Midterm Comprehensive Practice Assessment A
What is the numeric value of the metric prefix "milli"? - 10 - 0.1 - 0.01 - 0.001
0.001
The nurse knows that 3 g is equivalent to ______________. Select all that apply. - 0.003 kg - 0.03 kg - 300 mg - 3,000 mg - 3,000 mcg
0.003 kg 3,000 mg
How many milliliters of medication does the syringe contain? Enter the numeral only (not the units) and use decimal form.
0.5 mL
Convert 640 milliliters to liters. Enter the numeral only, not the unit. Hint: remember the rules related to leading and trailing zeros. 640 mL = _____ L
0.64 L
How many milliliters of medication does the syringe contain? - 0.65 mL - 0.68 mL - 0.7 mL - 0.72 mL
0.68 mL
The prescriber orders glycopyrrolate 150 mcg IM now. The pharmacy sends the following medication. How many milliliters should the nurse administer? Enter the numeral only (not the unit) in your answer.
0.75 mL
In reading the label, the nurse finds that the dosage strength is ____________. Select all that apply. - 1 g - 1 g/10 mL - 10 mL - 100 mg/mL - 100 mg
1 g/10 mL 100 mg/mL
The medication label is used in the formula. Based on the label below, what part of the drug label is used to set up the "Q" of the formula method? - 15 mg - 15 mg/mL - 15 mg/vial - 1 mL
1 mL
How many teaspoons of medication are in the oral syringe? Write your answer as a decimal fraction. Enter the numeral only (not the unit) in your answer.
1.5 tsp
The prescriber orders Albuterol sulfate syrup 3 mg PO q.6h. The pharmacy supplies the below medication. How many teaspoons will the nurse advise the patient to take?
1.5 tsp
Two ounces is equivalent to which of the following? Select all that apply. - 12 teaspoons - 6 tablespoons - 4 tablespoons - 3 teaspoons - 2 tablespoons
12 teaspoons 4 tablespoons
The medication label is used in the formula. Based on the label below, what part of the drug label is used to set up the "H" of the formula method? - 5 mL - 15 mg - 5% - 400 mL
15 mg
The nurse has an order for Clemastine Fumarate syrup 1 mg PO BID. The pharmacy sends the following medication. How many teaspoons will the nurse administer with each dose?
2 tsp
The nurse has an order to administer Medication A 10 mL PO now. The pharmacy supplies a dosing teaspoon. How many teaspoons should the nurse administer? Enter the numeral only, not the unit.
2 tsp
A nurse practitioner prescribes Medication C 25 mg PO bid. The pharmacy supplies Medication C as 10 mg scored tablets. How many tablets should the nurse instruct the patient to take at each dose? - 1.5 tabs - 2 tabs - 2.5 tabs - 3 tabs
2.5 tabs
Read the medication label and identify the correct dosage strength. Select all that apply. - 25 mg per 1 mL - 25 mg per 5 mL - 5 mg per 1 mL - 5 mg per 5 mL - 1 mg per 5 mL
25 mg per 5 mL 5 mg per 1 mL
The prescriber orders Medication F 150 mcg PO q.12h. The pharmacy sends a bottle labeled: Medication F 0.05 mg/mL. How many milliliters will the nurse administer with each dose? Enter the numeral only (not the units) in your answer.
3 mL
The patient is to receive 75 mg of Medication L PO daily. The pharmacy supplies Medication L with a dosage strength of 25 mg per tablet. How many tablets will the nurse administer? - 1 tablet - 2 tablets - 3 tablets - 4 tablets
3 tablets
The physician orders Vibramycin oral suspension 0.075 g q.12h. The pharmacy sends the following medication. How many teaspoons will the nurse administer at each dose?
3 tsp
How many milliliters of medication does the syringe contain? - 3 mL - 3.2 mL - 3.4 mL - 3.8 mL
3.2 mL
The prescriber orders Medication T 0.375 g IV now. The pharmacy supplies Medication T with a dosage strength of 125 mg per 10 mL? How many milliliters will the nurse administer?
30 mL
The patient is to receive Medication B 60 mL PO q.AM. The patient asks the nurse how many tablespoons of medication to take. The nurse instructs the patient take ____ tablespoons. Enter the numeral only, not the unit.
4 Tbs
Convert 4.5 grams to milligrams. Enter the numeral only, not the unit. Hint: remember the rules related to leading and trailing zeros. 4.5 g = _____ mg
4,500 mg
A teaspoon is approximately equivalent to which measurement? - 2 Tbs - 5 mL - 10 mL - ½ ounce
5 mL
The medication label is used in the formula. Based on the label below, what part of the drug label is used to set up the "Q" of the formula method? - 5 mL - 15 mg - 5% - 400 mL
5 mL
The physician orders Medication Y oral suspension 1.25 g PO q.12h. The pharmacy sends a bottle of Medication Y oral suspension with a dosage strength of 250 mg per 5 mL. How many teaspoons will the nurse administer?
5 tsp
The prescriber orders Medication K 75 mg IV now. The pharmacy sends a bottle of Medication K with a dosage strength of 50 mg/5 mL. Write in the numeral only that is needed for the "H" in the equation.
50 mg
How many milliliters of medication does the syringe contain? Enter the numeral only (not the units) in your answer.
8 mL
Convert 0.8 milligrams to micrograms. Enter the numeral only, not the unit. Hint: remember the rules related to leading and trailing zeros. 0.8 mg = _____ mcg
800 mcg
The physician orders Coreg 18.75 mg PO bid. The nurse finds the following two medications in the patient's medication drawer. The nurse is correct to: - Administer 1.5 tabs of the 12.5 mg dose. - Administer 2 tabs of the 6.25 mg dose. - Administer 3 tabs of the 6.25 mg dose. - Hold the medication and call the pharmacy to clarify.
Administer 3 tabs of the 6.25 mg dose.
The nurse has the following order. The nurse should: - Administer the Lanoxin. - Call the pharmacy to clarify the route. - Clarify the medication order with the healthcare provider. - Question the frequency of administration of the medication.
Administer the Lanoxin.
The physician orders phenytoin 150 mg PO q.12h for the patient. The nurse finds the following drug in the patient's medication drawer. Which action by the nurse is most appropriate? - Administer the ordered dose to the patient. - Call the pharmacist to clarify the drug route. - Clarify the order with the physician. - Inform the patient that he will have to wait for the right drug.
Administer the ordered dose to the patient.
When administering medication, the nurse checks the right ___________: First, after selecting the drug from the patient's medication drawer. Second, before putting the drug into the medicine cup, syringe, etc. Third, before administering the drug to the patient. - Route - Documentation - Drug - Time
Drug
The patient had previously been instructed to take Medication Y 45 mL PO daily. The patient tells the nurse that he has been taking 8 teaspoons using a dosing spoon every day. What is the correct action by the nurse? - Tell the patient to continue taking the medication as he has been doing. - Explain to the patient that he has been taking too little medication every day and inform him of the correct conversion. - Explain to the patient that he has been taking too much medication every day and inform him of the correct conversion. - Instruct the patient to take 4 tsp in the morning and 4 tsp in the evening.
Explain to the patient that he has been taking too little medication every day and inform him of the correct conversion.
Which of the following medication orders would the nurse question? - Etanercept 50 mg subcut once weekly - Ezetimibe 10.0 mg PO once daily - Levothyroxine 100 mcg IM once daily - SAXagliptin 2.5 mg PO once daily
Ezetimibe 10.0 mg PO once daily
A nurse is reviewing the medication administration record of a patient who was transferred from another facility. Which of the following medication orders would the nurse question? - Lanoxin 125 mcg PO every morning - Lanoxin 125 μg PO daily - Ceftin tablets 0.25 g PO q. 12h - Ceftin tablets 250 mg q.AM and PM
Lanoxin 125 μg PO daily
In reading the Flagyl drug label, the nurse is correct to: - Note that the drug should be given orally. - Note that there are 750 tablets in the container. - Identify the black box warning. - Identify the generic name is Flagyl.
Note that the drug should be given orally.
Which of the following is a risk management program that helps to ensure that the benefits of a specific drug (or class of drugs) outweigh the risks? - ADR - REMS - ISMP - ADE
REMS (risk evaluation and mitigation strategy)
The nurse has an order to administer phenytoin sodium 80 mg IV now. After withdrawing 1.6 mL, which action by the nurse is correct? - The nurse should return the vial into the patient's medication drawer - The nurse should discard the vial and remaining medication. - The nurse should write his or her initials on the vial. - The nurse should use this vial only for this patient.
The nurse should discard the vial and remaining medication.
The nurse has an order to administer Dacarbazine 175 mg IV daily for 10 days. Which of the following is true? - The order is for an enteral medication. - The order is for a parenteral medication. - The order is for a topical medication. - The order is for a buccal medication.
The order is for a parenteral medication.
The nurse has the following medication order for a patient: Atorvastatin 20 mg once daily. Which of the following is true? - The order has all the components to administer the drug. - The order is missing the frequency. - The order is missing the route. - The order is missing the amount.
The order is missing the route.
The pharmacy sends the following medication. The nurse understands that: - The tablets are scored for administration of divided doses. - The tablets dissolve quickly once released into the bloodstream. - The tablets should not be crushed. - The tablets can be dissolved in water.
The tablets should not be crushed.
Which of the following should be avoided in medications orders? Select all that apply. - Use of "u" to express unit. - Use of leading zeros. - Use of trailing zeros. - Use of "cc" for milliliter. - Use of "mL" for milliliter.
Use of "u" to express unit. Use of trailing zeros. Use of "cc" for milliliter.
Which of the following abbreviations are associated with time-released medications? Select all that apply. - XR - SA - ID - IVP - SR
XR SA SR
Which of following medication forms contains a mixture of the drug mixed with water, alcohol, and flavored substances? - Capsule - Elixir - Syrup - Suspension
elixir
A black box warning: - is a list of abbreviations that should not be used, created as part of the national patient safety goal. - indicates that the drug carries significant adverse effects that may be life-threatening or may contribute to serious disability. - helps to ensure that the benefits of a specific drug (or class of drugs) outweigh the risks. - mixes uppercase and lowercase letters in a drug name to help highlight a section of the drug name so that it is not confused with a drug that has a similar name.
indicates that the drug carries significant adverse effects that may be life-threatening or may contribute to serious disability.
The nurse is preparing to administer 4 mL of an oral medication. The most appropriate measuring device to accurately measure this dose is a/an: - teaspoon - medicine cup calibrated in ounces - oral syringe - tablespoon
oral syringe
Which part of a syringe fills and empties the syringe? - Bevel - Barrel - Plunger - Hub
plunger
The nurse finds the following drug in the patient's medication drawer. On the drug label, the nurse identifies (select all that apply): - The brand name - Black box warning - Dosage strength - Generic name - Storage information
the brand name dosage strength generic name storage information
The nurse is preparing to administer the 0800 medication to the patient. After reviewing the patient's medication administration record (MAR), the most appropriate intervention for the nurse is to - administer the 0800 medication as ordered. - verify the dose written on the MAR with the physician's order. - question the route. - double-check the dose with another nurse.
verify the dose written on the MAR with the physician's order.
