Randomized med-math problems for every type that shows up on a nursing dosage exam, from tablets to mcg/kg/min drips. Each answer is marked instantly with a worked solution, and you can set the rounding rules to match your school. Free, no account, and it never runs out of questions.
Practice one problem type at a time until the setup is automatic, then mix types under a timer. Check your setup, not just the final number: most lost marks come from a missed unit conversion or a rounding rule, not from arithmetic. Aim for 100% here, because most nursing programs require 90% to 100% on the real test.
Each page has its own practice tool, a short lesson on the method, and worked examples you can read without the tool. Start with whatever your next exam covers, or with the type marked weakest in your progress below.
A type moves from Learning to Practicing after five correct answers, and to Mastered after ten in a row at Standard or Hard without a hint. Progress is stored in this browser only.
Rounding is where good students lose easy marks. Most programs round pump rates to the tenth and drops to a whole number, but some round mL/hr to a whole number, some never split tablets, and some protocols round heparin to the nearest 10 units. Set yours once here and every practice page and the exam will mark you by the same rules.
Two minutes of conversions before a session pays off. Nearly every multi-step problem hides one: grams in the order and milligrams on the label, a weight in pounds, a drip bag in milligrams and a dose in micrograms.
School competency exams draw on the same short list of problem shapes. The mix changes by semester: a first-year test is mostly tablets, liquids and IV rates, while a critical care course adds heparin and titrated drips.
| Problem type | Usually tested | Practice |
|---|---|---|
| Tablets, liquids, injections | Every dosage exam | Tablets · Liquids |
| IV flow rate, infusion time | Every dosage exam | IV flow rate |
| IV drip rate (gtt/min) | Most US programs | Drip rate |
| Weight-based, safe dose, BSA | Pediatric and med-surg courses | Weight-based · Pediatric |
| Reconstitution | Most programs, often in year one | Reconstitution |
| Heparin and insulin drips | Med-surg and critical care | Heparin & insulin |
| mcg/kg/min and mcg/min drips | Critical care courses | Critical care |
UK programs cover the same ground with different wording: tablets, liquid medicines, injections and IV infusions, usually in mL/hr rather than drops. Mental health nursing students are often exempt from the IV section. Your module handbook has the final word.
Short and often beats long and occasional. Fifteen minutes a day for two weeks will do more than a four-hour session the night before, because the skill you are building is recognition: seeing a problem and knowing its shape before you pick up a calculator.
Work on paper first. Write the setup with units on every number, cancel them, and only then calculate. When you miss one, read the working and name the step that broke. A unit conversion, a setup and a rounding rule are three different mistakes with three different fixes, and the feedback here tells you which one it was.
Once each type shows Practicing or Mastered, switch to the timed practice exam. Exams mix types on purpose, and the hard part is switching between them without carrying the last problem's setup into the next one.
Every problem is randomized from realistic drug strengths and premixed bag concentrations, then checked by a second, independent calculation before it reaches you. The methodology page explains how problems are built and marked, and how to report one you think is wrong.
Pick a problem type on this page and work through randomized problems. Each answer is marked straight away with a full worked solution. There is no sign-up, no limit, and no paid tier. When you are ready, the timed practice exam mixes types and marks them at the end.
Most programs set the pass mark at 90% or higher, and many require 100% before a student can give medications in clinical. Some require a perfect practice test before the official one. Check your course policy, and treat anything less than 100% in practice as a reason to keep going.
Use the one your program teaches, because instructors often require the setup to be shown. All three give the same answer. You can switch the worked solutions here to any of the three, and the methods guide compares them side by side.
They can. Set pump rates to the tenth or whole number, decide whether scored tablets may be halved, choose how heparin units and converted weights round, and every page and the exam will mark you by those rules. If your school does something these options do not cover, follow your school.
No. Every problem is a fictional exercise. Use your facility's protocols, a current drug reference, an independent double-check for high-alert drugs, and the prescriber's order for real patients.