Test Bank For Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 3rd Edition ( Castillo, 2024) All Chapters || Latest Edition

Test Bank
b

,Table of Contents: b b


I. Safety in Medication Administration
b b b b


Chapter 1. Safety in Medication Administration
b b b b b


Chapter 2. The Drug Labelb b b b


II. Systems of Measurement
b b b


Chapter 3. The Metric System
b b b b


Chapter 4. The Household System
b b b b


III. Methods of Calculation
b b b


Chapter 5. Linear Ratio and Proportion
b b b b b


Chapter 6. Fractional Ratio and Proportion
b b b b b


Chapter 7. Dimensional Analysis
b b b


Chapter 8. Formula Methodb b b


IV. Administration of Medications
b b b


Chapter 9. Calculating Oral Medication Doses
b b b b b


Chapter 10. Syringes and Needles
b b b b


Chapter 11. Calculating Parenteral Medication Dosages
b b b b b


Chapter 12. Preparing Powdered Parenteral Medications
b b b b b


Chapter 13. Administration of Insulin
b b b b


V. IV Therapy and Administration of Intravenous Medications
b b b b b b b


Chapter 14. Intravenous Infusion and Infusion Rates
b b b b b b


Chapter 15. Calculating Infusion and Completion Time
b b b b b b


Chapter 16. Administering IV Push Medications
b b b b b


VI. Verifying Safe Dose and Critical Care Calculations
b b b b b b b


Chapter 17. Verifying Safe Dose
b b b b


Chapter 18. Titration of Intravenous Medications
b b b b b


VII. Intake and Output
b b b


Chapter 19. Calculating Intake and Output
b b b b b


Chapter 20. Calculating Parenteral Intake
b b b b


VIII. Dosages for Pediatric and Older Adult Populations
b b b b b b b


Chapter 21. Considerations for the Pediatric Patient
b b b b b b


Chapter 22. Considerations for the Older Adult
b b b b b b

,Chapter 1: Safety in Medication Administration
b b b b b


Castillo: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 2nd Edition
b b b b b b b b b b b b




MULTIPLE CHOICE b




1. The following medication order is in the patient’s medication administration record (MAR):
b b b b b b b b b b b




methylPREDnisolone 40 mg PO daily at 0900. b b b b b b




After reading the order, the nurse correctly determines:
b b b b b b b


A “PO” is an inappropriate abbreviation. b b b b


B the medication order is written correctly.
b b b b b


C 40 mg should be written as 40mg. b b b b b b


D tall man lettering indicates that the drug is a narcotic.
b b b b b b b b b




ANS: B b


Feedback
The medication order has all the required components (drug name, dose, route, and
b b b b b b b b b b b b


frequency of administration) for a drug order. “PO” is an appropriate abbreviation;
b b b b b b b b b b b b


40 mg is written correctly with a space between the dose and the unit of
b b b b b b b b b b b b b b b


measurement. Tall man lettering is used to distinguish the drug from another drug
b b b b b b b b b b b b b


with a similar name. b b b




2. Which of the following accurately describes the “Boxed Warning” found on a drug label?
b b b b b b b b b b b b b


A It is primarily is used to identify the safe dose for the patient.
b b b b b b b b b b b b


B It is commonly found on all drug labels.
b b b b b b b


C It identifies serious potential risks and side effects related to drug use.
b b b b b b b b b b b


D It protects the patient by providing information to decrease side effects.
b b b b b b b b b b




ANS: C b


Feedback
A drug label with a boxed warning provides information to healthcare professionals
b b b b b b b b b b b


and patients regarding the serious risks and side effects related to the drug. The
b b b b b b b b b b b b b b


Boxed Warning is not the primary source for identifying the patient’s drug dosage.
b b b b b b b b b b b b b


The warning is found on specific prescription medications and does not provide
b b b b b b b b b b b


information to reduce or decrease side effects.
b b b b b b b




3. When practicing safety in the administration of medication, for which of the following
b b b b b b b b b b b b


medication orders should a nurse seek clarification before the administration of the
b b b b b b b b b b b b


medication?
b




1

, A Regular insulin 5 u subcut now. b b b b b


B Enoxaparin 80 mg subcut every 12 hours. b b b b b b


C Benadryl 50 mg PO PRN every 6 hr for itching. b b b b b b b b b


D Ondansetron 4 mg IVP stat. b b b b




ANS: A b


Feedback
The “u” should never be used in a medication order; rather, for safety, the word
b b b b b b b b b b b b b b


“units” should be spelled out. The other answer options contain the required
b b b b b b b b b b b b


components needed to safely carry out the medication order.
b b b b b b b b




4. A nurse is reviewing a drug label with a drug name written with tall man lettering. Which
b b b b b b b b b b b b b b b b


statements shows the nurse has a correct understanding of tall man lettering on a drug label?
b b b b b b b b b b b b b b b b


A “The tall man lettering means this is a high alert drug.”
b b b b b b b b b b


B “The tall man lettering helps me distinguish this drug with other drugs that
b b b b b b b b b b b b


have similar names.” b b


C “The tall man lettering means that this drug must have a Boxed Warning.”
b b b b b b b b b b b b


D “The tall man lettering helps me quickly identify that this drug is an injectable
b b b b b b b b b b b b b


drug.”

ANS: B b


Feedback
Tall man lettering highlights a portion of the drug name to help distinguish from
b b b b b b b b b b b b b


similar drug names. It is not used to identify high alert drugs, highlight a boxed
b b b b b b b b b b b b b b b


warning, or identify injectable drugs.
b b b b




5. The following medication orders are found in the patient’s MAR:
b b b b b b b b b




Metformin HCl 500 mg PO daily at 0900. b b b b b b b


Hydrochlorothiazide 25 mg PO every 12 hr at 0900 and 2100.
b b b b b b b b b b b


Digoxin .25 mg PO daily at 0900.
b b b b b b b




In reading the medication orders for the 0700–1500 shift, the nurse determines that which of
b b b b b b b b b b b b b b


bthe following is the priority nursing intervention?
b b b b b b


A Clarify the metformin HCl order. b b b b


B Clarify the hydrochlorothiazide order. b b b


C Clarify the digoxin order. b b b


D Prepare to administer the 0900 medications. b b b b b




ANS: C b




2