Gray Morris- Calculate with Confidence, 7th Edition

Gray Morris- Calcula Gray Morris: Calculate with Confidence, 7th Edition Chapter 01: Roman Numerals Gray Morris: Calculate with Confidence, 7th Edition COMPLETION 1. Perform the indicated operation and record the result in lowercase Roman numerals. 7  2 = ANS: xiv PTS: 1 MSC: Practice Problems 2. Perform the indicated operation and record the result in lowercase Roman numerals. 29 – 1 = ANS: xxviii PTS: 1 MSC: Practice Problems 3. Perform the indicated operation and record the result in lowercase Roman numerals. 3  10 = ANS: xxx PTS: 1 MSC: Practice Problems 4. Perform the indicated operation and record the result in lowercase Roman numerals. 10 + 2 = ANS: xii PTS: 1 MSC: Practice Problems 5. Write the following Arabic number as a lowercase Roman numeral. 18 = ANS: xviii PTS: 1 MSC: Practice Problems 6. Write the following Arabic number as a lowercase Roman numeral. 21 = ANS: xxi PTS: 1 MSC: Practice Problems 7. Write the following Arabic number as a lowercase Roman numeral. = ANS: xiss PTS: 1 MSC: Practice Problems 8. Perform the indicated operation and record the result in lowercase Roman numerals. 6  3 = ANS: xviii PTS: 1 MSC: Practice Problems 9. Perform the indicated operation and record the result in lowercase Roman numerals. 30 – 6 = ANS: xxiv PTS: 1 MSC: Practice Problems 10. Perform the indicated operation and record the result in lowercase Roman numerals. 12 ÷ 2 = ANS: vi PTS: 1 MSC: Practice Problems 11. Perform the indicated operation and record the result in lowercase Roman numerals. 13 + 7 = ANS: xx PTS: 1 MSC: Practice Problems Chapter 02: Fractions Gray Morris: Calculate with Confidence, 7th Edition COMPLETION 1. Reduce the following fraction to lowest terms. 54/81 = ANS: 2/3 PTS: 1 MSC: Practice Problems 2. Reduce the following fraction to lowest terms. 105/135 = ANS: 7/9 PTS: 1 MSC: Practice Problems 3. Reduce the following fraction to lowest terms. 39/65 = ANS: 3/5 PTS: 1 MSC: Practice Problems 4. Change the following improper fraction to a whole or mixed number. 325/16 = ANS: 20 5/16 PTS: 1 MSC: Practice Problems 5. Change the following improper fraction to a whole or mixed number. 1,500/100 = ANS: 15 PTS: 1 MSC: Practice Problems 6. Change the following improper fraction to a whole or mixed number. 193/62 = ANS: 3 7/62 PTS: 1 MSC: Practice Problems 7. Change the following mixed number to an improper fraction. 12 1/8 = ANS: 97/8 PTS: 1 MSC: Practice Problems 8. Change the following mixed number to an improper fraction. 29 2/3 = ANS: 89/3 PTS: 1 MSC: Practice Problems 9. Perform the indicated operation and reduce to lowest terms. 1/12 + 6/12 + 5/12 = ANS: 1 PTS: 1 MSC: Practice Problems 10. Perform the indicated operation and reduce to lowest terms. 3/8 – 1/3 = ANS: 1/24 PTS: 1 MSC: Practice Problems 11. Perform the indicated operation and reduce to lowest terms. 4/5  5/16 = ANS: 1/4 PTS: 1 MSC: Practice Problems 12. Perform the indicated operation and reduce to lowest terms. 1/12  1/15 = ANS: 1/180 PTS: 1 MSC: Practice Problems 13. Perform the indicated operation and reduce to lowest terms. 3/5 ÷ 5 = ANS: 3/25 PTS: 1 MSC: Practice Problems 14. Perform the indicated operation and reduce to lowest terms. 1/100 ÷ 1/200 = ANS: 2 PTS: 1 MSC: Practice Problems 15. Indicate which fraction is the largest. 1/100, 1/150, 1/200: ANS: 1/100 PTS: 1 MSC: Practice Problems 16. Arrange the following fractions from smallest to largest. 1/6, 1/5, 1/8, 1/4, 1/3: ANS: 1/8, 1/6, 1/5, 1/4, 1/3 PTS: 1 MSC: Practice Problems 17. Perform the indicated operation with fractions. Reduce to lowest terms as indicated. 1/5 + 1/2 + 1/4 = ANS: 19/20 PTS: 1 MSC: Practice Problems 18. Perform the indicated operation with fractions. Reduce to lowest terms as indicated. 16 5/6 – 14 3/8 = ANS: 2 11/24 PTS: 1 MSC: Practice Problems 19. Perform the indicated operation with fractions. Reduce to lowest terms as indicated. 6 10/12  15/3 = ANS: 34 1/6 PTS: 1 MSC: Practice Problems 20. Perform the indicated operation with fractions. Reduce to lowest terms as indicated. 56 ÷ 9/20 = ANS: 124 4/9 PTS: 1 MSC: Practice Problems 21. Indicate the largest number in the following set. 5/6, 5/8: ANS: 5/6 PTS: 1 MSC: Practice Problems 22. Indicate the largest number in the following set. 1/30, 1/4, 1/150: ANS: 1/4 PTS: 1 MSC: Practice Problems 23. Reduce the following fraction to lowest terms. 34/102 = ANS: 1/3 PTS: 1 MSC: Practice Problem 24. Reduce the following fraction to lowest terms. 60/1200 = ANS: 1/20 PTS: 1 MSC: Practice Problems 25. Express the following improper fraction as a mixed number. Reduce to lowest terms. 24/18 = ANS: 1 1/3 PTS: 1 MSC: Practice Problems 26. Express the following improper fraction as a mixed number. Reduce to lowest terms. 15/13 = ANS: 1 2/13 PTS: 1 MSC: Practice Problems 27. Change the following mixed number to an improper fraction. 9 1/9 = ANS: 82/9 PTS: 1 MSC: Practice Problems 28. Change the following mixed number to an improper fraction. 6 7/10 = ANS: 67/10 PTS: 1 MSC: Practice Problems 29. Perform the indicated operation with fractions. Reduce to lowest terms as indicated. 6 5/16 + 5 3/16 = ANS: 11 1/2 PTS: 1 MSC: Practice Problems 30. Perform the indicated operation with fractions. Reduce to lowest terms as indicated. 4 3/10 + 2 2/10 = ANS: 6 1/2 PTS: 1 MSC: Practice Problems 31. Perform the indicated operation with fractions. Reduce to lowest terms as indicated. 3 1/5 + 3 2/3 + 2 1/2 = ANS: 12 11/30 PTS: 1 MSC: Practice Problems 32. Perform the indicated operation with fractions. Reduce to lowest terms as indicated. 1 2/4 + 3 1/3 = ANS: 4 5/6 PTS: 1 MSC: Practice Problems 33. Perform the indicated operation with fractions. Reduce to lowest terms as indicated. 15/21 – 10/21 = ANS: 5/21 PTS: 1 MSC: Practice Problems 34. Perform the indicated operation with fractions. Reduce to lowest terms as indicated. 8/16 – 1/4 = ANS: 1/4 PTS: 1 MSC: Practice Problems 35. Perform the indicated operation with fractions. Reduce to lowest terms as indicated. 14 – 5/9 = ANS: 13 4/9 PTS: 1 MSC: Practice Problems 36. Perform the indicated operation with fractions. Reduce to lowest terms as indicated. 6 1/4 – 2 5/8 = ANS: 3 5/8 PTS: 1 MSC: Practice Problems 37. Perform the indicated operation with fractions. Reduce to lowest terms as indicated. 5 1/3 – 1 7/12 = ANS: 3 3/4 PTS: 1 MSC: Practice Problems 38. A client received 2 1/2 ounces (oz) of medication at breakfast and 2 1/3 oz at lunch. How many oz of medication has the client received? ANS: 4 5/6 oz PTS: 1 MSC: Practice Problems 39. A client weighed 147 1/2 pounds (lb), lost 6 3/4 lb due to illness. How many pounds doesthe client now weigh? ANS: 140 3/4 lb PTS: 1 MSC: Practice Problems 40. A client drank 2/3 of a 12 ounce (oz) can ofseltzer water. How many ounces ofseltzer water did the client drink? ANS: 8 oz PTS: 1 MSC: Practice Problems 41. A client is supposed to drink a 10 ounce (oz) bottle of magnesium citrate before an X-ray study. The client was able to drink 4 oz. How much of the magnesium citrate remains? (Express answer as a fraction reduced to lowest terms.) ANS: 2/5 bottle PTS: 1 MSC: Practice Problems 42. The nurse is instructed to give a client 2/3 of a cup of solution. If 1 cup = 240 milliliters (mL), how many mL should the nurse administer? ANS: 160 mL PTS: 1 MSC: Practice Problems Chapter 03: Decimals Gray Morris: Calculate with Confidence, 7th Edition COMPLETION 1. Change the following to a decimal. Carry division three places asindicated. Do not round off. 1/64 = ANS: 0.015 PTS: 1 MSC: Practice Problems 2. Change the following to a decimal. Carry division three places asindicated. Do not round off. 5/18 = ANS: 0.277 PTS: 1 MSC: Practice Problems 3. Change the following decimal to a fraction. Reduce to lowest terms if indicated. 7.025 = ANS: 7 1/40 PTS: 1 MSC: Practice Problems 4. Change the following decimal to a fraction. Reduce to lowest terms if indicated. 0.0001 = ANS: 1/10,000 PTS: 1 MSC: Practice Problems 5. Identify the decimal with the largest value in the following set. 0.6, 0.128 = ANS: 0.6 PTS: 1 MSC: Practice Problems 6. Identify the decimal with the largest value in the following set. 0.7, 0.67, 0.86: ANS: 0.86 PTS: 1 MSC: Practice Problems 7. Round off the following decimal to the nearest tenth. 3.539 = ANS: 3.5 PTS: 1 MSC: Practice Problems 8. Round off the following decimal to the nearest thousandth. 0.6253 = ANS: 0.625 PTS: 1 MSC: Practice Problems 9. Perform the indicated operation with decimals. 64.1– 0.009 = ANS: 64.091 PTS: 1 MSC: Practice Problems 10. Perform the indicated operation with decimals. 0.123 + 0.4 = ANS: 0.523 PTS: 1 MSC: Practice Problems 11. Perform the indicated operation with decimals. 0.46  0.17 = ANS: 0.0782 PTS: 1 MSC: Practice Problems 12. Divide the following decimal. Express answer to nearest hundredth. 0.1 ÷ 0.375 = ANS: 0.27 PTS: 1 MSC: Practice Problems 13. Change the following to a decimal. 1.25% = ANS: 0.0125 PTS: 1 MSC: Practice Problems 14. Indicate the largest number in the following set. 0.75, 0.749: ANS: 0.75 PTS: 1 MSC: Practice Problems 15. Indicate the largest number in the following set. 0.001, 1.25, 1.09: ANS: 1.25 PTS: 1 MSC: Practice Problems 16. Perform the indicated operation with decimals. 0.98 + 0.76 = ANS: 1.74 PTS: 1 MSC: Practice Problems 17. Perform the indicated operation with decimals. 9.123 – 6.055 = ANS: 3.068 PTS: 1 MSC: Practice Problems 18. Perform the indicated operation with decimals. 60 ÷ 0.012 = ANS: 5,000 PTS: 1 MSC: Practice Problems 19. Perform the indicated operation with decimals. 66.66  3.33 = ANS: 221.9778 PTS: 1 MSC: Practice Problems 20. Change the following decimal to a fraction. Reduce to lowest terms if indicated. 0.010 = ANS: 1/100 PTS: 1 MSC: Practice Problems 21. Change the following decimal to a fraction. Reduce to lowest terms if indicated. 0.006 = ANS: 3/500 PTS: 1 MSC: Practice Problems 22. Round off the following decimal to the nearest tenth. 0.52 = ANS: 0.5 PTS: 1 MSC: Practice Problems 23. Round off the following decimal to the nearest hundredth. 2.457 = ANS: 2.46 PTS: 1 MSC: Practice Problems 24. Round off the following decimal to the nearest tenth. 28.66 = ANS: 28.7 PTS: 1 MSC: Practice Problems 25. Round off the following decimal to the nearest tenth. 1.45 = ANS: 1.5 PTS: 1 MSC: Practice Problems 26. Round off the following decimal to the nearest thousandth. 0.3333 = ANS: 0.333 PTS: 1 MSC: Practice Problems 27. A client weighed 75.4 kilograms (kg) in February. In March the client gained 1.6 kg. In April the client gained 2.2 kg. How much did the client weigh in April? ANS: 79.2 kg PTS: 1 MSC: Practice Problems 28. A client weighed 165.4 pounds (lb) before getting ill. After a lengthy recovery the client weighed 148.6 lb. How much weight did the client lose? ANS: 16.8 lb PTS: 1 MSC: Practice Problems 29. A medication vial holds 7 milliliters (mL) of medication. If 1.4 mL are withdrawn from the vial, how much medication is left in the vial? ANS: 5.6 mL PTS: 1 MSC: Practice Problems 30. A client is brought into the emergency department with a body temperature of 95.2 F. If the normal body temperature is 98.6 F, how far below normal was the client’s temperature? ANS: 3.4 F PTS: 1 MSC: Practice Problems 31. A client received 25.2 milligrams (mg) of medication in tablet form. Each tablet contained 4.2 mg of medication. How many tablets (tabs) were given to the client? ANS: 6 tabs PTS: 1 MSC: Practice Problems 32. A client received 0.375 mg of a medication for two days, 0.125 mg for three days, and 0.0625 mg for four days. What is the total amount of medication taken? ANS: 1.375 mg PTS: 1 MSC: Practice Problems 33. The health care provider ordered 1.5 tablets of a medication to be given to a client four times a day for 21 days. How many tablets were prescribed? ANS: 126 tablets PTS: 1 MSC: Practice Problems 34. One dose of vaccine is 1.25 mL. How much vaccine is needed to vaccinate 55 clients in a clinic? (Round answer to the nearest tenth.) ANS: 68.8 mL PTS: 1 MSC: Practice Problems 35. The health care provider has ordered a 2,200 calorie (cal) diet for a client. If the calories are spread evenly among three meals, how many calories will the client be allowed to have at each meal? (Round answer to the nearest whole calorie.) ANS: 733 cal PTS: 1 MSC: Practice Problems Chapter 04: Ratio and Proportion Gray Morris: Calculate with Confidence, 7th Edition COMPLETION 1. Solve for x in the following. 11:121 = 3:x x = ANS: 33 PTS: 1 MSC: Practice Problems 2. Solve for x in the following. 4/2.6 = 5/x x = ANS: 3.25 PTS: 1 MSC: Practice Problems 3. Solve for x in the following. 0.5/0.125 = x/4 x = ANS: 16 PTS: 1 MSC: Practice Problems 4. Solve for x in the following. 500:3 = 350:x x = ANS: 2.1 PTS: 1 MSC: Practice Problems 5. Express the following dosage as a ratio. A capsule contains 450 mg of medication; ANS: 1 cap/450 mg OR 450 mg/1 cap; 1 cap:450 mg PTS: 1 MSC: Practice Problems 6. Express the following dosage as a ratio. An injectable solution contains 500 mg in each 0.7 mL; ANS: 500 mg/0.7 mL OR 0.7 mL/500 mg; 500 mg:0.7 mL PTS: 1 MSC: Practice Problems 7. Solve for x. 2.2:1 = x:145 x = ANS: 319 PTS: 1 MSC: Practice Problems 8. Solve for x. x = ANS: 0.0625 PTS: 1 MSC: Practice Problems 9. Solve for x.Round to the nearest tenth. 1:3.6 = x:170 x = ANS: 47.2 PTS: 1 MSC: Practice Problems 10. Solve for x. :2 = x:3 x = ANS: 2 1/4 PTS: 1 MSC: Practice Problems 11. Solve for x. 1/0.05 = x/0.1 x = ANS: 2 PTS: 1 MSC: Practice Problems 12. Solve for x. 42:7 = 48:x x = ANS: 8 PTS: 1 MSC: Practice Problems 13. Solve for x. 16/40 = x/55 x = ANS: 22 PTS: 1 MSC: Practice Problems 14. Solve for x. 2:9 = x:27 x = ANS: 6 PTS: 1 MSC: Practice Problems 15. If one glass of milk contains 300 milligrams (mg) of calcium, how many mg of calcium are in glasses of milk? ANS: 1,050 mg PTS: 1 MSC: Practice Problems 16. A nurse counts a client’s pulse, which is regular for 15 seconds (sec) and gets 19 beats. If the nurse counts the pulse for 60 sec, how many beats should there be? ANS: 76 beats PTS: 1 MSC: Practice Problems 17. If three tablets (tabs) contain 60 mg, how many tabs would need to be given for 80 mg? ANS: 4 tabs PTS: 1 MSC: Practice Problems 18. If there are 2.5 centimeters (cm) to an inch, if a client is 70 inches (in.) tall, how tall is the client in cm? ANS: 175 cm PTS: 1 MSC: Practice Problems 19. If 1 ounce (oz) is equal to 30 mL, how many mL are there in oz? (State answer as a decimal number.) ANS: 142.5 mL PTS: 1 MSC: Practice Problems 20. If 5oz of a solution contains 4 1/2 oz of water, how many oz of water are in 20 oz of solution? ANS: 18 oz water PTS: 1 MSC: Practice Problems 21. If 100 grams (g) of ice cream contains 20 g of fat, how many g of fat are there in 300 g of ice cream? ANS: 60 g fat PTS: 1 MSC: Practice Problems 22. A low-fat cheese has 40 calories (cal) per oz. A client eats 2 1/2 oz of the low-fat cheese. How many cal has the client eaten? ANS: 100 cal PTS: 1 MSC: Practice Problems 23. Two tabs contain a total of 50 mg of a medication. How many mg of medication are present in 15 tabs? ANS: 375 mg PTS: 1 MSC: Practice Problems 24. A client must take four tabs per day for 14 days. How many tablets should the pharmacy supply to fill this order? ANS: 56 tabs PTS: 1 MSC: Practice Problems 25. The nurse is instructed to administer 500 mL of a solution every 8 hours (hrs). How many hrs will be needed to administer 1,500 mL ofsolution? ANS: 24 hrs PTS: 1 MSC: Practice Problems Chapter 05: Percentages Gray Morris: Calculate with Confidence, 7th Edition COMPLETION 1. Change the following percentage to a fraction. Reduce to lowest terms. 37.5% = ANS: 3/8 PTS: 1 MSC: Practice Problems 2. Find the following percentage. of 2,000 = ANS: 18 PTS: 1 MSC: Practice Problems 3. Find the following percentage. 16% of 79 = ANS: 12.64 PTS: 1 MSC: Practice Problems 4. Find the following percentage. 8% of 32 = ANS: 2.56 PTS: 1 MSC: Practice Problems 5. Change the following percentage to a ratio and its decimal equivalent. 8% = ; ANS: 2:25; 0.08 PTS: 1 MSC: Practice Problems 6. Change the following percentage to a ratio and its decimal equivalent. 45% = ; ANS: 45:100, 0.45 PTS: 1 MSC: Practice Problems 7. Change the following percentage to a ratio. = ANS: 1:6 PTS: 1 MSC: Practice Problems 8. Change the following percentage to a ratio. 0.4% = ANS: 1:250 PTS: 1 MSC: Practice Problems 9. Convert 84.75% to decimal form. ANS: 0.8475 PTS: 1 MSC: Practice Problems 10. Convert 42.5% to decimal form. ANS: 0.425 PTS: 1 MSC: Practice Problems 11. Convert 2.96 to a percent. ANS: 296% PTS: 1 MSC: Practice Problems 12. Convert 0.925 to a percent. ANS: 92.5% PTS: 1 MSC: Practice Problems 13. A client drank 3 ounces (oz) of a glass of apple juice. This was 75% of the full amount. What was the full amount of apple juice? ANS: 4 oz PTS: 1 MSC: Practice Problems 14. A client is responsible for 30% of his doctor bills due to insurance. The client sees a specialist and the bill is $240.00. How much will the client be responsible for? ANS: $72.00 PTS: 1 MSC: Practice Problems 15. A client was able to drink 85% of a 1,000 milliliter (mL) bottle of an x-ray prep. How many mL did the client drink? ANS: 850 mL PTS: 1 MSC: Practice Problems 16. A client has a 2,500 mL bag of irrigation solution hanging. 750 mL of the solution have infused. What percent of the irrigation solution has infused? ANS: 30% PTS: 1 MSC: Practice Problems 17. A client consumed 30% of a bowl of broth. The bowl held 360 mL. How many mL of the broth did the client consume? ANS: 108 mL PTS: 1 MSC: Practice Problems 18. A client who weighed 210 pounds (lb) lost 30 lb. What was the percent of decrease in the client’s weight? (State answer to the nearest whole percent.) ANS: 14% PTS: 1 MSC: Practice Problems 19. Following exercise, a client’s pulse rate increased from 80 to 95. What is the percent of increase in the client’s pulse rate? (State answer to the nearest tenth.) ANS: 18.8% PTS: 1 MSC: Practice Problems 20. A client has received 45% of a 500 mL bag of intravenous (IV) solution. How many mL of IV solution has the client received? ANS: 225 mL PTS: 1 MSC: Practice Problems Chapter 06: Metric System Gray Morris: Calculate with Confidence, 7th Edition MULTIPLE CHOICE 1. 0.6 mg is equivalent to a. 600 mcg. b. 6 mcg. c. 60 mcg. d. 0.0006 mcg. ANS: A PTS: 1 MSC: General 2. The metric prefix for 0.001 is a. micro. b. centi. c. kilo. d. milli. ANS: D PTS: 1 MSC: General 3. 60 mg is equivalent to a. 6 g. b. 0.6 g. c. 0.06 g. d. 0.0006 g. ANS: C PTS: 1 MSC: General 4. Three and one half kilograms: a. 3.5 kg b. 3.05 kg c. kg d. 3.5 kg ANS: D PTS: 1 MSC: General 5. Eight-tenths of a milliliter: a. 8/10 ml b. .8 mL c. 0.8 mL d. ml 0.8 ANS: C PTS: 1 MSC: General 6. Six-tenths of a liter: a. 0.6 L b. 6/10 L c. 0.60 L d. 0.60 l ANS: A PTS: 1 MSC: General 7. One hundred forty-five micrograms: a. 145 mg b. 0.145 mcg c. 145.0 mg d. 145 mcg ANS: D PTS: 1 MSC: General MULTIPLE RESPONSE 1. The metric system (Select all that apply.) a. is also called the fractional system. b. is used most often in medication administration. c. has units of measure such as grain and drop. d. is based on the decimal system. e. is gradually replacing the apothecary and household systems. f. expresses quantities using Arabic numbers and decimals. ANS: B, D, E PTS: 1 MSC: General 2. The liter is (Select all that apply.) a. a unit of volume in the metric system. b. smaller than a milliliter. c. equivalent to 1,000 milliliters. d. abbreviated using a small case l. e. abbreviated with a capital L. f. the basic unit for weight. ANS: A, C, E PTS: 1 MSC: General COMPLETION 1. Directions: Write the equivalent indicated. 1 L = mL ANS: 1,000 PTS: 1 MSC: General 2. Directions: Write the equivalent indicated. 1 kg = g ANS: 1,000 PTS: 1 MSC: General 3. Directions: Write the equivalent indicated. 3,120 mcg = mg ANS: 3.12 PTS: 1 MSC: General 4. Directions: Write the equivalent indicated. 1 mg = g ANS: 0.001 PTS: 1 MSC: General 5. Directions: Write the equivalent indicated. 5.2 kg = g ANS: 5,200 PTS: 1 MSC: General 6. Directions: Write the equivalent indicated. 3,550 mL = L ANS: 3.55 PTS: 1 MSC: General 7. Directions: Write the equivalent indicated. 15 mg = mcg ANS: 15,000 PTS: 1 MSC: General 8. Directions: Write the equivalent indicated. 25.6 mg = g ANS: 0.0256 PTS: 1 MSC: General 9. Directions: Write the equivalent indicated. 0.075 mg = mcg ANS: 75 PTS: 1 MSC: General 10. Directions: Write the equivalent indicated. 7.45 mL = L ANS: 0.00745 PTS: 1 MSC: General 11. Directions: Write the equivalent indicated. 1.57 kg = g ANS: 1,570 PTS: 1 MSC: General 12. Directions: Write the equivalent indicated. 26 mcg = mg ANS: 0.026 PTS: 1 MSC: General 13. Directions: Write the equivalent indicated. 8.3 L = mL ANS: 8,300 PTS: 1 MSC: General 14. Directions: Write the equivalent indicated. 54.6 g = kg ANS: 0.0546 PTS: 1 MSC: General 15. Directions: Write the equivalent indicated. 450 mL = L ANS: 0.45 PTS: 1 MSC: General 16. Directions: Write the equivalent indicated. 0.081 g = mg ANS: 81 PTS: 1 MSC: General 17. Directions: Write the equivalent indicated. 44 mL = L ANS: 0.044 PTS: 1 MSC: General 18. Directions: Write the equivalent indicated. 0.008 L = mL ANS: 8 PTS: 1 MSC: General 19. Directions: Write the equivalent indicated. 25.5 mcg = mg ANS: 0.0255 PTS: 1 MSC: General 20. Directions: Write the equivalent indicated. 3.5 g = mg ANS: 3,500 PTS: 1 MSC: General 21. Directions: Write the equivalent indicated. 9.5 mg = mcg ANS: 9,500 PTS: 1 MSC: General 22. Directions: Write the equivalent indicated. 20 mg = g ANS: 0.02 PTS: 1 MSC: General 23. Directions: Write the equivalent indicated. 6,724 g = kg ANS: 6.724 PTS: 1 MSC: General 24. Directions: Write the equivalent indicated. 0.007 kg = g ANS: 7 PTS: 1 MSC: General 25. Directions: Write the equivalent indicated. 21 L = mL ANS: 21,000 PTS: 1 MSC: General 26. Directions: Write the equivalent indicated. 350,000 mcg = mg ANS: 350 PTS: 1 MSC: General 27. Directions: Write the equivalent indicated. 48.5 mcg = mg ANS: 0.0485 PTS: 1 MSC: General 28. Directions: Write the equivalent indicated. 873 mL = L ANS: 0.873 PTS: 1 MSC: General SHORT ANSWER 1. Directions: Apply the guidelines relating to the use of leading and trailing zeros and express the following metric notations correctly. 02.05 kg ANS: 2.05 kg PTS: 1 MSC: General 2. Directions: Apply the guidelines relating to the use of leading and trailing zeros and express the following metric notations correctly. .65 mL ANS: 0.65 mL PTS: 1 MSC: General 3. Directions: Apply the guidelines relating to the use of leading and trailing zeros and express the following metric notations correctly. 8.0 L ANS: 8 L PTS: 1 MSC: General 4. Complete the following sentence with the correct word(s). The units of the metric system are as follows: (length), (volume), and (weight). ANS: meter; liter; gram PTS: 1 MSC: General 5. Name the metric units commonly used in medication administration, from smallest to largest. (Use correct abbreviations.) Volume: a. ; b. Weight: a. ; b. ; c. ; d. ANS: Volume: a. mL; b. L Weight: a. mcg; b. mg; c. g; d. kg PTS: 1 MSC: General TRUE/FALSE 1. Trailing zeros should be placed on quantities to avoid misinterpretation of a value. ANS: F PTS: 1 MSC: General 2. Gram is the basic unit of weight in the metric system. ANS: T PTS: 1 MSC: General Chapter 07: Apothecary and Household Systems Gray Morris: Calculate with Confidence, 7th Edition MULTIPLE CHOICE 1. 1 oz is equivalent to a. 4 mL. b. 5 mL. c. 15 mL. d. 30 mL. ANS: D PTS: 1 MSC: General 2. The correct abbreviation for teaspoon is a. Tsp. b. tsp. c. tbs. d. Tbs. ANS: B PTS: 1 MSC: General MULTIPLE RESPONSE 1. The household system (Select all that apply.) a. is more accurate than the metric system. b. expresses quantities using Arabic numbers and decimals. c. is primarily used for dosages at home. d. expresses quantities in fractions and Arabic numbers. e. is preferred for medication administration. f. has measures such as tbs and tsp. ANS: C, D, F PTS: 1 MSC: General COMPLETION 1. Directions: Write the abbreviation for the term. drop: ANS: gtt PTS: 1 MSC: General 2. Directions: Write the abbreviation for the term. teaspoon: ANS: tsp PTS: 1 MSC: General 3. Directions: Write the abbreviation for the term. ounce: ANS: oz PTS: 1 MSC: General 4. Directions: Write the equivalent indicated. 30 mL = oz ANS: 1 PTS: 1 MSC: General 5. Directions: Write the equivalent indicated. 13 t = mL ANS: 65 PTS: 1 MSC: General 6. Directions: Write the equivalent indicated. 15 mL = oz ANS: 1/2 PTS: 1 MSC: General 7. Directions: Write the equivalent indicated. C = mL ANS: 660 PTS: 1 MSC: General 8. Directions: Write the equivalent indicated. 10 tbs = mL ANS: 150 PTS: 1 MSC: General 9. Directions: Write the equivalent indicated. 50 mL = qt ANS: 1/20 PTS: 1 MSC: General 10. Directions: Write the equivalent indicated. 5 t = mL ANS: 25 PTS: 1 MSC: General 11. Directions: Write the equivalent indicated. 255 mL = oz ANS: 8 1/2 PTS: 1 MSC: General 12. Directions: Write the equivalent indicated. qt = mL ANS: 6,250 PTS: 1 MSC: General 13. Directions: Write the equivalent indicated. pt = mL ANS: 2,625 PTS: 1 MSC: General 14. Directions: Write the equivalent indicated. 16 T = mL ANS: 240 PTS: 1 MSC: General 15. Directions: Write the equivalent indicated. 750 mL = pt ANS: 1 1/2 pt PTS: 1 MSC: General 16. Directions: Write the equivalent indicated. cup = mL ANS: 540 PTS: 1 MSC: General 17. Directions: Write the equivalent indicated. 195 mL = oz ANS: 6 1/2 PTS: 1 MSC: General 18. Directions: Write the equivalent indicated. 10 1/3 tbs = mL ANS: 155 PTS: 1 MSC: General 19. Directions: Write the equivalent indicated. 277.5 mL = oz ANS: 9 1/4 PTS: 1 MSC: General 20. Directions: Write the equivalent indicated. 43.75 mL = tsp ANS: 8 3/4 PTS: 1 MSC: General SHORT ANSWER 1. Directions: Express the following value correctly. 5.5 Tsp ANS: tsp or tsp PTS: 1 MSC: General 2. Directions: Express the following value correctly. 20 MEQ ANS: 20 mEq PTS: 1 MSC: General 3. Directions: Express the following value correctly. 2.75 OZ ANS: oz or oz PTS: 1 MSC: General 4. Directions: Express the following value correctly. 17 U ANS: 17 units PTS: 1 MSC: General 5. Directions: Express the following value correctly. 18.0 Tbs ANS: 18 tbs or tbs 18 PTS: 1 MSC: General TRUE/FALSE 1. The drop is a standardized unit of measure. ANS: F PTS: 1 MSC: General 2. Use of the apothecary system has been identified as a source of error in medication administration. ANS: T PTS: 1 MSC: General 3. A capital “U” is an acceptable abbreviation for units. ANS: F PTS: 1 MSC: General 4. Milliequivalent is a unit used to measure the ionic activity of a medication. ANS: T PTS: 1 MSC: General 5. The household system expresses values using roman numerals and Arabic numbers. ANS: F PTS: 1 MSC: General Chapter 08: Converting Within and Between Systems Gray Morris: Calculate with Confidence, 7th Edition COMPLETION 1. A client’s intake was the following: cup of coffee (1 cup = 8 oz) 1 can of ginger ale (1 can = 12 oz) glass of cranberry juice (1 glass = 6 oz) How many mL will you record on the intake and output (I&O) sheet? mL ANS: 630 PTS: 1 MSC: General 2. Directions: Write the equivalent indicated. 1 mg = g ANS: 0.001 PTS: 1 MSC: General 3. Directions: Write the equivalent indicated. 1,200 mL = oz ANS: 40 PTS: 1 MSC: General 4. Directions: Write the equivalent indicated. qt = mL ANS: 4,250 PTS: 1 MSC: General 5. Directions: Write the equivalent indicated. oz = mL ANS: 345 PTS: 1 MSC: General 6. Directions: Write the equivalent indicated. 28.3 kg = lb ANS: 62.04 lb PTS: 1 MSC: General 7. Directions: Write the equivalent indicated. 4,176 g = kg ANS: 4.176 kg PTS: 1 MSC: General 8. Directions: Write the equivalent indicated. 59 lb = kg (Round answer to the nearest tenth.) ANS: 26.8 kg PTS: 1 MSC: General 9. Directions: Write the equivalent indicated. 0.005 g = mg ANS: 5 PTS: 1 MSC: General 10. Directions: Write the equivalent indicated. 0.3 mg = g ANS: 0.0003 g PTS: 1 MSC: General 11. Directions: Write the equivalent indicated. 2 oz = tbs ANS: 4 PTS: 1 MSC: General 12. Directions: Write the equivalent indicated. 45 kg = lb ANS: 99 PTS: 1 MSC: General 13. Directions: Write the equivalent indicated. 56 in. = cm ANS: 140 PTS: 1 MSC: General 14. Directions: Write the equivalent indicated. 2,575 mL = L ANS: 2.575 PTS: 1 MSC: General 15. Directions: Write the equivalent indicated. 125 mL = tsp ANS: 25 PTS: 1 MSC: General 16. Calculate the client’s intake in mL. Apple juice 2 oz Chicken broth 4 oz Gelatin dessert 3 oz Hot tea 5 oz Total mL = ANS: 420 PTS: 1 MSC: General 17. A client drinks 300 mL of magnesium citrate. How many ounces did the client consume? oz ANS: 10 PTS: 1 MSC: General 18. A client has an order for Maalox 30 mL p.o. at bedtime. How many tsb will the nurse instruct the client to take? tsb ANS: 2 PTS: 1 MSC: General 19. A client received 5.4 liters of IV fluid during a surgical procedure. How many mL of IV fluid did the client receive? mL ANS: 5,400 PTS: 1 MSC: General 20. A client drinks cups (cup = 8 oz) of a liquid. How many mL did the client drink? mL ANS: 1,140 PTS: 1 MSC: General 21. A client had a physical a year ago and weighed 85 kg. The client tells you he lost 11 lb. What is the client’s current weight in kg? kg ANS: 80 PTS: 1 MSC: General 22. A client reports drinking 48 oz of water on a visit to the clinic. How many mL did the client drink? mL ANS: 1,440 PTS: 1 MSC: General 23. A client needs to drink oz of an elixir per day. How many tsp would this be equivalent to? tsp ANS: 9 PTS: 1 MSC: General Directions for the following questions: Convert the following to the equivalent measures indicated. 24. 10 mL = oz ANS: oz oz PTS: 1 MSC: General 25. oz = T ANS: 19 T T 19 PTS: 1 MSC: General 26. 6.653 g = mg ANS: 6,653 PTS: 1 MSC: General 27. 4 g = mg ANS: 4,000 PTS: 1 MSC: General 28. 36 mg = g ANS: 0.036 PTS: 1 MSC: General SHORT ANSWER 1. A client’s intake was the following: cup of coffee (1 cup = 8 oz) 4 oz cranberry juice bowls of chicken broth (1 bowl = 6 oz) glasses of water (1 glass = 6 oz) The client voided urine asfollows: 260 mL, 180 mL, 500 mL, and 425 mL. Calculate the client’s I&O in mL. a. Intake: mL; b. Output: mL ANS: a. 1,320; b. 1,365 PTS: 1 MSC: General 2. A client’s intake was the following: 1/8 qt of milk cup of coffee (1 cup = 6 oz) 3 oz water 2 oz of chicken broth a. Intake: mL; b. Intake: L ANS: a. 500; b. 0.5 PTS: 1 MSC: General 3. A client had the following during a 12-hour shift: • 1.5L of IV fluid • Breakfast cup of coffee (cup = 8 oz)2 oz apple juice • Lunch can ginger ale (1 can = 12 oz)3 oz jello • Dinner 2 cups of tea (1 cup = 8 oz) 4 oz gelatin dessert At the end of the shift, the Foley catheter is emptied of 1,650 mL of urine, and a surgical drain is emptied of 200 mL. Calculate the I&O for the 12-hour shift in milliliters. a. Intake mL; b. Output mL ANS: a. 2,850; b. 1,850 PTS: 1 MSC: General 4. A client’s intake and output was the following for 8 hours (8 AM to 4 PM): The client has intravenous fluid infusing at 125 mL/hr at 8 AM. The IV fluids are held for 1 hr from 2 PM to 3 PM while 100 mL of IV fluids infuse with an antibiotic. The client consumed the following: (Use the following equivalents: 1 cup = 8 oz, 1 glass = 6 oz) • cups coffee • glasses juice • glasses water • 3 oz juice The client voided five times: 325 mL, 450 mL, 500 mL, 300 mL, and 600 mL of urine. Calculate the I&O in milliliters. a. Total intake mL; b. Total output mL ANS: a. 3,090; b. 2,175 PTS: 1 MSC: General Chapter 09: Additional Conversions Useful in the Health Care Setting Gray Morris: Calculate with Confidence, 7th Edition MULTIPLE CHOICE 1. In international time, 4:08 PM is a. 0408 hr. b. 1508 hr. c. 1608 hr. d. 1708 hr. ANS: C PTS: 1 MSC: General 2. In traditional time, 0518 is a. 5:18 AM. b. 5:18 PM. ANS: A PTS: 1 MSC: General COMPLETION 1. Directions: Write the equivalent indicated. 1 kg = lb ANS: 2.2 PTS: 1 MSC: General 2. Directions: Write the equivalent indicated. 1 cm = mm ANS: 10 PTS: 1 MSC: General 3. Directions: Write the equivalent indicated. 1 in. = cm ANS: 2.5 PTS: 1 MSC: General 4. Directions: Write the equivalent indicated. 16 oz = lb ANS: 1 PTS: 1 MSC: General 5. Directions: Write the equivalent indicated. 40.5 cm mm ANS: 405 mm PTS: 1 MSC: General 6. Directions: Convert the following temperature as indicated. 18° C = ° F ANS: 64.4 PTS: 1 MSC: General 7. Directions: Convert the following temperature as indicated. 39° C = ° F ANS: 102.2 PTS: 1 MSC: General 8. Directions: Convert the following temperature as indicated. 102° F = ° C ANS: 38.9 PTS: 1 MSC: General 9. Directions: Convert the following temperature as indicated. 212° F = ° C ANS: 100 PTS: 1 MSC: General 10. Directions: Convert the following temperature asindicated. Store medication within a temperature range of 36° F and 41° F. ° C ANS: 2.2° C and 5° C PTS: 1 MSC: General 11. Directions: Convert the following temperature as indicated. 12.8° C = ° F ANS: 55 PTS: 1 MSC: General 12. Directions: Convert the following temperature as indicated. 82.8° F = ° C ANS: 28.2 PTS: 1 MSC: General 13. Directions: Convert the following weight as indicated. Round weight to the nearest tenth. 8 lb, 12.2 oz = kg ANS: 4 PTS: 1 MSC: General 14. Directions: Convert the following weight as indicated. Round weight to the nearest tenth. 9 lb, 9 oz = kg ANS: 4.4 PTS: 1 MSC: General 15. Directions: Convert the following weight as indicated. Round weight to the nearest tenth. 134 lb = kg ANS: 60.9 PTS: 1 MSC: General 16. Directions: Convert the following weight asindicated. Round weight to the nearest tenth. 6.4 lb = kg ANS: 2.9 PTS: 1 MSC: General 17. Directions: Convert the following weight asindicated. Round weight to the nearest tenth. 7.6 kg = lb ANS: 16.7 PTS: 1 MSC: General 18. Directions: Convert the following weight asindicated. Round weight to the nearest tenth. 63 kg = lb ANS: 138.6 PTS: 1 MSC: General 19. Directions: Convert the following weight asindicated. Round weight to the nearest tenth. 18 lb, 12 oz = kg ANS: 8.5 PTS: 1 MSC: General 20. Directions: Convert the following weight as indicated. Round weight to the nearest tenth. 41 lb, 2 oz = kg ANS: 18.7 PTS: 1 MSC: General 21. Directions: Convert the following weight as indicated. Round weight to the nearest tenth. 14 lb, 4 oz = kg ANS: 6.5 PTS: 1 MSC: General 22. Directions: Convert the following weight asindicated. Round weight to the nearest tenth. lb = kg ANS: 18.1 PTS: 1 MSC: General 23. Directions: Convert the following weight asindicated. Round weight to the nearest tenth. lb = kg ANS: 37.5 PTS: 1 MSC: General 24. Directions: Convert the following weight asindicated. Round weight to the nearest tenth. 20.8 kg = lb ANS: 45.8 PTS: 1 MSC: General 25. Directions: Convert the following weight asindicated. Round weight to the nearest tenth. 43.5 kg = lb ANS: 95.7 PTS: 1 MSC: General 26. Directions: Convert asindicated. 34 mm = cm ANS: 3.4 PTS: 1 MSC: General 27. Directions: Convert as indicated. 16.2 in. = cm ANS: 40.5 PTS: 1 MSC: General 28. Directions: Convert asindicated. 27 cm = in. ANS: 10.8 PTS: 1 MSC: General 29. A client’s rash measures 5 cm  4 cm. How much doesthis measure in inches? in. ANS: 2  1.6 PTS: 1 MSC: General 30. A wound measures 4.2 cm in length. How many mm is this? mm ANS: 42 PTS: 1 MSC: General 31. An IV started at 3:10 AM is to be completed in 12 hr 30 min. Determine the completion time (traditional time). ANS: 3:40 PM PTS: 1 MSC: General 32. An IV started at 0550 is to be completed in 5 hr 10 min. Determine the completion time (international time). ANS: 1100 PTS: 1 MSC: General 33. Directions: Convert the following time to international time. 2:35 AM ANS: 0235 PTS: 1 MSC: General 34. Directions: Convert the following time to international time. 10:19 PM ANS: 2219 PTS: 1 MSC: General 35. Directions: Convert the following time to international time. 12:19 AM ANS: 0019 PTS: 1 MSC: General 36. Directions: Convert the following time to traditional time. 2146 ANS: 9:46 PM PTS: 1 MSC: General 37. Directions: Convert the following time to traditional time. 2359 ANS: 11:59 PM PTS: 1 MSC: General SHORT ANSWER 1. A client is to take a medication every 6 hr. The first dose is 6:30 AM. What time will the client take the next two doses? a. Traditional time ; b. International time ANS: a. 12:30 PM, 6:30 PM; b. 1230, 1830 PTS: 1 MSC: General Chapter 10: Medication Administration Gray Morris: Calculate with Confidence, 7th Edition MULTIPLE CHOICE 1. The “six rights” of medication administration are a. medication, dosage, route, time, client, documentation. b. medication, solution, doctor,shift, time, documentation. c. medication, order,signature, time, route, documentation. d. medication, client, signature, time, hospital, documentation ANS: A PTS: 1 MSC: General 2. After administering a medication, the nurse should a. pour the medications for the next administration time. b. document medication given prior to administering. c. order the next dosage needed from the pharmacy. d. document the time of administration. ANS: D PTS: 1 MSC: General 3. A nurse is administering a medication at the bedside. Which of the following actions should be the first priority? a. Document the administration of the medication. b. Establish the identity of the client. c. Recheck the medication label. d. Obtain orange juice for the client to take with the medication. ANS: B PTS: 1 MSC: General MULTIPLE RESPONSE 1. Medication errors (Select all that apply.) a. are preventable. b. are less prevalent in children and elderly. c. cause an increase in health care cost. d. can occur when the six rights of medication administration are not adhered to. e. can result in tragic outcomes including death. f. occur in the hospital setting only. ANS: A, C, D, E PTS: 1 MSC: General 2. Which of the following are considered unique identifiers in addition to the full name of a client when establishing the identification of a client? (Select all that apply.) a. Room number of the client. b. Client’s medical record number. c. Initials of the client’s name. d. Client’s date of birth. e. Name of the client’s medication. ANS: B, D PTS: 1 MSC: General COMPLETION 1. Directions: For the following scenario, identify which of the "six rights" of medication administration has been violated. A nurse charts medications that she administered at 10 AM on October 1st for 10 AM on October 2nd: . ANS: documentation PTS: 1 MSC: General 2. Directions: For the following scenario, identify which of the “six rights” of medication administration has been violated. A nurse has an order for heparin 5,000 units subcut for a client in room 407 whose name is Henry Jones (initials HJ). The nurse enters room 408 and administers the medication to Horace Jackson (initials HJ): . ANS: client PTS: 1 MSC: General 3. Directions: For the following scenario, identify which of the “six rights” of medication administration has been violated. Medication avoids errors and assists in obtaining accurate medication histories of a client at transition points (admission, transfer, discharge). ANS: reconciliation PTS: 1 MSC: General 4. Directions: Complete the following sentence with the correct word or number. The use of mixed case or enlarged, bolded lettering to differentiate medications with look-alike names is called lettering. ANS: Tall Man PTS: 1 MSC: General 5. Directions: Complete the following sentence with the correct word or number. The use of posters and brochures to encourage clients to use strategies to avoid medication errors is called the . ANS: Speak Up Campaign PTS: 1 MSC: General 6. Directions: Complete the following sentence with the correct word or number. Administration of medications within 30 minutes of the scheduled time is referred to as the . ANS: 30-min rule PTS: 1 MSC: General SHORT ANSWER 1. Directions: For the following scenario, identify which of the "six rights" of medication administration has been violated. A nurse enters a room to administer medications to a client. The order is for Prednisolone 2.5 mg p.o. b.i.d. The nurse administers prednisone 25 mg p.o.: , . ANS: medication, dosage PTS: 1 MSC: General 2. Directions: Complete the following sentence with the correct word or number. When a verbal order is received by an authorized individual, the individual must do the following: (Write in the correct sequence.) , , . ANS: write it down, read it back, get confirmation PTS: 1 MSC: General TRUE/FALSE 1. Medication errors can result in prolonged hospitalization for a client. ANS: T PTS: 1 MSC: General 2. Technological advances have eliminated the occurrence of medication errors. ANS: F PTS: 1 MSC: General 3. A nurse who administers a medication that is unsafe is liable for the error. ANS: T PTS: 1 MSC: General 4. The nurse can safely administer medications that are prepared by another nurse. ANS: F PTS: 1 MSC: General 5. A dropper is safe to use when administering medications when it is used for the specific medication it is calibrated to. ANS: T PTS: 1 MSC: General Chapter 11: Understanding and Interpreting Medication Orders Gray Morris: Calculate with Confidence, 7th Edition MULTIPLE CHOICE 1. The use of a computer to order medications a. increases client confidentiality. b. lessens the work of checking orders. c. helps to identify errors in writing orders. d. decreasesthe problems associated with illegible handwriting. ANS: D PTS: 1 MSC: General 2. “Administer Colace 100 mg by mouth three times a day.” Which of the following correctly indicates the order? a. Colace 100 mg p.o. t.i.d. b. Colace 100 mg p.o. b.i.d. c. Colace mg 100.0 p.o. q.i.d. d. Colace MG 100 p.o. t.i.d. ANS: A PTS: 1 MSC: General COMPLETION 1. Directions: Give the abbreviation for the following. Twice a day: ANS: b.i.d. PTS: 1 MSC: General 2. Directions: Give the abbreviation for the following. Every hour: ANS: qh PTS: 1 MSC: General 3. Directions: Give the abbreviation for the following. Every four hours: ANS: q4h PTS: 1 MSC: General 4. Directions: Give the abbreviation for the following. Immediately: ANS: stat PTS: 1 MSC: General 5. Complete the following sentence with the correct word or number. To ensure accuracy and prevent misinterpretation, place a before the decimal point. ANS: leading zero PTS: 1 MSC: General 6. Directions: For the following medication order indicate what component of the order is missing. Demerol 75 mg IM prn. ANS: Frequency PTS: 1 MSC: General 7. Directions: For the following medication order indicate what component of the order is missing. Solu-Medrol 50 mg. ANS: Route, frequency frequency, route Route frequency frequency route PTS: 1 MSC: General 8. Directions: For the following medication order indicate what component of the order is missing. Trental 400 mg po. ANS: Frequency PTS: 1 MSC: General 9. Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations, Symbols, and Dose Designations. Robitussin 15 cc po q6h prn ANS: Robitussin 15 mL po q6h prn. PTS: 1 MSC: General 10. Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations, Symbols, and Dose Designations. Lasix 40.0 mg po qd ANS: Lasix 40 mg po daily Lasix 40 mg po every day PTS: 1 MSC: General SHORT ANSWER 1. Complete the following sentence with the correct word or number. A medication order is written without a frequency. The nurse should . ANS: call the prescriber for clarification. PTS: 1 MSC: General 2. Verbal orders should be accepted only in . ANS: emergency situations PTS: 1 MSC: General 3. CPOE is an abbreviation for . ANS: computerized physician order entry PTS: 1 MSC: General 4. Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations, Symbols, and Dose Designations. Timoptic 0.5% 1 gtt OS bid ANS: Timoptic 0.5% 1 gtt in the left eye twice daily PTS: 1 MSC: General 5. Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations, Symbols, and Dose Designations. Ambien 5 mg po hs prn ANS: Ambien 5 mg po at bedtime prn; or Ambien 5 mg po hours ofsleep prn. PTS: 1 MSC: General 6. Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations, Symbols, and Dose Designations. Doxycycline 100 mg po bid pc ANS: Doxycycline 100 milligrams by mouth two times a day after meals; OR Doxycycline 100 milligrams orally two times a day after meals PTS: 1 MSC: General 7. Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations, Symbols, and Dose Designations. Motrin 400 mg po q6h prn for back pain ANS: Motrin 400 milligrams by mouth every 6 hours when necessary for back pain; OR Motrin 400 milligrams orally every 6 hours when required for back pain. PTS: 1 MSC: General 8. Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations, Symbols, and Dose Designations. Heparin 5,000 units subcut daily ANS: Heparin 5,000 units by subcutaneous injection daily PTS: 1 MSC: General TRUE/FALSE 1. A p.r.n. order must indicate the minimum time between dosages such as q4h. ANS: T PTS: 1 MSC: General 2. The nurse is responsible for determining the times for a medication ordered t.i.d. at an institution. ANS: F PTS: 1 MSC: General 3. Trailing zeros are necessary to avoid misinterpretation of a value. ANS: F PTS: 1 MSC: General 4. The abbreviation OD should not be used to indicate right eye in a medication order. ANS: T PTS: 1 MSC: General 5. To indicate a medication is to be administered every day, the recommended abbreviation is qd. ANS: F PTS: 1 MSC: General Chapter 12: Medication Administration Records and Medication Distribution Systems Gray Morris: Calculate with Confidence, 7th Edition MULTIPLE CHOICE 1. What would be the appropriate interpretation for the following order? Demerol 50 mg IM stat? Administer a. Demerol 50 mg IM when needed. b. Demerol 50 mg IM as desired. c. Demerol 50 mg IM on call to OR. d. Demerol 50 mg IM immediately. ANS: D PTS: 1 MSC: General 2. A medicine ordered q6h would be given how many times a day? a. 4 b. 6 c. 8 d. 12 ANS: A PTS: 1 MSC: General 3. A client has a gastrostomy tube (GT) in place. The health care provider ordered the medication p.o. What action would be appropriate for the nurse to take? a. Dilute the p.o. medication with water and administer by GT. b. Administer the medication p.o. as ordered. c. Clarify the order with the health care provider who wrote the order. d. Clarify the order with the charge nurse. ANS: C PTS: 1 MSC: General 4. A client refuses a p.o. medication and provides the nurse with a reason for refusing the medication. What should the nurse’s action be? a. Inform the client they cannot refuse a medication. b. Report it to the nurse manager. c. Administer the medication by an injectable route. d. Document the refusal and inform the prescriber. ANS: D PTS: 1 MSC: General MULTIPLE RESPONSE 1. The health care provider writes medication orders at 8 AM on March 10, 2014, for a client and signs the orders. Which order(s) should the nurse question? (Select all that apply.) a. Lasix 20 mg p.o. daily b. Digoxin 0.125 mg p.o. everyday c. Ampicillin 250 mg q6h d. Multivitamin daily e. Colace 200 mg p.o. t.i.d. f. Tylenol 650 mg p.r.n. for pain ANS: C, D, F PTS: 1 MSC: General SHORT ANSWER 1. Directions: Refer to the portion of the MAR provided below to answer the question. Name**, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGIES: Penicillin, Codeine Date: 5/2/2014 What are the client’s medication alergies? ANS: Penicillin, Codeine PTS: 1 MSC: General 2. Directions: Refer to the portion of the MAR provided below to answer the question. Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGIES: Penicillin, Codeine Date: 5/2/2014 Which medication is ordered to be administered “as needed”? ANS: Percocet PTS: 1 MSC: General 3. Directions: Refer to the portion of the MAR provided below to answer the question. Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGIES: Penicillin, Codeine Date: 5/2/2014 If the client receives the Percocet at 10 PM on 5/2/2014, what date and time can the next dose be given? (State the time in traditional and international time.) ANS: 5/3/2014 at 4:00 AM, 0400 PTS: 1 MSC: General 4. Directions: Refer to the portion of the MAR provided below to answer the question. Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGIES: Penicillin, Codeine Date: 5/2/2014 How many hours are between the scheduled times for K-Dur? ANS: 8 hours PTS: 1 MSC: General 5. Directions: Refer to the portion of the MAR provided below to answer the question. Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGIES: Penicillin, Codeine Date: 5/2/2014 By what route will the heparin be administered? ANS: Subcutaneous injection PTS: 1 MSC: General 6. Directions: Refer to the portion of the MAR provided below to answer the question. Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGIES: Penicillin, Codeine Date: 5/2/2014 What dose of heparin is to be administered? ANS: 5,000 units PTS: 1 MSC: General 7. Directions: Refer to the portion of the MAR provided below to answer the question. Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGIES: Penicillin, Codeine Date: 5/2/2014 K-Dur 10 mEq is ordered. What does mEq mean? ANS: Milliequivalent PTS: 1 MSC: General 8. Directions: Refer to the portion of the MAR provided below to answer the question. Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGIES: Penicillin, Codeine Date: 5/2/2014 What are the scheduled times for administering K-Dur? (State in traditional times.) ANS: 9 AM, 5 PM PTS: 1 MSC: General 9. Directions: Refer to the portion of the MAR provided below to answer the question. Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGIES: Penicillin, Codeine Date: 5/2/2014 How many times in a 24-hour period will K-Dur be administered? ANS: Twice PTS: 1 MSC: General 10. Directions: Refer to the portion of the MAR provided below to answer the question. Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGIES: Penicillin, Codeine Date: 5/2/2017 You work from 3 PM to 11 PM on May 3, 2017. Which standing medication will you administer to the client? ANS: K-Dur PTS: 1 MSC: General ESSAY 1. The prescriber orders a medication q8h. The nurse enters the following times on the medication administration record (MAR): 12 AM-6 AM-12 PM-6 PM. What error has occurred? ANS: The wrong time intervals, the time intervals are 6 hours apart instead of 8 hours. The times if not corrected will cause the client to receive one more dose of the medication than was intended. PTS: 1 MSC: General Chapter 13: Reading Medication Labels Gray Morris: Calculate with Confidence, 7th Edition MULTIPLE CHOICE 1. If a medication label reads “Ambien (zolpidem tartrate) 5 mg tablets, Searle,” the medication’s generic name is a. Ambien. b. Searle. c. zolpidem tartrate. d. tablets. ANS: C PTS: 1 MSC: General 2. A medication label reads “Calan SR (verapamil hydrochloride) 240 mg sustained release caplets.” The form is a. caplets. b. sustained-release caplets. c. 240 mg. d. verapamil hydrochloride. ANS: B PTS: 1 MSC: General SHORT ANSWER 1. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. . a. Trade name: b. Generic name: c. Dosage strength: d. Form: e. Total amount in container: ANS: a. Ambien; b. zolpidem tartrate; c. 5 mg per tab; d. tablets (tab); e. 100 tablets (tabs) PTS: 1 MSC: General 2. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Trade name: b. Generic name: c. Dosage strength: d. According to the label, who should not use this medication? ANS: a. Cytotec; b. misoprostol; c. 100 mcg per tablet (tab); d. Pregnant women PTS: 1 MSC: General 3. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Trade name: b. Generic name: c. Dosage strength: d. Form: e. Total amount in container: ANS: a. Detrol LA; b. tolterodine tartrate; c. 2 mg per extended-release capsule (caps); d. extended release capsules (caps); e. 30 extended release capsules (caps) PTS: 1 MSC: General 4. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Trade name: b. Generic name: c. Dosage strength: d. Form: e. Total volume: f. Directions for use: ANS: a. none stated; b. Bumetanide; c. 1 mg per 4 mL or 0.25 mg per mL; d. injectable liquid; e. 4 mL; f. for IV or IM use PTS: 1 MSC: General 5. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Trade name: b. Generic name: c. Dosage strength: d. Form: e. Total volume: f. Storage directions: ANS: a. none stated; b. butorphanol tartrate; c. 2 mg per mL; d. injectable liquid; e. 1 mL; f. store at room temperature; 15° C to 30° C (59° F to 86° F) PTS: 1 MSC: General 6. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Trade name: b. Generic name: c. Dosage strength of oxycodone per tablet: d. Dosage strength of acetaminophen per tablet: e. Form: f. What type of label is illustrated here? g. Controlled drug schedule: ANS: a. Percocet; b. oxycodone and acetaminophen; c. 5 mg per tablet (tab); d. 325 mg per tablet (tab), e. tablets (tab), f. Combination drugs (two drugs in one form); g. II, 2 PTS: 1 MSC: General 7. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Trade name: b. Generic name: c. Dosage strength of amoxicillin: d. Dosage strength of clavulanate potassium: e. Form: f. Total volume: ANS: a. none stated; b. amoxicillin and clavulanate potassium; c. 250 mg per 5 mL; d. 28.5 mg per 5 mL; e. powder (when reconstituted oral suspension); f. 100 mL (when reconstituted) PTS: 1 MSC: General 8. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Trade name: b. Generic name: c. Dosage strength: d. Form: e. Total volume: ANS: a. none stated; b. albuterol sulfate; c. 2 mg per 5 mL; d. oral syrup; e. 473 mL PTS: 1 MSC: General 9. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Trade name: b. Generic name: c. Dosage strength: d. Form: e. Directions for use: ANS: a. Adriamycin PFS; b. doxorubicin hydrochloride; c. 75 mg per 37.5 mL or 2 mg per mL; d. sterile isotonic solution–injectable; e. for intravenous use only PTS: 1 MSC: General 10. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Trade name: b. Generic name: c. Dosage strength: d. Form: e. Total volume: ANS: a. Dilantin; b. phenytoin sodium; c. 250 mg per 5 mL; d. injectable liquid; e. 5 mL PTS: 1 MSC: General 11. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Trade name: b. Generic name: c. Dosage strength: d. Form: e. Directions before using: ANS: a. Tegretol; b. carbamazepine; c. 100 mg per 5 mL; d. oral suspension; e. shake well PTS: 1 MSC: General 12. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Trade name: b. Generic name: c. Dosage strength: d. Form: e. Total amount in container: ANS: a. Calan; b. verapamil hydrochloride; c. 80 mg per tablet (tab); d. tablets (tabs), e. 100 tablets (tabs) PTS: 1 MSC: General 13. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Trade name: b. Generic name: c. Form: d. Dosage strength: e. Storage directions: ANS: a. Emend; b. Aprepitant; c. capsules (caps); d. 80 mg per capsule (cap); e. store at 20–25° C(68– 77° F) (See USP controlled room temperature.) PTS: 1 MSC: General 14. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Trade name: b. Generic name: c. Form: d. Controlled substance schedule: ANS: a. Kadian; b. morphine sulfate; c. extended-release capsules; d. Schedule II or 2 PTS: 1 MSC: General 15. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Trade name: b. What two medications are contained in the medication? c. Dosage strength: d. Controlled substance schedule: e. Warning: ANS: a. Lomotil; b. diphenoxylate hydrochloride and atropine sulfate; c. diphenoxylate 2.5 mg per tablet (tab); atropine sulfate 0.025 mg per tablet (tab); d. Schedule V or 5; e. may be habit forming PTS: 1 MSC: General 16. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Trade name: b. Form: ANS: a. Ery-tab; b. enteric-coated, delayed-release tablets (tabs) PTS: 1 MSC: General 17. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Trade name: b. Generic name: c. Form: d. Dosage strength: e. How many doses are in the vial? f. Directions for use: ANS: a. Zemplar; b. paricalcitol; c. capsules (caps); d. 2 mcg per capsule; e. 30 capsules; f. see package insert for full prescribing information PTS: 1 MSC: General 18. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Trade name: b. Generic name: c. Form: d. Dosage strength: e. Total volume: f. Route of administration: ANS: a. Lufyllin; b. dyphylline; c. Elixir; d. 100 mg per 15 mL; e. 1 pint (473 mL); f. orally or by mouth PTS: 1 MSC: General 19. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Generic name: b. Form: c. Dosage strength: d. Dosage: ANS: a. atomoxetine; b. capsule (caps); c. 100 mg per capsule; d. see accompanying literature for dosage information PTS: 1 MSC: General 20. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Generic name: b. Dosage strength: c. Total volume: d. Form: e. Directions for use: ANS: a. Propranolol HCl; b. 1 mg per mL; c. 1 mL; d. injectable liquid; e. for IV use only PTS: 1 MSC: General 21. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Trade name: b. Generic name: c. Form: d. Dosage strength: e. Total amount in container: ANS: a. Tegretol; b. carbamazepine; c. chewable tablets; d. 100 mg per chewable tablet (tab); e. 100 chewable tablets (tabs) PTS: 1 MSC: General 22. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Trade name: b. Form: c. Dosage strength: d. Total amount in container: ANS: a. Calan SR; ined-release caplets; c. 240 mg per sustained-release caplet; d. 100 sustained caplets PTS: 1 MSC: General 23. Directions: Use the label to identify the information requested. If more than one answer is necessary, separate your answers with commas. a. Generic name: b. Dosage strength: c. Total volume: d. Directions for use: ANS: a. Terbutaline sulfate; b. 1 mg per mL; c. 1 mL; d. For subcut injection only PTS: 1 MSC: General Chapter 14: Dosage Calculation Using the Ratio and Proportion Method Gray Morris: Calculate with Confidence, 7th Edition COMPLETION 1. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. Order: Amoxil 0.5 g p.o. q6h Available: Amoxil capsules labeled 250 mg per capsule ANS: 2 caps PTS: 1 MSC: General 2. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. Order: Raloxifene HCl 60 mg p.o. b.i.d. Available: Raloxifene HCl tablets labeled 60 mg per tablet ANS: 1 tab PTS: 1 MSC: General 3. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. Order: Zofran 7 mg p.o. b.i.d. Available: Zofran oral solution labeled 4 mg per 5 mL ANS: 8.8 mL PTS: 1 MSC: General 4. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. Order: Thorazine 25 mg p.o. t.i.d. Available: Thorazine syrup labeled 10 mg per 5 mL ANS: 12.5 mL PTS: 1 MSC: General 5. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. Order: Compazine 8 mg Available: Compazine syrup labeled 5 mg per 5 mL ANS: 8 mL PTS: 1 MSC: General 6. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. Order: Thorazine 15 mg IM stat Available: Thorazine 25 mg per mL ANS: 0.6 mL PTS: 1 MSC: General 7. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. Order: Clindamycin 0.6 g IV q12h Available: Clindamycin 300 mg per 2 mL ANS: 4 mL PTS: 1 MSC: General 8. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. Order: Ketorolac 16 mg IV q6h p.r.n. for pain Available: ANS: 0.5 mL PTS: 1 MSC: General 9. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. Order: Calcijex 1.5 mcg IV daily on Mon., Wed., Fri. Available: Calcijex 1 mcg per mL ANS: 1.5 mL PTS: 1 MSC: General 10. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. Order: Ampicillin 0.375 g IM q6h Available: Ampicillin 250 mg per mL ANS: 1.5 mL PTS: 1 MSC: General 11. Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated. Order: Heparin 2,000 units subcut daily Available: ANS: 0.4 mL PTS: 1 MSC