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Calculating Drug Dosages: A Patient-Safe Approach to Nursing and
Math Third Edition
by Sandra Luz Martinez de Castillo latest update
,Chapter 1: Safety In Medication Administration
Multiple Choice
Identify The Choice That Best Completes The Statement Or Answers The Question.
1. What Are The Recommendations From The Institute Of Medicine (Iom) For Nurses In Order To Reduce
Medication Errors?
1. Maintain Accurate Records Of All Medications.
2. Display Openness Regarding Errors And Problems.
3. Take Greater Responsibility For Monitoring Medications And Reporting
Changes.
4. All Of The Above
2. A Nursing Instructor Asks A Nursing Student About The Institute Of Medicine (Iom). What Information
Given By The Student Nurse Indicates A Need For Further Teaching?
1. “It Is An Independent, Profitable Organization Established In 1975.”
2. “It Serves To Inform Government Policy Makers On National Health-Care
Issues.”
3. “It Provides Reliable Information And Makes Recommendations For Best
Practices.”
4. “It Advocates For The Establishment Of A Partnership Between The Patient And
The
Healthcare Provider.”
3. A Nursing Student Is Discussing The Institute Of Safe Medication Practices (Ismp). What Answer Given B
The Student Indicates The Need For Further Teaching?
1. “It Is A Nonprofit Agency Established In 1975.”
2. “Its Primary Purpose Is To Identify The Causes Of Medication Errors.”
3. “It Recommends Evidence-Based Strategies For The Prevention Of Medication
Errors.”
4. None Of The Above
4.
Please Review The Medication Order Shown And Select The Statement That Applies To The Order.
1. The Ordered Dose Has A Trailing Zero.
2. The Medication Order Is Correctly Written.
3. The Nurse Is Correct To Question The Medication Order.
4. The Unit “Mg” Should Be Spelled Out To Read
“Milligrams.”
5. What Is The Nurse Least Likely To Find In A Medication Order?
1. Ordered Dose
, 2. Route Of Administration
3. Medication Composition
4. Patient Identification Information
6. The Nurse Needs To Administer Ampicillin To A Client With Pneumonia And Has Correctly Identified Th
Client And Basic Components Of The Medication Order In The Medication Administration Record (Mar).
Apart From These, What Else Does The Nurse Need To Look For In The Medication Order To Ensure Safe Administration O
The Drug Based On The Client’s Clinical Condition?
1. Ordered Dose
2. Route Of Administration
3. Frequency Of Administration
4. Additional Physician Instructions
7. The Nurse Is Reviewing A Paper Copy Of A Newly Admitted Client’s Medication Administration Record
(Mar). What Is The Most Appropriate Nursing Action?
1. Administer The Dose As Ordered.
2. Ask Another Nurse To Verify The Dose.
3. Question The Dose With The Pharmacist.
4. Check The Medication Order To Verify The
Dose.
8. What Is Correct Regarding Organizations That Embrace A “Culture Of Safety”?
1. They Have The Concept Of “Just Culture” As An Integral Component.
2. They Promote Activities That Create A Continuous Awareness For Patient
Safety.
3. Both 1 And 2
4. None Of The Above
9. A Nursing Instructor Asks A Student To Cite Examples Of Medical Errors That May Occur While Dealing With Clients
And Their Medication Due To At-Risk Behaviors Of The Nurse. Which Example Given By The Student Indicates A Need F
Further Teaching?
1. “Forgetting To Double-Check Medications Per The Institutional Policy”
2. “Omitting The Use Of Two Patient Identifiers Prior To Giving Medications”
3. “Overlooking The Six Rights Of Medication Administration, Thereby Taking
Shortcuts”
4. None Of The Above
10. In Which Phases Of The Medication Process Does The Nurse Need To Be Most Cautious About The Occurrence
Of Medication Errors?
1. Prescribing And Dispensing Phases
2. Dispensing And Monitoring Phases
3. Prescribing And Administering Phases
4. Administering And Monitoring Phases
11. A Nurse Is Reviewing A New Client’s Medication Administration Record (Mar) At The Change Of The Shift. It
Has All The Basic Information Such As The Drug Name, Dose, Route, Frequency, And Time Of Administration. What Shou
The Nurse Do First?
1. Double-Check The Medication Order.
2. Administer The Drug At The Given
Time.
3. Question The Route With The
Pharmacist.
, 4. Question The Ordered Dose With The
Pharmacist.
12. Before Preparing To Reconstitute Iv Vancomycin For A Client, The Nurse Has Washed His Or Her Hands. What Other
Precautions Should The Nurse Follow During The Preparation Of Medications To Minimize The Chances Of A Medication
Error?
1. Wear A “Do Not Disturb” Vest
2. Employ A “Medication Pass Time-Out”
3. Prepare Medications In A Designated “No Interruption
Area”
4. All The Above
13. There Are Two Clients With Acute Pneumonia In The Same Clinical Ward, And The Nurse Needs To Administe
A Medication To One Of Them. What Identifier Should The Nurse Use To Verify The Right Client?
1. Client Name
2. Client Date Of Birth
3. Barcode Client Identification
4. Any Two Of The Above
Together
14. The Nurse Is Reviewing The Client’s Medication Administration Record (Mar). The Drug Is Available As The
Prescribed Dose. The Frequency And Time Of Administration Is Also Mentioned In The Mar. However, The Nurse Finds
That The Route Of Administration Is Missing In The Mar. What Is The Most Appropriate Clinical Decision The Nurse
Should Consider?
1. Question The Route With The Pharmacist.
2. Check The Medication Order To Verify The Route.
3. Administer One Tablet Of The Drug In The Mentioned
Dose.
4. Refrain From Giving The Medication At The Mentioned
Time.
15. The Night Shift Nurse Is Reviewing The Electronic Medication Administration Record (Mar) Of The Client And
Notices A Drug That Is Due To Be Administered At Night Was Marked As Given During The Day. What Action Taken By The
Nurse Is Correct?
1. Question The Ordered Dose With The Pharmacist.
2. Ask The Client Whether The Medication Was Given.
3. Be Sure That Medication Was Given During The Day.
4. Ask The Day Nurse Whether The Medication Was
Given.
Multiple Response
Identify One Or More Choices That Best Complete The Statement Or Answer The Question.
16. A Client Asks The Nurse About The Significance Of Black Box Warnings Included On The Label Of Specific
Prescription Medications. What Information Should The Nurse Provide To The Client? Select All That Apply.
1. “They Advise The Nurse About Look-Alike Or Sound-Alike Drugs.”
2. “They Advise The Client About Serious Potential Risks Related To The Use Of The
Drug.”
Calculating Drug Dosages: A Patient-Safe Approach to Nursing and
Math Third Edition
by Sandra Luz Martinez de Castillo latest update
,Chapter 1: Safety In Medication Administration
Multiple Choice
Identify The Choice That Best Completes The Statement Or Answers The Question.
1. What Are The Recommendations From The Institute Of Medicine (Iom) For Nurses In Order To Reduce
Medication Errors?
1. Maintain Accurate Records Of All Medications.
2. Display Openness Regarding Errors And Problems.
3. Take Greater Responsibility For Monitoring Medications And Reporting
Changes.
4. All Of The Above
2. A Nursing Instructor Asks A Nursing Student About The Institute Of Medicine (Iom). What Information
Given By The Student Nurse Indicates A Need For Further Teaching?
1. “It Is An Independent, Profitable Organization Established In 1975.”
2. “It Serves To Inform Government Policy Makers On National Health-Care
Issues.”
3. “It Provides Reliable Information And Makes Recommendations For Best
Practices.”
4. “It Advocates For The Establishment Of A Partnership Between The Patient And
The
Healthcare Provider.”
3. A Nursing Student Is Discussing The Institute Of Safe Medication Practices (Ismp). What Answer Given B
The Student Indicates The Need For Further Teaching?
1. “It Is A Nonprofit Agency Established In 1975.”
2. “Its Primary Purpose Is To Identify The Causes Of Medication Errors.”
3. “It Recommends Evidence-Based Strategies For The Prevention Of Medication
Errors.”
4. None Of The Above
4.
Please Review The Medication Order Shown And Select The Statement That Applies To The Order.
1. The Ordered Dose Has A Trailing Zero.
2. The Medication Order Is Correctly Written.
3. The Nurse Is Correct To Question The Medication Order.
4. The Unit “Mg” Should Be Spelled Out To Read
“Milligrams.”
5. What Is The Nurse Least Likely To Find In A Medication Order?
1. Ordered Dose
, 2. Route Of Administration
3. Medication Composition
4. Patient Identification Information
6. The Nurse Needs To Administer Ampicillin To A Client With Pneumonia And Has Correctly Identified Th
Client And Basic Components Of The Medication Order In The Medication Administration Record (Mar).
Apart From These, What Else Does The Nurse Need To Look For In The Medication Order To Ensure Safe Administration O
The Drug Based On The Client’s Clinical Condition?
1. Ordered Dose
2. Route Of Administration
3. Frequency Of Administration
4. Additional Physician Instructions
7. The Nurse Is Reviewing A Paper Copy Of A Newly Admitted Client’s Medication Administration Record
(Mar). What Is The Most Appropriate Nursing Action?
1. Administer The Dose As Ordered.
2. Ask Another Nurse To Verify The Dose.
3. Question The Dose With The Pharmacist.
4. Check The Medication Order To Verify The
Dose.
8. What Is Correct Regarding Organizations That Embrace A “Culture Of Safety”?
1. They Have The Concept Of “Just Culture” As An Integral Component.
2. They Promote Activities That Create A Continuous Awareness For Patient
Safety.
3. Both 1 And 2
4. None Of The Above
9. A Nursing Instructor Asks A Student To Cite Examples Of Medical Errors That May Occur While Dealing With Clients
And Their Medication Due To At-Risk Behaviors Of The Nurse. Which Example Given By The Student Indicates A Need F
Further Teaching?
1. “Forgetting To Double-Check Medications Per The Institutional Policy”
2. “Omitting The Use Of Two Patient Identifiers Prior To Giving Medications”
3. “Overlooking The Six Rights Of Medication Administration, Thereby Taking
Shortcuts”
4. None Of The Above
10. In Which Phases Of The Medication Process Does The Nurse Need To Be Most Cautious About The Occurrence
Of Medication Errors?
1. Prescribing And Dispensing Phases
2. Dispensing And Monitoring Phases
3. Prescribing And Administering Phases
4. Administering And Monitoring Phases
11. A Nurse Is Reviewing A New Client’s Medication Administration Record (Mar) At The Change Of The Shift. It
Has All The Basic Information Such As The Drug Name, Dose, Route, Frequency, And Time Of Administration. What Shou
The Nurse Do First?
1. Double-Check The Medication Order.
2. Administer The Drug At The Given
Time.
3. Question The Route With The
Pharmacist.
, 4. Question The Ordered Dose With The
Pharmacist.
12. Before Preparing To Reconstitute Iv Vancomycin For A Client, The Nurse Has Washed His Or Her Hands. What Other
Precautions Should The Nurse Follow During The Preparation Of Medications To Minimize The Chances Of A Medication
Error?
1. Wear A “Do Not Disturb” Vest
2. Employ A “Medication Pass Time-Out”
3. Prepare Medications In A Designated “No Interruption
Area”
4. All The Above
13. There Are Two Clients With Acute Pneumonia In The Same Clinical Ward, And The Nurse Needs To Administe
A Medication To One Of Them. What Identifier Should The Nurse Use To Verify The Right Client?
1. Client Name
2. Client Date Of Birth
3. Barcode Client Identification
4. Any Two Of The Above
Together
14. The Nurse Is Reviewing The Client’s Medication Administration Record (Mar). The Drug Is Available As The
Prescribed Dose. The Frequency And Time Of Administration Is Also Mentioned In The Mar. However, The Nurse Finds
That The Route Of Administration Is Missing In The Mar. What Is The Most Appropriate Clinical Decision The Nurse
Should Consider?
1. Question The Route With The Pharmacist.
2. Check The Medication Order To Verify The Route.
3. Administer One Tablet Of The Drug In The Mentioned
Dose.
4. Refrain From Giving The Medication At The Mentioned
Time.
15. The Night Shift Nurse Is Reviewing The Electronic Medication Administration Record (Mar) Of The Client And
Notices A Drug That Is Due To Be Administered At Night Was Marked As Given During The Day. What Action Taken By The
Nurse Is Correct?
1. Question The Ordered Dose With The Pharmacist.
2. Ask The Client Whether The Medication Was Given.
3. Be Sure That Medication Was Given During The Day.
4. Ask The Day Nurse Whether The Medication Was
Given.
Multiple Response
Identify One Or More Choices That Best Complete The Statement Or Answer The Question.
16. A Client Asks The Nurse About The Significance Of Black Box Warnings Included On The Label Of Specific
Prescription Medications. What Information Should The Nurse Provide To The Client? Select All That Apply.
1. “They Advise The Nurse About Look-Alike Or Sound-Alike Drugs.”
2. “They Advise The Client About Serious Potential Risks Related To The Use Of The
Drug.”
