Deck 17: Dosage Calculation and Medication Administration

Question 1

What is the sum of $\frac { 3 } { 4 }$ and $\frac { 7 } { 8 }$ ?

A) $\frac { 10 } { 48 }$
B) $\frac { 10 } { 12 }$
C) $\frac { 21 } { 4 }$
D) 1 $\frac { 5 } { 8 }$

Answer 1

1 $\frac { 5 } { 8 }$

Question 2

Which is the same ratio as 2:100?

A) 1:50
B) 5:300
C) 1:20
D) 4:25

Answer 2

1:50

Question 3

Which of the following fractions is the largest?

A) $\frac { 1 } { 2 }$
B) $\frac { 1 } { 3 }$
C) $\frac { 1 } { 4 }$
D) $\frac { 1 } { 5 }$

Answer 3

$\frac { 1 } { 2 }$

Question 4

Atropine 0.4 mg is to be given.Ampule is labeled gr 1/150/mL.What dose should the nurse administer?

A) 1.5 mL
B) 0.25 mL
C) 0.5 mL
D) 1 mL

Question 5

A 150-lb man is to receive a medication based on milligrams/kilograms.He is to receive 1 mg/kg.What dosage should the nurse administer?

A) 50 mg
B) 68 mg
C) 75 mg
D) 80 mg

Question 6

What is 2.34 + 0.77?

A) 0.01
B) 90.4
C) 2.417
D) 3.11

Question 7

What is the main organ that inactivates and metabolizes drugs?

A) Spleen
B) Liver
C) Lungs
D) Pancreas

Question 8

What is 0.9% expressed as a decimal?

A) 9
B) 0.9
C) 0.09
D) 0.009

Question 9

The health care provider has ordered furosemide 20 mg stat.The ampule is labeled 40 mg/mL.What dose should the nurse administer?

A) 0.8 mL
B) 0.5 mL
C) 2.0 mL
D) 8.0 mL

Question 10

What is 2.5 $\times$ 2?

A) 1.25
B) 5
C) 50
D) 22.5

Question 11

Which of the following fractions is the smallest?

A) $\frac { 3 } { 12 }$
B) $\frac { 2 } { 3 }$
C) $\frac { 5 } { 6 }$
D) $\frac { 3 } { 4 }$

Question 12

What is $\frac { 1 } { 5 }$ expressed as a percent?

A) 50%
B) 20%
C) 10%
D) 5%

Question 13

Lanoxin 0.125 mg is to be given.The nurse converts the dose to how many grams?

A) 1.250 g
B) 1250 g
C) 0.000125 g
D) 0.00125 g

Question 14

A 35-lb child is to receive an IM medication.The average adult dose is 75 mg.Using the Clark rule,what dosage should the nurse administer?

A) 30.5 mg
B) 25.5 mg
C) 20.5 mg
D) 17.5 mg

Question 15

What is $\frac { 3 } { 4 }$ divided by $\frac { 1 } { 5 }$ ?

A) $\frac { 3 } { 20 }$
B) $\frac { 15 } { 4 }$
C) $\frac { 31 } { 45 }$
D) $\frac { 4 } { 15 }$

Question 16

What is 4.5 divided by 3?

A) 0.75
B) 1.5
C) 5
D) 0.66

Question 17

The medication order reads "Ibuprofen 600 mg PO tid." The bottle is labeled "Ibuprofen 200 mg/tab." How many tablets should the nurse administer?

A) 1
B) 2
C) 3
D) 6

Question 18

What is the product of $\frac { 5 } { 6 } \times \frac { 1 } { 2 }$ ?

A) $\frac { 5 } { 12 }$
B) $\frac { 6 } { 10 }$
C) $\frac { 10 } { 6 }$
D) $\frac { 51 } { 12 }$

Question 19

The average adult dose of Phenergan is 50 mg.Using the Young rule for a 10-year-old,what is the correct dosage for the child?

A) 23 mg
B) 25 mg
C) 30 mg
D) 35 mg

Question 20

What is 6.147 rounded to the nearest tenth?

A) 6.2
B) 6.15
C) 6.14
D) 6.1

Question 21

When giving a subcutaneous injection to a very thin patient,how does the nurse alter the injection technique?

A) Using a 23-gauge needle
B) Spreading the skin before injection
C) Pinching up the skin and inserting the needle at a 45-degree angle
D) Injecting the medicine quickly to reduce pain

Question 22

When giving a tubal medication,the nurse should flush the tubing with 30 to 50 _______ of water.

Question 23

The nurse administered a sedative to an older adult who was having difficulty sleeping.Later,the patient was walking the halls and becoming agitated.What is this drug response known as?

A) Expected
B) Untoward
C) Idiosyncratic
D) Hypersensitive

Question 24

In some health care facilities,the LPN/LVN is allowed to take telephone orders from a health care provider.What is one precaution the nurse must take when receiving a verbal order?

A) Write quickly.
B) Repeat the order to the health care provider.
C) Have another nurse listen on an extension.
D) Sign and initial the health care provider's name on the order.

Question 25

The nurse cautions a patient taking an anticoagulant that he should avoid taking aspirin because one drug may increase the action of the other drug.What is the correct term for this effect?

A) Compatibility
B) Antagonism
C) Synergism
D) Cooperation

Question 26

What should the nurse do with an injection of 2 mL of Demerol that the patient has refused? (Select all that apply. )

A) Independently waste the drug in a secure place.
B) Record in the narcotic log that the drug was wasted.
C) Chart in the patient's record the reason the medication was refused.
D) Get any staff member to sign the narcotic log as witness to the drug being wasted.
E) Confirm the count is correct on the narcotic log.

Question 27

The following information is included in a health care provider's order:
Jane Doe
September 23
Amoxicillin 250 mg PO every 6 hours for 10 days
Dr.John Smith
The essential component missing is the _____________.

Question 28

When the patient complains about his IV lines and asks if he can have the medication by mouth,what is the most appropriate response by the nurse?

A) "Pills are difficult for many patients to swallow."
B) "Medication by mouth is absorbed more slowly than by any other route."
C) "It takes more time for the nurse to prepare and administer oral medications."
D) "It leads to more errors to give pills,because the pills all look alike."

Question 29

When a patient comes into the emergency department with a narcotic overdose,the nurse anticipates that the patient will be treated with Narcan.What drug classification is Narcan?

A) Enhancer
B) Substitute
C) Control
D) Antagonist

Question 30

The order is for 100 mL to run over 8 hours as a "piggyback." The drop factor of the secondary unit is 15.The nurse should set the drop control to deliver 3 gtts/_____.

Question 31

What landmarks are used for the administration of an intramuscular injection into the gluteal site?

A) The tip of the coccyx and the greater trochanter
B) Between the center of the gluteus and the iliac spine
C) Between the posterior iliac crest and the greater trochanter
D) On an imaginary line between the center of the gluteus and the greater trochanter

Question 32

What important principle should be taken to prevent medication errors?

A) Placing an unlabeled syringe on the medication cart
B) Following the six rights of medication administration
C) Leaving a medication with the patient only when family is there
D) Always charting medications before the end of the shift

Question 33

To help relax the anal sphincter during the insertion of a suppository,the nurse should ask the patient to ____________.

Question 34

What screening test is accomplished by performing an intradermal injection?

A) Diabetes
B) Tuberculosis
C) Hepatitis
D) Meningitis

Question 35

The nurse who was going off shift had prepared the medications for the nurse who was going to relieve her to save the oncoming nurse time.What would be the correct action of the oncoming nurse?

A) Give the medications when ordered.
B) Recheck the medications.
C) Never give medications another person has prepared.
D) Identify each medication as it is given.