Medication Administration Proficiency Exam practice questions key PDF

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Medication Administration Proficiency Exam practice questions key...

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MAPE #2 N130 (Spring 2019) SIMPLE CONVERSIONS & RATIOS 1. A patient requires nitroprusside (Nipride) for management of high blood pressure. If the patient weighs 225 pounds (lbs), what is the weight in kilograms (kg)? Answer: 102.3 kg

225 ÷ 2.2 = 102.27 rounded to 102.3 kg

2. The doctor orders a laxative for a patient who has not had a bowel movement in five days. The order reads Milk of Magnesia 1½ tablespoons (Tbsp) PO now. How many milliliters (mL) will the nurse administer? Round to the nearest whole number on this calculation. Answer: 23 mL

1 Tbsp = 15 mL; 15 mL x 1.5 = 22.5 rounded to 23 mL

3. A patient received 0.175 mg of levothyroxine (Synthroid). How many micrograms (mcg) were administered? Answer: 175 mcg

0.175 mg x 1000 = 175 mcg

4. The nurse is to initiate an Epinephrine infusion which is available in a concentration of 2 mg per milliliter (mL) normal saline. What is the amount of epinephrine in micrograms (mcg)? Answer: 2000 mcg

2 mg x 1000 = 2000 mcg

CALCULATION OF DOSAGES 1. The physician orders furosemide (Lasix) 40 mg IV push. The vial sent from Pharmacy contains 100 mg in 10 mL of normal saline solution. What volume in milliliters (mL) will the nurse administer? Answer: 4 mL

[40 mg x 10 mL] ÷ 100 mg = 2 mL

2. The physician orders 3 grams (g) of magnesium sulfate mixed in 250 mL D5W to infuse at 1 g per hour. What flow rate in mL/hour will the nurse program on the IV pump to deliver the prescribed dose? Round to the nearest whole number on this calculation. Answer: 83 ([250 mL x 1 g] ÷ 3 g = 83.3 mL rounded to 83 mL/hr ) 3. The nurse has orders to administer ceftriaxone sodium (Rocephin) 2.5 grams (g) in 500 mL over 8 hours. What is the hourly flow rate in mL/hour that the nurse must set on the IV infusion pump? Answer: 63 (500 mL ÷ 8 hrs = 62.5 mL/hr rounded to 63 mL/hr) 4. The client drank 4 oz. of orange juice and 8 oz. of coffee for breakfast, 12 oz. of tea and 4 oz. of ginger ale for lunch, and 4 oz. of water at 10:00 AM and then again at 2:00 PM when taking medications. How many milliliters (mL) did the client consume by 1:00 PM? Answer: 960 mL

(4 + 8 + 12 + 4 + 4 = 32 oz. x 30 mL per oz. = 960 mL)

MAPE #2 N130 (Spring 2019)

SAFE MEDICATION ADMINISTRATION 1. The nurse is to administer metoprolol (Lopressor) 50 mg PO at 0900. The order states: “Hold if pulse is below 60 bpm”. The pulse is 56 bpm. The most appropriate action for the nurse would be to Answer: a. hold the medication and notify the physician. b. hold the medication, then take the pulse again in the evening to see if it has increased enough to be able to give the drug at 2100. c. ambulate the patient until the pulse rate increases to above 60 bpm. d. administer the dose, the pulse rate is close enough.

2. Which physician order is incomplete? a. Acetaminophen 325 mg PO Q6H prn mild pain Answer: b. Aspirin PO daily (missing dose & the unit of measure) c. Hydromorphone 0.5 mg IV push Q1H prn severe pain d. Nifedipine 10 mg SL BID 3. Along with the five (6) rights of safe medication administration, there are three checks that must be completed during the medication administration process to ensure the 5 rights and enhance medication safety. The three checks are performed when (Choose all that apply) a. Patient identification b. Wasting of medications Answer: c. Preparing medications d. Patient assessment of readiness to learn Answer: e. Gathering and/or collecting medications Answer: f. Administering medications at the bedside 4. As a nurse, if you notice a mistake with a patient’s medication, what should you do? a. Make a mental note about the error and share it at the next staff meeting. b. Give the patient a different medication. c. Report the error. d. Do your best to fix the error on your own.

MAPE #2 N130 (Spring 2019) LABEL READING & RECONSTITUTION Refer to the label for acetaminophen suspension.

1. How many milligrams of acetaminophen are contained in one teaspoonful? Answer: 160 2. This medication may be administered up to six (6) times in 24 hours. Answer: False 3. What is the dosage – in milliliters - for a child who weighs 25kg? Answer: 10 (25kg x 2.2 = 55 pounds) 4. How many milligrams will a child who weighs 25kg receive? Answer: 320 (160mg per 5mL. Child will receive 10mL)...