MEDSTUDY.COM
Test Bank for Calculating Drug Dosages A Patient-
Safe Approach to Nursing and Math, 1e Sandra Luz
Martinez De Castillo (Answers at the end of each
chapter)
Chapter 1: Safety in Medication Administration
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. What are the recommendations from the Institute of Medicine (IOM) for nurses in order to reduce
medication errors?
1. Maintain accurate records of all medications.
2. Display openness regarding errors and problems.
3. Take greater responsibility for monitoring medications and reporting changes.
4. All of the above
2. A nursing instructor asks a nursing student about the Institute of Medicine (IOM). What information
given by the student nurse indicates a need for further teaching?
1. “It is an independent, profitable organization established in 1975.”
2. “It serves to inform government policy makers on national health-care issues.”
3. “It provides reliable information and makes recommendations for best practices.”
4. “It advocates for the establishment of a partnership between the patient and the
healthcare provider.”
3. A nursing student is discussing the Institute of Safe Medication Practices (ISMP). What answer
given by the student indicates the need for further teaching?
1. “It is a nonprofit agency established in 1975.”
2. “Its primary purpose is to identify the causes of medication errors.”
3. “It recommends evidence-based strategies for the prevention of medication errors.”
4. None of the above
4.
Please review the medication order shown and select the statement that applies to the order.
1. The ordered dose has a trailing zero.
2. The medication order is correctly written.
3. The nurse is correct to question the medication order.
4. The unit “mg” should be spelled out to read “milligrams.”
,MEDSTUDY.COM
Calculating Drug Dosages A Patient-Safe Approach to
Nursing and Math, 1e Sandra Luz Martinez De Castillo
(Answers at the end of each chapter)
5. What is the nurse least likely to find in a medication order?
1. Ordered dose
2. Route of administration
3. Medication composition
4. Patient identification information
6. The nurse needs to administer ampicillin to a client with pneumonia and has correctly identified the
client and basic components of the medication order in the medication administration record (MAR).
Apart from these, what else does the nurse need to look for in the medication order to ensure safe
administration of the drug based on the client’s clinical condition?
1. Ordered dose
2. Route of administration
3. Frequency of administration
4. Additional physician instructions
7. The nurse is reviewing a paper copy of a newly admitted client’s medication administration record
(MAR). What is the most appropriate nursing action?
1. Administer the dose as ordered.
2. Ask another nurse to verify the dose.
3. Question the dose with the pharmacist.
4. Check the medication order to verify the dose.
8. What is correct regarding organizations that embrace a “culture of safety”?
1. They have the concept of “just culture” as an integral component.
2. They promote activities that create a continuous awareness for patient safety.
3. Both 1 and 2
4. None of the above
9. A nursing instructor asks a student to cite examples of medical errors that may occur while dealing
with clients and their medication due to at-risk behaviors of the nurse. Which example given by the
student indicates a need for further teaching?
1. “Forgetting to double-check medications per the institutional policy”
2. “Omitting the use of two patient identifiers prior to giving medications”
3. “Overlooking the six rights of medication administration, thereby taking shortcuts”
4. None of the above
10. In which phases of the medication process does the nurse need to be most cautious about the
occurrence of medication errors?
1. Prescribing and dispensing phases
2. Dispensing and monitoring phases
3. Prescribing and administering phases
4. Administering and monitoring phases
,MEDSTUDY.COM
Calculating Drug Dosages A Patient-Safe Approach to
Nursing and Math, 1e Sandra Luz Martinez De Castillo
(Answers at the end of each chapter)
11. A nurse is reviewing a new client’s medication administration record (MAR) at the change of the
shift. It has all the basic information such as the drug name, dose, route, frequency, and time of
administration. What should the nurse do first?
1. Double-check the medication order.
2. Administer the drug at the given time.
3. Question the route with the pharmacist.
4. Question the ordered dose with the pharmacist.
12. Before preparing to reconstitute IV vancomycin for a client, the nurse has washed his or her hands.
What other precautions should the nurse follow during the preparation of medications to minimize
the chances of a medication error?
1. Wear a “Do Not Disturb” vest
2. Employ a “Medication Pass Time-Out”
3. Prepare medications in a designated “no interruption area”
4. All the above
13. There are two clients with acute pneumonia in the same clinical ward, and the nurse needs to
administer a medication to one of them. What identifier should the nurse use to verify the right
client?
1. Client name
2. Client date of birth
3. Barcode client identification
4. Any two of the above together
14. The nurse is reviewing the client’s medication administration record (MAR). The drug is available
as the prescribed dose. The frequency and time of administration is also mentioned in the MAR.
However, the nurse finds that the route of administration is missing in the MAR. What is the most
appropriate clinical decision the nurse should consider?
1. Question the route with the pharmacist.
2. Check the medication order to verify the route.
3. Administer one tablet of the drug in the mentioned dose.
4. Refrain from giving the medication at the mentioned time.
15. The night shift nurse is reviewing the electronic medication administration record (MAR) of the
client and notices a drug that is due to be administered at night was marked as given during the day.
What action taken by the nurse is correct?
1. Question the ordered dose with the pharmacist.
2. Ask the client whether the medication was given.
3. Be sure that medication was given during the day.
4. Ask the day nurse whether the medication was given.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
, MEDSTUDY.COM
Calculating Drug Dosages A Patient-Safe Approach to
Nursing and Math, 1e Sandra Luz Martinez De Castillo
(Answers at the end of each chapter)
16. A client asks the nurse about the significance of black box warnings included on the label of specific
prescription medications. What information should the nurse provide to the client? Select all that
apply.
1. “They advise the nurse about look-alike or sound-alike drugs.”
2. “They advise the client about serious potential risks related to the use of the drug.”
3. “They advise the healthcare professional about serious side effects related to the
use of the drug.”
4. “They advise the healthcare professional about serious potential risks related to the
use of the drug.”
5. “They advise the nurse about the dosage strength of the drug and the recommended
route of administration.”
6. “They indicate the need to consult the pharmacist, and seek reliable drug
references and U.S. Food and Drug Administration (FDA) recommendations.”
17. According to the guidelines of the Institute of Safe Medication Practices (ISMP) for proper use of
abbreviations, symbols, and dose designations, what is the correct method of writing the
abbreviations, symbols, and dose designations? Select all that apply.
1. “4 mcg” instead of “4 g.”
2. “10 cc” instead of “10 mL.”
3. “5.0 mg” instead of “5 mg.”
4. “30 u” instead of “30 units.”
5. “0.3 mg” instead of “.3 mg.”
6. “0.5 mcg” instead of “0.5mcg.”
7. “5000 units” instead of “5,000 units.”
8. “1,500,000 units” instead of “1.5 million units.”
18. A nursing instructor asked the nursing student about the Institute of Safe Medication Practices
(ISMP) guidelines for proper use of abbreviations, symbols, and dose designations. What answers
given by the student indicate adequate learning? Select all that apply.
1. “Spell out the word ‘units.’”
2. “Use a period after abbreviations.”
3. “Use the abbreviation ‘microg’ for microgram.”
4. “Use trailing zeros to indicate the dose of the drug.”
5. “Use the word ‘million’ for doses expressed in millions.”
6. “Use leading zeros for doses less than one measurement unit.”
Test Bank for Calculating Drug Dosages A Patient-
Safe Approach to Nursing and Math, 1e Sandra Luz
Martinez De Castillo (Answers at the end of each
chapter)
Chapter 1: Safety in Medication Administration
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. What are the recommendations from the Institute of Medicine (IOM) for nurses in order to reduce
medication errors?
1. Maintain accurate records of all medications.
2. Display openness regarding errors and problems.
3. Take greater responsibility for monitoring medications and reporting changes.
4. All of the above
2. A nursing instructor asks a nursing student about the Institute of Medicine (IOM). What information
given by the student nurse indicates a need for further teaching?
1. “It is an independent, profitable organization established in 1975.”
2. “It serves to inform government policy makers on national health-care issues.”
3. “It provides reliable information and makes recommendations for best practices.”
4. “It advocates for the establishment of a partnership between the patient and the
healthcare provider.”
3. A nursing student is discussing the Institute of Safe Medication Practices (ISMP). What answer
given by the student indicates the need for further teaching?
1. “It is a nonprofit agency established in 1975.”
2. “Its primary purpose is to identify the causes of medication errors.”
3. “It recommends evidence-based strategies for the prevention of medication errors.”
4. None of the above
4.
Please review the medication order shown and select the statement that applies to the order.
1. The ordered dose has a trailing zero.
2. The medication order is correctly written.
3. The nurse is correct to question the medication order.
4. The unit “mg” should be spelled out to read “milligrams.”
,MEDSTUDY.COM
Calculating Drug Dosages A Patient-Safe Approach to
Nursing and Math, 1e Sandra Luz Martinez De Castillo
(Answers at the end of each chapter)
5. What is the nurse least likely to find in a medication order?
1. Ordered dose
2. Route of administration
3. Medication composition
4. Patient identification information
6. The nurse needs to administer ampicillin to a client with pneumonia and has correctly identified the
client and basic components of the medication order in the medication administration record (MAR).
Apart from these, what else does the nurse need to look for in the medication order to ensure safe
administration of the drug based on the client’s clinical condition?
1. Ordered dose
2. Route of administration
3. Frequency of administration
4. Additional physician instructions
7. The nurse is reviewing a paper copy of a newly admitted client’s medication administration record
(MAR). What is the most appropriate nursing action?
1. Administer the dose as ordered.
2. Ask another nurse to verify the dose.
3. Question the dose with the pharmacist.
4. Check the medication order to verify the dose.
8. What is correct regarding organizations that embrace a “culture of safety”?
1. They have the concept of “just culture” as an integral component.
2. They promote activities that create a continuous awareness for patient safety.
3. Both 1 and 2
4. None of the above
9. A nursing instructor asks a student to cite examples of medical errors that may occur while dealing
with clients and their medication due to at-risk behaviors of the nurse. Which example given by the
student indicates a need for further teaching?
1. “Forgetting to double-check medications per the institutional policy”
2. “Omitting the use of two patient identifiers prior to giving medications”
3. “Overlooking the six rights of medication administration, thereby taking shortcuts”
4. None of the above
10. In which phases of the medication process does the nurse need to be most cautious about the
occurrence of medication errors?
1. Prescribing and dispensing phases
2. Dispensing and monitoring phases
3. Prescribing and administering phases
4. Administering and monitoring phases
,MEDSTUDY.COM
Calculating Drug Dosages A Patient-Safe Approach to
Nursing and Math, 1e Sandra Luz Martinez De Castillo
(Answers at the end of each chapter)
11. A nurse is reviewing a new client’s medication administration record (MAR) at the change of the
shift. It has all the basic information such as the drug name, dose, route, frequency, and time of
administration. What should the nurse do first?
1. Double-check the medication order.
2. Administer the drug at the given time.
3. Question the route with the pharmacist.
4. Question the ordered dose with the pharmacist.
12. Before preparing to reconstitute IV vancomycin for a client, the nurse has washed his or her hands.
What other precautions should the nurse follow during the preparation of medications to minimize
the chances of a medication error?
1. Wear a “Do Not Disturb” vest
2. Employ a “Medication Pass Time-Out”
3. Prepare medications in a designated “no interruption area”
4. All the above
13. There are two clients with acute pneumonia in the same clinical ward, and the nurse needs to
administer a medication to one of them. What identifier should the nurse use to verify the right
client?
1. Client name
2. Client date of birth
3. Barcode client identification
4. Any two of the above together
14. The nurse is reviewing the client’s medication administration record (MAR). The drug is available
as the prescribed dose. The frequency and time of administration is also mentioned in the MAR.
However, the nurse finds that the route of administration is missing in the MAR. What is the most
appropriate clinical decision the nurse should consider?
1. Question the route with the pharmacist.
2. Check the medication order to verify the route.
3. Administer one tablet of the drug in the mentioned dose.
4. Refrain from giving the medication at the mentioned time.
15. The night shift nurse is reviewing the electronic medication administration record (MAR) of the
client and notices a drug that is due to be administered at night was marked as given during the day.
What action taken by the nurse is correct?
1. Question the ordered dose with the pharmacist.
2. Ask the client whether the medication was given.
3. Be sure that medication was given during the day.
4. Ask the day nurse whether the medication was given.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
, MEDSTUDY.COM
Calculating Drug Dosages A Patient-Safe Approach to
Nursing and Math, 1e Sandra Luz Martinez De Castillo
(Answers at the end of each chapter)
16. A client asks the nurse about the significance of black box warnings included on the label of specific
prescription medications. What information should the nurse provide to the client? Select all that
apply.
1. “They advise the nurse about look-alike or sound-alike drugs.”
2. “They advise the client about serious potential risks related to the use of the drug.”
3. “They advise the healthcare professional about serious side effects related to the
use of the drug.”
4. “They advise the healthcare professional about serious potential risks related to the
use of the drug.”
5. “They advise the nurse about the dosage strength of the drug and the recommended
route of administration.”
6. “They indicate the need to consult the pharmacist, and seek reliable drug
references and U.S. Food and Drug Administration (FDA) recommendations.”
17. According to the guidelines of the Institute of Safe Medication Practices (ISMP) for proper use of
abbreviations, symbols, and dose designations, what is the correct method of writing the
abbreviations, symbols, and dose designations? Select all that apply.
1. “4 mcg” instead of “4 g.”
2. “10 cc” instead of “10 mL.”
3. “5.0 mg” instead of “5 mg.”
4. “30 u” instead of “30 units.”
5. “0.3 mg” instead of “.3 mg.”
6. “0.5 mcg” instead of “0.5mcg.”
7. “5000 units” instead of “5,000 units.”
8. “1,500,000 units” instead of “1.5 million units.”
18. A nursing instructor asked the nursing student about the Institute of Safe Medication Practices
(ISMP) guidelines for proper use of abbreviations, symbols, and dose designations. What answers
given by the student indicate adequate learning? Select all that apply.
1. “Spell out the word ‘units.’”
2. “Use a period after abbreviations.”
3. “Use the abbreviation ‘microg’ for microgram.”
4. “Use trailing zeros to indicate the dose of the drug.”
5. “Use the word ‘million’ for doses expressed in millions.”
6. “Use leading zeros for doses less than one measurement unit.”
