Meds Drug Calculations Using Dimensional Analysis 2nd Edition Mulholland-Test Bank
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Mulholland: The Nurse, The Math, The Meds, 2nd Edition
 
Chapter 03: Measurement Units and Conversions for Medications
 
Test Bank
 
ESSAY
 
1.    Write
the approved abbreviations.
2.    milliliter:
3.    kilogram:
4.    centimeter:
5.    gram:
 
ANS:
1.    mL
2.    kg
3.    cm
4.    g
 
PTS:    1
 
2.    Write
the approved abbreviations.
3.    meter:
4.    liter:
5.    millimeter:
6.    microgram:
 
ANS:
1.    m
2.    L
3.    mm
4.    mcg
 
PTS:    1
 
3.    Write
the approved abbreviations.
4.    milligram:
5.    grain:
 
ANS:
1.    mg
2.    gr
 
PTS:    1
 
4.    Complete
the conversion formulas.
5.    _____
mcg = 1 mg
6.    _____
mg = 1 g
 
ANS:
1.    1000
2.    1000
 
PTS:    1
 
5.    Complete
the conversion formulas.
6.    _____
mL = 1 liter
7.    _____
mL = 1 ounce
 
ANS:
1.    1000
2.    30
 
PTS:    1
 
6.    Complete
the conversion formulas.
7.    _____
cm = 1 m
8.    _____
m = 1 km
 
ANS:
1.    100
2.    1000
 
PTS:    1
 
7.    Write
the abbreviations using the appropriate notation.
8.    10
milligrams:
9.    15
kilograms:
10.  10
ounces:
11.  5
liters:
 
ANS:
1.    10 mg
2.    15 kg
3.    10 oz
4.    5 L
 
PTS:    1
 
8.    If a newborn
weighs 3 kg, what is the gram equivalent?
 
ANS:
3000 g
 
PTS:    1
 
9.    The
nurse will administer 0.25 g of a medication. Move the decimal point to obtain
the milligram equivalent
and then verify the answer using a conversion formula and DA-style equation.
 
ANS:
0.250.  250 mg;
mg =
 
PTS:    1
 
10.  The
nurse practitioner ordered 40 mcg of a medication. Move the decimal point to
obtain the milligram equivalent and then verify the answer using a conversion
formula and DA-style equation.
 
ANS:
.040.  0.04 mg;
mg =
 
PTS:    1
 
Directions: Fill in the blanks with the approved abbreviations:
 
11.  (1-10)
| 
   Term  | 
  
   Abbreviation  | 
  
   Abbreviation  | 
  
   Term  | 
 
| 
   meters  | 
  
      | 
  
   dL  | 
  
      | 
 
| 
   milli  | 
  
      | 
  
   g  | 
  
      | 
 
| 
   kilograms  | 
  
      | 
  
   mcg  | 
  
      | 
 
| 
   centimeters  | 
  
      | 
  
   mL  | 
  
      | 
 
| 
   liters  | 
  
      | 
  
   mm  | 
  
      | 
 
 
 
ANS:
 
| 
   Term  | 
  
   Abbreviation  | 
  
   Abbreviation  | 
  
   Term  | 
 
| 
   meters  | 
  
   m  | 
  
   dL  | 
  
   deciliter  | 
 
| 
   milli  | 
  
   mL  | 
  
   g  | 
  
   gram  | 
 
| 
   kilograms  | 
  
   kg  | 
  
   mcg  | 
  
   microgram  | 
 
| 
   centimeters  | 
  
   cm  | 
  
   mL  | 
  
   milliliter  | 
 
| 
   liters  | 
  
   L  | 
  
   mm  | 
  
   millimeter  | 
 
 
 
PTS:    1
 
Fill in the metric equivalents in the blanks as indicated.
 
12.  (16-20)
| 
   Gram  | 
  
    Milligrams  | 
  
   Micrograms  | 
 
| 
   2  | 
  
      | 
  
      | 
 
| 
   0.5  | 
  
      | 
  
      | 
 
| 
   0.05  | 
  
      | 
  
      | 
 
| 
   0.1  | 
  
      | 
  
      | 
 
| 
   0.25  | 
  
      | 
  
      | 
 
 
 
ANS:
 
| 
   Gram  | 
  
    Milligrams  | 
  
   Micrograms  | 
 
| 
   2  | 
  
    2000  | 
  
    200,000  | 
 
| 
   0.5  | 
  
    500  | 
  
    500,000  | 
 
| 
   0.005  | 
  
    5  | 
  
    5,000  | 
 
| 
   0.1  | 
  
    100  | 
  
    100,000  | 
 
| 
   0.25  | 
  
    250  | 
  
    250,000  | 
 
 
 
PTS:    1
 
13.  (21-25)
| 
   Gram  | 
  
   Milligrams  | 
  
   Micrograms  | 
 
| 
      | 
  
   150  | 
  
      | 
 
| 
      | 
  
      | 
  
   3,000  | 
 
| 
      | 
  
   750  | 
  
      | 
 
| 
      | 
  
      | 
  
   10,000  | 
 
| 
      | 
  
   375  | 
  
      | 
 
 
 
ANS:
 
| 
   Gram  | 
  
   Milligrams  | 
  
   Micrograms  | 
 
| 
   0.15  | 
  
    150  | 
  
    150,000  | 
 
| 
   0.003  | 
  
    3  | 
  
    3,000  | 
 
| 
   0.75  | 
  
    750  | 
  
    750,000  | 
 
| 
   0.01  | 
  
    10  | 
  
    10,000  | 
 
| 
   0.375  | 
  
    375  | 
  
    375,000  | 
 
 
 
PTS:    1
 
14.  A
newborn weighs 4000 grams: How many kilograms does the newborn weigh?
Estimate:
DA verification:
 
ANS:
Estimate: __4 kilograms__(1000 g = 1 kg)________
DA verification: ? kg :
 
PTS:    1
 
15.  A
nurse will administer 0.3g of a medication. How many milligrams will this be?
Estimate:
DA verification:
 
ANS:
Estimate: __300 milligrams__(1000 mg = 1 g)_____
DA verification: ? mg :
 
PTS:    1
 
16.  An
incision measures 12 cm. Approximately how many inches will this be?
Estimate:
DA verification:
 
ANS:
Estimate: __4 to 5 inches (2.5 cm = 1 inch)_______
DA verification: ? in :
 
PTS:    1
 
17.  The
nurse administers  ounce of liquid medication. About how many mL is the
equivalent? Estimate:
DA verification:
 
ANS:
Estimate: __15 mL 30 mL = 1 ounce______
DA verification: ? mL :
 
PTS:    1
 
18.  The patient
drinks 3 liters of fluid per day. How many mL would be the equivalent?
Estimate:
DA verification:
 
ANS:
Estimate: __3000 mL (1000 mL = 1 liter)______
DA verification: ? mL :
 
PTS:    1
 
COMPLETION
 
Write the metric equivalents:
 
1.    microgram
to milligram: _____________
 
ANS:   1000 mcg = 1 mg
 
PTS:    1
 
2.    milligram
to gram: _____________
 
ANS:   1000 mg = 1 g
 
PTS:    1
 
3.    grams
to kilograms: _____________
 
ANS:   1000 g = 1 kg
 
PTS:    1
 
4.    kg to
pounds: _____________
 
ANS:   1 kg = 2.2 lb
 
PTS:    1
 
5.    milliliters
to liter: _____________
 
ANS:   1000 mL = 1 liter
 
PTS:    1
 
 
Mulholland: The Nurse, The Math, The Meds, 2nd Edition
 
Chapter 04: Patient Records, Medication Orders and Labels
 
Test Bank
 
ESSAY
 
1.    Define
the following medical abbreviations:
2.    NPO:
3.    IV:
4.    IM:
5.    ID
(route):
6.    NG:
7.    PO:
8.    SL:
9.    subcut:
10.  stat:
11.  bid:
 
ANS:
1.    Nothing
by mouth
2.    Intravenous
3.    Intramuscular
4.    Intradermal
5.    Nasogastric
6.    By
mouth
7.    Sublingual
8.    Subcutaneous
9.    Immediately
10.  Twice
a day; two times a day
 
PTS:    1
 
2.    Write
the medical abbreviations for the following words and phrases:
3.    Before
meals:
4.    After
meals:
5.    When
needed:
6.    With:
7.    Without:
8.    Immediately:
9.    Three
times a day:
10.  As
desired:
11.  Every
4 hours:
12.  Twice
a day:
 
ANS:
1.    ac
2.    pc
3.    prn
4.    
5.    
6.    stat
7.    tid
8.    ad lib
9.    q4h
10.  bid
 
PTS:    1
 
3.    It is
recommended that HS be written out: What are two possible meanings for HS?
 
ANS:
Hour of sleep (bedtime); half strength (solution)
 
PTS:    1
 
4.    Write
out the following order: ibuprofen ent tab 400 mg stat and tid pc.
 
ANS:
Ibuprofen enteric coated tablet 400 mg immediately and three
times daily after meals.
 
PTS:    1
 
5.    Change
the traditional time to notations from the 24-hour clock system:
6.    4 PM:
7.    Midnight:
8.    Noon:
9.    1:30
AM:
10.  11:45
AM:
 
ANS:
1.    1600
2.    2400
0000
3.    1200
4.    0130
5.    1145
 
PTS:    1
 
6.    Name
six basic patient rights.
 
ANS:
Right patient, right drug, right dose, right time, right route,
and right documentation. There is one additional patient right: right to
refuse.
 
PTS:    1
 
7.    Ordered:
200 mg of a medication PO stat. Supplied as 0.1 g oral tablets.
8.    Write
the appropriate conversion formula:
How many tablets will you give?
1.    Estimated
dose: (Move the decimal point to estimate.)
2.    Verify
with a DA-style equation:
3.    Evaluation:
 
ANS:
1.    1000
mg = 1 g
2.    Estimate:
Give 2 (100 mg) tablets. (0.1 g = 0.100.mg)
3.    Tablets
=
4.    Estimate
supports the answer.
 
PTS:    1
 
8.    Ordered:
Keflex 0.5 g PO stat.
 
1.    What
is the generic name of this medication?
2.    What
is the concentration of this medication?
3.    Write
the appropriate conversion formula:
How many capsules will you give?
1.    Estimated
dose: (Move the decimal point to estimate.)
2.    Verify
with a DA-style equation:
3.    Evaluation:
 
ANS:
1.    Cephalexin
2.    250
mg/cap
3.    1000
mg = 1 g
4.    Estimate:
Give 2 (250 mg) capsules (250 mg .250   0.25 g)
5.    Capsules
=
6.    Estimate
supports the answer.
 
PTS:    1
 
9.    What
is missing from the following order: aspirin 2 tablets PO stat?
 
ANS:
The total dose in measurement units is omitted. Correct example:
Aspirin 650 mg by mouth immediately. The number of tablets should not be
written in the order. The nurse determines the number of tablets to give based
on the strength supplied.
 
PTS:    1
 
10.  What
is meant by a “scored” tablet? How is a scored tablet treated differently from
an unscored tablet?
 
ANS:
A scored tablet has a dividing line cut into it. Only scored
tablets may be divided in half. Unscored tablets may not be cut.
 
PTS:    1
 
Directions: Supply the requested medication terms and
abbreviations.
 
11.  (1-20):
Abbreviation   Term               
Term    Abbreviation
1         
ac                    
11        nothing by mouth
2         
pc                   
12        intravenous (route)
3         
prn                  
13        intramuscular (route)
4         
c                     
14        intradermal (route)
4         
s                      
15        nasogastric (route)
6         
stat                 
16        by mouth
7         
bid                  
17        sublingual (route)
8          ad
lib              
18        subcutaneous (route)
9         
q2h                 
19        immediately
10       
tid                   
20        gastric tube
 
 
ANS:
Abbreviation  
Term               
Term    Abbreviation
1         
ac         before
meals    11        nothing by
mouth        NPO
2         
pc        after
meals      
12        intravenous
(route)      IV
3         
prn       as needed; when
necessary     13       
intramuscular (route)   IM
4         
c         
with     14       
intradermal (route)      ID
4         
s          
without           
15        nasogastric (route)      
NG
6         
stat      immediately   
16        by
mouth         PO
7         
bid       twice a
day      17       
sublingual (route)        SL
8          ad
lib   as desired       
18        subcutaneous (route)  
subcut
9         
q2h      every two
hours         
19        immediately    stat
10       
tid        three times a
day        
20        gastric
tube      GT
 
 
PTS:    1
 
12.  Write
out the following order for a patient on this antidepressant: Effexor XR tab
ent 75 mg AM pc   full glass of water.
 
ANS:
Give Effexor extended release tablet enteric coated 75 mg after
the morning meal with a full glass of water.
 
PTS:    1
 
13.  Why
do you think XR, ent, DR, SR, and SL tablets should never be crushed?
 
ANS:
Crushing these tablets would cancel the delayed or extended or
sustained release. The patient might then have an adverse drug event from side
effects of too much of the medication being released and absorbed too soon. The
medication may be very irritating to the mucosa of the GI tract if broken down
before it leaves the esophagus or stomach.
 
PTS:    1
 
14.  Why
do you think unscored tablets should never be cut?
 
ANS:
The medication may be unevenly distributed within the tablet.
The cut probably would not be precise. With either of the foregoing problems,
one part would have too much and one part would have too little of the
medication. The patient would receive the “wrong dose.”
 
PTS:    1
 
15.  Why
do you think some medications must be given with food, or given after meals,
and/or the patient must remain upright for 30 minutes after the medication is
administered?
 
ANS:
The medications may be too irritating to mucosa on an empty
stomach or may cause nausea.
Staying upright for 30 minutes after a medication is
administered with a full glass of water helps prevent reflux of irritating
medications before it reaches the stomach. This helps prevent irritation of the
esophagus by a potentially caustic substance.
 
PTS:    1
 
16.  If
the nurse does not document the medication promptly after administration, what
adverse event might occur during that shift?
 
ANS:
Right route is violated if route is changed without the
prescriber’s order. The nurse is liable if an adverse event occurs.
 
PTS:    1
 
COMPLETION
 
Directions: Change the traditional time to the international
24-hr clock:
 
1.    12:30
PM: _____________
 
ANS:   1230 hours
 
PTS:    1
 
2.    1:00
AM: ___________
 
ANS:   0100 hours
 
PTS:    1
 
3.    10:15
AM: _____________
 
ANS:   1015 hours
 
PTS:    1
 
4.    5:00
PM: _____________
 
ANS:   1700 hours
 
PTS:    1
 
5.    9: 45
PM: ___________
 
ANS:   2145 hours
 
PTS:    1
 
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