FON Chapter 21: Mathematics and Medication Administration

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

D. 0.006g

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

D. 0.009

A 35-lb child is to receive an IM medication. The average adult dose is 75mg. Using the Clark rule, what dosage should the nurse administer? A. 30.5mg B.25.5mg C. 20.5mg D. 17.5mg

D. 17.5mg

Atropine 0.4mg is to be given. Ampule is labeled gr 1/150/ml. What dose should the nurse administer? A. 1.5mL B. 0.25ml C. 0.5mL D. 1mL

D. 1mL

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

D. 3.11

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

D. 4ml

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

D. 500ml

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

D. 6.1

The following information is included in a physicians order: Jane Doe September 23 Amoxicillin 250mg PO every 6 hours for 10 days Dr. John Smith The essential component missing is the __________.

time

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

Tylenol gr V is ordered. The available tablet is O.3g. What dosage should the nurse administer? A. 1 tab B. 1.5 tabs C. 2 tabs

A. 1 tab

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

A. 1/2

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

A. 1:50

The average adult dose of Phenergan is 50 mg. Using the You g rule for a 10-year-old, what is the correct dosage for the child? A. 23mg B. 25mg C. 30mg D. 35mg

A. 23mg

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

A. 3/12

What should the nurse do with an injection of 2ml 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 patients 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

The physician has ordered furosemide 20mg stat. The ampule is labeled 40mg/ml. What dose should the nurse administer? A. 0.8ml B. 0.5mL C. 2.0ml D. 8.0ml

B. 0.5ml

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

B. 1.5

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

B. 20%

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. 45

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

B. 5

A 150lb man is to receive a medication based on milligrams/kilograms. He is to receive 1mg/kg. What dosage should the nurse administer. A. 50mg B. 68mg C. 75mg D. 80mg

B. 68mg

What is the correct conversion for the improper fraction? A. 7 B. 8 C. 7.79 D. 79.7

B. 8

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 chatting medications before the end of the shift

B. Following the six rights of the medication administration

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

B. Liver

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 and 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. Medication by mouth is absorbed more slowly than by any other route.

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 physicians name on the order

B. Repeat the order to the physician

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

B. Tuberculosis

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 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 . Between the posterior iliac crest and the greater trochanter

Lanoxin 0.125mg is to be given. The nurse converts the dose to how many grams? A. 1.250 g B. 1250 g C. 0.000125g D. 0.00125g

C. 0.000125g

The medication order reads ibuprofen 600mg PO tid. The bottle is labeled ibuprofen 200mg/tab. How many tablets should the nurse administer? A. 1 B. 2 C. 3 D. 6

C. 3

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. Idiosyncratic

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. Never give medications another person has prepared

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. Pinching up the skin and inserting the needle at a 90-degree angle

The nurse cautions a patient taking an anticoagulant that he should avoid taking aspiring 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. Synergism

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. Antagonist

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

exhale