Test Bank For Calculating Drug Dosages A Patient-Safe
b b b b b b b
b Approach to Nursing and Math
b b b b b
2nd Edition by Castillo
b b b bb
Chapter 1 - 22 Complete
b b b b
,Table of Contents: b b
I. Safety in Medication Administration
b b b b
Chapter 1. Safety in Medication Administration
b b b b b
Chapter 2. The Drug Label
b b b b
II. Systems of Measurement
b b b
Chapter 3. The Metric System
b b b b
Chapter 4. The Household System
b b b b
III. Methods of Calculation
b b b
Chapter 5. Linear Ratio and Proportion
b b b b b
Chapter 6. Fractional Ratio and Proportion
b b b b b
Chapter 7. Dimensional Analysis
b b b
Chapter 8. Formula Method
b b b
IV. Administration of Medications
b b b
Chapter 9. Calculating Oral Medication Doses
b b b b b
Chapter 10. Syringes and Needles
b b b b
Chapter 11. Calculating Parenteral Medication Dosages
b b b b b
Chapter 12. Preparing Powdered Parenteral Medications
b b b b b
Chapter 13. Administration of Insulin
b b b b
V. IV Therapy and Administration of Intravenous Medications
b b b b b b b
Chapter 14. Intravenous Infusion and Infusion Rates
b b b b b b
Chapter 15. Calculating Infusion and Completion Time
b b b b b b
Chapter 16. Administering IV Push Medications
b b b b b
VI. Verifying Safe Dose and Critical Care Calculations
b b b b b b b
Chapter 17. Verifying Safe Dose
b b b b
Chapter 18. Titration of Intravenous Medications
b b b b b
VII. Intake and Output
b b b
Chapter 19. Calculating Intake and Output
b b b b b
Chapter 20. Calculating Parenteral Intake
b b b b
VIII. Dosages for Pediatric and Older Adult Populations
b b b b b b b
Chapter 21. Considerations for the Pediatric Patient
b b b b b b
Chapter 22. Considerations for the Older Adult
b b b b b b
,Castillo/Werner-McCullough: Calculating Drug Dosages, 2e
Chapter 1: Safety in Medication Administration
b b b b b
Castillo: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 2nd Edition
b b b b b b b b b b b b
MULTIPLE CHOICE b
1. The following medication order is in the patient’s medication administration record (MAR):
b b b b b b b b b b b
methylPREDnisolone 40 mg PO daily at 0900. b b b b b b
After reading the order, the nurse correctly determines:
b b b b b b b
A ―PO‖ is an inappropriate abbreviation. b b b b
B the medication order is written correctly. b b b b b
C 40 mg should be written as 40mg. b b b b b b
D tall man lettering indicates that the drug is a narcotic.
b b b b b b b b b
ANSWER: B b
Feedback
The medication order has all the required components (drug name, dose, route,
b b b b b b b b b b b
andfrequency of administration) for a drug order. ―PO‖ is an appropriate
b b b b b b b b b b b b
abbreviation;40 mg is written correctly with a space between the dose and the unit of
b b b b b b b b b b b b b b b b
measurement. Tall man lettering is used to distinguish the drug from another drug
b b b b b b b b b b b b b
with a similar name. b b b
2. Which of the following accurately describes the ―Boxed Warning‖ found on a drug label?
b b b b b b b b b b b b b
A It is primarily is used to identify the safe dose for the patient.
b b b b b b b b b b b b
B It is commonly found on all drug labels. b b b b b b b
C It identifies serious potential risks and side effects related to drug use.
b b b b b b b b b b b
D It protects the patient by providing information to decrease side effects.
b b b b b b b b b b
ANSWER: C b
Feedback
A drug label with a boxed warning provides information to healthcare
b b b b b b b b b b
professionalsand patients regarding the serious risks and side effects related to the
b b b b b b b b b b b b b
drug. The Boxed Warning is not the primary source for identifying the patient’s drug
b b b b b b b b b b b b b b
dosage.
b
The warning is found on specific prescription medications and does not
b b b b b b b b b b
provideinformation to reduce or decrease side effects.
b b b b b b b b
3. When practicing safety in the administration of medication, for which of the
b b b b b b b b b b b
followingmedication orders should a nurse seek clarification before the administration
b b b b b b b b b b b
of the medication?
b b b
1
, Castillo/Werner-McCullough: Calculating Drug Dosages, 2e
A Regular insulin 5 u subcut now. b b b b b
B Enoxaparin 80 mg subcut every 12 hours. b b b b b b
C Benadryl 50 mg PO PRN every 6 hr for itching. b b b b b b b b b
D Ondansetron 4 mg IVP stat. b b b b
ANSWER: A b
Feedback
The ―u‖ should never be used in a medication order; rather, for safety, the
b b b b b b b b b b b b b
word―units‖ should be spelled out. The other answer options contain the
b b b b b b b b b b b b
required
b
components needed to safely carry out the medication order. b b b b b b b b
4. A nurse is reviewing a drug label with a drug name written with tall man lettering. Which
b b b b b b b b b b b b b b b b
statements shows the nurse has a correct understanding of tall man lettering on a drug label?
b b b b b b b b b b b b b b b b
A ―The tall man lettering means this is a high alert drug.‖
b b b b b b b b b b
B ―The tall man lettering helps me distinguish this drug with other drugs that
b b b b b b b b b b b b
have similar names.‖ b b
C ―The tall man lettering means that this drug must have a Boxed Warning.‖
b b b b b b b b b b b b
D ―The tall man lettering helps me quickly identify that this drug is an injectable
b b b b b b b b b b b b b
drug.‖
ANSWER: B b
Feedback
Tall man lettering highlights a portion of the drug name to help distinguish
b b b b b b b b b b b b
fromsimilar drug names. It is not used to identify high alert drugs, highlight a
b b b b b b b b b b b b b b b
boxed
b
warning, or identify injectable drugs. b b b b
5. The following medication orders are found in the patient’s MAR:
b b b b b b b b b
Metformin HCl 500 mg PO daily at 0900. b b b b b b b
Hydrochlorothiazide 25 mg PO every 12 hr at 0900 and
b b b b b b b b b b
2100.Digoxin .25 mg PO daily at 0900.
b b b b b b b b
In reading the medication orders for the 0700–1500 shift, the nurse determines that which
b b b b b b b b b b b b b
ofthe following is the priority nursing intervention?
b b b b b b b b
A Clarify the metformin HCl order. b b b b
B Clarify the hydrochlorothiazide order. b b b
C Clarify the digoxin order. b b b
D Prepare to administer the 0900 medications. b b b b b
ANSWER: C b
2
b b b b b b b
b Approach to Nursing and Math
b b b b b
2nd Edition by Castillo
b b b bb
Chapter 1 - 22 Complete
b b b b
,Table of Contents: b b
I. Safety in Medication Administration
b b b b
Chapter 1. Safety in Medication Administration
b b b b b
Chapter 2. The Drug Label
b b b b
II. Systems of Measurement
b b b
Chapter 3. The Metric System
b b b b
Chapter 4. The Household System
b b b b
III. Methods of Calculation
b b b
Chapter 5. Linear Ratio and Proportion
b b b b b
Chapter 6. Fractional Ratio and Proportion
b b b b b
Chapter 7. Dimensional Analysis
b b b
Chapter 8. Formula Method
b b b
IV. Administration of Medications
b b b
Chapter 9. Calculating Oral Medication Doses
b b b b b
Chapter 10. Syringes and Needles
b b b b
Chapter 11. Calculating Parenteral Medication Dosages
b b b b b
Chapter 12. Preparing Powdered Parenteral Medications
b b b b b
Chapter 13. Administration of Insulin
b b b b
V. IV Therapy and Administration of Intravenous Medications
b b b b b b b
Chapter 14. Intravenous Infusion and Infusion Rates
b b b b b b
Chapter 15. Calculating Infusion and Completion Time
b b b b b b
Chapter 16. Administering IV Push Medications
b b b b b
VI. Verifying Safe Dose and Critical Care Calculations
b b b b b b b
Chapter 17. Verifying Safe Dose
b b b b
Chapter 18. Titration of Intravenous Medications
b b b b b
VII. Intake and Output
b b b
Chapter 19. Calculating Intake and Output
b b b b b
Chapter 20. Calculating Parenteral Intake
b b b b
VIII. Dosages for Pediatric and Older Adult Populations
b b b b b b b
Chapter 21. Considerations for the Pediatric Patient
b b b b b b
Chapter 22. Considerations for the Older Adult
b b b b b b
,Castillo/Werner-McCullough: Calculating Drug Dosages, 2e
Chapter 1: Safety in Medication Administration
b b b b b
Castillo: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 2nd Edition
b b b b b b b b b b b b
MULTIPLE CHOICE b
1. The following medication order is in the patient’s medication administration record (MAR):
b b b b b b b b b b b
methylPREDnisolone 40 mg PO daily at 0900. b b b b b b
After reading the order, the nurse correctly determines:
b b b b b b b
A ―PO‖ is an inappropriate abbreviation. b b b b
B the medication order is written correctly. b b b b b
C 40 mg should be written as 40mg. b b b b b b
D tall man lettering indicates that the drug is a narcotic.
b b b b b b b b b
ANSWER: B b
Feedback
The medication order has all the required components (drug name, dose, route,
b b b b b b b b b b b
andfrequency of administration) for a drug order. ―PO‖ is an appropriate
b b b b b b b b b b b b
abbreviation;40 mg is written correctly with a space between the dose and the unit of
b b b b b b b b b b b b b b b b
measurement. Tall man lettering is used to distinguish the drug from another drug
b b b b b b b b b b b b b
with a similar name. b b b
2. Which of the following accurately describes the ―Boxed Warning‖ found on a drug label?
b b b b b b b b b b b b b
A It is primarily is used to identify the safe dose for the patient.
b b b b b b b b b b b b
B It is commonly found on all drug labels. b b b b b b b
C It identifies serious potential risks and side effects related to drug use.
b b b b b b b b b b b
D It protects the patient by providing information to decrease side effects.
b b b b b b b b b b
ANSWER: C b
Feedback
A drug label with a boxed warning provides information to healthcare
b b b b b b b b b b
professionalsand patients regarding the serious risks and side effects related to the
b b b b b b b b b b b b b
drug. The Boxed Warning is not the primary source for identifying the patient’s drug
b b b b b b b b b b b b b b
dosage.
b
The warning is found on specific prescription medications and does not
b b b b b b b b b b
provideinformation to reduce or decrease side effects.
b b b b b b b b
3. When practicing safety in the administration of medication, for which of the
b b b b b b b b b b b
followingmedication orders should a nurse seek clarification before the administration
b b b b b b b b b b b
of the medication?
b b b
1
, Castillo/Werner-McCullough: Calculating Drug Dosages, 2e
A Regular insulin 5 u subcut now. b b b b b
B Enoxaparin 80 mg subcut every 12 hours. b b b b b b
C Benadryl 50 mg PO PRN every 6 hr for itching. b b b b b b b b b
D Ondansetron 4 mg IVP stat. b b b b
ANSWER: A b
Feedback
The ―u‖ should never be used in a medication order; rather, for safety, the
b b b b b b b b b b b b b
word―units‖ should be spelled out. The other answer options contain the
b b b b b b b b b b b b
required
b
components needed to safely carry out the medication order. b b b b b b b b
4. A nurse is reviewing a drug label with a drug name written with tall man lettering. Which
b b b b b b b b b b b b b b b b
statements shows the nurse has a correct understanding of tall man lettering on a drug label?
b b b b b b b b b b b b b b b b
A ―The tall man lettering means this is a high alert drug.‖
b b b b b b b b b b
B ―The tall man lettering helps me distinguish this drug with other drugs that
b b b b b b b b b b b b
have similar names.‖ b b
C ―The tall man lettering means that this drug must have a Boxed Warning.‖
b b b b b b b b b b b b
D ―The tall man lettering helps me quickly identify that this drug is an injectable
b b b b b b b b b b b b b
drug.‖
ANSWER: B b
Feedback
Tall man lettering highlights a portion of the drug name to help distinguish
b b b b b b b b b b b b
fromsimilar drug names. It is not used to identify high alert drugs, highlight a
b b b b b b b b b b b b b b b
boxed
b
warning, or identify injectable drugs. b b b b
5. The following medication orders are found in the patient’s MAR:
b b b b b b b b b
Metformin HCl 500 mg PO daily at 0900. b b b b b b b
Hydrochlorothiazide 25 mg PO every 12 hr at 0900 and
b b b b b b b b b b
2100.Digoxin .25 mg PO daily at 0900.
b b b b b b b b
In reading the medication orders for the 0700–1500 shift, the nurse determines that which
b b b b b b b b b b b b b
ofthe following is the priority nursing intervention?
b b b b b b b b
A Clarify the metformin HCl order. b b b b
B Clarify the hydrochlorothiazide order. b b b
C Clarify the digoxin order. b b b
D Prepare to administer the 0900 medications. b b b b b
ANSWER: C b
2
