Test Bank For Calculating Drug Dosages A Patient-Safe
Approach to Nursing and Math
2nd Edition by Castillo
Chapter 1 - 22 Complete
,Table of Contents:
I. Safety in Medication Administration
Chapter 1. Safety in Medication Administration
Chapter 2. The Drug Label
II. Systems of Measurement
Chapter 3. The Metric System
Chapter 4. The Household System
III. Methods of Calculation
Chapter 5. Linear Ratio and Proportion
Chapter 6. Fractional Ratio and Proportion
Chapter 7. Dimensional Analysis
Chapter 8. Formula Method
IV. Administration of Medications
Chapter 9. Calculating Oral Medication Doses
Chapter 10. Syringes and Needles
Chapter 11. Calculating Parenteral Medication Dosages
Chapter 12. Preparing Powdered Parenteral Medications
Chapter 13. Administration of Insulin
V. IV Therapy and Administration of Intravenous Medications
Chapter 14. Intravenous Infusion and Infusion Rates
Chapter 15. Calculating Infusion and Completion Time
Chapter 16. Administering IV Push Medications
VI. Verifying Safe Dose and Critical Care Calculations
Chapter 17. Verifying Safe Dose
Chapter 18. Titration of Intravenous Medications
VII. Intake and Output
Chapter 19. Calculating Intake and Output
Chapter 20. Calculating Parenteral Intake
VIII. Dosages for Pediatric and Older Adult Populations
Chapter 21. Considerations for the Pediatric Patient
Chapter 22. Considerations for the Older Adult
Chapter 1: Safety in Medication Administration
Castillo: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 2nd Edition
MULTIPLE CHOICE
1. The following medication order is in the patient’s medication administration record (MAR):
,Castillo/Werner-McCullough: Calculating Drug Dosages, 2e
methylPREDnisolone 40 mg PO daily at 0900.
After reading the order, the nurse correctly determines:
A “PO” is an inappropriate abbreviation.
B the medication order is written correctly.
C 40 mg should be written as 40mg.
D tall man lettering indicates that the drug is a narcotic.
ANSWER: B
Feedback
The medication order has all the required components (drug name, dose, route,
andfrequency of administration) for a drug order. “PO” is an appropriate
abbreviation;40 mg is written correctly with a space between the dose and the
unit of measurement. Tall man lettering is used to distinguish the drug from
another drug
with a similar name.
2. Which of the following accurately describes the “Boxed Warning” found on a drug label?
A It is primarily is used to identify the safe dose for the patient.
B It is commonly found on all drug labels.
C It identifies serious potential risks and side effects related to drug use.
D It protects the patient by providing information to decrease side effects.
ANSWER: C
Feedback
A drug label with a boxed warning provides information to healthcare
professionalsand patients regarding the serious risks and side effects related to
the drug. The Boxed Warning is not the primary source for identifying the patient’s
drug dosage.
The warning is found on specific prescription medications and does not
provideinformation to reduce or decrease side effects.
3. When practicing safety in the administration of medication, for which of the
followingmedication orders should a nurse seek clarification before the
administration of the medication?
A Regular insulin 5 u subcut now.
B Enoxaparin 80 mg subcut every 12 hours.
C Benadryl 50 mg PO PRN every 6 hr for itching.
D Ondansetron 4 mg IVP stat.
2
, Castillo/Werner-McCullough: Calculating Drug Dosages, 2e
ANSWER: zA
Feedback
The z“u” zshould znever zbe zused zin za zmedication zorder; zrather, zfor zsafety,
zthe zwordz“units” zshould zbe zspelled zout. zThe zother zanswer zoptions zcontain
zthe zrequired
components zneeded zto zsafely zcarry zout zthe zmedication zorder.
4. A znurse zis zreviewing za zdrug zlabel zwith za zdrug zname zwritten zwith ztall zman zlettering.
zWhich zstatements zshows zthe znurse zhas za zcorrect zunderstanding zof ztall zman zlettering
zon za zdrug zlabel?
A “The ztall zman zlettering zmeans zthis zis za zhigh zalert zdrug.”
B “The ztall zman zlettering zhelps zme zdistinguish zthis zdrug zwith zother zdrugs
zthat
have zsimilar znames.”
C “The ztall zman zlettering zmeans zthat zthis zdrug zmust zhave za zBoxed zWarning.”
D “The ztall zman zlettering zhelps zme zquickly zidentify zthat zthis zdrug zis zan
zinjectable
drug.”
ANSWER: zB
Feedback
Tall zman zlettering zhighlights za zportion zof zthe zdrug zname zto zhelp zdistinguish
zfromzsimilar zdrug znames. zIt zis znot zused zto zidentify zhigh zalert zdrugs,
zhighlight za zboxed
warning, zor zidentify zinjectable zdrugs.
5. The zfollowing zmedication zorders zare zfound zin zthe zpatient’s zMAR:
Metformin zHCl z500 zmg zPO zdaily zat z0900.
zHydrochlorothiazide z25 zmg zPO zevery z12 zhr zat z0900 zand
z2100.zDigoxin z.25 zmg zPO zdaily zat z0900.
In zreading zthe zmedication zorders zfor zthe z0700–1500 zshift, zthe znurse zdetermines zthat
zwhich zofzthe zfollowing zis zthe zpriority znursing zintervention?
A Clarify zthe zmetformin zHCl zorder.
B Clarify zthe zhydrochlorothiazide zorder.
C Clarify zthe zdigoxin zorder.
D Prepare zto zadminister zthe z0900
zmedications.
ANSWER: zC
3
Approach to Nursing and Math
2nd Edition by Castillo
Chapter 1 - 22 Complete
,Table of Contents:
I. Safety in Medication Administration
Chapter 1. Safety in Medication Administration
Chapter 2. The Drug Label
II. Systems of Measurement
Chapter 3. The Metric System
Chapter 4. The Household System
III. Methods of Calculation
Chapter 5. Linear Ratio and Proportion
Chapter 6. Fractional Ratio and Proportion
Chapter 7. Dimensional Analysis
Chapter 8. Formula Method
IV. Administration of Medications
Chapter 9. Calculating Oral Medication Doses
Chapter 10. Syringes and Needles
Chapter 11. Calculating Parenteral Medication Dosages
Chapter 12. Preparing Powdered Parenteral Medications
Chapter 13. Administration of Insulin
V. IV Therapy and Administration of Intravenous Medications
Chapter 14. Intravenous Infusion and Infusion Rates
Chapter 15. Calculating Infusion and Completion Time
Chapter 16. Administering IV Push Medications
VI. Verifying Safe Dose and Critical Care Calculations
Chapter 17. Verifying Safe Dose
Chapter 18. Titration of Intravenous Medications
VII. Intake and Output
Chapter 19. Calculating Intake and Output
Chapter 20. Calculating Parenteral Intake
VIII. Dosages for Pediatric and Older Adult Populations
Chapter 21. Considerations for the Pediatric Patient
Chapter 22. Considerations for the Older Adult
Chapter 1: Safety in Medication Administration
Castillo: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 2nd Edition
MULTIPLE CHOICE
1. The following medication order is in the patient’s medication administration record (MAR):
,Castillo/Werner-McCullough: Calculating Drug Dosages, 2e
methylPREDnisolone 40 mg PO daily at 0900.
After reading the order, the nurse correctly determines:
A “PO” is an inappropriate abbreviation.
B the medication order is written correctly.
C 40 mg should be written as 40mg.
D tall man lettering indicates that the drug is a narcotic.
ANSWER: B
Feedback
The medication order has all the required components (drug name, dose, route,
andfrequency of administration) for a drug order. “PO” is an appropriate
abbreviation;40 mg is written correctly with a space between the dose and the
unit of measurement. Tall man lettering is used to distinguish the drug from
another drug
with a similar name.
2. Which of the following accurately describes the “Boxed Warning” found on a drug label?
A It is primarily is used to identify the safe dose for the patient.
B It is commonly found on all drug labels.
C It identifies serious potential risks and side effects related to drug use.
D It protects the patient by providing information to decrease side effects.
ANSWER: C
Feedback
A drug label with a boxed warning provides information to healthcare
professionalsand patients regarding the serious risks and side effects related to
the drug. The Boxed Warning is not the primary source for identifying the patient’s
drug dosage.
The warning is found on specific prescription medications and does not
provideinformation to reduce or decrease side effects.
3. When practicing safety in the administration of medication, for which of the
followingmedication orders should a nurse seek clarification before the
administration of the medication?
A Regular insulin 5 u subcut now.
B Enoxaparin 80 mg subcut every 12 hours.
C Benadryl 50 mg PO PRN every 6 hr for itching.
D Ondansetron 4 mg IVP stat.
2
, Castillo/Werner-McCullough: Calculating Drug Dosages, 2e
ANSWER: zA
Feedback
The z“u” zshould znever zbe zused zin za zmedication zorder; zrather, zfor zsafety,
zthe zwordz“units” zshould zbe zspelled zout. zThe zother zanswer zoptions zcontain
zthe zrequired
components zneeded zto zsafely zcarry zout zthe zmedication zorder.
4. A znurse zis zreviewing za zdrug zlabel zwith za zdrug zname zwritten zwith ztall zman zlettering.
zWhich zstatements zshows zthe znurse zhas za zcorrect zunderstanding zof ztall zman zlettering
zon za zdrug zlabel?
A “The ztall zman zlettering zmeans zthis zis za zhigh zalert zdrug.”
B “The ztall zman zlettering zhelps zme zdistinguish zthis zdrug zwith zother zdrugs
zthat
have zsimilar znames.”
C “The ztall zman zlettering zmeans zthat zthis zdrug zmust zhave za zBoxed zWarning.”
D “The ztall zman zlettering zhelps zme zquickly zidentify zthat zthis zdrug zis zan
zinjectable
drug.”
ANSWER: zB
Feedback
Tall zman zlettering zhighlights za zportion zof zthe zdrug zname zto zhelp zdistinguish
zfromzsimilar zdrug znames. zIt zis znot zused zto zidentify zhigh zalert zdrugs,
zhighlight za zboxed
warning, zor zidentify zinjectable zdrugs.
5. The zfollowing zmedication zorders zare zfound zin zthe zpatient’s zMAR:
Metformin zHCl z500 zmg zPO zdaily zat z0900.
zHydrochlorothiazide z25 zmg zPO zevery z12 zhr zat z0900 zand
z2100.zDigoxin z.25 zmg zPO zdaily zat z0900.
In zreading zthe zmedication zorders zfor zthe z0700–1500 zshift, zthe znurse zdetermines zthat
zwhich zofzthe zfollowing zis zthe zpriority znursing zintervention?
A Clarify zthe zmetformin zHCl zorder.
B Clarify zthe zhydrochlorothiazide zorder.
C Clarify zthe zdigoxin zorder.
D Prepare zto zadminister zthe z0900
zmedications.
ANSWER: zC
3
