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# Calculation of Drug Dosages A Work Text 9th Edition by Sheila J. Ogden Test Bank

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###### Calculation of Drug Dosages A Work Text 9th Edition by Sheila J. Ogden Test Bank

Chapter 02: Fractions

COMPLETION

1. Reduce the following fraction to lowest terms.

54/81 = _____

ANS:  2/3

PTS:   1                    MSC:  Practice Problems

1. Reduce the following fraction to lowest terms.

105/135 = _____

ANS:  7/9

PTS:   1                    MSC:  Practice Problems

1. Reduce the following fraction to lowest terms.

39/65 = _____

ANS:  3/5

PTS:   1                    MSC:  Practice Problems

1. Change the following improper fraction to a whole or mixed number.

325/16 = _____

ANS:  20 5/16

PTS:   1                    MSC:  Practice Problems

1. Change the following improper fraction to a whole or mixed number.

1,500/100 = _____

ANS:  15

PTS:   1                    MSC:  Practice Problems

1. Change the following improper fraction to a whole or mixed number.

193/62 = _____

ANS:  3 7/62

PTS:   1                    MSC:  Practice Problems

1. Change the following mixed number to an improper fraction.

12 1/8 = _____

ANS:  97/8

PTS:   1                    MSC:  Practice Problems

1. Change the following mixed number to an improper fraction.

29 2/3 = _____

ANS:  89/3

PTS:   1                    MSC:  Practice Problems

1. Perform the indicated operation and reduce to lowest terms.

1/12 + 6/12 + 5/12 = ____

ANS:  1

PTS:   1                    MSC:  Practice Problems

1. Perform the indicated operation and reduce to lowest terms.

3/8 1/3 = _____

ANS:  1/24

PTS:   1                    MSC:  Practice Problems

1. Perform the indicated operation and reduce to lowest terms.

4/5 5/16 = _____

ANS:  1/4

PTS:   1                    MSC:  Practice Problems

1. Perform the indicated operation and reduce to lowest terms.

1/12 1/15 = _____

ANS:  1/180

PTS:   1                    MSC:  Practice Problems

1. Perform the indicated operation and reduce to lowest terms.

3/5 5 = _____

ANS:  3/25

PTS:   1                    MSC:  Practice Problems

1. Perform the indicated operation and reduce to lowest terms.

1/100 1/200 = _____

ANS:  2

PTS:   1                    MSC:  Practice Problems

1. Indicate which fraction is the largest.

1/100, 1/150, 1/200: _____

ANS:  1/100

PTS:   1                    MSC:  Practice Problems

1. Arrange the following fractions from smallest to largest.

1/6, 1/5, 1/8, 1/4, 1/3: _______________

ANS:  1/8, 1/6, 1/5, 1/4, 1/3

PTS:   1                    MSC:  Practice Problems

1. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

1/5 + 1/2 + 1/4 = _____

ANS:  19/20

PTS:   1                    MSC:  Practice Problems

1. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

16 5/6 14 3/8 = ____

ANS:  2 11/24

PTS:   1                    MSC:  Practice Problems

1. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

6 10/12 15/3 = _____

ANS:  34 1/6

PTS:   1                    MSC:  Practice Problems

1. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

56 9/20 = _____

ANS:  124 4/9

PTS:   1                    MSC:  Practice Problems

1. Indicate the largest number in the following set.

5/6, 5/8: _____

ANS:  5/6

PTS:   1                    MSC:  Practice Problems

1. Indicate the largest number in the following set.

1/30, 1/4, 1/150: _____

ANS:  1/4

PTS:   1                    MSC:  Practice Problems

1. Reduce the following fraction to lowest terms.

34/102 = _____

ANS:  1/3

PTS:   1                    MSC:  Practice Problems

1. Reduce the following fraction to lowest terms.

60/1200 = _____

ANS:  1/20

PTS:   1                    MSC:  Practice Problems

1. Express the following improper fraction as a mixed number. Reduce to lowest terms.

24/18 = _____

ANS:  1 1/3

PTS:   1                    MSC:  Practice Problems

1. Express the following improper fraction as a mixed number. Reduce to lowest terms.

15/13 = _____

ANS:  1 2/13

PTS:   1                    MSC:  Practice Problems

1. Change the following mixed number to an improper fraction.

9 1/9 = _____

ANS:  82/9

PTS:   1                    MSC:  Practice Problems

1. Change the following mixed number to an improper fraction.

6 7/10 = _____

ANS:  67/10

PTS:   1                    MSC:  Practice Problems

1. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

6 5/16 + 5 3/16 = _____

ANS:  11 1/2

PTS:   1                    MSC:  Practice Problems

1. Perform the indicated operation with fractions.  Reduce to lowest terms as indicated.

4 3/10 + 2 2/10 = _____

ANS:  6 1/2

PTS:   1                    MSC:  Practice Problems

1. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

3 1/5 + 3 2/3 + 2 1/2= _____

ANS:  12 11/30

PTS:   1                    MSC:  Practice Problems

1. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

1 2/4 + 3 1/3 = _____

ANS:  4 5/6

PTS:   1                    MSC:  Practice Problems

1. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

15/21 10/21 = _____

ANS:  5/21

PTS:   1                    MSC:  Practice Problems

1. Perform the indicated operation with fractions. Reduce to lowest terms as indicated.

8/16 1/4 = _____

ANS:  1/4

PTS:   1                    MSC:  Practice Problems

1. Perform the indicated operation with fractions. Reduce to lowest terms as  indicated.

14 5/9 = _____

ANS:  13 4/9

PTS:   1                    MSC:  Practice Problems

1. Perform the indicated operation with fractions.  Reduce to lowest terms as  indicated.

6 1/4 2 5/8 = ____

ANS:  3 5/8

PTS:   1                    MSC:  Practice Problems

1. Perform the indicated operation with fractions. Reduce to lowest terms as  indicated.

5 1/3 1 7/12 = _____

ANS:  3 3/4

PTS:   1                    MSC:  Practice Problems

1. A client received 2 1/2 ounces (oz) of medication at breakfast and 2 1/3 oz at  lunch. How many oz of medication has the client received?  _____

ANS:  4 5/6 oz

PTS:   1                    MSC:  Practice Problems

1. A client weighed 147 1/2 pounds (lb), lost 6 3/4 lb due to illness. How many          pounds  does the client now weigh?  ____

ANS:  140 3/4 lb

PTS:   1                    MSC:  Practice Problems

1. A client drank 2/3 of a 12 ounce (oz) can of seltzer water. How many ounces of     seltzer water did the client drink?  ______

ANS:  8 oz

PTS:   1                    MSC:  Practice Problems

1. A client is supposed to drink a 10 ounce (oz) bottle of magnesium citrate  before an X-ray study. The client was able to drink 4 oz. How much of the  magnesium citrate remains? (Express answer as a fraction reduced to lowest  terms.) ______

ANS:  2/5 bottle

PTS:   1                    MSC:  Practice Problems

1. The nurse is instructed to give a client 2/3 of a cup of solution. If 1 cup =  240 milliliters (mL), how many mL should the nurse administer? _____

ANS:  160 mL

PTS:   1                    MSC:  Practice Problems

Chapter 10: Medication Administration

MULTIPLE CHOICE

1. The six rights of medication administration are:
 a. medication, dosage, route, time, client, documentation. b. medication, solution, doctor, shift, time, documentation. c. medication, order, signature, time, route, documentation. d. medication, client, signature, time, hospital, documentation

ANS:  A                    PTS:   1                    MSC:  General

1. After administering a medication, the nurse should:
 a. pour the medications for the next administration time. b. document medication given prior to administering. c. order the next dosage needed from the pharmacy. d. document the time of administration.

ANS:  D                    PTS:   1                    MSC:  General

1. A nurse is administering a medication at the bedside. Which of the following actions should be the first priority?
 a. Document the administration of the medication. b. Establish the identity of the client. c. Recheck the medication label. d. Obtain orange juice for the client to take with the medication.

ANS:  B                    PTS:   1                    MSC:  General

MULTIPLE RESPONSE

1. Medication errors (select all that apply):
 a. are preventable. b. are less prevalent in children and elderly. c. cause an increase in health care cost. d. can occur when the six rights of medication administration are not adhered to. e. can result in tragic outcomes including death. f. occur in the hospital setting only.

ANS:  A, C, D, E      PTS:   1                    MSC:  General

1. Which of the following are considered unique identifiers in addition to the full name of a client when establishing the identification of a client? (Select all that apply.)
 a. Room number of the client. b. Clients medical record number. c. Initials of the clients name. d. Clients date of birth. e. Name of the clients medication.

ANS:  B, D               PTS:   1                    MSC:  General

COMPLETION

1. Directions: For the following scenario, identify which of the six rights of medication administration has been violated.

A nurse enters a room to administer medications to a client. The order is for Prednisolone 2.5 mg p.o. b.i.d. The nurse administers prednisone 25 mg p.o.: _______________, _______________.

ANS:  medication, dosage

PTS:   1                    MSC:  General

1. Directions: For the following scenario, identify which of the six rights of medication administration has been violated.

A nurse charts medications that she administered at 10 AM on October 1st for 10 AM on October 2nd: _______________.

ANS:  documentation

PTS:   1                    MSC:  General

1. Directions: For the following scenario, identify which of the six rights of medication administration has been violated.

A nurse has an order for heparin 5,000 units subcut for a client in room 407 whose name is Henry Jones (initials HJ). The nurse enters room 408 and administers the medication to Horace Jackson (initials HJ): _______________.

ANS:  client

PTS:   1                    MSC:  General

1. Directions: For the following scenario, identify which of the six rights of medication administration has been violated.

Medication ________________ avoids errors and assists in obtaining accurate medication histories of a client at transition points (admission, transfer, discharge).

ANS:  reconciliation

PTS:   1                    MSC:  General

1. Directions: Complete the following sentence with the correct word or number.

When a verbal order is received by an authorized individual, the individual must do the following: (Write in the correct sequence.)  _______, _______, _______.

ANS:  write it down, read it back, get confirmation

PTS:   1                    MSC:  General

1. Directions: Complete the following sentence with the correct word or number.

The use of mixed case or enlarged, bolded lettering to differentiate medications with look-alike names is called __________ lettering.

ANS:  Tall Man

PTS:   1                    MSC:  General

1. Directions: Complete the following sentence with the correct word or number.

The use of posters and brochures to encourage clients to use strategies to avoid  medication errors is called the _____________ .

ANS:  Speak Up Campaign

PTS:   1                    MSC:  General

1. Directions: Complete the following sentence with the correct word or number.

Administration of medications within 30 minutes of the scheduled time is referred to as the _____________ .

ANS:  30-minute rule

PTS:   1                    MSC:  General

TRUE/FALSE

1. Medication errors can result in prolonged hospitalization for a client.

_____

ANS:  T                    PTS:   1                    MSC:  General

1. Technological advances have eliminated the occurrence of medication errors.

_____

ANS:  F                    PTS:   1                    MSC:  General

1. A nurse who administers a medication that is unsafe is liable for the error.

_____

ANS:  T                    PTS:   1                    MSC:  General

1. The nurse can safely administer medications that are prepared by another nurse.

__________

ANS:  F                    PTS:   1                    MSC:  General

1. A dropper is safe to use when administering medications when it is used for the specific medication it is calibrated to.

ANS:  T                    PTS:   1                    MSC:  General

Chapter 24: Critical Care Calculations

COMPLETION

1. Directions: Calculate the dosages as indicated.

A client is receiving procainamide 1 g in 500 mL D5W at 120 mL/hr.

1. mg/hr: _____
2. mg/min: _____

ANS:

1. 240
2. 4

PTS:   1                    MSC:  Critical Care Calculations

1. Directions: Calculate the dosages as indicated.

A client is receiving dopamine 800 mg in 500 mL D5W infusing at a rate of 30 mL/hr.

1. mg/hr: _____
2. mcg/min: _____

ANS:

1. 48
2. 800

PTS:   1                    MSC:  Critical Care Calculations

1. Directions: Calculate the dosages as indicated.

Order: Dobutamine 2.5 mcg/kg/min for a client who weighs 193 lb

Available: Dobutamine 250 mg in 250 mL D5W

1. What is the clients weight in kilograms? _____ (to the nearest tenth)
2. Calculate the rate in mL/hr required to infuse 2 mcg/kg/min: _____

ANS:

1. 87.72 = 87.7
2. 11

PTS:   1                    MSC:  Critical Care Calculations

1. Directions: Calculate the dosages as indicated.

Esmolol is ordered for a client. The solution available is 2.5 g in 250 mL D5W. The order is to infuse 32 mL/hr.

1. mg/hr: _____
2. mg/min: _____

ANS:

1. 320
2. 5.3

PTS:   1                    MSC:  Critical Care Calculations

1. Directions: Calculate the dosages as indicated.

A client weighing 80 kg has an order for Intropin to infuse at 8 mcg/kg/min. The solution available is 800 mg Intropin in 500 mL D5W.

1. mcg/min: _____
2. mL/hr: _____

ANS:

1. 640
2. 24

PTS:   1                    MSC:  Critical Care Calculations

1. Directions: Calculate the dosages as indicated.

Dopamine 4 mcg/kg/min is ordered for a client who weighs 165 lb. The solution available is 400 mg of Dopamine in 250 mL D5W. To infuse by infusion pump that delivers in tenths of a milliliter.

1. mg/min: ____
2. mg/hr: _____
3. mL/hr: ____

ANS:

1. 0.3
2. 18
3. 11.3

PTS:   1                    MSC:  Critical Care Calculations

1. Directions: Calculate the dosages as indicated.

Lidocaine to infuse at 3 mg/min. The solution available is 2 g of lidocaine in 500 mL D5W. Determine the IV flow rate.

ANS:  45 mL/hr

PTS:   1                    MSC:  Critical Care Calculations

1. Directions: Calculate the dosages as indicated.

Nitroglycerine has been ordered to titrate at 10 mcg/min to 30 mcg/min, and the rate should be increased by 5 mcg/min every 3-5 minutes for chest pain. The solution contains 50 mg nitroglycerin in 250 mL D5W. Develop a titration table in 5 mcg increments. The pump delivers in tenths of a milliliter.

ANS:

1. 3-9 mL/hr will deliver 10-30 mcg/min
2. For each change of 5 mcg/min, the incremental flow rate is 1.5 mL/hr
3. Titration Table

Dosage rate (mcg/min)                             Flow rate (mL/hr)

10 mcg/min (minimum)                              3 mL/hr

15 mcg/min                                                 4.5 mL/hr

20 mcg/min                                                 6 mL/hr

25 mcg/min                                                 7.5 mL/hr

30 mcg/min (maximum)                              9 mL/hr

PTS:   1                    MSC:  Critical Care Calculations

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