Test Bank For Calculating Drug Dosages A Patient-
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Safe Approach to Nursing and Math
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2nd Edition by Castillo
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Chapter 1 - 22 Complete
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,Table of Contents: Xt Xt
I. Safety in Medication Administration
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Chapter 1. Safety in Medication Administration
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Chapter 2. The Drug Label
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II. Systems of Measurement
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Chapter 3. The Metric System
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Chapter 4. The Household System
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III. Methods of Calculation
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Chapter 5. Linear Ratio and Proportion
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Chapter 6. Fractional Ratio and Proportion
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Chapter 7. Dimensional Analysis
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Chapter 8. Formula Method
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IV. Administration of Medications
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Chapter 9. Calculating Oral Medication Doses
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Chapter 10. Syringes and Needles
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Chapter 11. Calculating Parenteral Medication Dosages
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Chapter 12. Preparing Powdered Parenteral Medications
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Chapter 13. Administration of Insulin
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V. IV Therapy and Administration of Intravenous Medications
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Chapter 14. Intravenous Infusion and Infusion Rates
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Chapter 15. Calculating Infusion and Completion Time
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Chapter 16. Administering IV Push Medications
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VI. Verifying Safe Dose and Critical Care Calculations
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Chapter 17. Verifying Safe Dose
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Chapter 18. Titration of Intravenous Medications
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VII. Intake and Output
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Chapter 19. Calculating Intake and Output
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Chapter 20. Calculating Parenteral Intake
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VIII. Dosages for Pediatric and Older Adult Populations
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Chapter 21. Considerations for the Pediatric Patient
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Chapter 22. Considerations for the Older Adult
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,Castillo/Werner-
McCullough:XtCalculatingXtDrugXtDosages,Xt2e
Chapter 1: Safety in Medication Administration
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Castillo: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 2nd Edition
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MULTIPLE CHOICE Xt
1. The following medication order is in the patient’s medication administration record (MAR):
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methylPREDnisolone 40 mg PO daily at 0900. Xt Xt Xt Xt Xt Xt
After Xt reading the order, the nurse correctly determines:
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A ―PO‖ is an inappropriate abbreviation.
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B the medication order is written correctly.
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C 40 mg should be written as 40mg.
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D tall man lettering indicates that the drug is a narcotic.
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ANSWER: B Xt
Feedback
The medication order has all the required components (drug name, dose, route, a
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ndfrequency of administration) for a drug order. ―PO‖ is an appropriate abbrevia
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tion;40 mg is written correctly with a space between the dose and the unit of me
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asurement. Tall man lettering is used to distinguish the drug from another drug
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with a similar name.
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2. Which of the following accurately describes the ―Boxed Warning‖ found on a drug label?
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A It is primarily is used to identify the safe dose for the patient.
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B It is commonly found on all drug labels.
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C It identifies serious potential risks and side effects related to drug use.
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D It protects the patient by providing information to decrease side effects.
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ANSWER: C Xt
Feedback
A drug label with a boxed warning provides information to healthcare profession
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alsand patients regarding the serious risks and side effects related to the drug. Th
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e Boxed Warning is not the primary source for identifying the patient’s drug dosa
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ge.
The warning is found on specific prescription medications and does not provi
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deinformation to reduce or decrease side effects.
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3. When practicing safety in the administration of medication, for which of the followi
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ngmedication orders should a nurse seek clarification before the administration of t
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he medication?
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1
, Castillo/Werner-
McCullough:XtCalculatingXtDrugXtDosages,Xt2e
A Regular insulin 5 u subcut now. Xt Xt Xt Xt Xt
B Enoxaparin 80 mg subcut every 12 hours. Xt Xt Xt Xt Xt Xt
C Benadryl 50 mg PO PRN every 6 hr for itching.
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D Ondansetron 4 mg IVP stat. Xt Xt Xt Xt
ANSWER: A Xt
Feedback
The ―u‖ should never be used in a medication order; rather, for safety, the w
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ord―units‖ should be spelled out. The other answer options contain the requir
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ed
components needed to safely carry out the medication order.
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4. A nurse is reviewing a drug label with a drug name written with tall man lettering. Whic
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h statements shows the nurse has a correct understanding of tall man lettering on a drug l
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abel?
A ―The tall man lettering means this is a high alert drug.‖
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B ―The tall man lettering helps me distinguish this drug with other drugs that
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have similar names.‖ Xt Xt
C ―The tall man lettering means that this drug must have a Boxed Warning.‖
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D ―The tall man lettering helps me quickly identify that this drug is an injectabl
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e
drug.‖
ANSWER: B Xt
Feedback
Tall man lettering highlights a portion of the drug name to help distinguish fr
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omsimilar drug names. It is not used to identify high alert drugs, highlight a b
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oxed
warning, or identify injectable drugs.
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5. The following medication orders are found in the patient’s MAR:
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Metformin HCl 500 mg PO daily at 0900. Hydrochlorothia
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zide 25 mg PO every 12 hr at 0900 and 2100.Digoxin .25 m
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g PO daily at 0900.
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In reading the medication orders for the 0700–
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1500 shift, the nurse determines that which ofthe following is the priority nursing interve
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ntion?
A Clarify the metformin HCl order. Xt Xt Xt Xt
B Clarify the hydrochlorothiazide order. Xt Xt Xt
C Clarify the digoxin order. Xt Xt Xt
2
Xt Xt Xt Xt Xt Xt Xt
Safe Approach to Nursing and Math
Xt Xt Xt Xt Xt Xt
2nd Edition by Castillo
Xt Xt Xt XtXt
Chapter 1 - 22 Complete
Xt Xt Xt Xt
,Table of Contents: Xt Xt
I. Safety in Medication Administration
Xt Xt Xt Xt
Chapter 1. Safety in Medication Administration
Xt Xt Xt Xt Xt
Chapter 2. The Drug Label
Xt Xt Xt Xt
II. Systems of Measurement
Xt Xt Xt
Chapter 3. The Metric System
Xt Xt Xt Xt
Chapter 4. The Household System
Xt Xt Xt Xt
III. Methods of Calculation
Xt Xt Xt
Chapter 5. Linear Ratio and Proportion
Xt Xt Xt Xt Xt
Chapter 6. Fractional Ratio and Proportion
Xt Xt Xt Xt Xt
Chapter 7. Dimensional Analysis
Xt Xt Xt
Chapter 8. Formula Method
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IV. Administration of Medications
Xt Xt Xt
Chapter 9. Calculating Oral Medication Doses
Xt Xt Xt Xt Xt
Chapter 10. Syringes and Needles
Xt Xt Xt Xt
Chapter 11. Calculating Parenteral Medication Dosages
Xt Xt Xt Xt Xt
Chapter 12. Preparing Powdered Parenteral Medications
Xt Xt Xt Xt Xt
Chapter 13. Administration of Insulin
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V. IV Therapy and Administration of Intravenous Medications
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Chapter 14. Intravenous Infusion and Infusion Rates
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Chapter 15. Calculating Infusion and Completion Time
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Chapter 16. Administering IV Push Medications
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VI. Verifying Safe Dose and Critical Care Calculations
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Chapter 17. Verifying Safe Dose
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Chapter 18. Titration of Intravenous Medications
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VII. Intake and Output
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Chapter 19. Calculating Intake and Output
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Chapter 20. Calculating Parenteral Intake
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VIII. Dosages for Pediatric and Older Adult Populations
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Chapter 21. Considerations for the Pediatric Patient
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Chapter 22. Considerations for the Older Adult
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,Castillo/Werner-
McCullough:XtCalculatingXtDrugXtDosages,Xt2e
Chapter 1: Safety in Medication Administration
Xt Xt Xt Xt Xt
Castillo: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 2nd Edition
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
MULTIPLE CHOICE Xt
1. The following medication order is in the patient’s medication administration record (MAR):
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
methylPREDnisolone 40 mg PO daily at 0900. Xt Xt Xt Xt Xt Xt
After Xt reading the order, the nurse correctly determines:
Xt Xt Xt Xt Xt Xt
A ―PO‖ is an inappropriate abbreviation.
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B the medication order is written correctly.
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C 40 mg should be written as 40mg.
Xt Xt Xt Xt Xt Xt
D tall man lettering indicates that the drug is a narcotic.
Xt Xt Xt Xt Xt Xt Xt Xt Xt
ANSWER: B Xt
Feedback
The medication order has all the required components (drug name, dose, route, a
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ndfrequency of administration) for a drug order. ―PO‖ is an appropriate abbrevia
tX Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
tion;40 mg is written correctly with a space between the dose and the unit of me
tX Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
asurement. Tall man lettering is used to distinguish the drug from another drug
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with a similar name.
Xt Xt Xt
2. Which of the following accurately describes the ―Boxed Warning‖ found on a drug label?
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A It is primarily is used to identify the safe dose for the patient.
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B It is commonly found on all drug labels.
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C It identifies serious potential risks and side effects related to drug use.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
D It protects the patient by providing information to decrease side effects.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ANSWER: C Xt
Feedback
A drug label with a boxed warning provides information to healthcare profession
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
alsand patients regarding the serious risks and side effects related to the drug. Th
tX Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
e Boxed Warning is not the primary source for identifying the patient’s drug dosa
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ge.
The warning is found on specific prescription medications and does not provi
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
deinformation to reduce or decrease side effects.
tX Xt Xt Xt Xt Xt Xt
3. When practicing safety in the administration of medication, for which of the followi
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ngmedication orders should a nurse seek clarification before the administration of t
tX Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
he medication?
Xt
1
, Castillo/Werner-
McCullough:XtCalculatingXtDrugXtDosages,Xt2e
A Regular insulin 5 u subcut now. Xt Xt Xt Xt Xt
B Enoxaparin 80 mg subcut every 12 hours. Xt Xt Xt Xt Xt Xt
C Benadryl 50 mg PO PRN every 6 hr for itching.
Xt Xt Xt Xt Xt Xt Xt Xt Xt
D Ondansetron 4 mg IVP stat. Xt Xt Xt Xt
ANSWER: A Xt
Feedback
The ―u‖ should never be used in a medication order; rather, for safety, the w
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ord―units‖ should be spelled out. The other answer options contain the requir
tX Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
ed
components needed to safely carry out the medication order.
Xt Xt Xt Xt Xt Xt Xt Xt
4. A nurse is reviewing a drug label with a drug name written with tall man lettering. Whic
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
h statements shows the nurse has a correct understanding of tall man lettering on a drug l
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
abel?
A ―The tall man lettering means this is a high alert drug.‖
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B ―The tall man lettering helps me distinguish this drug with other drugs that
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
have similar names.‖ Xt Xt
C ―The tall man lettering means that this drug must have a Boxed Warning.‖
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
D ―The tall man lettering helps me quickly identify that this drug is an injectabl
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
e
drug.‖
ANSWER: B Xt
Feedback
Tall man lettering highlights a portion of the drug name to help distinguish fr
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
omsimilar drug names. It is not used to identify high alert drugs, highlight a b
tX Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt
oxed
warning, or identify injectable drugs.
Xt Xt Xt Xt
5. The following medication orders are found in the patient’s MAR:
Xt Xt Xt Xt Xt Xt Xt Xt Xt
Metformin HCl 500 mg PO daily at 0900. Hydrochlorothia
Xt Xt Xt Xt Xt Xt Xt Xt
zide 25 mg PO every 12 hr at 0900 and 2100.Digoxin .25 m
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt tX Xt Xt
g PO daily at 0900.
Xt Xt Xt Xt
In reading the medication orders for the 0700–
Xt Xt Xt Xt Xt Xt Xt
1500 shift, the nurse determines that which ofthe following is the priority nursing interve
Xt Xt Xt Xt Xt Xt Xt tX Xt Xt Xt Xt Xt Xt
ntion?
A Clarify the metformin HCl order. Xt Xt Xt Xt
B Clarify the hydrochlorothiazide order. Xt Xt Xt
C Clarify the digoxin order. Xt Xt Xt
2