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