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