TEST BANK x
CALCULATING DRUG DOSAGES: x x
A Patient-Safe Approach to Nursing and Math
x x x x x x
2nd Edition
x
Castillo | Werner-McCullough
x x
TESTBANK x
,Castillo/Werner-McCullough: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math,,2e x x x x x x x x x x
Test Bank
x
Table of Contents: x x
I. Safety in Medication Administration
x x x x
Chapter 1. Safety in Medication Administration
x x x x x
Chapter 2. The Drug Label x x x x
II. Systems of Measurement
x x x
Chapter 3. The Metric System
x x x x
Chapter 4. The Household System
x x x x
III. Methods of Calculation
x x x
Chapter 5. Linear Ratio and Proportion
x x x x x
Chapter 6. Fractional Ratio and Proportion
x x x x x
Chapter 7. Dimensional Analysis
x x x
Chapter 8. Formula Method x x x
IV. Administration of Medications
x x x
Chapter 9. Calculating Oral Medication Doses
x x x x x
Chapter 10. Syringes and Needles
x x x x
Chapter 11. Calculating Parenteral Medication Dosages
x x x x x
Chapter 12. Preparing Powdered Parenteral Medications
x x x x x
Chapter 13. Administration of Insulin
x x x x
V. IV Therapy and Administration of Intravenous Medications
x x x x x x x
Chapter 14. Intravenous Infusion and Infusion Rates
x x x x x x
Chapter 15. Calculating Infusion and Completion Time
x x x x x x
Chapter 16. Administering IV Push Medications
x x x x x
VI. Verifying Safe Dose and Critical Care Calculations
x x x x x x x
Chapter 17. Verifying Safe Dose
x x x x
Chapter 18. Titration of Intravenous Medications
x x x x x
VII. Intake and Output
x x x
Chapter 19. Calculating Intake and Output
x x x x x
Chapter 20. Calculating Parenteral Intake
x x x x
VIII. Dosages for Pediatric and Older Adult Populations
x x x x x x x
Chapter 21. Considerations for the Pediatric Patient
x x x x x x
Chapter 22. Considerations for the Older Adult
x x x x x x
,Castillo/Werner-McCullough:xCalculatingxDrugxDosages,x2e
Chapter 1: Safety in Medication Administration
x x x x x
Castillo: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 2nd Edition
x x x x x x x x x x x x
MULTIPLE CHOICE x
1. The following medication order is in the patient’s medication administration record (MAR):
x x x x x x x x x x x
methylPREDnisolone 40 mg PO daily at 0900. x x x x x x
After reading the order, the nurse correctly determines:
x x x x x x x
A ―PO‖ is an inappropriate abbreviation. x x x x
B the medication order is written correctly. x x x x x
C 40 mg should be written as 40mg. x x x x x x
D tall man lettering indicates that the drug is a narcotic.
x x x x x x x x x
ANS: B x
Feedback
The medication order has all the required components (drug name, dose, route, and fre
x x x x x x x x x x x x x
quency of administration) for a drug order. ―PO‖ is an appropriate abbreviation; 40 m
x x x x x x x x x x x x x
g is written correctly with a space between the dose and the unit of measurement. Tall
x x x x x x x x x x x x x x x x
man lettering is used to distinguish the drug from another drug
x x x x x x x x x x
with a similar name. x x x
2. Which of the following accurately describes the ―Boxed Warning‖ found on a drug label?
x x x x x x x x x x x x x
A It is primarily is used to identify the safe dose for the patient.
x x x x x x x x x x x x
B It is commonly found on all drug labels. x x x x x x x
C It identifies serious potential risks and side effects related to drug use.
x x x x x x x x x x x
D It protects the patient by providing information to decrease side effects.
x x x x x x x x x x
ANS: C x
Feedback
A drug label with a boxed warning provides information to healthcare professionals a
x x x x x x x x x x x x
nd patients regarding the serious risks and side effects related to the drug. The Boxed
x x x x x x x x x x x x x x x
Warning is not the primary source for identifying the patient’s drug dosage.
x x x x x x x x x x x
The warning is found on specific prescription medications and does not provide informa
x x x x x x x x x x x x
tion to reduce or decrease side effects.
x x x x x x
3. When practicing safety in the administration of medication, for which of the following m
x x x x x x x x x x x x x
edication orders should a nurse seek clarification before the administration of the medica
x x x x x x x x x x x x
tion?
1
, Castillo/Werner-McCullough:xCalculatingxDrugxDosages,x2e
A Regular insulin 5 u subcut now. x x x x x
B Enoxaparin 80 mg subcut every 12 hours. x x x x x x
C Benadryl 50 mg PO PRN every 6 hr for itching.
x x x x x x x x x
D Ondansetron 4 mg IVP stat. x x x x
ANS: A x
Feedback
The ―u‖ should never be used in a medication order; rather, for safety, the word ―units‖ s
x x x x x x x x x x x x x x x x
hould be spelled out. The other answer options contain the required
x x x x x x x x x x
components needed to safely carry out the medication order.
x x x x x x x x
4. A nurse is reviewing a drug label with a drug name written with tall man lettering. Which state
x x x x x x x x x x x x x x x x x
ments shows the nurse has a correct understanding of tall man lettering on a drug label?
x x x x x x x x x x x x x x x
A ―The tall man lettering means this is a high alert drug.‖
x x x x x x x x x x
B ―The tall man lettering helps me distinguish this drug with other drugs that
x x x x x x x x x x x x
have similar names.‖ x x
C ―The tall man lettering means that this drug must have a Boxed Warning.‖
x x x x x x x x x x x x
D ―The tall man lettering helps me quickly identify that this drug is an injectable
x x x x x x x x x x x x x
drug.‖
ANS: B x
Feedback
Tall man lettering highlights a portion of the drug name to help distinguish from similar
x x x x x x x x x x x x x x x
drug names. It is not used to identify high alert drugs, highlight a boxed
x x x x x x x x x x x x x
warning, or identify injectable drugs. x x x x
5. The following medication orders are found in the patient’s MAR:
x x x x x x x x x
Metformin HCl 500 mg PO daily at 0900. Hydrochlorothiazide
x x x x x x x x x
25 mg PO every 12 hr at 0900 and 2100. Digoxin .25 mg PO daily
x x x x x x x x x x x x x x
at 0900.
x x
In reading the medication orders for the 0700–
x x x x x x x
1500 shift, the nurse determines that which of the following is the priority nursing intervention?
x x x x x x x x x x x x x x
A Clarify the metformin HCl order. x x x x
B Clarify the hydrochlorothiazide order. x x x
C Clarify the digoxin order. x x x
D Prepare to administer the 0900 medications. x x x x x
ANS: C x
2
CALCULATING DRUG DOSAGES: x x
A Patient-Safe Approach to Nursing and Math
x x x x x x
2nd Edition
x
Castillo | Werner-McCullough
x x
TESTBANK x
,Castillo/Werner-McCullough: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math,,2e x x x x x x x x x x
Test Bank
x
Table of Contents: x x
I. Safety in Medication Administration
x x x x
Chapter 1. Safety in Medication Administration
x x x x x
Chapter 2. The Drug Label x x x x
II. Systems of Measurement
x x x
Chapter 3. The Metric System
x x x x
Chapter 4. The Household System
x x x x
III. Methods of Calculation
x x x
Chapter 5. Linear Ratio and Proportion
x x x x x
Chapter 6. Fractional Ratio and Proportion
x x x x x
Chapter 7. Dimensional Analysis
x x x
Chapter 8. Formula Method x x x
IV. Administration of Medications
x x x
Chapter 9. Calculating Oral Medication Doses
x x x x x
Chapter 10. Syringes and Needles
x x x x
Chapter 11. Calculating Parenteral Medication Dosages
x x x x x
Chapter 12. Preparing Powdered Parenteral Medications
x x x x x
Chapter 13. Administration of Insulin
x x x x
V. IV Therapy and Administration of Intravenous Medications
x x x x x x x
Chapter 14. Intravenous Infusion and Infusion Rates
x x x x x x
Chapter 15. Calculating Infusion and Completion Time
x x x x x x
Chapter 16. Administering IV Push Medications
x x x x x
VI. Verifying Safe Dose and Critical Care Calculations
x x x x x x x
Chapter 17. Verifying Safe Dose
x x x x
Chapter 18. Titration of Intravenous Medications
x x x x x
VII. Intake and Output
x x x
Chapter 19. Calculating Intake and Output
x x x x x
Chapter 20. Calculating Parenteral Intake
x x x x
VIII. Dosages for Pediatric and Older Adult Populations
x x x x x x x
Chapter 21. Considerations for the Pediatric Patient
x x x x x x
Chapter 22. Considerations for the Older Adult
x x x x x x
,Castillo/Werner-McCullough:xCalculatingxDrugxDosages,x2e
Chapter 1: Safety in Medication Administration
x x x x x
Castillo: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 2nd Edition
x x x x x x x x x x x x
MULTIPLE CHOICE x
1. The following medication order is in the patient’s medication administration record (MAR):
x x x x x x x x x x x
methylPREDnisolone 40 mg PO daily at 0900. x x x x x x
After reading the order, the nurse correctly determines:
x x x x x x x
A ―PO‖ is an inappropriate abbreviation. x x x x
B the medication order is written correctly. x x x x x
C 40 mg should be written as 40mg. x x x x x x
D tall man lettering indicates that the drug is a narcotic.
x x x x x x x x x
ANS: B x
Feedback
The medication order has all the required components (drug name, dose, route, and fre
x x x x x x x x x x x x x
quency of administration) for a drug order. ―PO‖ is an appropriate abbreviation; 40 m
x x x x x x x x x x x x x
g is written correctly with a space between the dose and the unit of measurement. Tall
x x x x x x x x x x x x x x x x
man lettering is used to distinguish the drug from another drug
x x x x x x x x x x
with a similar name. x x x
2. Which of the following accurately describes the ―Boxed Warning‖ found on a drug label?
x x x x x x x x x x x x x
A It is primarily is used to identify the safe dose for the patient.
x x x x x x x x x x x x
B It is commonly found on all drug labels. x x x x x x x
C It identifies serious potential risks and side effects related to drug use.
x x x x x x x x x x x
D It protects the patient by providing information to decrease side effects.
x x x x x x x x x x
ANS: C x
Feedback
A drug label with a boxed warning provides information to healthcare professionals a
x x x x x x x x x x x x
nd patients regarding the serious risks and side effects related to the drug. The Boxed
x x x x x x x x x x x x x x x
Warning is not the primary source for identifying the patient’s drug dosage.
x x x x x x x x x x x
The warning is found on specific prescription medications and does not provide informa
x x x x x x x x x x x x
tion to reduce or decrease side effects.
x x x x x x
3. When practicing safety in the administration of medication, for which of the following m
x x x x x x x x x x x x x
edication orders should a nurse seek clarification before the administration of the medica
x x x x x x x x x x x x
tion?
1
, Castillo/Werner-McCullough:xCalculatingxDrugxDosages,x2e
A Regular insulin 5 u subcut now. x x x x x
B Enoxaparin 80 mg subcut every 12 hours. x x x x x x
C Benadryl 50 mg PO PRN every 6 hr for itching.
x x x x x x x x x
D Ondansetron 4 mg IVP stat. x x x x
ANS: A x
Feedback
The ―u‖ should never be used in a medication order; rather, for safety, the word ―units‖ s
x x x x x x x x x x x x x x x x
hould be spelled out. The other answer options contain the required
x x x x x x x x x x
components needed to safely carry out the medication order.
x x x x x x x x
4. A nurse is reviewing a drug label with a drug name written with tall man lettering. Which state
x x x x x x x x x x x x x x x x x
ments shows the nurse has a correct understanding of tall man lettering on a drug label?
x x x x x x x x x x x x x x x
A ―The tall man lettering means this is a high alert drug.‖
x x x x x x x x x x
B ―The tall man lettering helps me distinguish this drug with other drugs that
x x x x x x x x x x x x
have similar names.‖ x x
C ―The tall man lettering means that this drug must have a Boxed Warning.‖
x x x x x x x x x x x x
D ―The tall man lettering helps me quickly identify that this drug is an injectable
x x x x x x x x x x x x x
drug.‖
ANS: B x
Feedback
Tall man lettering highlights a portion of the drug name to help distinguish from similar
x x x x x x x x x x x x x x x
drug names. It is not used to identify high alert drugs, highlight a boxed
x x x x x x x x x x x x x
warning, or identify injectable drugs. x x x x
5. The following medication orders are found in the patient’s MAR:
x x x x x x x x x
Metformin HCl 500 mg PO daily at 0900. Hydrochlorothiazide
x x x x x x x x x
25 mg PO every 12 hr at 0900 and 2100. Digoxin .25 mg PO daily
x x x x x x x x x x x x x x
at 0900.
x x
In reading the medication orders for the 0700–
x x x x x x x
1500 shift, the nurse determines that which of the following is the priority nursing intervention?
x x x x x x x x x x x x x x
A Clarify the metformin HCl order. x x x x
B Clarify the hydrochlorothiazide order. x x x
C Clarify the digoxin order. x x x
D Prepare to administer the 0900 medications. x x x x x
ANS: C x
2
