Pharma Module 2
Pharma Module 2
Pharma Module 2
SHEET
PRE TEST
You may now answer the 20 items pretest. Please follow instructions. Use black ballpen and No
erasures. You are given 15 minutes to answer.
I. IDENTIFICATION. Fill each blank with the correct answer. Write your answers
II. Convert the given measures to new units. Write your answers on the space provided
for each number. No erasures.
1. 1 kg = 2.2 lb
2. 1 tsp = 5 mL
3. 1 L = 1000 mL
4. 1 kg = 1000 g
5. 1 oz = 30 mL
6. 1 g = 1000 mg
7. 1 mg = 1000 mcg
8. 1 tbsp = 15 mL
9. 1 cup = 8 fl oz
10. 1 pint = 2 cups
11. 12 inches = 1 foot
12. 1 tbsp = 3 tsp
13. 1 cc = 1 mL
14. 8 oz = 236.59 mL
15. 1 tsp = 59.15 gtt
Multiple Choice
1. The nursery nurse is putting erythromycin ointment in the newborn’s eyes to prevent
infection. She places it in the following area of the eye:
a. Under the eyelid
b. On the cornea.
c. In the lower conjunctival sac
d. By the optic disc.
ANSWER: C
RATIO: This method is used because drops placed into the conjunctival sac are used to
dilate the eyes or instill a medication to be in contact with the eye for a period of time.
2. Nursing responsibilities in the assessment phase of the nursing process include which
responsibilities? (Select all that apply.)
a. Identify side effects of drugs that are nonspecific
b. Check peak and trough levels of drugs
c. Advise client to avoid fatty foods prior to ingesting an enteric coated tablet
d. Evaluate client's reaction to drug
ANSWER: A,B
RATIO: Nursing responsibilities in the assessment phase of the nursing process include;
identify side effects of drugs that are nonspecific and check peak and trough levels of
drugs
3. The nurse is aware of the many factors related to effective health teaching about the
medication. The most essential component of the teaching plan is to do which?
a. Provide written instructions.
b. Establish a trust relationship.
c. Use colorful charts.
d. Review community resources.
ANSWER: B
RATIO: There are many reasons to set up a trust, including avoiding probate, providing
for your family after your death, and stating exactly how, and when, your descendants
receive their inheritance.
4. A medication health teaching plan is tailored to a specific client. Common topics for health
teaching include which? (Select all that apply.)
a. Importance of adherence to the prescribed regimen
b. How to administer medication (s)
c. What side/adverse effects to report to the health care provider
d. Instruction of the client on what foods should be eaten
ANSWER: A,B,C
RATIO A medication health teaching plan is tailored to a specific client. Common topics
for health teaching include:
a. Importance of adherence to the prescribed regimen
b. How to administer medication (s)
c. What side/adverse effects to report to the health care provider
5. The nurse educator on the unit receives a list of high-alert drugs. Which strategies are
recommended to decrease the risk of errors with these medication? (Select all that apply.)
a. Store medications alphabetically on their usual shelf.
b. Limit access to these drugs.
c. Use special labels.
d. Provide increased information to staff.
ANSWER: B, C , D
RATIO: Other recognised solutions for reducing common causes of medication errors
include:
improving clinical workforce and clinician-patient communication.
using technology to support information recording and transfer.
providing better access to patient information and clinical decision support at the point
of care.
6. Nurse is preparing to administer a medication to a 13-year-old client. The nurse follows the
six rights of medication administration for a pediatric client. After checking for the right client,
the right dose, the right drug, the right time and the right route, what is the final item the nurse
must check for this client?
a. Right age
b. Right Label
c. Right Documentation
d. Right strength
ANSWER: A
RATIO After checking for the right client, the right dose, the right drug, the right time and
the right route, what is the final item the nurse must check right age.
7. When performing an assessment about medication, the drug history should include:
a. Complete vital signs
b. Client’s goal of therapy
c. Reason for medication
d. Administration of OTC medications
ANSWER: D
RATIO: Regulated by FDA through OTC Drug monographs. OTC drug monographs are a
kind of "recipe book" covering acceptable ingredients, doses, formulations, and labeling.
10.When deciding on what time of day to give medications, the nurse pays closest attention to
the client’s habits regarding:
a. Eating
b. Sleeping
c. Elimination
d. Activity
ANSWER: A
RATIO All medications require an assessment (review of lab values, pain, respiratory
assessment, cardiac assessment, etc.) prior to medication administration to ensure the
patient is receiving the correct medication for the correct reason.
11. Doctor’s Order: Tylenol supp 1 g pr q 6 hr prn temp > 101; Available: Tylenol supp 325 mg
(scored). How many supp will you administer?
a. 2 supp
b. 1 supp
c. 3 supp
d. 5 supp
ANSWER: 3 supp
COMPUTATION: 1g x 1,000 mg1 g=1,000 mg
12. Doctor’s Order: Nafcillin 500 mg po pc; Available: Nafcillin 1 gm tab (scored). How many
tab will you administer per day?
a. 2.5 tabs
b. 2 tabs
c. 1.5 tabs
d. 1 tab
ANSWER: 1.5 tabs
COMPUTATION : 500 mg x 1 g1,000 mg=0.5 g
13. Doctor’s Order: Synthroid 75 mcg po daily; Available: Synthroid 0.15 mg tab
(scored). How many tab will you administer?
a. 1 tab
b. 0.5 tab
c. 2 tabs
d. 1.5 tabs
ANSWER:0.5 tab
COMPUTATION : 75 mcg x 1 mg1,000 mcg=0.075 mg
Dose prescribed for the patientStock strength available=0.075 mg0.15 mg=0.5 tab
14. Doctor’s Order: Diuril 1.8 mg/kg po tid; Available: Diuril 12.5 mg caps. How many cap will
you administer for each dose to a 31 lb child?
a. 2 caps
b. 2.5 caps
c. 3 caps
d. 1.5 caps
ANSWER: 2 caps
COMPUTATION : 1.8mg x 14 =25.22mg
15. Doctor’s Order: Cleocin Oral Susp 600 mg po qid; Directions for mixing: Add 100 mL of
water and shake vigorously. Each 2.5 mL will contain 100 mg of Cleocin. How many tsp of
Cleocin will you administer?
a. 3 tsp
b. 5 tsp
c. 3.5 tsp
d. 1 tsp
ANSWER:1 tsp
COMPUTATION : Dose prescribed for the patient x Quantity volume (ml)Stock strength
available
You will now mark (encircle) the session you have finished today in the tracker below. This is
simply a visual to help you track how much work you have accomplished and how much work
there is left to do.
You are done with the session! Let’s track your progress.
3-2-1
Three things you learned:
1. I’ve learned to calculate the correct dose of a drug when given examples of drug orders
and available forms of the drug ordered;
2. Differentiate the routes of administration.; and,
3. Identify nursing interventions related to administration
of medications by various routes.
1. Administration of dugs
2. Calculations