Deck 21: Mathematics and Medication Administration

Question 1

What is 4.5 divided by 3?

A) 0.75
B) 1.5
C) 5
D) 0.66

Answer 1

1.5

Question 2

Tylenol gr V is ordered. The available tablet is 0.3g. What dosage should the nurse administer?

A) 1 tablet
B) 1.5 tablets
C) $\frac { 1 } { 2 }$ tablet
D) 2 tablets

Answer 2

1 tablet

Question 3

What is 2.34 + 0.77?

A) 0.01
B) 90.4
C) 2.417
D) 3.11

Answer 3

3.11

Question 4

What is $\frac { 3 } { 4 }$ divided b $\frac { 1 } { 5 }$ y ?

A) $\frac { 3 } { 20 }$
B) $\frac { 15 } { 4 }$
C) $\frac { 31 } { 45 }$
D) $\frac { 4 } { 15 }$

Question 5

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

Question 6

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

Question 7

What is the fraction 80/100 when reduced to lowest terms?

A) $\frac { 8 } { 10 }$
B) $\frac { 1 } { 4 }$
C) $\frac{4}{5}$
D) $\frac { 3 } { 4 }$

Question 8

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

Question 9

What is 2.5 ´ 2?

A) 1.25
B) 5
C) 50
D) 22.5

Question 10

What is 0.9% expressed as a decimal?

A) 9
B) 0.9
C) 0.09
D) 0.009

Question 11

Which is the same ratio as 2:100?

A) 1:50
B) 5:300
C) 1:20
D) 4:25

Question 12

Which of the following fractions is the smallest?

A) 3/12
B) 2/3
C) 5/6
D) 3/4

Question 13

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

Question 14

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

Question 15

Which of the following fractions is the largest?

A) 1/2
B) 1/3
C) 1/4
D) 1/5

Question 16

What is the product o $\frac { 5 } { 6 } \times \frac { 1 } { 2 }$ f ?

A) $\frac { 5 } { 12 }$
B) $\frac { 6 } { 10 }$
C) $\frac { 10 } { 6 }$
D) $\frac { 51 } { 12 }$

Question 17

What is the sum o $\frac { 3 } { 4 }$ f an $\frac { 7 } { 8 }$ d ?

A) $\frac { 10 } { 48 }$
B) $\frac { 10 } { 12 }$
C) $\frac { 21 } { 4 }$
D) $1 \frac { 5 } { 8 }$

Question 18

What is 6.147 rounded to the nearest tenth?

A) 6.2
B) 6.15
C) 6.14
D) 6.1

Question 19

What is the correct conversion for the improper fraction $\frac { 77 } { 9 }$ ?

A)7 $\frac{7}{9}$
B)8 $\frac{5}{9}$
C) 7.79
D) 79.7

Question 20

What i $\frac{1}{5}$ s expressed as a percent?

A) 50%
B) 20%
C) 10%
D) 5%

Question 21

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

Question 22

What is the main organ that inactivates and metabolizes drugs?

A) Spleen
B) Liver
C) Lungs
D) Pancreas

Question 23

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 _____________.

Question 24

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

Question 25

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.

Question 26

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

Question 27

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

Question 28

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

Question 29

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

Question 30

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

Question 31

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

Question 32

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.

Question 33

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."

Question 34

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

Question 35

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

Question 36

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

Question 37

What screening test is accomplished by performing an intradermal injection?

A) Diabetes
B) Tuberculosis
C) Hepatitis
D) Meningitis

Question 38

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

Question 39

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