Deck 35: Calculation of Medication Dosage and Medication Administration

Question 1

Which of the following is a long-lasting insulin preparation?

A)Lente
B)NPH  
C)Lantus
D)Humulin

Answer 1

Lantus

Question 2

When a provider writes a prescription for controlled substances, what must be on the prescription?

A)DEA
B)Date  
C)Full address of patient
D)All the above

Answer 2

All the above

Question 3

Which of the following is considered a legal and ethical principle in medication administration?

A)Always obey the laws of the state. 
B)Know the effects of the drugs. 
C)Be knowledgeable about the drug administered. 
D)All of the above.

Answer 3

All of the above.

Question 4

Solve for x:1.5:3 = x:12

A)4
B)4.5  
C)6
D)6.5  
E)8

Question 5

Which of the following is NOT a factor that determines dosage of medications?

A)Age
B)Weight  
C)Height
D)Gender

Question 6

Which of the following best describes a prescription?

A)Directions for dosage of a drug  
B)Written legal document that gives directions of a medication  
C)Order allowing refills  
D)Order for scheduled drugs

Question 7

Which of the following is equal to 5 ml?

A)1 oz
B)15 gtt  
C)1 tsp
D)1 inch

Question 8

Which of the following is the leading cause of drug administration errors?

A)Wrong patient
B)Wrong drug  
C)Wrong time
D)Wrong route  
E)Wrong dosage

Question 9

Which of the following best describes one of the most accurate methods of calculating medication dosage for infants and children?

A)Weight
B)Age  
C)Body surface area
D)Height times weight

Question 10

Which of the following is the standard measurement of a dosage of insulin?

A)minim
B)ml  
C)deciliter
D)unit

Question 11

Which of the following best describes the units-100 syringe?

A)Each mark equals 100 units. 
B)It is marked in units of 10. 
C)There are 100 units per ml. 
D)All the above.

Question 12

Which of the following abbreviations in a prescription indicates a medication is to be taken every hour?

A)q
B)qh  
C)qs
D)qid

Question 13

Solve for x:6:12 = x:36

A)12
B)18  
C)20
D)24

Question 14

Which of the following is a measure of volume?

A)meter
B)milliliter  
C)gram
D)milligram

Question 15

How many grams is equal to 3,000 milligrams?

A)1.5 g
B)2 g  
C)2.5 g
D)3 g  
E)4.5 g

Question 16

Which of the following is the number of pills needed per day for the order Allegra 60 mg TID?

A)Two
B)Three  
C)Four
D)Six

Question 17

Which of the following shows the incorrect definition for the abbreviation?

A)bid = twice a day
B)tid = four times a day  
C)qod = every other day
D)q2h = every two hours

Question 18

Which of the following is NOT a responsibility of the medical assistant in medication administration?

A)Knowledge of medication  
B)Knowledge of drug effects  
C)Safely administer medications  
D)Advising on use of over-the-counter drugs

Question 19

Which of the following best describes grams?

A)Liquid
B)Weight  
C)Length
D)Meter

Question 20

When filling out a prescription, what does the signature (sig) mean?

A)Doctor's signature
B)Gives directions to the patient  
C)Name and quantity of ingredients
D)None of the above

Question 21

In children, 2 years and older, what is the correct angle of injection into the vastus lateralis?

A)10 degrees
B)45 degrees  
C)15 degrees
D)90 degrees

Question 22

Which of the following is NOT a hazard when giving a parenteral medication?

A)Allergic reaction
B)Injury to bone or vessels  
C)Needle breaking in the tissue
D)Good chance of infection

Question 23

Which of the following is the preferred site for infant and children intramuscular injections?

A)Gluteus maximum
B)Gluteus medius  
C)Deltoid
D)Vastus lateralis

Question 24

Which of the following would be a safe area to inject a medication?

A)Side of the thigh
B)Upper arm of a mastectomy patient  
C)Buttock of a paralyzed patient
D)Upper inner quadrant of the buttock

Question 25

Which of the following injections does NOT require massage after administration?

A)Intramuscular
B)Subcutaneous  
C)Intradermal
D)Z-track

Question 26

Which of the following best describes the purpose of writing on the medicine note?

A)To prepare, administer, and record medications  
B)To know what time the drug was ordered  
C)To know whether you have the right patient  
D)All the above

Question 27

Which of the following six rights is being followed when the medication order is compared with the medication label?

A)Dose
B)Route  
C)Drug
D)Time

Question 28

Which of the following medications does NOT require massage to the site after administration?

A)Insulin
B)Imferon  
C)Heparin
D)All the above

Question 29

Which of the following does NOT require aspiration with giving an injection?

A)Intramuscular
B)Subcutaneous  
C)Intradermal
D)All the above

Question 30

Which of the following abbreviation is no longer allowed to use by JCAHO?

A)po
B)U  
C)qh
D)Cap

Question 31

Which of the following is a sterile prefilled glass bottle with a rubber stopper containing hypodermic solution?

A)Ampule
B)Cartridge  
C)Vial
D)Tube

Question 32

What is the weight in kilograms for a child who weighs 55 pounds?

A)15 kg
B)20 kg  
C)25 kg
D)30 kg

Question 33

Which of the following is the recommended maximum volume of fluid introduced to the dorsogluteal site?

A)2 ml
B)3 ml  
C)4 ml
D)5 ml

Question 34

When is the medication label to be read?

A)When pouring, administering, and putting the drug back on the shelf  
B)When taking from the shelf, after pouring, and after administering the drug  
C)When checking the order, when pouring, and before putting the drug back on the shelf  
D)When the medication is taken from the storage area, just before removing it from its container, and when returning the medication to the storage area

Question 35

Which of the following is NOT a procedure to follow when a medication error occurs?

A)Recognize the error. 
B)Assess the patient's condition. 
C)Report the error immediately to the physician. 
D)Documenting the error in the medical record is not necessary as long as the provider is notified.

Question 36

Which of the following best describes how syringes and needles should be disposed?

A)Remove the needle and place it in a sharps container. 
B)Discard the needle in a rigid, puncture-proof container. 
C)Recap the needle and place both the cap and the needle in a sharps container. 
D)Cut off the needle and place it in a sharps container.

Question 37

Why is choosing the proper site for injections important?

A)Ensures the medication is delivered to the correct tissue type. 
B)Pain and swelling are avoided. 
C)Quantities can be given in specific sites. 
D)All injections can be given only in certain tissue.

Question 38

Which of the following is the most appropriate action when locating the ventrogluteal site?

A)Use the upper outer buttocks quadrant. 
B)Give below the deltoid tuberosity. 
C)Use palm of hand against trochanter with tip of finger on anterior iliac spine. 
D)Use anywhere in the quadriceps femoris.

Question 39

Which of the following is the most commonly used syringe?

A)Tuberculin
B)Insulin  
C)1-, 3-, and 5-cc
D)Tubex

Question 40

Which of the following is the most important consideration immediately before administering a medication?

A)Have a written order
B)Complete the five rights  
C)Assess the patient's condition
D)Ensure the correct dosage

Question 41

Which of the following is a delivery method for oxygen?

A)Nasal cannula
B)Nasal catheter  
C)Mask
D)All the above

Question 42

Which of the following is the most appropriate action to remove the top of an ampule?

A)Flick it off with your index finger. 
B)Use a small blade to etch a line at the neck of the ampule and break it off. 
C)Use gauze and snap off in the gauze. 
D)Unscrew the top.

Question 43

What type of insulin delivery device uses high-pressure air to send a fine mist of insulin through the skin?

A)Insulin pen
B)Insulin pump  
C)Tuberculin syringe
D)Jet injector

Question 44

Which of the following terms means lack of oxygen in the blood?

A)Retrolental fibroplasia
B)Apnea  
C)Hypoxemia
D)None of the above

Question 45

Which of the following is the advantage of a Z-track injection?

A)Larger doses can be given. 
B)Thicker medication can be given. 
C)It prevents medication irritation of tissue. 
D)It is less painful.

Question 46

Which of the following is NOT considered to be parenteral?

A)Intravenous
B)Ingestion  
C)Intramuscular
D)Intradermal

Question 47

Which of the following is NOT a part of a syringe?

A)Barrel
B)Plunger  
C)Flange
D)Needle

Question 48

Which of the following is the most appropriate action after withdrawing medication from a vial that will be given Z-track?

A)Wipe the rubber-stopper top again. 
B)Use a new needle to administer. 
C)Wipe the needle with an alcohol sponge to prevent contamination. 
D)Hold the syringe pointed upward while replacing the cap on the container.

Question 49

Which of the following is NOT an area where subcutaneous injections may be given?

A)Lower abdomen
B)Mid-back  
C)Lower leg
D)Upper buttock  
E)Upper arm

Question 50

Which of the following is the correct interpretation of a prescription that reads Penicillin V 500 mg po qid #50?

A)Dispense 500 tablets of penicillin and have the patient take one tablet four times a day. 
B)Take one tablet of penicillin three times a day for 16 days. 
C)Dispense 50 tablets of penicillin 500 mg each and have the patient take one tablet four times a day. 
D)This is not a valid order because there is no time.

Question 51

Which of the following is one of the most important areas of patient teaching regarding technique?

A)Subcutaneous injection
B)Intradermal injection  
C)Z-track injection
D)Usage of the inhaler

Question 52

Which is the most appropriate action when you aspirate some blood while administering an IM injection?

A)Continue aspirating and, if no further blood appears, give the injection. 
B)Continue the injection and massage the site very well. 
C)Stop the injection and call the physician to observe site. 
D)Withdraw the needle, dispose of the needle, and start again.

Question 53

Which of the following types of injections requires you to pull the skin to the side before the needle insertion?

A)Intramuscular
B)Subcutaneous  
C)Intradermal
D)Z-track

Question 54

What angle is used when giving an intradermal injection?

A)15-30 degree
B)10-20 degree  
C)10-15 degree
D)15-20 degree

Question 55

Which of the following injections does NOT require stretching the skin taut?

A)Intramuscular
B)Subcutaneous  
C)Intradermal
D)None of the above

Question 56

Which of the following types of injections is always used for allergic extracts?

A)Intramuscular
B)Subcutaneous  
C)Intradermal
D)Z-track

Question 57

Which of the following types of injections requires a wheal to appear?

A)Intramuscular
B)Subcutaneous  
C)Intradermal
D)Z-track

Question 58

Which of the following syringe types is most frequently used to inject minute amounts for allergy testing and allergy injections?

A)Hypodermic
B)Tuberculin  
C)Insulin
D)Glass

Question 59

What part of the prescription states the names and quantities of ingredients to be included in the medication?

A)Superscription
B)Inscription  
C)Subscription
D)Repetatur

Question 60

What type of diabetes is non-insulin-dependent diabetes mellitus (NIDDM)?

A)Type I
B)Type II  
C)Type III
D)Type IV

Question 61

hInflammation of the vein is known as what?

A)Thrombosis
B)Phlebitis  
C)Veinitis
D)Venulitis

Question 62

Which of the following is NOT one of the "six rights" of proper drug administration?

A)Right time
B)Right patient  
C)Right dose
D)Right gender

Question 63

A small, sterile, prefilled glass container that usually holds a single dose of a hypodermic solution is known as what?

A)Cartridge
B)Vial  
C)Ampule
D)Dropper

Question 64

What does the provider take into consideration when ordering an IV?

A)Clinical laboratory results
B)Patient's age  
C)Patient's gender
D)Both a and b

Question 65

What type of diabetes has a gradual onset, usually seen in adults over 40 years of age?

A)Type II
B)Type III  
C)Type IV
D)Gestational

Question 66

Which is considered a part of a needle?

A)Point
B)Hilt  
C)Lumen
D)All of the above

Question 67

Which type of syringe is used to inject minute amounts for intradermal injections?

A)Tuberculin
B)Hypodermic  
C)Insulin
D)Disposable

Question 68

A device-graph that shows the relation among numeric values to determine a correct child dose is known as what?

A)BSA
B)Dosagram  
C)Nomogram
D)Kilogram