Meds Drug Calculations Using Dimensional Analysis 2nd Edition Mulholland-Test Bank

 

 

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Sample Test

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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