Test Bank For Calculating Drug Dosages A Patient-
pc pc pc pc pc pc pc
Safe Approach to Nursing and Math
pc pc pc pc pc pc
2nd Edition by Castillo
pc pc pc pcpc
Chapter 1 - 22 Complete
pc pc pc pc
,Table of Contents: pc pc
I. Safety in Medication Administration
pc pc pc pc
Chapter 1. Safety in Medication Administration
pc pc pc pc pc
Chapter 2. The Drug Label pc pc pc pc
II. Systems of Measurement
pc pc pc
Chapter 3. The Metric System
pc pc pc pc
Chapter 4. The Household System
pc pc pc pc
III. Methods of Calculation
pc pc pc
Chapter 5. Linear Ratio and Proportion
pc pc pc pc pc
Chapter 6. Fractional Ratio and Proportion
pc pc pc pc pc
Chapter 7. Dimensional Analysis
pc pc pc
Chapter 8. Formula Method pc pc pc
IV. Administration of Medications
pc pc pc
Chapter 9. Calculating Oral Medication Doses
pc pc pc pc pc
Chapter 10. Syringes and Needles
pc pc pc pc
Chapter 11. Calculating Parenteral Medication Dosages
pc pc pc pc pc
Chapter 12. Preparing Powdered Parenteral Medications
pc pc pc pc pc
Chapter 13. Administration of Insulin
pc pc pc pc
V. IV Therapy and Administration of Intravenous Medications
pc pc pc pc pc pc pc
Chapter 14. Intravenous Infusion and Infusion Rates
pc pc pc pc pc pc
Chapter 15. Calculating Infusion and Completion Time
pc pc pc pc pc pc
Chapter 16. Administering IV Push Medications
pc pc pc pc pc
VI. Verifying Safe Dose and Critical Care Calculations
pc pc pc pc pc pc pc
Chapter 17. Verifying Safe Dose
pc pc pc pc
Chapter 18. Titration of Intravenous Medications
pc pc pc pc pc
VII. Intake and Output
pc pc pc
Chapter 19. Calculating Intake and Output
pc pc pc pc pc
Chapter 20. Calculating Parenteral Intake
pc pc pc pc
VIII. Dosages for Pediatric and Older Adult Populations
pc pc pc pc pc pc pc
Chapter 21. Considerations for the Pediatric Patient
pc pc pc pc pc pc
Chapter 22. Considerations for the Older Adult
pc pc pc pc pc pc
,Castillo/Werner-
McCullough:pcCalculatingpcDrugpcDosages,pc2e
Chapter 1: Safety in Medication Administration
pc pc pc pc pc
Castillo: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 2nd Edition
pc pc pc pc pc pc pc pc pc pc pc pc
MULTIPLE CHOICE pc
1. The following medication order is in the patient’s medication administration record (MAR):
pc pc pc pc pc pc pc pc pc pc pc
methylPREDnisolone 40 mg PO daily at 0900. pc pc pc pc pc pc
After reading the order, the nurse correctly determines:
pc pc pc pc pc pc pc
A ―PO‖ is an inappropriate abbreviation. pc pc pc pc
B the medication order is written correctly. pc pc pc pc pc
C 40 mg should be written as 40mg. pc pc pc pc pc pc
D tall man lettering indicates that the drug is a narcotic.
pc pc pc pc pc pc pc pc pc
ANSWER: B pc
Feedback
The medication order has all the required components (drug name, dose, route, a
pc pc pc pc pc pc pc pc pc pc pc pc
ndfrequency of administration) for a drug order. ―PO‖ is an appropriate abbreviat
c
p pc pc pc pc pc pc pc pc pc pc pc
ion;40 mg is written correctly with a space between the dose and the unit of mea
c
p pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
surement. Tall man lettering is used to distinguish the drug from another drug
pc pc pc pc pc pc pc pc pc pc pc pc
with a similar name. pc pc pc
2. Which of the following accurately describes the ―Boxed Warning‖ found on a drug label?
pc pc pc pc pc pc pc pc pc pc pc pc pc
A It is primarily is used to identify the safe dose for the patient.
pc pc pc pc pc pc pc pc pc pc pc pc
B It is commonly found on all drug labels.pc pc pc pc pc pc pc
C It identifies serious potential risks and side effects related to drug use.
pc pc pc pc pc pc pc pc pc pc pc
D It protects the patient by providing information to decrease side effects.
pc pc pc pc pc pc pc pc pc pc
ANSWER: C pc
Feedback
A drug label with a boxed warning provides information to healthcare professiona
pc pc pc pc pc pc pc pc pc pc pc
lsand patients regarding the serious risks and side effects related to the drug. The
c
p pc pc pc pc pc pc pc pc pc pc pc pc pc pc
Boxed Warning is not the primary source for identifying the patient’s drug dosage
pc pc pc pc pc pc pc pc pc pc pc pc
.
The warning is found on specific prescription medications and does not provi
pc pc pc pc pc pc pc pc pc pc pc
deinformation to reduce or decrease side effects.
c
p pc pc pc pc pc pc
3. When practicing safety in the administration of medication, for which of the followi
pc pc pc pc pc pc pc pc pc pc pc pc
ngmedication orders should a nurse seek clarification before the administration of th
c
p pc pc pc pc pc pc pc pc pc pc pc
e medication?
pc
1
, Castillo/Werner-
McCullough:pcCalculatingpcDrugpcDosages,pc2e
A Regular insulin 5 u subcut now. pc pc pc pc pc
B Enoxaparin 80 mg subcut every 12 hours. pc pc pc pc pc pc
C Benadryl 50 mg PO PRN every 6 hr for itching.
pc pc pc pc pc pc pc pc pc
D Ondansetron 4 mg IVP stat. pc pc pc pc
ANSWER: A pc
Feedback
The ―u‖ should never be used in a medication order; rather, for safety, the wo
pc pc pc pc pc pc pc pc pc pc pc pc pc pc
rd―units‖ should be spelled out. The other answer options contain the require
c
p pc pc pc pc pc pc pc pc pc pc pc
d
components needed to safely carry out the medication order.
pc pc pc pc pc pc pc pc
4. A nurse is reviewing a drug label with a drug name written with tall man lettering. Which
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
statements shows the nurse has a correct understanding of tall man lettering on a drug la
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
bel?
A ―The tall man lettering means this is a high alert drug.‖
pc pc pc pc pc pc pc pc pc pc
B ―The tall man lettering helps me distinguish this drug with other drugs that
pc pc pc pc pc pc pc pc pc pc pc pc
have similar names.‖ pc pc
C ―The tall man lettering means that this drug must have a Boxed Warning.‖
pc pc pc pc pc pc pc pc pc pc pc pc
D ―The tall man lettering helps me quickly identify that this drug is an injectable
pc pc pc pc pc pc pc pc pc pc pc pc pc
drug.‖
ANSWER: B pc
Feedback
Tall man lettering highlights a portion of the drug name to help distinguish fro
pc pc pc pc pc pc pc pc pc pc pc pc pc
msimilar drug names. It is not used to identify high alert drugs, highlight a bo
c
p pc pc pc pc pc pc pc pc pc pc pc pc pc pc
xed
warning, or identify injectable drugs.
pc pc pc pc
5. The following medication orders are found in the patient’s MAR:
pc pc pc pc pc pc pc pc pc
Metformin HCl 500 mg PO daily at 0900. Hydrochlorothiaz
pc pc pc pc pc pc pc pc
ide 25 mg PO every 12 hr at 0900 and 2100.Digoxin .25 mg
pc pc pc pc pc pc pc pc pc pc p
c pc pc p
cPO daily at 0900.
pc pc pc
In reading the medication orders for the 0700–
pc pc pc pc pc pc pc
1500 shift, the nurse determines that which ofthe following is the priority nursing interven
pc pc pc pc pc pc pc c
p pc pc pc pc pc pc
tion?
A Clarify the metformin HCl order. pc pc pc pc
B Clarify the hydrochlorothiazide order. pc pc pc
C Clarify the digoxin order. pc pc pc
D Prepare to administer the 0900 medications. pc pc pc pc pc
2
pc pc pc pc pc pc pc
Safe Approach to Nursing and Math
pc pc pc pc pc pc
2nd Edition by Castillo
pc pc pc pcpc
Chapter 1 - 22 Complete
pc pc pc pc
,Table of Contents: pc pc
I. Safety in Medication Administration
pc pc pc pc
Chapter 1. Safety in Medication Administration
pc pc pc pc pc
Chapter 2. The Drug Label pc pc pc pc
II. Systems of Measurement
pc pc pc
Chapter 3. The Metric System
pc pc pc pc
Chapter 4. The Household System
pc pc pc pc
III. Methods of Calculation
pc pc pc
Chapter 5. Linear Ratio and Proportion
pc pc pc pc pc
Chapter 6. Fractional Ratio and Proportion
pc pc pc pc pc
Chapter 7. Dimensional Analysis
pc pc pc
Chapter 8. Formula Method pc pc pc
IV. Administration of Medications
pc pc pc
Chapter 9. Calculating Oral Medication Doses
pc pc pc pc pc
Chapter 10. Syringes and Needles
pc pc pc pc
Chapter 11. Calculating Parenteral Medication Dosages
pc pc pc pc pc
Chapter 12. Preparing Powdered Parenteral Medications
pc pc pc pc pc
Chapter 13. Administration of Insulin
pc pc pc pc
V. IV Therapy and Administration of Intravenous Medications
pc pc pc pc pc pc pc
Chapter 14. Intravenous Infusion and Infusion Rates
pc pc pc pc pc pc
Chapter 15. Calculating Infusion and Completion Time
pc pc pc pc pc pc
Chapter 16. Administering IV Push Medications
pc pc pc pc pc
VI. Verifying Safe Dose and Critical Care Calculations
pc pc pc pc pc pc pc
Chapter 17. Verifying Safe Dose
pc pc pc pc
Chapter 18. Titration of Intravenous Medications
pc pc pc pc pc
VII. Intake and Output
pc pc pc
Chapter 19. Calculating Intake and Output
pc pc pc pc pc
Chapter 20. Calculating Parenteral Intake
pc pc pc pc
VIII. Dosages for Pediatric and Older Adult Populations
pc pc pc pc pc pc pc
Chapter 21. Considerations for the Pediatric Patient
pc pc pc pc pc pc
Chapter 22. Considerations for the Older Adult
pc pc pc pc pc pc
,Castillo/Werner-
McCullough:pcCalculatingpcDrugpcDosages,pc2e
Chapter 1: Safety in Medication Administration
pc pc pc pc pc
Castillo: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 2nd Edition
pc pc pc pc pc pc pc pc pc pc pc pc
MULTIPLE CHOICE pc
1. The following medication order is in the patient’s medication administration record (MAR):
pc pc pc pc pc pc pc pc pc pc pc
methylPREDnisolone 40 mg PO daily at 0900. pc pc pc pc pc pc
After reading the order, the nurse correctly determines:
pc pc pc pc pc pc pc
A ―PO‖ is an inappropriate abbreviation. pc pc pc pc
B the medication order is written correctly. pc pc pc pc pc
C 40 mg should be written as 40mg. pc pc pc pc pc pc
D tall man lettering indicates that the drug is a narcotic.
pc pc pc pc pc pc pc pc pc
ANSWER: B pc
Feedback
The medication order has all the required components (drug name, dose, route, a
pc pc pc pc pc pc pc pc pc pc pc pc
ndfrequency of administration) for a drug order. ―PO‖ is an appropriate abbreviat
c
p pc pc pc pc pc pc pc pc pc pc pc
ion;40 mg is written correctly with a space between the dose and the unit of mea
c
p pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
surement. Tall man lettering is used to distinguish the drug from another drug
pc pc pc pc pc pc pc pc pc pc pc pc
with a similar name. pc pc pc
2. Which of the following accurately describes the ―Boxed Warning‖ found on a drug label?
pc pc pc pc pc pc pc pc pc pc pc pc pc
A It is primarily is used to identify the safe dose for the patient.
pc pc pc pc pc pc pc pc pc pc pc pc
B It is commonly found on all drug labels.pc pc pc pc pc pc pc
C It identifies serious potential risks and side effects related to drug use.
pc pc pc pc pc pc pc pc pc pc pc
D It protects the patient by providing information to decrease side effects.
pc pc pc pc pc pc pc pc pc pc
ANSWER: C pc
Feedback
A drug label with a boxed warning provides information to healthcare professiona
pc pc pc pc pc pc pc pc pc pc pc
lsand patients regarding the serious risks and side effects related to the drug. The
c
p pc pc pc pc pc pc pc pc pc pc pc pc pc pc
Boxed Warning is not the primary source for identifying the patient’s drug dosage
pc pc pc pc pc pc pc pc pc pc pc pc
.
The warning is found on specific prescription medications and does not provi
pc pc pc pc pc pc pc pc pc pc pc
deinformation to reduce or decrease side effects.
c
p pc pc pc pc pc pc
3. When practicing safety in the administration of medication, for which of the followi
pc pc pc pc pc pc pc pc pc pc pc pc
ngmedication orders should a nurse seek clarification before the administration of th
c
p pc pc pc pc pc pc pc pc pc pc pc
e medication?
pc
1
, Castillo/Werner-
McCullough:pcCalculatingpcDrugpcDosages,pc2e
A Regular insulin 5 u subcut now. pc pc pc pc pc
B Enoxaparin 80 mg subcut every 12 hours. pc pc pc pc pc pc
C Benadryl 50 mg PO PRN every 6 hr for itching.
pc pc pc pc pc pc pc pc pc
D Ondansetron 4 mg IVP stat. pc pc pc pc
ANSWER: A pc
Feedback
The ―u‖ should never be used in a medication order; rather, for safety, the wo
pc pc pc pc pc pc pc pc pc pc pc pc pc pc
rd―units‖ should be spelled out. The other answer options contain the require
c
p pc pc pc pc pc pc pc pc pc pc pc
d
components needed to safely carry out the medication order.
pc pc pc pc pc pc pc pc
4. A nurse is reviewing a drug label with a drug name written with tall man lettering. Which
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
statements shows the nurse has a correct understanding of tall man lettering on a drug la
pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc
bel?
A ―The tall man lettering means this is a high alert drug.‖
pc pc pc pc pc pc pc pc pc pc
B ―The tall man lettering helps me distinguish this drug with other drugs that
pc pc pc pc pc pc pc pc pc pc pc pc
have similar names.‖ pc pc
C ―The tall man lettering means that this drug must have a Boxed Warning.‖
pc pc pc pc pc pc pc pc pc pc pc pc
D ―The tall man lettering helps me quickly identify that this drug is an injectable
pc pc pc pc pc pc pc pc pc pc pc pc pc
drug.‖
ANSWER: B pc
Feedback
Tall man lettering highlights a portion of the drug name to help distinguish fro
pc pc pc pc pc pc pc pc pc pc pc pc pc
msimilar drug names. It is not used to identify high alert drugs, highlight a bo
c
p pc pc pc pc pc pc pc pc pc pc pc pc pc pc
xed
warning, or identify injectable drugs.
pc pc pc pc
5. The following medication orders are found in the patient’s MAR:
pc pc pc pc pc pc pc pc pc
Metformin HCl 500 mg PO daily at 0900. Hydrochlorothiaz
pc pc pc pc pc pc pc pc
ide 25 mg PO every 12 hr at 0900 and 2100.Digoxin .25 mg
pc pc pc pc pc pc pc pc pc pc p
c pc pc p
cPO daily at 0900.
pc pc pc
In reading the medication orders for the 0700–
pc pc pc pc pc pc pc
1500 shift, the nurse determines that which ofthe following is the priority nursing interven
pc pc pc pc pc pc pc c
p pc pc pc pc pc pc
tion?
A Clarify the metformin HCl order. pc pc pc pc
B Clarify the hydrochlorothiazide order. pc pc pc
C Clarify the digoxin order. pc pc pc
D Prepare to administer the 0900 medications. pc pc pc pc pc
2