PART I: S AFETY IN M EDICATION
A DMINISTRATION
C HAPTER 1: S AFETY IN M EDICATION
A DMINISTRATION
Castillo: Calculating Drug Dosages: A Patient -Safe Approach to Nursing
and Math 2nd Edition
MULTIPLE CHOICE
1. The following medication order is in the patient’s medication
administration record (MAR):
methylPREDnisolone 40 mg PO daily at 0900.
After reading the order, the nurse correctly determines:
A. “PO” is an inappropriate abbreviation.
B. the medication order is written correctl y.
C. 40 mg should be written as 40mg.
D. tall man lettering indicates that the dr ug is a narcotic.
ANS: B
Feedback
, The medication order has all the required components (drug name,
dose, route, and frequency of administration) for a drug order. “PO” is
an appropriate abbreviation; 40 mg is written correctl y with a space
between the dose and the unit of measurement. Tall man lettering is
used to distinguish the drug from another drug with a similar name.
2. Which of the following accuratel y describes the “Boxed Warning” found
on a drug label?
A. It is primaril y is used to identify the safe dose for the patient.
B. It is commonl y found on all drug labels.
C. It identifies serious potential risks and side effects related to drug
use.
D. It protects the patient by providing information to decrease side
effects.
ANS: C
Feedback
A drug label with a boxed warning provides information to healthcare
professionals and patients regarding the serious risks and side effects
related to the drug. The Boxed Warning is not the primary source for
identifying the patient’s drug dosage. The warning is found on spe cific
prescription medications and does not provide information to reduce or
decrease side effects.
3. When practicing safety in the administration of medication, for which of
the following medication orders should a nurse seek clarification before
the administration of the medication?
, A. Regular insulin 5 u subcut now.
B. Enoxaparin 80 mg subcut every 12 hours.
C. Benadryl 50 mg PO PRN every 6 hr for itching.
D. Ondansetron 4 mg IVP stat.
ANS: A
Feedback
The “u” should never be used in a medication order; rather, for safet y,
the word “units” should be spelled out. The other answer options
contain the required components needed to safel y carry out the
medication order.
4. A nurse is reviewing a drug label with a drug name written with tall man
lettering. Which statements shows the nurse has a correct understanding of
tall man lettering on a drug label?
A. “The tall man lettering means this is a high alert drug.”
B. “The tall man lettering helps me distinguish this drug with other
drugs that have similar names.”
C. “The tall man lettering means that this drug must have a Boxed
Warning.”
D. “The tall man lettering helps me quickl y identify that this drug is an
injectable drug.”
ANS: B
Feedback
A DMINISTRATION
C HAPTER 1: S AFETY IN M EDICATION
A DMINISTRATION
Castillo: Calculating Drug Dosages: A Patient -Safe Approach to Nursing
and Math 2nd Edition
MULTIPLE CHOICE
1. The following medication order is in the patient’s medication
administration record (MAR):
methylPREDnisolone 40 mg PO daily at 0900.
After reading the order, the nurse correctly determines:
A. “PO” is an inappropriate abbreviation.
B. the medication order is written correctl y.
C. 40 mg should be written as 40mg.
D. tall man lettering indicates that the dr ug is a narcotic.
ANS: B
Feedback
, The medication order has all the required components (drug name,
dose, route, and frequency of administration) for a drug order. “PO” is
an appropriate abbreviation; 40 mg is written correctl y with a space
between the dose and the unit of measurement. Tall man lettering is
used to distinguish the drug from another drug with a similar name.
2. Which of the following accuratel y describes the “Boxed Warning” found
on a drug label?
A. It is primaril y is used to identify the safe dose for the patient.
B. It is commonl y found on all drug labels.
C. It identifies serious potential risks and side effects related to drug
use.
D. It protects the patient by providing information to decrease side
effects.
ANS: C
Feedback
A drug label with a boxed warning provides information to healthcare
professionals and patients regarding the serious risks and side effects
related to the drug. The Boxed Warning is not the primary source for
identifying the patient’s drug dosage. The warning is found on spe cific
prescription medications and does not provide information to reduce or
decrease side effects.
3. When practicing safety in the administration of medication, for which of
the following medication orders should a nurse seek clarification before
the administration of the medication?
, A. Regular insulin 5 u subcut now.
B. Enoxaparin 80 mg subcut every 12 hours.
C. Benadryl 50 mg PO PRN every 6 hr for itching.
D. Ondansetron 4 mg IVP stat.
ANS: A
Feedback
The “u” should never be used in a medication order; rather, for safet y,
the word “units” should be spelled out. The other answer options
contain the required components needed to safel y carry out the
medication order.
4. A nurse is reviewing a drug label with a drug name written with tall man
lettering. Which statements shows the nurse has a correct understanding of
tall man lettering on a drug label?
A. “The tall man lettering means this is a high alert drug.”
B. “The tall man lettering helps me distinguish this drug with other
drugs that have similar names.”
C. “The tall man lettering means that this drug must have a Boxed
Warning.”
D. “The tall man lettering helps me quickl y identify that this drug is an
injectable drug.”
ANS: B
Feedback
