Dosage Calculation and Medication Administration

Using the illustration below, select the proper angle for the nurse to use in administering a subcutaneous injection for the average adult. A. 90° B. 45° C. 15° D. Any of the above

B

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

D

The following information is included in a physician'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 _____________.

Time

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

B

What is the sum of 3 over 4 and 7 over 8? A. 8 over 10 B. 1 over 4 C. 4 over 5 D. 3 over 4

D

In some health care facilities, the LPN/LVN is allowed to take telephone orders from a physician. What is one precaution the nurse must take when receiving a verbal order? A. Write quickly B. Repeat the order to the physician C. Have another nurse listen on an extension D. Sign and initial the physician's name on the order

B

The physician 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

B

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 _______ gtts/min.

3

When giving a tubal medication, the nurse should flush the tubing with ___ to ___ mL of water.

30, 50

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

A

Tylenol gr V is ordered. The available tablet is 0.3 g. What dosage should the nurse administer? A. 1 tablet B. 1.5 tablets C. 1 over 2 tablet D. 2 tablets

A

What is the product of 5 over 6 x 1 over 2? A. 5 over 12 B. 6 over 10 C. 10 over 6 D. 51 over 12

A

Which is the same ratio as 2:100? A. 1:50 B. 5:300 C. 1:20 D. 4:25

A

Which of the following fractions is the largest? A. 1/2 B. 1/3 C. 1/4 D. 1/5

A

Which of the following fractions is the smallest? A. 3/12 B. 2/3 C. 5/6 D. 3/4

A

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

D

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

B

What is 1 over 5 expressed as a percent? A. 50% B. 20% C. 10% D. 5%

B

What is 2.5 × 2? A. 1.25 B. 5 C. 50 D. 22.5

B

What is 3 over 4 divided by 1 over 5? A. 3 over 20 B. 15 over 4 C. 31 over 45 D. 4 over 15

B

What is 4.5 divided by 3? A. 0.75 B. 1.5 C. 5 D. 0.66

B

What is the correct conversion for the improper fraction 77/9? A. 7 and 7 over 9 B. 8 and 5 over 9 C. 7.79 D. 79.7

B

What is the main organ that inactivates and metabolizes drugs? A. Spleen B. Liver C. Lungs D. Pancreas

B

What screening test is accomplished by performing an intradermal injection? A. Diabetes B. Tuberculosis C. Hepatitis D. Meningitis

B

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."

B

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.

B, C, E

What is 0.9% expressed as a decimal? A. 9 B. 0.9 C. 0.09 D. 0.009

D

What is 2.34 + 0.77? A. 0.01 B. 90.4 C. 2.417 D. 3.11

D

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

C

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. One B. Two C. Three D. Six

C

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

C

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

C

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

C

What is the fraction 80/100 when reduced to lowest terms? A. 8 over 10 B. 1 over 4 C. 4 over 5 D. 3 over 4

C

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

C

When giving a subcutaneous injection to a very thin patient, how does the nurse alter the injection technique? A. Using a 23-G needle B. Spreading the skin before injection C. Pinching up the skin and inserting the needle at a 90-degree angle D. Injecting the medicine quickly to reduce pain

C

0.5 g of medication is ordered. The label reads 125 mg/mL. What is the correct dose to be administered? A. 1 mL B. 2 mL C. 3 mL D. 4 mL

D

0.5 liter is equal to how many mL? A. 0.0005 mL B. 0.05 mL C. 50 mL D. 500 mL

D

6 mg is equal to how many grams? A. 6.0 g B. 0.6 g C. 0.06 g D. 0.006 g

D

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

D

What is 6.147 rounded to the nearest tenth? A. 6.2 B. 6.15 C. 6.14 D. 6.1

D

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

Exhale