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Name:
Results
Band:
Calculations
Drug Problem
Solving
Instructions
This test has been designed to assess your drug knowledge and ability to calculate simple
drug calculations.
You are allocated 40 minutes to complete the entire paper. You may not leave the room if you
complete the paper before this time. Calculators are allowed however you are not permitted
to use your mobile phone.
This paper is in 2 sections the first section is some drug calculations and the second section
assesses your ability to problem solve.
Please clearly identify your answer in the box provided and show your workings out in the
space provided.
Read the questions carefully, think about your answer, would you do this on the
ward?
Formulae
Converting Metric Units
1
1
1
1
kilogram (kg)
gram (g)
milligram (mg)
litre (L)
=
=
=
=
1000
1000
1000
1000
Infusion rate
Drug Calculations
Question
1.
2.
3.
4.
5.
6.
7.
8.
9.
Please
carefully
examine
the
prescriptions and sliding scale on the
formula page and answer the following
questions :What rate would the infusion need to be
set at if the patients blood sugar was
12.5 mmols?
Which IV Fluid would need to be running?
9a
.
9b
.
10
.
Answer
Mark
Question
In the UK it is illegal for a registered nurse to administer drugs
which have not been prescribed. What would you do if a Doctor
asked you to do this
Answer
Mark
You are on a night shift. The other Registered Nurse working with
you is off the ward on her break. A patient requires Morphine for
her extreme pain. Do you:a) give the Morphine and leave the chart and Controlled Drugs
(CD) book out as a reminder for the other nurse to sign when
she returns
b) Prepare the drug yourself but get a Health Care Support
Worker to go with you whilst you administer it
c) Tell the patient they will have to wait for your colleagues to
return
d) Bleep the Site Manager / Practitioner and request they come
to the ward to prepare and administer a CD with you
3.
4.
You are doing the 6pm drug round and you have given Mrs Smith
100mgs of Tramadol, you get to the next lady Mrs Brown and
discover that you have given Mrs Smith Mrs Browns Tramadol.
What are you going to do?
a) Carry on with the rest of the drug round but keep a closer eye
on Mrs Smith for the rest of the shift.
b) Tell the nurse in charge who tells you to document in the
medical notes but not to worry.
c) Escalate to the General Manager on call for the evening and
the patients consultant.
d) Check the patient, inform the doctors on call and nurse in
5.
Question
Mr Jones has been admitted to the ward and when you go
through his medical notes to complete his admission you identify
he is allergic to Codeine. You note on his drug chart that he was
given 15mgs of Dihydrocodeine at 08.00, he is now due another
15 mgs at 12.00. What are you going to do?
Answer
Mark
7.
8.
9.