Download Competency Medication Administration by RN or EEN Answer Sheet

Competency
Medication Administration by RN or EEN
Answer Sheet
Refer to Appendix D for Drug Calculations
Show workings for all calculations
1. Convert the following:
a. 1250 mg
=
1.25 g
b. 2.5 L
=
2500 ml
c. 1000 mg
=
1g
d. 1.5 kg
=
1500 g
e. 500 mg
=
0.5 g
f. 600 mcg
=
0.6 mg
g. 900 mcg
=
0.9 g
h. 0.25 mg
=
250 mcg
2. Calculation of Drug Dosages:
a. The order is for Phenobarbitone 45 mg. Available strength is 30 mg per tablet. How many
tablets will you give?
1.5 Tablets
b. The order is for Bendrofluazide 10 mg. Available strength is 5 mg per tablet. How many tablets
will you give?
2 Tablets
c. The order is for Digoxin 0.125 mg. Available strength is 62.5 micrograms per tablet. How many
tablets will you give?
2 Tablets
d. The order is for Captoril 6.25 mg. Available strength is 25 mg per tablet (each tablet is scored
for breaking into four equal parts). How many tablets will you give?
¼ Tablet
769855833
Developed August 2012
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Competency
Medication Administration by RN or EEN
Answer Sheet
e. Morphine 2.5 mgs is ordered SCI. Stock strength is 10 mg per 1 mls. How much would you
give?
2.5mg divided by 10mg x 1ml = 0.25ml
f.
A patient is to have 15 mg of Morphine. Stock strength available is a mixture of 5 mg/mL.
Calculate the volume to be given.
15mg divided by 5mg x 1ml = 3ml
g. A patient is ordered 75 mg of Nitrofurantoin. Stock strength is a mixture containing 25 mg/5mL.
What volume will be required to give this dose?
75mg divided by 25mg x 5ml = 15ml
h. A patient is ordered 16 Units of Humalog Insulin, how much would you draw up using the 100
units 1 ml Insulin syringe?
16units divided by 100units x 1ml = .16ml
3. Intravenous or Subcutaneous Infusion (Drip Rate) Calculations:
Calculate the drops per minute (dpm) for each of the following IV fluid orders. Generally a macro giving
set is used (macrodrip delivers 15 drops/ml)
a. The order is for 1 litre of IV fluid over 10 hours
1000mls divided by 600mins x 15 df = 25 dpm
b. The order is for 300 ml of IV fluid over 30 minutes
300ml divided by 30 mins x 15 df = 150 dpm
c. The order is for 1 litre of IV fluid over 12 hours
1000mls divided by 720 mins x 15 df = 20.83dpm
4. What steps would you take if
a. You found that the RN on the previous shift had not signed for a drug that was due to be given
on that shift?
1) Raise medication incident form
2) Notify MO and seek orders
3) Raise exception report in resident progress notes
b. You found the drug orders illegible?
1) Raise medication incident form
2) Notify MO and seek phone order
3) Raise exception report in resident progress notes
769855833
Developed August 2012
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Competency
Medication Administration by RN or EEN
Answer Sheet
c. The patient refused medications or medication was not given?
1) Document ‘R’ or ‘NG’ on resident medication chart against order & date
2) Notify MO and seek orders
3) Raise exception report on resident progress notes
d. During your medication round, there was a drug that your are not familiar with. What would you
do?
1) Refer to MIMMS
2) Contact Pharmacist or
3) Contact MO (as last resort)
e. During your medication round, if the prescribed drug is not available, what action would you
take?
1) Contact Pharmacist – seek urgent drug delivery & communicate to FM of any charge
fee e.g. After Hours fee
2) Notify MO & seek alternate orders
f.
When a resident commences on an ACE inhibitor to treat their medical condition, what are the
possible side effects of such drug?
Profound Hypotension, Renal Impairment, Persistent cough
Rash, Upper Respiratory symptoms, Jaundice, Headache, Dizziness
g. What nursing action would you take to monitor the side effects?
Monitor BP (as per MO orders), urinalysis (as per MO orders), advise
Resident to rise slowly to avoid postural drop
h. What is the maximum dose of Paracetamol in 24 hours?
8 tablets
5. Define:
a. a.c.
Before meals
b. p.c.
After meals
c. stat.
immediately
d. mane
morning
e. Nocte
night
769855833
Developed August 2012
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