Foundations- ATI Test Safe Dosage Test

A nurse is preparing to administer a medication subcutaneously. Which of the following should the nurse use? A. 5/8 inch, 25 gauge needle B. 1-inch, 22 gauge needle C. 1 1/2 inch, 19 gauge needle D. 1- inch 18 gauge needle

A. 5/8 inch, 25 gauge needle

A nurse is caring for a client who received lisinopril (Zestril) 30 min ago and is now reporting dizziness and headache. Which of the following actions should the nurse take first? A. Obtain the client's vital B.Notify the provider C. Document the client's response in the medical record

A. Obtain the client's vital

A nurse is preparing to administer potassium chloride 40 mEq PO daily. Available is potassium chloride 20 mEq effervescent tablets. In addition to checking the correct dosage before administering the medication, the nurse should check which of the following? Select all that apply. A. The amount of liquid in which to dissolve the tablets B. The type of liquid in which to dissolve the tablets C. The client's blood glucose level D. The client's blood pressure E. The acceptable dose range of the medication

A. The amount of liquid in which to dissolve the tablets B. The type of liquid in which to dissolve the tablets E. The acceptable dose range of the medication

A nurse working in a medical surgical unit is preparing to administer medication 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 should the nurse take to identify the client? (Select all that apply) A.Compare the name on the client's wristband with the name on the MAR B. Ask the client to state his date of birth C.Check the room number on the MAR with the room number of the client D. Ask the client to state his name E.Use the bar code scan to identify the client

A.Compare the name on the client's wristband with the name on the MAR B. Ask the client to state his date of birth D. Ask the client to state his name E.Use the bar code scan to identify the client

A nurse is assisting with the orientation of a newly licensed nurse. The nurse should explain that is important to have a second nurse review the dosage of high-alert medications, such as heparin and insulin, for which of the following reasons? A.Dosage errors have the potential for significant harm to the client B. The provider prescribes high-alert medications in small amounts C. The nurse making an error may lose his job

A.Dosage errors have the potential for significant harm to the client

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

B. 0.6mL

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? A. Taking the insulin from the automated dispensing machine B. Injecting the insulin C.Checking the client's blood glucose level

B. Injecting the insulin

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

B. Morphine 2.5 mg IV bolus PRN for incisional pain

A nurse is preparing to administer a liquid medication to a toddler. Which of the following actions should the nurse take? A. Mix the medication in 120 mL (4oz) milk B. Offer the child a choice of taking the medication with either a cup or a spoon C. Obtain the medication in the form of a flavored tablet D. Explain the medication's purpose to enhance cooperation

B. Offer the child a choice of taking the medication with either a cup or a spoon

A nurse is preparing to administer medication to a client who has a prescription for doxycycline (Vibramycin) 100 mg PO daily at 0800. Which of the following times are appropriate for the nurse to administer the medication? A.0700 B.0745 C.0830 D.0845 E.0900

B.0745 C.0830

A nurse is caring for a client who is to receive omeprazole (Prilosec) 40 mg PO daily. The client tells the nurse that the pill is too hard to swallow. Which of the following actions should the nurse take? A.Crush the medication to administer in a small amount of pudding B.Request a liquid form of medication from pharmacy C. Ask the charge nurse to clarify the prescription with the provider D. Withhold the medication until time for the next dose

B.Request a liquid form of medication from pharmacy

A nurse on a medical surgical unit is caring for a client who has type 2 diabetes mellitus and has a prescription for metformin (Glucophage) 500 mg PO every 12 hr. The client is scheduled for a chest X-ray in the morning. Which of the following is an appropriate action by the nurse? A. Administer the morning dose after the clients has the X-ray B. Ask the dietician to decrease the percentage of carbohydrates in the client's meals today C.Administer the medication as prescribed D. Ask the pharmacist to substitute a different hypoglycemic agent

C.Administer the medication as prescribed

A nurse is reviewing the medication administration record for an adult client's new prescriptions. Which of the following prescriptions should the nurse clarify with the provider? A. Ampicillin 500 mg by mouth every 6 hr B. Phenytoin (Dilantin) 300 mg by mouth daily C. Metronidazole (Flagyl) 500 mg intermittent IV bolus every 8 hr D. Acetaminophen (Tylenol) 325 mg by mouth PRN for headache

D. Acetaminophen (Tylenol) 325 mg by mouth PRN for headache

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

D. Single order

A nurse is planning atraumatic care for a preschooler who has a prescription for an intramuscular medication. A parent is with the child. Which of the following actions should the nurse include in the plan of care? (Select all that apply) A.Provide an explanation of the hospital alarm system B.Leave the door to the child's room open C. Ask the parent to wait outside when administering the child's medication D. Suggest that the parent bring the child's favorite toy to the hospital E.Use a doll to demonstrate how the nurse will administer the intramuscular medication

A.Provide an explanation of the hospital alarm system D. Suggest that the parent bring the child's favorite toy to the hospital E.Use a doll to demonstrate how the nurse will administer the intramuscular medication

A nurse is in a client's room preparing to administer docusate sodium (Colace) PO and acetaminophen (Tylenol) PO. The client refuses to take the medications because of nausea. Which of the following actions should the nurse take? A. Administer the medications in suppository form B.Ask the pharmacist to change the route of administration for the client C. Withhold the medications D. Offer the client dry crackers to take with the medications

C. Withhold the medications

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. A. complete an incident report B. notify the provider about the medication error C. assess the client for adverse effects D. report the error to the risk manager

C. assess the client for adverse effects

A nurse is caring for a client who has a prescription for meperidine (Demerol) 75 mg PO every 3 hr PRN for severe pain and hydroxyzine (Vistaril) 50 mg PO every 6 hr for breakthrough pain. At 1200, the client reports back pain rated at 8 on a pain scale of 0 to 10. The client received meperidine 75 mg PO at 0700 and hydroxyzine 50 mg PO at 1000. Which of the following actions should the nurse plan take? A.Administer hydroxyzine 50 mg now B.Administer hydroxyzine 50 mg at 1300 C.Administer meperidine 75 mg PO now D. Administer meperidine 75 mg PO at 1300

C.Administer meperidine 75 mg PO now

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? A.Prescribing the correct dosage B.Modifying the medication errors C.Reporting medication errors D. Delegating administration to assistive personnel

C.Reporting medication errors

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

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