Deck 23: Mathematics Review and Medication Administration

Question 1

The sum of 3/4 and 7/8 is:

A) 10/48.
B) 10/12.
C) 21/4.
D) 1 5/8.

Answer 1

1 5/8.

Question 2

The average adult dose of Phenergan is 50 mg.Using Young's rule for a 10-year-old,the nurse should calculate the dosage as:

A) 23 mg.
B) 25 mg.
C) 30 mg.
D) 35 mg.

Answer 2

23 mg.

Question 3

0.9% expressed as a decimal is:

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

Answer 3

0.009.

Question 4

The physician has ordered furosemide 20 mg stat.The ampule is labeled 40 mg/mL.The nurse should give:

A) 0.8 mL.
B) 0.5 mL.
C) 2.0 mL.
D) 8.0 mL.

Question 5

2.5 * 2 equals:

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

Question 6

6 mg = ____ g

A) 6.0
B) 0.6
C) 0.06
D) 0.006

Question 7

A 35-pound child is to receive an IM medication.The average adult dose is 75 mg.Using Clark's rule,the nurse should give:

A) 30.5 mg.
B) 25.5 mg.
C) 20.5 mg.
D) 17.5 mg.

Question 8

2.34 + 0.77 equals:

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

Question 9

The correct conversion for the improper fraction 77/9 is:

A) 7 7/9.
B) 8 5/9.
C) 7.79.
D) 79.7.

Question 10

The fraction 80/100 when reduced to lowest terms is:

A) 8/10.
B) 1/4.
C) 4/5.
D) 3/4.

Question 11

0.5 liter = ____ mL

A) 0.0005
B) 0.05
C) 50
D) 500

Question 12

Which is the same ratio as 2:100?

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

Question 13

When rounded to the nearest tenth,6.147 is expressed as:

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

Question 14

The product of 5/6 * 1/2 is:

A) 5/12.
B) 6/10.
C) 10/6.
D) 51/12.

Question 15

Divide 3/4 by 1/5.

A) 3/20.
B) 15/4.
C) 31/45.
D) 4/15.

Question 16

The medication order reads "Ibuprofen 600 mg PO tid." The bottle is labeled "Ibuprofen 200 mg/tab." The nurse should give:

A) one tablet.
B) two tablets.
C) three tablets.
D) six tablets.

Question 17

The largest fraction listed below is:

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

Question 18

The smallest amount is expressed by the fraction:

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

Question 19

1/5 expressed as a percent is:

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

Question 20

4.5 divided by 3 equals:

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

Question 21

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

Question 22

When giving a subcutaneous injection to a very thin patient,the nurse will alter the injection technique by:

A) using a 23-gauge 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 23

Atropine 0.4 mg is to be given.Ampule is labeled gr 1/150/mL.The nurse should give:

A) 1.5 mL.
B) 0.25 mL.
C) 0.5 mL.
D) 1 mL.

Question 24

The main organ that inactivates and metabolizes drugs is the:

A) spleen.
B) liver.
C) lungs.
D) pancreas.

Question 25

The nurse who was going off shift had prepared the medications for the nurse who was going to relieve her to save the new nurse time.The nurse coming on knew that she should:

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 26

When performing an intradermal injection,the nurse instills a small amount of substance into the dermis and the injection is not aspirated.One of the uses of this technique is screening for:

A) diabetes.
B) tuberculosis.
C) hepatitis.
D) meningitis.

Question 27

Tylenol gr V is ordered.The available tablet is 0.3g.The nurse should give:

A) 1 tablet.
B) 1.5 tablets.
C) 1/2 tablet.
D) 2 tablets.

Question 28

Lanoxin 0.125 mg is to be given.The nurse converts the dose to how many grams?

A) 1.250
B) 1250
C) 0.000125
D) 0.00125

Question 29

When preparing to give an intramuscular injection into the gluteal site,the nurse uses landmarks to ensure safe placement of the medication.Those landmarks are:

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 30

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.This effect is called:

A) compatibility.
B) antagonistic.
C) synergism.
D) cooperation.

Question 31

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 32

A 150-pound man is to receive a medication based on mg/kg.He is to receive 1 mg/kg.The nurse should give:

A) 50 mg.
B) 68 mg.
C) 75 mg.
D) 80 mg.

Question 33

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

Question 34

0.5 g of medication is ordered.The label reads 125 mg/mL.The nurse should give:

A) 1 mL.
B) 2 mL.
C) 3 mL.
D) 4 mL.

Question 35

When the patient complains about his IV lines and asks if he can have the medication by mouth,the nurse explains that the main problem related to the oral route is that:

A) it is 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 medications.
D) it leads to more errors because pills look alike.

Question 36

The nurse administered a sedative to an older adult who was having difficulty sleeping.Later,the patient was walking the halls and becoming agitated.The nurse recognizes this behavior as a response to the drug called:

A) unexpected.
B) untoward.
C) idiosyncratic.
D) hypersensitive.

Question 37

When a patient comes into the emergency department with a narcotic overdose,the nurse anticipates that the patient will be treated with Narcan,which is a(n):

A) enhancer.
B) substitute.
C) control.
D) antagonist.

Question 38

gr X is ordered.The tablet contains 300 mg.The nurse should give:

A) 1/2 tablet.
B) 1 tablet.
C) 1 1/2 tablets.
D) 2 tablets.

Question 39

In some health care facilities,the LPN/LVN is allowed to take telephone orders from a physician.The nurse must be alert and careful when taking verbal orders.One precaution the nurse should take is to:

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 40

Important considerations are to be followed when administering medications to prevent errors.Shortcuts should not be taken,and principles should be adhered to.One of these principles is:

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 shift.

Question 41

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 42

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 43

Using the illustration below,select the proper angle for the nurse to use in administering a subcutaneous injection for the average adult.