TEST BANK
CALCULATING DRUG DOSAGES:
A Patient-Safe Approach to Nursing and Math
2nd Edition
Castillo | Werner-McCullough
TEST BANK
,Castillo/Werner-McCullough: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math,,2e Test Bank
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
,Castillo/Werner-McCullough: Calculating Drug Dosages, 2e
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):
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.
ANS: B
Feedback
The medication order has all the required components (drug name, dose, route, and
frequency 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.
ANS: C
Feedback
A drug label with a boxed warning provides information to healthcare professionals and
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 provide information to reduce or decrease
side effects.
3. When practicing safety in the administration of medication, for which of the following medication
orders should a nurse seek clarification before the administration of the medication?
1
, Castillo/Werner-McCullough: Calculating Drug Dosages, 2e
A Regular sinsulin s5 su ssubcut snow.
B Enoxaparin s80 smg ssubcut severy s12 shours.
C Benadryl s50 smg sPO sPRN severy s6 shr sfor sitching.
sD Ondansetron s4 smg sIVP sstat.
ANS: sA
Feedback
The s“u” sshould snever sbe sused sin sa smedication sorder; srather, sfor ssafety, sthe sword
s “units” sshould sbe sspelled sout. sThe sother sanswer soptions scontain sthe srequired
s components sneeded sto ssafely scarry sout sthe smedication sorder.
4. A snurse sis sreviewing sa sdrug slabel swith sa sdrug sname swritten swith stall sman slettering. sWhich
s statements sshows sthe snurse shas sa scorrect sunderstanding sof stall sman slettering son sa sdrug
slabel? s A “The stall sman slettering smeans sthis sis sa shigh salert sdrug.”
B “The stall sman slettering shelps sme sdistinguish sthis sdrug swith sother sdrugs sthat
s have ssimilar snames.”
C “The stall sman slettering smeans sthat sthis sdrug smust shave sa sBoxed sWarning.”
D “The stall sman slettering shelps sme squickly sidentify sthat sthis sdrug sis san sinjectable
s drug.”
ANS: sB
Feedback
Tall sman slettering shighlights sa sportion sof sthe sdrug sname sto shelp sdistinguish sfrom
s similar sdrug snames. sIt sis snot sused sto sidentify shigh salert sdrugs, shighlight sa sboxed
s warning, sor sidentify sinjectable sdrugs.
5. The sfollowing smedication sorders sare sfound sin sthe spatient’s sMAR:
Metformin sHCl s500 smg sPO sdaily sat s0900. s Hydrochlorothiazide
s25 smg sPO severy s12 shr sat s0900 sand s2100. s Digoxin s.25 smg
sPO sdaily sat s0900.
In sreading sthe smedication sorders sfor sthe s0700–1500 sshift, sthe snurse sdetermines sthat swhich sof
s the sfollowing sis sthe spriority snursing sintervention?
A Clarify sthe smetformin sHCl sorder.
B Clarify sthe shydrochlorothiazide sorder. s C
Clarify sthe sdigoxin sorder.
D Prepare sto sadminister sthe s0900 smedications.
s ANS: sC
2
CALCULATING DRUG DOSAGES:
A Patient-Safe Approach to Nursing and Math
2nd Edition
Castillo | Werner-McCullough
TEST BANK
,Castillo/Werner-McCullough: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math,,2e Test Bank
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
,Castillo/Werner-McCullough: Calculating Drug Dosages, 2e
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):
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.
ANS: B
Feedback
The medication order has all the required components (drug name, dose, route, and
frequency 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.
ANS: C
Feedback
A drug label with a boxed warning provides information to healthcare professionals and
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 provide information to reduce or decrease
side effects.
3. When practicing safety in the administration of medication, for which of the following medication
orders should a nurse seek clarification before the administration of the medication?
1
, Castillo/Werner-McCullough: Calculating Drug Dosages, 2e
A Regular sinsulin s5 su ssubcut snow.
B Enoxaparin s80 smg ssubcut severy s12 shours.
C Benadryl s50 smg sPO sPRN severy s6 shr sfor sitching.
sD Ondansetron s4 smg sIVP sstat.
ANS: sA
Feedback
The s“u” sshould snever sbe sused sin sa smedication sorder; srather, sfor ssafety, sthe sword
s “units” sshould sbe sspelled sout. sThe sother sanswer soptions scontain sthe srequired
s components sneeded sto ssafely scarry sout sthe smedication sorder.
4. A snurse sis sreviewing sa sdrug slabel swith sa sdrug sname swritten swith stall sman slettering. sWhich
s statements sshows sthe snurse shas sa scorrect sunderstanding sof stall sman slettering son sa sdrug
slabel? s A “The stall sman slettering smeans sthis sis sa shigh salert sdrug.”
B “The stall sman slettering shelps sme sdistinguish sthis sdrug swith sother sdrugs sthat
s have ssimilar snames.”
C “The stall sman slettering smeans sthat sthis sdrug smust shave sa sBoxed sWarning.”
D “The stall sman slettering shelps sme squickly sidentify sthat sthis sdrug sis san sinjectable
s drug.”
ANS: sB
Feedback
Tall sman slettering shighlights sa sportion sof sthe sdrug sname sto shelp sdistinguish sfrom
s similar sdrug snames. sIt sis snot sused sto sidentify shigh salert sdrugs, shighlight sa sboxed
s warning, sor sidentify sinjectable sdrugs.
5. The sfollowing smedication sorders sare sfound sin sthe spatient’s sMAR:
Metformin sHCl s500 smg sPO sdaily sat s0900. s Hydrochlorothiazide
s25 smg sPO severy s12 shr sat s0900 sand s2100. s Digoxin s.25 smg
sPO sdaily sat s0900.
In sreading sthe smedication sorders sfor sthe s0700–1500 sshift, sthe snurse sdetermines sthat swhich sof
s the sfollowing sis sthe spriority snursing sintervention?
A Clarify sthe smetformin sHCl sorder.
B Clarify sthe shydrochlorothiazide sorder. s C
Clarify sthe sdigoxin sorder.
D Prepare sto sadminister sthe s0900 smedications.
s ANS: sC
2
