ATI Safe Dosage

A nurse is preparing to administer medication to the client . Which of the following should the nurse use to identify the client ? ( Select all that apply . ) 1. Client's telephone number 2. Cilant's place of birth 3. Client's hospital room number 4. Client's photograph 5. Client's assigned identification number

1. Client's telephone number 4. Client's photograph 5. Client's assigned identification number

A nurse is administering medications to four clients . The nurse should identify which of the following nursing actions as a part of the evaluation phase of the nursing process ? 1. Collecting information about a client's pain level following administration of a narcotic 2. Taking the blood pressure of a client before administering an antihypertensive medication 3. Lowering the level of a client's bed before administering a benzodiazepine medication 4. Instructing a client to rinse their mouth following administration of an inhalation corticosteroid

1. Collecting information about a client's pain level following administration of a narcotic

A nurse is reviewing a new prescription by a provider . The nurse should verify that which of the following components of a prescription are present ? ( Select all that apply . ) 1. Date and time of prescription 2. Clients diagnosis 3. Dosage of medication 4. Route of administration . 5. Generic name of medication 6. Provider's signature

1. Date and time of prescription 3. Dosage of medication 4. Route of administration . 5. Generic name of medication 6. Provider's signature

A nurse on a medical unit is assisting with the orientation of a newly licensed nurse . The nurse should remind the newly licensed nurse to have a second nurse review the dosage of which of the following medications prior to administration ? 1. Heparin 2. Acetaminophen 3. Acetylcysteine 4. Hydroxychloroquine

1. Heparin [*The nurse should have a second nurse check the dosage of high - alert medications , such as heparin , because serious client harm can occur if the dosage is excessive . High - alert medication classes include central nervous system drugs , chemotherapeutic agents , and anticoagulants.*]

A nurse is caring for a client who received lisinopril 30 min ago and is now reporting dizziness and headache . Which of the following actions should the nurse take first ? 1. Obtain the client's vital signs . 2. Notify the provider . 3. Document the client's response in the medical record . 4. Tell the client to change positions slowly .

1. Obtain the client's vital signs .

A nurse is assessing a client following administration of an antibiotic . The nurse should identify that which of the following findings is a manifestation of an anaphylactic reaction to the medication ? 1. Swollen lips 2. Hypertension 3. Low heart rate 4. Constipation

1. Swollen lips

A nurse is preparing to administer digoxin 225 mcg for a pediatric client who has a heart rate above 90 / min . Which of the following actions should the nurse take to ensure administration of the right dose ? ( Select all that apply . ) 1. Validate that the dosage is within the safe range . 2. Confirm the medication amount is appropriate for the child . 3. Verify that the medication is not expired . 4. Check the client's heart rate prior to administration . 5. Document the administration in the medication administration record .

1. Validate that the dosage is within the safe range . 2. Confirm the medication amount is appropriate for the child .

A nurse is caring for a client who is to receive topiramate XR 100 mg PO daily . The client tells the nurse that the capsule is too hard to swallow . Which of the following actions should the nurse take ? 1. Crush the contents of the capsule to administer in a small amount of pudding . 2. Request extended - release sprinkles from the pharmacy . 3. Ask the charge nurse to clarify the prescription with the provider . 4. Withhold the medication until the time for the next dose .

2. Request extended - release sprinkles from the pharmacy. [*The nurse can administer topiramate XR in sprinkle form , if available . This is not changing the route of the medication . The sprinkle capsules can be opened and mixed with food for ease of swallowing while still remaining extended release*]

A charge nurse is reviewing the types of prescriptions with a newly licensed nurse . Which of the following prescriptions should the nurse include as an example of a standing prescription ? 1. Oxycodone 5 mg by mouth every 4 hr as needed for pain 2. Furosemide 20 mg IV stat 3. Acetaminophen 650 mg by mouth every 6 hr for temperature greater than 38.4 ° C ( 101.2 ° F ) 4. Diazepam 10 mg IV 30 min prior to procedure

3. Acetaminophen 650 mg by mouth every 6 hr for temperature greater than 38.4 ° C ( 101.2 ° F )

A nurse is caring for a client who reports severe back pain at 1400. The client's prescriptions include oxycodone extended - release 20 mg PO every 12 hr ( last dose received at 0600 ) and oxycodone immediate - release 5 mg PO every 4 hr PRN ( last dose received at 2300 the day before ) . Which of the following actions should the nurse take ? 1. Contact the provider to request an order for a different pain medication . 2. Administer oxycodone immediate - release 5 mg PO at 1600 . 3. Administer oxycodone immediate - release 5 mg PO now . 4. Contact the provider to request an increase in the oxycodone extended - release dose .

3. Administer oxycodone immediate - release 5 mg PO now .

A nurse manager is reviewing a client's medical record and discovers that the client received a double dose of a prescribed medication . Which of the following actions should the nurse manager take first ? 1. Complete an incident report . 2. Notify the provider about the medication error . 3. Assess the client for adverse effects . 4. Report the error to the risk manager .

3. Assess the client for adverse effects .

A nurse is providing teaching regarding medication administration to a group of newly licensed nurses . Which of the following is a legal responsibility of a nurse ? 1. Prescribing the correct dosage 2. Modifying the medication regimen 3. Reporting medication errors 4. Delegating administration to assistive personnel

3. Reporting medication errors

A charge nurse is teaching a newly licensed nurse about medication reconciliation . Which of the following information should the charge nurse include in the teaching ? 1. Perform medication reconciliation daily during a client's hospitalization . 2. Only newly prescribed medications need to be reviewed during a medication reconciliation . 3. Vitamins , supplements , and over - the - counter ( OTC ) medications should be included in a medication reconciliation . 4. The goal of medication reconciliation is to minimize the financial impact of prescription medications to the client .

3. Vitamins , supplements , and over - the - counter ( OTC ) medications should be included in a medication reconciliation .

A nurse is caring for a client who states that his provider told him he is at risk for anaphylaxis following administration of amoxicillin and that he does not understand what this means . Which of the following is an appropriate response by the nurse ? 1. " Anaphylaxis is a predictable and often unavoidable secondary effect that can occur at a usual therapeutic dose . " 2. " Anaphylaxis will cause you to experience withdrawal symptoms when you discontinue taking the medication . " 3. " Anaphylaxis is an unusual response that can occur due to an inherited predisposition . " 4. " Anaphylaxis is a severe hypersensitivity or allergic reaction that is life - threatening . "

4. " Anaphylaxis is a severe hypersensitivity or allergic reaction that is life - threatening . "

A nurse is transcribing a provider's prescription for a client . The prescription reads morphine 2 mg IV bolus at 1400. The nurse should recognize this as which of the following types of medication orders ? 1. Routine order 2. Stat order 3. PRN order 4. Single order

4. Single order

A nurse is teaching a newly licensed nurse about crushing medications . The nurse should explain that which of the following medications can be crushed ? 1. Extended - release oxycodone 2. Sublingual nitroglycerine 3. Enteric - coated aspirin 4. Sucralfate tablets

4. Sucralfate tablets

A nurse is preparing to administer a time - critical medication to a client at 0800. Which of the following times are appropriate for the nurse to administer the medication ? ( Select all that apply . ) A. 0700 B. 0745 C. 0830 D. 0845 E. 0900

B. 0745 C. 0830

A nurse is preparing to administer bumetanide to a client who has heart failure . For which of the following findings should the nurse withhold the medication and contact the provider ?

BP 84/50 mm Hg .

A nurse is assisting with the admission of a client who has pneumonia and is reviewing the client's medication prescriptions . Which of the following medications should the nurse identify as the priority to administer ?

Clarithromycin [*A client who presents with community - acquired pneumonia should receive antibiotic treatment within the first 6 hr of admission . This limits complications such as sepsis and mortality . The greatest risk to this client is injury from infection Therefore , the priority medication the nurse should administer is clarithromycin .*]

A nurse is reviewing the medical record of a client who is receiving furosemide . Which of the following findings should the nurse identify as an adverse effect of furosemide ?

Oliguria [*The nurse should recognize that oliguria is a manifestation of dehydration , which is an adverse effect of furosemide therapy*]

A nurse is preparing to administer a high - alert pain medication to a client . Which of the following actions should the nurse perform during the planning stage of medication administration ? 1. Assess the effectiveness of the pain medication .. 2. Verify the dosage calculation with another nurse . 3. Teach the client about the action of the medication . 4.Ask the client to state their name and birthdate .

2. Verify the dosage calculation with another nurse .

A nurse is preparing to administer a medication to a newly admitted client . The nurse should identify which of the following actions as a part of the assessment phase of the nursing process ? 1. Asking the client about a history of medication allergies 2. Instructing the client about the medication's adverse effects 3. Determining whether the medication should be administered with or without meals 4. Monitoring the client's response to the medication

1. Asking the client about a history of medication allergies

A nurse is preparing to administer medication to a client who has a prescription for docusate sodium 50 mg capsule PO twice daily . The client refuses to take the medication because of nausea . Which of the following actions should the nurse take ? 1. Administer a docusate sodium capsule rectally . 2. Withhold the medication . 3. Administer 100 mg docusate sodium with the next scheduled administration . 4. Encourage the client to take the medication as the provider prescribed .

2. Withhold the medication .

A nurse is asked to administer a medication to a client because a coworker must help with an emergency . The coworker gives the nurse a syringe labeled furosemide 20 mg . The label also includes the client's name and hospital identification number . Which of the following responses by the nurse is appropriate ? 1. " I'll go and give the medication to the client right away . " 2. " Go with me to identify the client properly , and then I'll give the medication for you . " 3. " You should ask the charge nurse to administer this medication . " 4. " I'll go help with the emergency situation while you administer the medication . "

4. " I'll go help with the emergency situation while you administer the medication . "

A nurse is assisting an RN with gathering supplies needed to initiate heparin via continuous IV infusion . Which of the following supplies should the nurse obtain ?

IV infusion pump

A nurse is conducting medication reconciliation for a client who is newly admitted to the facility . Which of the following actions should the nurse take first ?

Ask the client if they take herbal supplements .

A nurse is transcribing medication prescriptions for a group of clients . Which of the following is the appropriate way for the nurse to record medications that require the use of a decimal point ? A. 4 mL B. 0.6 mL C. 8.0 mL D. 125.0 mL

B. 0.6 mL

A nurse is preparing to use the ratio and proportion method to calculate a medication dose . Which of the following steps should the nurse take first ?

Establish the unit of measurement for calculation .

A nurse is assisting with the admission of a client following a CT scan with contrast to diagnose the presence of renal calculi . The client has a history of type 2 diabetes mellitus . The nurse should expect to withhold which of the following of the client's home medications ?

Metformin [*Metformin is a biguanide that is used in the management of type 2 diabetes . To prevent the development of acute kidney injury , metformin is contraindicated for the client for 48 hr following the administration of contrast media . The nurse should expect the provider to withhold the metformin and prescribe another medication , such as insulin , to provide glucose control in the interim*]

A nurse is assisting with the care of a client who has a prescription for nitroprusside 0.3 mcg / kg / min via continuous IV infusion . The client weighs 160 lb. Available is 20 mg in 100 mL of 0.9 % sodium chloride . Using the desired over have method , decide with the RN which of the following information is correct regarding the calculations necessary for this prescription .

The nurse should set the IV pump to deliver 6 mL / hr .

A nurse working in a medical - surgical unit is preparing to administer medications to a client . The nurse plans to use two forms of identification to verify that she has the right client . Which of the following actions can the nurse take to identify the client ? ( Select all that apply . ) 1. Compare the name on the client's wristband with the name in the medication administration record ( MAR ) . 2. Ask the client to state his date of birth . 3. Check the room number in the medication administration record ( MAR ) with the room number of the client . 4. Ask the client to state his name . 5. Use the bar code scan to identify the client .

1. Compare the name on the client's wristband with the name in the medication administration record ( MAR ) . 2. Ask the client to state his date of birth . 4. Ask the client to state his name . 5. Use the bar code scan to identify the client .

A nurse is preparing to administer an oral medication . Which of the following actions should the nurse take ? ( Select all that apply . ) 1. Provide client education about the medication . 2. Check the expiration date of the medication . 3. Verify the dosage of the medication . 4. Call the client by name to confirm their identity . 5. Ask the client if they have any allergies .

1. Provide client education about the medication . 2. Check the expiration date of the medication . 3. Verify the dosage of the medication . 5. Ask the client if they have any allergies .

A nurse is preparing to administer insulin subcutaneously to a client . The nurse should document the administration of the medication immediately after which of the following actions ? 1. Taking the insulin from the automated dispensing machine 2. Injecting the insulin 3. Checking the client's blood glucose level 4. Checking the correct dosage of the insulin

2. Injecting the insulin

A nurse is reviewing a client's prescriptions . The nurse should contact the provider to clarify which of the following prescriptions ? 1. Phenytoin 100 mg PO every 8 hr 2. Morphine 2.5 mg IV bolus PRN for incisional pain 3. Regular insulin 7 units subcutaneous 30 min before breakfast and dinner 4. Lisinopril 20 mg PO every 12 hr . Hold for systolic BP less than 110 mm Hg

2. Morphine 2.5 mg IV bolus PRN for incisional pain

A nurse in an urgent care facility is preparing to administer a stat dose of medication to a toddler who is accompanied by their parent . The child is not wearing an identification band . How should the nurse identify the client ? 1. Ask the child to say their name . 2. Say the child's name and ask them if that is correct . 3. Ask the parent to identify the child by name . 4. Hold the medication until the child receives an identification band .

3. Ask the parent to identify the child by name .

A nurse is reviewing a client's prescriptions . The nurse should contact the provider to clarify which of the following prescriptions ? 1. Ampicillin 100 mg / kg / day by mouth in 4 equally divided doses 2. Phenytoin 300 mg by mouth every 12 hours 3. Metronidazole 500 mg IV bolus every 6 hr 4. Acetaminophen 325 mg every 6 hr PRN for headache

4. Acetaminophen 325 mg every 6 hr PRN for headache

A nurse receives a telephone prescription from a provider . The provider states , " Administer three - tenths of a milligram of nitroglycerin orally to the client . " How should the nurse transcribe " three - tenths of a milligram " on the MAR ? A. .3 mg B. 3 / 10's mg C. 0.30 mg D. 0.3 mg

D. 0.3 mg

A nurse is administering medications to a client . Which of the following actions should the nurse perform during the planning step of the nursing process ? ( Select all that apply . ) 1. Identify client allergies . 2. Calculate the dose . 3. Explain the purpose of the medication to the client . 4. Observe for adverse effects of the medication . 5. Verify the dose

2. Calculate the dose . 5. Verify the dose