TEST BANK FOR
CALCULATING DRUG DOSAGES A PATIENT SAFE
APPROACH TO NURSING AND MATH 3RD EDITION
by castillo werner mccullough i...
,Chapter 1: Safety in Medication Administration
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?
,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.
ANS: A
Feedback
The “u” should never be used in a medication order; rather, for safety, the word “units” should be
spelled out. The other answer options contain the required
components needed to safely carry out the medication order.
4. A nurse is reviewing a drug label with a drug name written with tall man lettering. Which
statements shows the nurse has a correct understanding of tall man lettering on a drug label?
A “The tall man lettering means this is a high alert drug.”
B “The tall man lettering helps me distinguish this drug with other drugs that
have similar names.”
C “The tall man lettering means that this drug must have a Boxed Warning.”
D “The tall man lettering helps me quickly identify that this drug is an injectable
drug.”
ANS: B
Feedback
Tall man lettering highlights a portion of the drug name to help distinguish from similar drug names.
It is not used to identify high alert drugs, highlight a boxed
warning, or identify injectable drugs.
5. The following medication orders are found in the patient’s MAR:
Metformin HCl 500 mg PO daily at 0900. Hydrochlorothiazide 25 mg PO every 12 hr at 0900 and
2100. Digoxin .25 mg PO daily at 0900.
In reading the medication orders for the 0700–1500 shift, the nurse determines that which of the
following is the priority nursing intervention?
A Clarify the metformin HCl order.
B Clarify the hydrochlorothiazide order.
C Clarify the digoxin order.
D Prepare to administer the 0900 medications.
ANS: C
Feedback
The digoxin medication order is lacking a zero before the decimal fraction (.25). Safe practice
recommends using a zero before a decimal point when the dose is less than one. The metformin HCl
and the hydrochlorothiazide orders are written
, correctly. The order should be clarified before preparing the 0900 medications.
6. In the administration of medications, when should the nurse document the administration
of medications?
A 30 minutes before administering to the patient.
B Immediately before administering to the patient.
C At the end of the shift.
D Immediately after administering to the patient.
ANS: D
Feedback
The last “Right of Medication Administration” is the documentation of medications. The
documentation is done immediately after administering the medications to the
patient.
7. The following medication is ordered for the patient:
Calcitriol Oral Solution 2 µg PO Daily
After reading the order, what is the initial action needed by the nurse?
A Clarify the written medication dose of 2 µg.
B Look up the dose in a drug reference book.
C Transcribe the medication order onto the MAR.
D Ask the patient the daily dose taken at home.
ANS: A
Feedback
The initial action is for the nurse to clarify the drug dose because it is written with the error-prone
letter/symbol “µ.” To avoid medication errors, it is recommended
that the “µ” not be used in medication orders. Instead the abbreviation “mcg” is to be used for
microgram.
8. Recommendations by the Institute of Medicine for reducing medication errors help enhance
safe nursing practice by:
A shifting primary responsibility for drug therapy onto patients and families.
B referring patients and families to the pharmacist for drug therapy questions.
C answering drug therapy questions when a new prescription is ordered.
D promoting ongoing communication between patients and healthcare
providers.
ANS: D
Feedback
CALCULATING DRUG DOSAGES A PATIENT SAFE
APPROACH TO NURSING AND MATH 3RD EDITION
by castillo werner mccullough i...
,Chapter 1: Safety in Medication Administration
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?
,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.
ANS: A
Feedback
The “u” should never be used in a medication order; rather, for safety, the word “units” should be
spelled out. The other answer options contain the required
components needed to safely carry out the medication order.
4. A nurse is reviewing a drug label with a drug name written with tall man lettering. Which
statements shows the nurse has a correct understanding of tall man lettering on a drug label?
A “The tall man lettering means this is a high alert drug.”
B “The tall man lettering helps me distinguish this drug with other drugs that
have similar names.”
C “The tall man lettering means that this drug must have a Boxed Warning.”
D “The tall man lettering helps me quickly identify that this drug is an injectable
drug.”
ANS: B
Feedback
Tall man lettering highlights a portion of the drug name to help distinguish from similar drug names.
It is not used to identify high alert drugs, highlight a boxed
warning, or identify injectable drugs.
5. The following medication orders are found in the patient’s MAR:
Metformin HCl 500 mg PO daily at 0900. Hydrochlorothiazide 25 mg PO every 12 hr at 0900 and
2100. Digoxin .25 mg PO daily at 0900.
In reading the medication orders for the 0700–1500 shift, the nurse determines that which of the
following is the priority nursing intervention?
A Clarify the metformin HCl order.
B Clarify the hydrochlorothiazide order.
C Clarify the digoxin order.
D Prepare to administer the 0900 medications.
ANS: C
Feedback
The digoxin medication order is lacking a zero before the decimal fraction (.25). Safe practice
recommends using a zero before a decimal point when the dose is less than one. The metformin HCl
and the hydrochlorothiazide orders are written
, correctly. The order should be clarified before preparing the 0900 medications.
6. In the administration of medications, when should the nurse document the administration
of medications?
A 30 minutes before administering to the patient.
B Immediately before administering to the patient.
C At the end of the shift.
D Immediately after administering to the patient.
ANS: D
Feedback
The last “Right of Medication Administration” is the documentation of medications. The
documentation is done immediately after administering the medications to the
patient.
7. The following medication is ordered for the patient:
Calcitriol Oral Solution 2 µg PO Daily
After reading the order, what is the initial action needed by the nurse?
A Clarify the written medication dose of 2 µg.
B Look up the dose in a drug reference book.
C Transcribe the medication order onto the MAR.
D Ask the patient the daily dose taken at home.
ANS: A
Feedback
The initial action is for the nurse to clarify the drug dose because it is written with the error-prone
letter/symbol “µ.” To avoid medication errors, it is recommended
that the “µ” not be used in medication orders. Instead the abbreviation “mcg” is to be used for
microgram.
8. Recommendations by the Institute of Medicine for reducing medication errors help enhance
safe nursing practice by:
A shifting primary responsibility for drug therapy onto patients and families.
B referring patients and families to the pharmacist for drug therapy questions.
C answering drug therapy questions when a new prescription is ordered.
D promoting ongoing communication between patients and healthcare
providers.
ANS: D
Feedback
