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