Foundational knowledge is 15 of the 150 scored items on the NHA CCMA. Answer 10 exam style questions on dosage calculations and see exactly which concepts would cost you points on test day.
Start the 10 questions →The provider orders 500 mg of an oral suspension. The bottle label reads 250 mg per 5 mL. How many mL should be given?
These questions cover liquids, tablets, weight-based, metric conversions and household conversions. Each one shows the correct answer and why every other option is wrong, so a miss tells you exactly what to review before the CCMA.
Prefer to read first? Every question from the practice set above, with the correct answer and why each wrong option is wrong.
Answer: A. Use desired ÷ have × quantity: 500 mg ÷ 250 mg × 5 mL = 2 × 5 mL = 10 mL.
Why not B: 20 mL delivers 1,000 mg, double the ordered dose.
Why not C: 5 mL delivers only 250 mg, half the ordered dose.
Why not D: 2.5 mL delivers only 125 mg.
Exam tactic: D / H × Q. Then sanity-check: more than the 'have' amount means more than one quantity.
Answer: B. 0.25 mg ÷ 0.125 mg per tablet = 2 tablets.
Why not A: One tablet is 0.125 mg, half the ordered dose.
Why not C: Four tablets would be 0.5 mg, double the ordered dose.
Why not D: Half a tablet would be 0.0625 mg.
Exam tactic: Ordered ÷ strength per tablet. Decimal errors are the classic trap.
Answer: A. Convert pounds to kilograms: 44 lb ÷ 2.2 = 20 kg. Then 20 kg × 10 mg/kg = 200 mg.
Why not B: 20 mg is the weight in kilograms, not the dose.
Why not C: 440 mg uses pounds instead of kilograms.
Why not D: 100 mg does not follow from the weight and order.
Exam tactic: Pounds ÷ 2.2 = kilograms, before multiplying by mg/kg.
Answer: B. 1 mg = 1,000 mcg, so 0.5 mg × 1,000 = 500 mcg.
Why not A: 5,000 mcg is 5 mg.
Why not C: 5 mcg is 0.005 mg.
Why not D: 50 mcg is 0.05 mg.
Exam tactic: g → mg → mcg: multiply by 1,000 each step down.
Answer: A. One tablespoon is about 15 mL, which equals 3 teaspoons.
Why not B: 10 mL is two teaspoons.
Why not C: 30 mL is about one fluid ounce (2 tablespoons).
Why not D: 5 mL is one teaspoon.
Exam tactic: 3 teaspoons = 1 tablespoon = 15 mL.
Answer: D. 40 mg ÷ 80 mg × 1 mL = 0.5 mL.
Why not A: 2 mL would deliver 160 mg.
Why not B: 1 mL would deliver 80 mg, double the order.
Why not C: 0.25 mL would deliver 20 mg.
Exam tactic: When the order is smaller than the strength, the answer is less than 1 mL.
Answer: B. 12:30 AM is thirty minutes after midnight, written as 0030. 1230 is 12:30 PM (half past noon).
Why not A: 2430 is not a valid 24-hour time.
Why not C: 0130 is 1:30 AM.
Why not D: 1230 is half past noon.
Exam tactic: The midnight hour is 00, the noon hour is 12.
Answer: A. A trailing zero after a decimal point is on The Joint Commission's 'Do Not Use' list because the decimal can be missed, turning 5.0 into 50, a tenfold overdose. It should be written '5 mg.' Conversely, a leading zero is required before a decimal: '0.5 mg,' never '.5 mg.'
Why not B: Decimals are allowed; the rules are no trailing zero and always a leading zero.
Why not C: Milligrams are an appropriate unit for this dose.
Why not D: Punctuation after the unit is not the safety concern.
Exam tactic: No trailing zero (5 mg), always a leading zero (0.5 mg).
Answer: B. NPO (nil per os) means nothing by mouth. It is commonly used before procedures or certain tests. The instructions should specify from when and whether sips of water with medications are allowed.
Why not A: This is not a medical abbreviation.
Why not C: NPO is the opposite of taking something by mouth.
Why not D: NPO does not refer to prescriptions.
Exam tactic: NPO = nothing by mouth. PO = by mouth.
Answer: A. The cup is placed on a flat surface and read at eye level at the lowest point of the curved surface (meniscus). Reading from above or at the edges gives an inaccurate volume.
Why not B: Viewing from above distorts the reading.
Why not C: The edges of the meniscus rise along the cup wall and overstate the volume.
Why not D: A tilted cup cannot be read accurately.
Exam tactic: Flat surface, eye level, bottom of the meniscus.
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