Table of Contents:
I. Safety in Medication Administration Chapter 1. Safety in Medication Administration Chapter 2. The Drug Label
II. Systems of Measurement Chapter 3. The Metric System Chapter 4. The Household System III. Methods of Calculation
Chapter 5. Linear Ratio and Proportion
Chapter 6...
Castillo/Werner-McCullough: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math,,2e
Test Bank
Table of Contents:
I. Safety in Medication Administration
Chapter 1. Safety in Medication Administration
Chapter 2. The Drug Label
II. Systems of Measurement
Chapter 3. The Metric System
Chapter 4. The Household System
III. Methods of Calculation
Chapter 5. Linear Ratio and Proportion
Chapter 6. Fractional Ratio and Proportion
Chapter 7. Dimensional Analysis
Chapter 8. Formula Method
IV. Administration of Medications
Chapter 9. Calculating Oral Medication Doses
Chapter 10. Syringes and Needles
Chapter 11. Calculating Parenteral Medication Dosages
Chapter 12. Preparing Powdered Parenteral Medications
Chapter 13. Administration of Insulin
V. IV Therapy and Administration of Intravenous Medications
Chapter 14. Intravenous Infusion and Infusion Rates
Chapter 15. Calculating Infusion and Completion Time
Chapter 16. Administering IV Push Medications
VI. Verifying Safe Dose and Critical Care Calculations
TEST BANK
Chapter 17. Verifying Safe Dose
Chapter 18. Titration of Intravenous Medications
VII. Intake and Output
Chapter 19. Calculating Intake and Output
Chapter 20. Calculating Parenteral Intake
VIII. Dosages for Pediatric and Older Adult Populations
Chapter 21. Considerations for the Pediatric Patient
Chapter 22. Considerations for the Older Adult
,Chapter 1: Safety in Medication Administration
A Regular insulin 5 u subcut now.
Castillo: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 2nd Edition B Enoxaparin 80 mg subcut every 12 hours.
MULTIPLE CHOICE C Benadryl 50 mg PO PRN every 6 hr for itching.
D Ondansetron 4 mg IVP stat.
1. The following medication order is in the patient’s medication administration record (MAR):
ANS: A
methylPREDnisolone 40 mg PO daily at 0900. Feedback
The “u” should never be used in a medication order; rather, for safety, the word
After reading the order, the nurse correctly determines: “units” should be spelled out. The other answer options contain the required
A “PO” is an inappropriate abbreviation. components needed to safely carry out the medication order.
B the medication order is written correctly.
C 40 mg should be written as 40mg.
D tall man lettering indicates that the drug is a narcotic.
4. A nurse is reviewing a drug label with a drug name written with tall man lettering. Which
ANS: B statements shows the nurse has a correct understanding of tall man lettering on a drug label?
Feedback A “The tall man lettering means this is a high alert drug.”
The medication order has all the required components (drug name, dose, route, and B “The tall man lettering helps me distinguish this drug with other drugs that
frequency of administration) for a drug order. “PO” is an appropriate abbreviation; have similar names.”
40 mg is written correctly with a space between the dose and the unit of C “The tall man lettering means that this drug must have a Boxed Warning.”
measurement. Tall man lettering is used to distinguish the drug from another drug
D “The tall man lettering helps me quickly identify that this drug is an injectable
with a similar name.
drug.”
ANS: B
Feedback
2. Which of the following accurately describes the “Boxed Warning” found on a drug label?
Tall man lettering highlights a portion of the drug name to help distinguish from
A It is primarily is used to identify the safe dose for the patient.
similar drug names. It is not used to identify high alert drugs, highlight a boxed
B It is commonly found on all drug labels.
warning, or identify injectable drugs.
C It identifies serious potential risks and side effects related to drug use.
D It protects the patient by providing information to decrease side effects.
ANS: C 5. The following medication orders are found in the patient’s MAR:
Feedback
A drug label with a boxed warning provides information to healthcare professionals Metformin HCl 500 mg PO daily at 0900.
and patients regarding the serious risks and side effects related to the drug. The
Hydrochlorothiazide 25 mg PO every 12 hr at 0900 and 2100.
Boxed Warning is not the primary source for identifying the patient’s drug dosage.
Digoxin .25 mg PO daily at 0900.
The warning is found on specific prescription medications and does not provide
information to reduce or decrease side effects.
In reading the medication orders for the 0700–1500 shift, the nurse determines that which of
the following is the priority nursing intervention?
A Clarify the metformin HCl order.
3. When practicing safety in the administration of medication, for which of the following B Clarify the hydrochlorothiazide order.
medication orders should a nurse seek clarification before the administration of the C Clarify the digoxin order.
medication? D Prepare to administer the 0900 medications.
ANS: C
1
2
, 3
Feedback
The digoxin medication order is lacking a zero before the decimal fraction (.25).
Safe practice recommends using a zero before a decimal point when the dose is less A shifting primary responsibility for drug therapy onto patients and families.
than one. The metformin HCl and the hydrochlorothiazide orders are written B referring patients and families to the pharmacist for drug therapy questions.
correctly. The order should be clarified before preparing the 0900 medications. C answering drug therapy questions when a new prescription is ordered.
D promoting ongoing communication between patients and healthcare
providers.
6. In the administration of medications, when should the nurse document the administration of ANS: D
medications? Feedback
A 30 minutes before administering to the patient. The Institute of Medicine recommendations include the establishment of
B Immediately before administering to the patient. collaborative partnership between patients and healthcare providers to assist in
C At the end of the shift. educating, consulting, and listening to patient’s concerns. Ongoing communication
D Immediately after administering to the patient. between patients and healthcare providers keeps the focus on the needs of the
individual patient and promotes safety.
ANS: D
Feedback
The last “Right of Medication Administration” is the documentation of medications.
9. In consulting a drug reference book, the nurse reads that certain medications are classified as
The documentation is done immediately after administering the medications to the
patient. “high-alert” medications. In the administration of high-alert medications, what is the priority
action of the nurse?
A Inform the patient of the harmful side effects.
B Double-check the dose with another nurse prior to administering the drug.
7. The following medication is ordered for the patient: C Provide drug literature to the family to assist with monitoring for harmful
effects.
Calcitriol Oral Solution 2 µg PO Daily D Seek assistance from the pharmacist to explain the effects of the drug.
After reading the order, what is the initial action needed by the nurse? ANS: B
A Clarify the written medication dose of 2 µg. Feedback
B Look up the dose in a drug reference book. High-alert medications have an increased risk of patient harm. Safe practice in the
C Transcribe the medication order onto the MAR. administration of high-alert medications requires the nurse to double check the dose
with another nurse prior to the administration of the drug. Informing the patient and
D Ask the patient the daily dose taken at home.
family of the drug’s harmful effects may be indicated for some patients, but the
prevention of a medication error is critical. Drug literature may be helpful for some
ANS: A
families, but not all. The nurse should seek assistance from the pharmacist whenever
Feedback there is a question, but this is not specific for high-alert medications.
The initial action is for the nurse to clarify the drug dose because it is written with
the error-prone letter/symbol “µ.” To avoid medication errors, it is recommended
that the “µ” not be used in medication orders. Instead the abbreviation “mcg” is to
be used for microgram.
10. All of the following medication orders are found in a patient’s MAR. Select the medication
order that requires clarification before administration.
A Captopril 12.5 mg PO at 0700 and 1700
B Regular insulin 7 units subcut 30 minutes before breakfast.
8. Recommendations by the Institute of Medicine for reducing medication errors help enhance
C Ketorolac 15 mg IM stat
safe nursing practice by:
D Morphine sulfate 45.0 mg PO every 5 hr for pain.
, 4
5
ANS: D
Feedback
The ordered dose of morphine sulfate, 45.0 mg, has a trailing zero, which may lead
to an error in the administration of the ordered dose. The medication orders for Chapter 2: The Drug Label
captopril, Regular insulin, and ketorolac contain the required components of a Castillo: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 2nd Edition
medication order.
MULTIPLE CHOICE
1. On a home health visit, the nurse finds a drug bottle with the following information on the
label:
Flagyl ®
metronidazole tablets USP
250 mg tablets
In reading the drug label, the nurse is correct to interpret that:
A Metronidazole is the generic name of the drug.
B Flagyl is the generic name of the drug.
C “USP” indicates a boxed warning.
D The symbol ® identifies the drug as a high-alert drug.
ANS: A
Feedback
The generic name is listed under the brand name. Flagyl is the brand name. USP
stands for United States Pharmacopeia and does not indicate a boxed warning. The
symbol ® is found next to the brand name and indicates that the drug name is
registered and trademark protected.
2. The following information is on the drug label:
Diazepam CIV
Oral Solution
5 mg per 5 mL
In reading the drug label, the nurse is correct to interpret that:
A diazepam is the brand name.
B diazepam is a controlled substance.
C the CIV is used to identify oral solutions on the label.
D the drug is on the list of Confused Drug names.
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