Key Takeaways

  • Ratios compare quantities and can be written as 3:4, 3/4, or "3 to 4"
  • Proportions state that two ratios are equal: a/b = c/d
  • Cross-multiplication solves proportions: if a/b = c/d, then ad = bc
  • In dosage calculations: Desired/Have = x/Quantity
  • Keep units consistent on each side of the proportion
Last updated: January 2026

Ratios and Proportions

Ratios and proportions are fundamental to nursing math, especially for medication dosages and IV calculations. The TEAS heavily tests these concepts.

Ratios

A ratio compares two quantities. It can be written three ways:

FormatExample
With colon3:4
As fraction3/4
With word "to"3 to 4

Types of Ratios

TypeDescriptionExample
Part-to-partCompares parts of a whole3 nurses to 4 doctors
Part-to-wholeCompares part to total3 nurses out of 7 staff
RateCompares different units60 miles per hour

Unit Rates

A unit rate has a denominator of 1.

Example: If a nurse walks 12 miles in 3 hours, what is the rate per hour?

  • 12 miles ÷ 3 hours = 4 miles per hour

Proportions

A proportion is an equation stating that two ratios are equal.

Example: 1/2 = 2/4

Cross-multiplication: If a/b = c/d, then ad = bc

Solving Proportions

Method: Cross-Multiply and Solve

Example: Solve for x: 3/4 = x/12

  1. Cross-multiply: 3 × 12 = 4 × x
  2. Simplify: 36 = 4x
  3. Divide: x = 9

Setting Up Proportions

Key: Keep units consistent on each side.

Example: If 500 mg is in 10 mL, how many mL contain 250 mg?

Setup:

  • 500 mg / 10 mL = 250 mg / x mL

Solve:

  • 500x = 250 × 10
  • 500x = 2500
  • x = 5 mL

Dosage Calculations Using Proportions

Formula: Desired/Have = x/Quantity

Example: Order: 750 mg. Available: 250 mg tablets. How many tablets?

  • 750/250 = x/1
  • x = 3 tablets

Example: Order: 0.5 g. Available: 250 mg/5 mL. How many mL?

  1. Convert: 0.5 g = 500 mg
  2. Set up: 250 mg / 5 mL = 500 mg / x mL
  3. Cross-multiply: 250x = 2500
  4. Solve: x = 10 mL

Scale and Similar Figures

Proportions are used with maps and scale drawings.

Example: A map scale is 1 inch = 50 miles. If two cities are 3.5 inches apart on the map, what is the actual distance?

  • 1/50 = 3.5/x
  • x = 175 miles

Direct and Inverse Proportions

TypeRelationshipExample
DirectAs one increases, other increasesMore hours worked = more pay
InverseAs one increases, other decreasesMore workers = less time to complete

Direct Proportion: y = kx (k is constant) Inverse Proportion: xy = k (k is constant)

Common Proportion Problems in Healthcare

ScenarioProportion Setup
Medication dosingDose ordered / Dose available = x / Volume
IV ratesVolume / Time = mL per hour
ConcentrationDrug / Solution = % or ratio
Staffing ratiosNurses / Patients = Required staff

Problem-Solving Tips

  1. Identify what you know and what you need to find
  2. Set up the proportion with units labeled
  3. Keep units consistent on each side
  4. Cross-multiply and solve for the unknown
  5. Check your answer - does it make sense?
Test Your Knowledge

Solve for x: 5/8 = 15/x

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Test Your Knowledge

A medication comes in 125 mg/5 mL. How many mL are needed for a 250 mg dose?

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Test Your Knowledge

If 3 nurses can complete a task in 8 hours, how long would it take 6 nurses (assuming inverse proportion)?

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