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

Name: 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 A
QUESTION
A client receives a prescription for an intravenous infusion of 0.45% sodium chloride 1000 mL
to be infused over 7 hours. The nurse should program the infusion pump to deliver how many
mL/hour?
Round to the nearest whole number
Answer:
143 ml/hr
QUESTION
A client returns to the nursing unit from surgery with a prescription for Lactated Ringers solution
750 mL to be infused over 10 hours. The IV administration set delivers 60 gtts/mL. The nurse
should regulate the infusion to deliver how many gtts/minute?
Answer:
75 gtt/min
QUESTION
An IV infusion of dextrose 5% normal saline with oxytocin (Pitocin) 40 units in 1000 mL is
prescribed for a client to control postpartum bleeding. The solution is to be administered at a rate
of 2 mU/minute. The nurse should program the infusion pump to ad minister how many mL/hr?
Round to nearest whole number
Answer:
3 ml/hr
QUESTION
The healthcare provider prescribes an IV solution of 5% dextrose in water with magnesium
sulfate 4gram/450mL to be infused over 30 minutes for a client with preeclampsia. The nurse

should program the infusion pump to deliver how many mL/hour? Round to nearest whole
number
Answer:
900 ml/hr
QUESTION
A client who has a gastrostomy feeding tube is receiving ¾ strength Ensure 240 mL every 6
hours. How many ml of Ensure will the nurse use to prepare enough feeding for the day?
Answer:
720 ml
QUESTION
0.9% normal saline with inamrinoe (Inocor) 0.5 grams/1000 mL is prescribed for the client with
heart failure. The medication is to be delivered at a rate of 500 mcg/minute. The nurse should
program the infusion pump to deliver how many mL/hour? Round to the nearest whole number
Answer:
60 ml/hr
QUESTION
A 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 nurse
should program the infusion pump to deliver how many mL/hour? Round to the nearest whole
number
Answer:
75 ml/hr
QUESTION

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 nurse
should set the infusion pump to deliver how many mL/hour. Round to the nearest whole number
Answer:
12 ml/hr
QUESTION
A client with type 2 diabetes is receiving metformin (Glucophage) ½ gram PO twice a day. The
medication is available in 250 mg tablets. How many tablets should the nurse administer per
dose?
Answer:
2 tablets
QUESTION
A client with mycobacterium avium complex (MAC) is receiving an infusion of 5% dextrose in
water with amikacin (Amikin) 0.75 grams/500 mL every 12 hours. The nurse prepares the dose
of amikacin using a vial labeled, 250 mg/ml. How many mL should the nurse add to the
infusion? Round to the nearest tenth
Answer:
3 ml
QUESTION
A client with peridcardial effusion has phrenic nerve compression resulting in recurrent hiccups.
The healthcare provider prescribes Metoclopramide (Reglan) liquid 15 mg PO q 6 hours. Reglan
is available as 5 mg/5mL. A measuring device marked in teaspoons is being used. How many
teaspoons should the nurse administer?
Answer:
3 tsp

QUESTION
A client is receiving alprazolam (Xanax) 0.75 mg PO bid for anxiety. Alprazolam is available in
0.5 mg scored tablets. How many tablets should the nurse administer?
Answer:
1.5 tablets
QUESTION
A client with multiple sclerosis is prescribed Dantrolene (Dantrium) 0.5 grams PO bid for
spasticity. Dantrolene is available in 250 mg capsules. How many capsules should the nurse
administer?
Answer:
2 capsules
QUESTION
A client has a prescription for inamrinone (Inocor) 0.5 mg/kg IV bolus to be delivered over 3
minutes. The client weighs 80 kg. Inamrinone is available for injection 100 mg/20 mL. How
many mL of inamrinone should the nurse administer? Round to nearest tenth
Answer:
8 ml
QUESTION
A client who had mitral valve replacement surgery received a prescription for dextrose 5% in
water 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 many
mL/hour? Round to the nearest tenth.
Answer:
48 ml/hr
QUESTION

A healthcare provider prescribes a continuous infusion of 0.9% sodium chloride with
pancuronium (Pavulon) 50 mg/250 mL at a rate of 0.1 mg/kg/hr for a client with coronary artery
bypass grafting. The client weighs 90 kg. The nurse should program the infusion pump to deliver
how many mL/hour? Round to the nearest tenth
Answer:
45 ml/hr
QUESTION
A client scheduled for surgery is to receive an IV infusion of 0.9% sodium chloride with
prochlorperazine edisylate (Compazine) 20 mg/100 mL over 45 minutes. The nurse should
prepare to deliver how many ml/hour? Round to the nearest whole number.
Answer:
133 ml/hr
QUESTION
The healthcare provider prescribes an IV infusion of 0.9% sodium chloride with 40 mEq KCl
250 mL to infuse over 3 hours for a client with hypokalemia. The nurse should program the
infusion pump to deliver how many mL/hour? Round to the nearest whole number
Answer:
83 ml/hr
QUESTION
The healthcare provider prescribes a continuous infusion of 5% dextrose in 0.45% sodium
chloride at 75 mL/hour. The IV administration set delivers 10 gtt/mL. The nurse should regulate
the drop rate to deliver how many gtts/minute? Round to the nearest whole number.
Answer:
13 gtt/min
QUESTION

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A client is receiving an IV solution of 2.5 grams of medication diluted in 250 ml of normal saline
over a one hour time period. How many mg of medication is the client receiving per minute?
Round to the nearest tenth
Answer:
41.6 mg/min
QUESTION
The healthcare provider prescribe Diprivan at 10 mcg/kg/minute for a client during conscious
sedation. The drugs is dispensed as 100mg/50 ml 0.9% normal saline. The client's weight is 220
pounds. The nurse should program the infusion pump to deliver how many ml/hour? If rounding
is required, round to the nearest tenth.
Answer:
30 ml/hr
QUESTION
Oxytocin (Pitocin) 3 milliunits/min is prescribed for a client with an ineffective contraction
pattern. To administer the prescribed dosage, the nurse adds 20 units of oxytocin to 1,000 ml of
Ringer's Lactate. The infusion pump should be set to deliver how many ml/hour?
Answer:
9 ml/hr
QUESTION
The healthcare provider prescribes the adjustment of the IV hourly rate based on the nasogastric
tube (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 at a 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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QUESTION
A client is receiving an IV solution of 1.5 grams of medication diluted in 100 ml of normal saline
over a one hour time period. How many mg of medication is the client receiving per minute? (If
rounding is required, round to the nearest whole number.)
Answer:
25 mg/min
QUESTION
A client weighing 76 kg is receiving dopamine at 8 mcg/kg/minute. The drug is dispensed as
dopamine 800 mg/500 ml. The nurse should program the infusion pump to deliver how many
ml/hour? (If rounding is required, round to the nearest tenth.)
Answer:
22.8 ml/hr
QUESTION
A client with a gastrostomy tube (GT) receives a prescription for a 280 ml bolus feeding of
Glucerna® 60% enteral formula. The nurse should dilute the full-strength formula with how
many ml of water?
Answer:
112 ml
QUESTION
A 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 tablets
QUESTION

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A client who weighs 75 kg is receiving an infusion of dopamine 400 mg in 250 ml D5W at 12
ml/hour. How many mcg/kg/minute is the client receiving? (If rounding is required, round to the
nearest tenth.)
Answer:
4.3 mcg/kg/min
QUESTION
A child who weighs 40 pounds receives a prescription for amoxicillin with clavulanate
(Augmentin) 215 mg PO every 8 hours. The recommended dose is 40 mg/kg/day, and the bottle
contains 125 mg/5ml. How many mg will the child receive in a 24-hour period? (If rounding is
required, round to the nearest tenth.)
Answer:
645 mg
QUESTION
A 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:
1220
QUESTION
The nurse is preparing to administer vancomycin (Vancocin) 750 mg in 250 ml of D5W, and
plans to administer the dosage over 55 minutes. The secondary infusion pump should be
programmed to administer how many ml/hour? (If rounding is required, round to the nearest
whole number.)
Answer:
273 ml/hr
QUESTION

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

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Answer:
550 ml/hr
QUESTION
Heparin protocol is prescribed for a client weighing 80 kg. Per protocol, the heparin loading dose
is 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? (If
rounding is required, round to the nearest tenth.)
Answer:
0.8 ml
QUESTION
A client with impetigo receives a prescription for azithromycin (Zithromax) 500 mg PO on day
1, then 250 mg/day on days 2 through 5 for a total administration of 1.5 gram. The pharmacy has
250 mg tablets available. How many tablets total should the nurse give to the client on day 2 of
the treatment?
Answer:
1 tablet
QUESTION
A child weighing 32.4 kg is in hypertensive crisis. The healthcare provider prescribes
methyldopa (Aldomet) 40 mg/kg/day IV in 4 divided doses. The pharmacy provides a 50 mg/ml
injection vial. How many ml should the nurse administer? (If rounding is required, round to the
nearest tenth.)
Answer:
6.5 ml
QUESTION
An IV infusion of 0.9% normal saline 500 ml with ammonium chloride 0.25 mEq/ml is
prescribed 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, round
to the nearest tenth.)
Answer:
125 mEq
QUESTION
A healthcare provider prescribes an IV infusion of 0.9% normal saline with oxytocin (Pitocin) 30
units/1000 ml at a rate of 1.5 mu/minute for a client at 42-weeks gestation. The nurse should
program the infusion pump to deliver how many ml/hour? (If rounding is required, round to the
nearest whole number.)
Answer:
3 ml/hr
QUESTION
A client who has preeclampsia receives a prescription for an IV infusion of 0.9% normal saline
with magnesium sulfate 3 gram/250 ml to be infused at a rate of 125 ml/hour. The nurse should
administer how many mg/hour of magnesium sulfate? (If rounding is required, round to the
nearest whole number.)
Answer:
1500 mg/hr
QUESTION
The nurse is preparing a tube feeding of Ensure 320 ml (50% solution). 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 whole number if needed.)
Answer:
160 ml
QUESTION

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A client who had a small bowel resection two weeks ago is receiving 3/4 strength Ensure
feedings 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 whole
number if needed.)
Answer:
225 ml
QUESTION
A client scheduled for a stress echocardiogram is to receive an IV infusion of dextrose 5% in
water with dobutamine (Dobutrex) 0.7 grams/250 ml at a rate of 1,200 mcg/minute. The nurse
should program the infusion pump to deliver how many ml/hour? (If round ing is required, round
to the nearest whole number.)
Answer:
26 ml/hr
QUESTION
The nurse is preparing to administer Hepatitis B vaccine, Recombinant (Energix-B) 2.5 mcg IM
to a school aged child. The vaccine is labeled, 10 mcg/ml. How many ml should the nurse
administer? (Enter numeric value only. If rounding is required, round to the nearest tenth).
Answer:
0.3 ml
QUESTION
A client's daily PO prescription for ariprazole (Abilify) is increased from 15 mg to 45 mg. The
medication is available in 15 mg tablets, and the client already received one tablet today. How
many additional tablets should the nurse administer so the client receives the total newly
prescribed dose for the day.
Answer:
2 tablets

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

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The healthcare provider prescribes Diamox 800 mg/m2/day divided into 4 doses. The nurse
calculates the childs body surface area (BSA) as 0.7m2. How many mg should the child receive
per dose?
Answer:
140 mg/dose
QUESTION
A loading dose of acetylcysteine (Mucomyst) 10 g, which is available as a 20% solution (200 mg
acetylcysteine 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? (Enter
numeric value only. If rounding is required, round to the nearest tenth).
Answer:
200 ml
QUESTION
A child who weighs 62 pounds receives a prescription for atovaquone with proguanil (Malarone
Pediatric) 125 mg/50mg PO daily. A drug reference states that children 11 - 20 kg should receive
1 pediatric tablet daily, 21 - 30 kg should receive 2 pediatric tablets daily, 31 - 40 kg should
receive 3 pediatric tablets daily, and > 40 kg should receive 1 adult tablet daily with food. The
drug is available as atovaquone 62.5mg/proguanil 25 mg pediatric tablets. How many tablets
should the nurse administer?
Answer:
2 tablets
QUESTION
A client receives a prescription for azithromycin (Zithromax) 500 mg PO on day 1, then 250 mg
on days 2-5. Azithromycin is available in 250 mg scored tablets. How many tablets should
pharmacy send to the unit to cover the five day period the patient is on the medication?
Answer:
6 tablets

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QUESTION
A 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 is
reconstituted by adding 7.5 ml sterile water for injection, and administered in a 50 ml bag of
normal saline over 30 minutes. The nurse should program the infusion pump to deliver how
many ml per hour?
Answer:
115 ml/hr
QUESTION
The nurse notes that a client is receiving an oxytocin (Pitocin) infusion via a pump that is
programmed to deliver 40 ml/hr. The available solution is Ringers Lactated 1000 ml with Pitocin
30 units. How many milliunits/minute is the client receiving?
Answer:
20 mU/min
QUESTION
A client is receiving Heparin Sodium 15,000 units in 5% Dextrose injection 500 ml IV at 1000
unit/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/hour
for a PTT between 71 to 80 seconds. The nurse should program the pump to deliver how many
ml/hour?
Answer:
30 ml/hr
QUESTION
The 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 should
program the infusion pump at how many ml/hour?

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