Dosage Calculation Competency - Practice Sheet - Level III - Practice Test - Level III & IV

Sep 30, 2026

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Dosage Calculation Competency practice materials for Nursing Program Level III and related Level III & IV scenarios, including exam policies, timing, retesting rules, and testing constraints such as permitted calculators and required photo ID. The worksheet provides step-by-step directions and scoring expectations (labeling answers, showing work, rounding rules for metrics, tablets/capsules, liquid volumes, and drip rates). It includes standard unit equivalencies and multiple dosage calculation questions covering IV dilutions, drip rates, infusion units per hour, and safe dosing based on patient weight.

LanguageEnglish

CategoryExam

FormatPDF

Pages9

Reading Time23 min

AccessFree to download

Dosage Calculation Competency

Practice Sheet Instructions

Unit Equivalents

Practice Test Questions (Level III & IV)

Cox College Springfield, MO Updated 8/2014 Dosage Calculation Competency Level III Practice Sheet STUDENT NAME: DATE: / / STUDENT I.D. \#: ADVISOR: A 95% must be achieved on the competency exam to progress in the Nursing Program. Retesting cannot occur the same day as the failed exam. Each exam may be repeated once within the testing period unless there are no more published dates available. Testing process must be completed within specified testing dates. Failure to pass competency exam will result in following the remediation process as outlined in the student handbook. Student will be allowed one hour to complete this competency. If the student leaves during testing the exam will be collected and graded at that point whether completed or not. A student photo ID is required to take the Dosage Calculation Competency Exam. Only simple four function calculators are allowed for testing. Students may not share calculators. DIRECTIONS: Place all personal items in designated area. Silence all cell phones. Calculate the correct dosage and show your work on the exam. § Failure to label answers will result in missing the problem. § Failure to show work will result in missing the problem. § All metric weights should be rounded to the nearest hundredth. § Rounding should only be done at the last step in the problem. § Round tablets/capsules to the nearest whole or half tablet (if scored) . § Liquid volumes greater than 1 mL/cc should be rounded to the nearest tenth. If volumes are less than 1 mL/cc, round to the nearest hundredth. § Drip Rates-Calculate drip rates to the tenths place and round off to the nearest whole number § IV pump drip rates – Calculate to the hundredths place and round to the tenths place. Once exam is complete submit to faculty in room and proceed to designated waiting area to receive notification of score. THERE ARE 20 QUESTIONS TO THIS TEST. DO NOT OPEN THIS TEST OR BEGIN UNTIL DIRECTED TO START For additional practice problems see: Curren, A. M. (2010) . Dimensional Analysis for Meds (4th ed) . New York; Delmar. Macintosh HD:Users:coxmarketing:Desktop:Cox College:Eric:Level-III-Review-Worksheet-12-2014.doc Updated Jan 2011 1 COX COLLEGE Springfield, Missouri Dosage Calculation Competency Math Review Equivalents: 1 kilogram (KG) = 1000 Grams ((GM) 1 Gram (GM) = 1000 milligrams (mg) 1 mg = 1000 micrograms (mcg) 1 Liter (L) = 1000 milliliters (ml) 1 ml = 1 cubic centimeter (cc) 5 ml = 1 teaspoon (tsp) 3 tsp = 1 Tablespoon (Tbsp) 30 ml = 1 ounce (oz) 65 mg = 1 grain (gr) 2.2 pounds (lb) = 1 kilogram (KG) 1 lb = 16 oz 1 oz = 1/16 lb Macintosh HD:Users:coxmarketing:Desktop:Cox College:Eric:Level-III-Review-Worksheet-12-2014.doc Updated Jan 2011 2 COX COLLEGE Springfield, Missouri Dosage Calculation Competency Practice Test—Level III & IV 1. Sarah is to receive Cleocin 275 mg IV q 6 hr. The recommended concentration is 5 mg/ml. How many milliliters of solution will you need for an appropriate dilution? 2. Andrea is to receive medication in 30 ml of fluid over 40 minutes. Using a drip factor of 60 gtts/ml what would your drip rate be? 3. Stephanie requires a Demerol PCA 7 mg every 10 minutes. You have a Demerol syringe with 400 mg/40 ml available. How many ml will Stephanie receive every 10 minutes? 4. Deana is to receive Rocephin GM 1 IV q 12 h. The Rocephin is mixed in 150 ml D5W. Figure the drip rate if it is to infuse over 45 minutes and the drop factor is 15. 5. Bridget is receiving an Aminophyllin drip at 30 ml per hour. The drug is mixed with one gram in 500 ml. How many milligrams are you giving per hour? Macintosh HD:Users:coxmarketing:Desktop:Cox College:Eric:Level-III-Review-Worksheet-12-2014.doc Updated Jan 2011 3 6. Kelli”s IV is now to have 40mEq KCl added to each 1000 ml solution. There are 600 ml left in the current bag. How many mEq would you add to the current bag? 7.

FAQs

What score is required to progress in the Nursing Program, and can the exam be retaken the same day?

A 95% must be achieved on the competency exam to progress. Retesting cannot occur the same day as the failed exam.

What timing and testing requirements apply during the dosage calculation competency exam?

Students are allowed one hour to complete the competency. Testing must be completed within the specified testing dates, and a student photo ID is required.

What are the key rounding and work-display rules for calculations?

Metric weights are rounded to the nearest hundredth, and rounding should only be done at the last step. Failure to label answers or show work results in missing the problem, with additional specific rounding rules for tablets/capsules, liquid volumes, and drip rates.

Sep 30, 2026

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