil for a child that weighs 30 kg. The safe dose range for this medication is 50 mg/kg/day every 8 hours. Calculate the milligram for a single dosage