Medication Maths Mixed Practice
Mix dose-volume, tablets, weight-based dosing, preparation and safety questions so the topic label no longer tells you which method to use.
Focused medication maths practice
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Core number skills, rates and percentages used throughout medication maths.
Orders, labels, conversions, tablets, liquid doses, reconstitution and dilution.
Pump rates, infusion time, drops per minute and medication infusion rates.
Administration rights, decimal safety, safe ranges and reasonableness checks.
Units-based dosing, BSA dosing, paediatric pathways and maintenance fluids.
Ready to remove the hints?
Mix dose-volume, tablets, weight-based dosing, preparation and safety questions so the topic label no longer tells you which method to use.
Mix pump rates, infusion time, gravity drops, medication delivered over time and rate changes without announcing the calculation type first.
Mix paediatric dose pathways, weight-based calculations, dose-range checks and maintenance-fluid arithmetic in one retrieval set.
Mix medication rights, label interpretation, decimal safety, safe ranges, formulation boundaries and reasonableness checks.
A broad mixed set across the MedMaths quiz library. Work out what the question is asking before choosing the calculation path.
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32 worked questions are still available here, grouped by difficulty. Open a level when you want examples, answers, rationales and common mistakes.
A prescription is written in grams and the available product is labelled in milligrams. To convert the prescription into milligrams, do you multiply or divide, and by what?
Answer: Multiply by 1000.
Milligrams are smaller than grams, so the same amount needs a larger number to describe it. Moving to a smaller unit always multiplies.
A common wrong answer — Divide by 1000
Dividing treats milligrams as the larger unit. It would turn 2 g into 0.002 mg, which describes a far smaller amount than the prescription actually states.
A vial is labelled 200 mg in 4 mL. Which of those two numbers describes the total amount in the vial?
Answer: 200 mg is the total amount; 4 mL is the total volume it is dissolved in.
A label states an amount and the volume that contains it. Neither figure on its own is the concentration — that comes from dividing one by the other.
A common wrong answer — 200 mg is the amount in each millilitre
This reads the total as a per-millilitre strength. It would overstate the concentration fourfold, because 200 mg is spread across all 4 mL.
A dose of 400 mg is prescribed from a liquid labelled 200 mg in 5 mL. Before calculating, which value is the dose wanted and which describes the product?
Answer: 400 mg is the dose wanted; 200 mg in 5 mL describes the available product.
Sorting the numbers this way fixes their positions in the calculation: the dose wanted goes above the amount you have, and the volume of that available strength multiplies the result.
A common wrong answer — 200 mg is the dose wanted
This swaps the prescription for the label. Inverting the two produces the reciprocal of the correct volume — here 2.5 mL instead of 10 mL.
A dose of 300 mg is prescribed and the available tablets are 100 mg each. Is the number of tablets found by multiplying or dividing?
Answer: Dividing — the dose prescribed is divided by the strength of one tablet.
The question is how many times one tablet's strength fits into the dose, and 'how many times does this fit' is always a division.
A common wrong answer — Multiplying 300 by 100
Multiplying gives 30 000, a number in no meaningful unit. A tablet count must be small enough to physically administer, so the size of the answer flags the error immediately.
A prescription supplies 5 mg/kg. What does the calculation need before a dose in milligrams can be found?
Answer: The patient's body weight in kilograms.
A per-kilogram figure is a rate, not a dose. It only becomes a dose once it is multiplied by the weight it applies to.
A common wrong answer — The concentration of the available product
The concentration is needed later, to turn the dose into a volume. It cannot be used until the dose in milligrams exists.
A pump rate is expressed in mL/hr. What does that unit tell you about the calculation?
Answer: A volume in millilitres is divided by a time in hours.
The unit of the answer names the operation. 'Per' means division, and the units either side of it say which value goes where.
A common wrong answer — Volume multiplied by time
Multiplying volume by time gives mL·hr, not mL/hr. Reading the unit before calculating rules this out immediately.
You know the volume in the bag and the rate the pump is running at. Which operation gives the time?
Answer: Divide the volume by the rate.
The rate says how much is delivered each hour, so dividing the volume by it counts how many hours the volume lasts.
A common wrong answer — Multiply volume by rate
Multiplying gives a far larger number in no usable unit. A 500 mL bag at 100 mL/hr cannot take 50 000 hours.
In a gtt/min calculation, where does the drop factor come from?
Answer: It is supplied by the giving set in use, and stated in the question.
The drop factor says how many drops make one millilitre for that particular set. It is a property of the equipment, never assumed or chosen.
A common wrong answer — It is always 20 gtt/mL
Sets differ, and using a remembered value instead of the supplied one changes the answer proportionally. Any drop factor must come from the question.
Convert 0.4 g to milligrams.
Answer: 400 mg
Grams to milligrams multiplies by 1000: 0.4 × 1000 = 400. Reversing it confirms the result, because 400 ÷ 1000 = 0.4 g.
A common wrong answer — 40 mg
This multiplies by 100 rather than 1000 — one decimal place short. The metric step between grams and milligrams is three places, not two.
A bottle is labelled 200 mg in 4 mL. What is the concentration in mg/mL?
Answer: 50 mg/mL
Concentration is the total amount divided by the total volume: 200 ÷ 4 = 50. Every 1 mL therefore contains 50 mg.
A common wrong answer — 800 mg/mL
This multiplies instead of divides. Spreading a fixed amount through a volume must make each millilitre weaker than the total, never stronger.
400 mg is prescribed. The available liquid is labelled 200 mg in 5 mL. What volume is needed?
Answer: 10 mL
400 ÷ 200 = 2, so the dose is twice the available strength; 2 × 5 = 10 mL. The sense check holds: a larger dose needs a larger volume.
A common wrong answer — 2.5 mL
This divides 200 by 400 — the label by the prescription. The result is smaller than one dose of the available strength, which cannot be right when more than 200 mg is required.
300 mg is prescribed. The available tablets are 100 mg each. How many tablets make the dose?
Answer: 3 tablets
300 ÷ 100 = 3. Checking backwards, three 100 mg tablets total 300 mg.
A common wrong answer — 0.33 tablets
This divides the tablet strength by the dose instead of the other way round. The dose is larger than one tablet, so the answer has to be greater than 1.
A supplied dose is 5 mg/kg for a patient weighing 80 kg. What is the dose in milligrams?
Answer: 400 mg
5 × 80 = 400. The per-kilogram rate multiplied by the weight gives the dose.
A common wrong answer — 16 mg
This divides the weight by the rate. A dose per kilogram accumulates with weight, so a heavier patient must produce a larger dose, not a smaller one.
1200 mL is to be given over 8 hours. What is the pump rate in mL/hr?
Answer: 150 mL/hr
1200 ÷ 8 = 150. Reversing it confirms the result: 150 × 8 = 1200 mL.
A common wrong answer — 9600 mL/hr
This multiplies instead of dividing. A rate spread over more hours must be smaller than the total volume, never larger.
A 900 mL bag is running at 150 mL/hr. How long will it take?
Answer: 6 hours
900 ÷ 150 = 6. Reversing confirms it: 150 × 6 = 900 mL.
A common wrong answer — 0.17 hours
This divides the rate by the volume. Ten minutes to deliver 900 mL at 150 mL/hr is impossible, so the size of the answer exposes the inversion.
600 mL is to be given over 120 minutes with a supplied drop factor of 10 gtt/mL. What is the rate in gtt/min?
Answer: 50 gtt/min
Total drops: 600 × 10 = 6000. Rate: 6000 ÷ 120 = 50 gtt/min.
A common wrong answer — 5 gtt/min
This divides the volume by the time and forgets the drop factor entirely, giving mL/min. The drop factor is what converts millilitres into drops.
A prescription reads 1.5 g. The available liquid is labelled 500 mg in 10 mL. Working in milligrams, how many milligrams are prescribed, and how many times does the available strength go into that dose?
Answer: 1500 mg prescribed; the available 500 mg goes into it 3 times.
Convert before comparing: 1.5 × 1000 = 1500 mg. Then 1500 ÷ 500 = 3. Both values are now in the same unit, so the division is meaningful.
A common wrong answer — 1.5 ÷ 500 = 0.003
This divides grams by milligrams without converting first. Dividing two different units produces a number that does not describe anything in the question.
A label reads 1 g in 250 mL. What is the concentration in mg/mL?
Answer: 4 mg/mL
Convert first so the units match the answer requested: 1 g = 1000 mg. Then 1000 ÷ 250 = 4 mg/mL.
A common wrong answer — 0.004 mg/mL
This divides 1 by 250 and labels the result in milligrams, skipping the gram-to-milligram conversion. The unit asked for decides when the conversion has to happen — before the division, not after.
125 mg is prescribed. The available liquid is labelled 0.2 g in 8 mL. What volume is needed, to one decimal place?
Answer: 5.0 mL
Convert the label first: 0.2 g = 200 mg. Then 125 ÷ 200 = 0.625, and 0.625 × 8 = 5. Keeping 0.625 intact rather than rounding it early keeps the final value exact.
A common wrong answer — 5.6 mL
This comes from rounding 0.625 to 0.7 before multiplying. Rounding an intermediate value carries the error into every step that follows — round only at the end.
0.5 g is prescribed. The available tablets are 250 mg each. How many tablets make the dose?
Answer: 2 tablets
Convert first: 0.5 g = 500 mg. Then 500 ÷ 250 = 2.
A common wrong answer — 0.002 tablets
This divides 0.5 by 250 without converting grams to milligrams. Whenever a prescription and a label use different units, the conversion comes before the division.
A supplied dose is 7.5 mg/kg for a patient weighing 44 kg. The available liquid is labelled 150 mg in 5 mL. What volume is needed?
Answer: 11 mL
Stage one, dose: 7.5 × 44 = 330 mg. Stage two, concentration: 150 ÷ 5 = 30 mg/mL. Volume: 330 ÷ 30 = 11 mL.
A common wrong answer — 330 mg
This stops after stage one. The dose in milligrams is correct but the question asked for a volume, so the concentration step is still outstanding.
150 mL is to be given over 45 minutes. What is the pump rate in mL/hr?
Answer: 200 mL/hr
Convert the time first: 45 ÷ 60 = 0.75 hours. Then 150 ÷ 0.75 = 200 mL/hr. The result is larger than the volume because the infusion runs for less than an hour.
A common wrong answer — 3.3 mL/hr
This divides 150 by 45, producing millilitres per minute rather than per hour. Dividing by minutes always gives a per-minute rate, whatever unit the answer is labelled with.
A 750 mL bag is running at 200 mL/hr. How long will it take, in hours and minutes?
Answer: 3 hours 45 minutes
750 ÷ 200 = 3.75 hours. The whole part is 3 hours, and the remainder converts as 0.75 × 60 = 45 minutes.
A common wrong answer — 3 hours 75 minutes
This reads the digits after the decimal point as minutes. They are a fraction of an hour, so they must be multiplied by 60 — and 75 minutes is more than an hour, which cannot be a remainder.
1000 mL is to be given over 5 hours with a supplied drop factor of 15 gtt/mL. What is the rate in gtt/min?
Answer: 50 gtt/min
Convert the time: 5 × 60 = 300 minutes. Total drops: 1000 × 15 = 15 000. Rate: 15 000 ÷ 300 = 50 gtt/min.
A common wrong answer — 3000 gtt/min
This leaves the time in hours. Because the answer is per minute, the denominator has to be minutes — dividing by 5 instead of 300 overstates the rate sixtyfold.
A question supplies the following: the prescribed dose is 250 micrograms, the available liquid is labelled 0.5 mg in 2 mL, and the patient weighs 74 kg. Working in micrograms, what is the available strength, and is the patient's weight needed?
Answer: The available strength is 500 micrograms in 2 mL. The weight is not needed.
0.5 mg × 1000 = 500 micrograms, which puts the label into the same unit as the prescription. The prescription is a flat dose, not a dose per kilogram, so the supplied weight is context rather than an input.
A common wrong answer — Multiplying 250 micrograms by 74 kg
This treats a flat dose as a per-kilogram dose because a weight was supplied. A weight only enters the calculation when the prescription is actually written per kilogram.
Two products are supplied. Product A is labelled 500 mg in 5 mL. Product B is labelled 1 g in 20 mL. Which is the more concentrated, and by how much?
Answer: Product A, at 100 mg/mL, is twice as concentrated as Product B at 50 mg/mL.
Put both on the same basis before comparing. A: 500 ÷ 5 = 100 mg/mL. B: 1000 ÷ 20 = 50 mg/mL. 100 ÷ 50 = 2.
A common wrong answer — Product B, because 1 g is more than 500 mg
This compares total amounts rather than concentrations. B holds more drug overall but spreads it through four times the volume, so each millilitre is weaker.
A question supplies: 750 mg prescribed, an available liquid labelled 1 g in 20 mL, a patient weight of 62 kg, and a note that the previous dose was given six hours earlier. What volume is needed, and which supplied values were not required?
Answer: 15 mL. The weight and the timing of the previous dose were not required.
Convert the label to 1000 mg in 20 mL, giving 50 mg/mL. Then 750 ÷ 50 = 15 mL. The prescription is a flat dose, so weight is not an input, and timing does not change the arithmetic.
A common wrong answer — Multiplying by 62 kg first
A supplied weight invites a per-kilogram calculation even when the prescription is not written that way. Deciding what the question asks for before reading the numbers prevents this.
175 mg is prescribed and the available tablets are 50 mg each. What does the calculation give, and what should that result prompt you to do?
Answer: 3.5 tablets. A fractional result is a prompt to re-check the prescription and the available strength, not to round.
175 ÷ 50 = 3.5. The arithmetic is correct, but a dosage unit count that is not whole means the numbers and the product need checking before anything is acted on.
A common wrong answer — Rounding to 4 tablets
Rounding changes the dose from 175 mg to 200 mg. 3.5 is the mathematically correct result; whether the supplied dosage form can deliver it is a separate question, and rounding the number does not answer it.
A question supplies 12 mg/kg per day, divided into three equal doses, for a patient weighing 25 kg, from a liquid labelled 200 mg in 10 mL. What volume is one dose?
Answer: 5 mL
Daily dose: 12 × 25 = 300 mg. One dose: 300 ÷ 3 = 100 mg. Concentration: 200 ÷ 10 = 20 mg/mL. Volume: 100 ÷ 20 = 5 mL.
A common wrong answer — 15 mL
This converts the whole daily total into a volume and never divides by three. When a question separates a daily total from a per-dose amount, the division into doses has to happen before the volume is worked out.
A 1000 mL bag was started at 125 mL/hr. After 4 hours the supplied instruction is to give the remaining volume over the next 2 hours. What is the new rate?
Answer: 250 mL/hr
Given so far: 125 × 4 = 500 mL. Remaining: 1000 − 500 = 500 mL. New rate: 500 ÷ 2 = 250 mL/hr. The rate doubles because the same volume now has half the time.
A common wrong answer — 500 mL/hr
This divides the full 1000 mL by the remaining 2 hours, ignoring the 500 mL already given. A rate change applies to what is left, not to the original total.
A 1000 mL bag is running at 80 mL/hr and 400 mL has already been given. How much longer will the remaining volume take, in hours and minutes?
Answer: 7 hours 30 minutes
Remaining: 1000 − 400 = 600 mL. Time: 600 ÷ 80 = 7.5 hours, which is 7 hours and 0.5 × 60 = 30 minutes.
A common wrong answer — 12 hours 30 minutes
This divides the full 1000 mL rather than the 600 mL left. The question asks how much longer, so only the remaining volume belongs in the calculation.
500 mL is to be given over 4 hours with a supplied drop factor of 20 gtt/mL. The patient weighs 70 kg. What is the rate in gtt/min, and was the weight needed?
Answer: Approximately 42 gtt/min. The weight was not needed.
Time: 4 × 60 = 240 minutes. Total drops: 500 × 20 = 10 000. Rate: 10 000 ÷ 240 = 41.67, and drops are counted whole, so approximately 42 gtt/min. Nothing in a gtt/min calculation uses body weight.
A common wrong answer — Rounding 41.67 to 41
Truncating rather than rounding drops the value to the nearest whole number below. 41.67 is closer to 42, and rounding rules still apply at the final step.
The calculation stays connected to the lesson. What changes is the amount of reading, interpretation and decision-making around it.
Level 1
Identify the relationship or operation and the values needed to solve it.
Level 2
Calculate direct questions with clearly stated information.
Level 3
Interpret per-dose and daily totals with added context.
Level 4
Reason through changes, conversions and distracting details.