The laboratory report includes these four numbers: 0.355, 0.3, 0.03, and 0.035. Which decimal is the largest? Answer: 2 The client is to receive Xanax (alprazolam) 0.5 mg po at bedtime. What time would be appropriate to administer this medication: 6pm, 7pm, 8pm, 9pm, or 10pm? Answer: 3 The client is to receive Colace (docusate sodium) 100 mg po bid. How many times a day does the client receive this medication? Answer: 4 The client is to receive Coumadin (warfarin sodium) 5 mg po at 1900. Which entry on the medication administration record is transcribed correctly in traditional time? Answer: a. Coumadin (warfarin sodium) 5 mg po at 7 AM b. Coumadin (warfarin sodium) 5 mg po at 9 AM c. Coumadin (warfarin sodium) 5 mg po at 7 PM d. Coumadin (warfarin sodium) 5 mg po at 9 PM 5 The client is to receive Kantrex (kanamycin sulfate) 1 g po q6h for 5 days. What is this dose of medication in milligrams? Answer: a. 1 b. 10 c. 100 d. 1000 6 A client weights 130 pounds. How many kilograms should the nurse document on the chart? Answer: a. 58.1 b. 59.1 c. 285 d. 286 7 A newborn is 22 1/4 inches long. How many centimeters should the nurse document on the chart? Answer: a. 8.9 b. 9.9 c. 55.6 d. 56.5 8 How many times does the nurse have to check the drug label prior to administration? Answer: a. One b. Two c. Three d. Four 9 Which form of multidose medication begins to lose it potency once dissolved? Answer: a. Capsule b. Liquid c. Powder d. Tablet 10 Which practices by the student nurse are correct in measuring a liquid medication? Choose all that are correct. Answer: a. Estimate a dose between two lines on the medicine cup. b. Pour liquids at eye level on a flat surface. c. The center of the medication is on the meniscus measurement line. d. The medication on the sides of the container appears below the meniscus line. e. Liquid medications are measured in a medicine cup or a syringe. 11 When a nurse reconstitutes a powder, what information does not need to be included on the label? Answer: a. Date b. Nurse’s initials c. Patient’s name d. Solution the nurse made e. Time 12 The nurse has to administer Humalog 11 units subcutaneously now. The medication available is Humalog 100 units per milliliter. Which syringe should the nurse select? Answer: a. Insulin 50 unit b. Insulin 100 unit c. 1 mL precision d. 3 mL syringe 13 The client is to receive Zyprexa (olanzapine) 10 mg po twice a day. Each tablet contains 2.5 mg. How many tablets would the client receive? Answer: a. 3 b. 3.5 c. 4 d. 4.5 14 The client is to receive Lopressor (metoprolol tartrate) 0.05 grams po every day. Each scored tablet contains 50 mg. How many tablets would the client receive? Answer: a. 1/2 b. 1 c. 1 1/2 d. 2 15 The client is to receive Theophylline elixir 120 mg po twice a day. The medication is available as Theophylline elixir 80 mg/15 mL. How many milliliters of medication would the client receive? Answer: a. 20 b. 22.5 c. 25 d. 27.5 16 The client is to receive morphine sulfate 4 mg IV stat. The medication is available as morphine sulfate 10 mg/mL. How many milliliters of medication would the client receive? Answer: a. 0.04 b. 0.4 c. 0.45 d. 0.5 17 The nurse has to administer Humulin R 18 units subcutaneously and NPH 35 units subcutaneous daily at 7:30 AM. What is the correct order for drawing up these medications? 1) Inject into the Humulin R vial 18 units of air 2) Inject into the NPH vial 35 units of air 3) Withdraw 18 units of Humulin R insulin 4) Withdraw 35 units of NPH insulin Answer: a. 1, 2, 3, 4 b. 1, 2, 4, 3 c. 2, 1, 3, 4 d. 2, 1, 4, 3 18 A client has a sliding scale for insulin dosage. The order is for Humulin R every 6 hours as follows: Accuchecks every 6 hours BG 0â€“180 mg/dL no coverage BG 181 mg/dLâ€“240 mg/dL 2 units subcutaneously BG 241 mg/dLâ€“300 mg/dL 4 units subcutaneously BG 301 mg/dLâ€“400 mg/dL 6 units subcutaneously BG > 400 mg 8 units subcutaneously and call the physician At 11 AM the client’s Accucheck reading was 242 mg/dL. How many units of Humulin R insulin would the client receive? Answer: a. 2 units subcutaneously b. 4 units subcutaneously c. 6 units subcutaneously d. 8 units subcutaneously and call the physician 19 Directions for reconstitution of ampicillin sodium for injection: “For IM use add 3.5 mL sterile water for injection. Resulting solution contains 250 mg ampicillin sodium per mL. The vial contains ampicillin sodium equivalent to 1 gram. Usual adult dosage of ampicillin is 250 mgâ€“500 mg IM every 6 hours.” How much diluent is added to the vial to prepare the medication for IM use? Answer: a. 1 mL b. 3.5 mL c. 250 mg/mL d. 500 mg/mL 20 The healthcare provider has ordered the client to receive insulin intravenously. Which insulin would the nurse have to use? Answer: a. Humalog b. Lantus c. NPH d. Regular 21 The client is to receive Humulin NPH 56 units subcutaneously every morning hour before breakfast. Which dosage and syringe is correct for the nurse to administer the medication? Answer: a. 1 mL syringe drawn up with Humulin NPH at the 0.56 mL mark b. 3 mL syringe drawn up with Humulin NPH at the 0.56 mL mark c. Insulin 100 unit syringe drawn up with Humulin NPH at the 56 unit mark d. Insulin 50 unit syringe drawn up with Humulin NPH at the 50 unit mark 22 A child weighs 14 lb 8 oz. How many kilograms does this child weigh? Answer: a. 6.48 b. 6.59 c. 14.4 d. 14.5 23 A child weighs 35 lb and has an order for Keflex (cephalexin) 150 mg po every 6 hours. The literature states the usual children’s dose is 25 to 50 mg/kg a day in four divided doses. The drug label reads 125 mg/5 mL. What is the safe dose range per day for this medication? Answer: a. 197.75â€“695.75mg b. 297.75â€“725.5mg c. 397.75â€“795.5mg d. 400.25â€“810.75mg 24 A child’s weight is 20 lb and height, 30 inches. The dosage for the medication is 20 mg/m2/dose four times a day. How many mg of medication are administered per dose? Answer: a. 8 b. 9 c. 10 d. 11 25 A child weighs 18 kg and has an order for Zithromax 10 mg/kg po stat. The recommended dosage range on day one is 10 mg/kg. The oral suspension is dispensed as 200 mg in 5 mL. How many milliliters will you administer in one dose? Answer: a. 4.3 b. 4.4 c. 4.5 d. 4.6 26 .Using the formula given on page 305 in your textbook, calculate the BSA for the following patients: 68.0388 kg, 175.26 cm. 44.9056 kg, 114.3 cm. 13.6077 kg, 81.28 cm. If a child weighs more than 65 lbs, which monogram would you use? 27. A. Why is it important to ensure that good bookkeeping practices are established? List four ways to maintain good bookkeeping practices. B.Explain how you will prepare the patientâ€™s check for deposit in the office checking account. 28 concisely clarifying what narratives are; then, summarize some of the common mistakes that are made as readers engage the biblical narratives.
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