ATI Safe Dosage Test

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?

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

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?

0.6 mL

medication reconciliation

A procedure to maintain an accurate and up-to-date list of medications for all patients between all phases of health care delivery. A: Vitamins, supplements, and over-the-counter (OTC) medications should be included in a medication reconciliation.

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?

A. Obtain the client vital signs

The nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of the following?

Acetaminophen 325 mg every 6 hr PRN for headache

sever back pain at 1400. Prescriptions include oxycodone extended release 20 mg PO every 12 hr (last does at 0600) and oxycodeone immediate release 5 mg PO every 4 hr PRN (last dose rec'd at 2300 the day before).

Administer oxycodone immediate-release 5 mg PO now.

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?

Asking the client about a history of medication allergies

Client received a double dose of a prescribed medication.

Assess the client for adverse effects.

Client received double dose. What should the nurse do first?

Assess the client.

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?

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

Legal responsibility of a nurse?

Reporting medication errors

Topiramate XR 100 mg PO daily. Capsule, tood hard to swallow. What does the nurse do?

Request extended-release sprinkles from the pharmacy.

A nurse is teaching a newly licensed nurse about crushing medications. The nurse should explain that which of the following medications can be crushed?

Sucralfate tablets

High alert pain medication - planning stage

Verify the dosage calculation with another nurse.

Docusate sodium 50 mg capsule PO twice daily. Client refuses

Withhold the medication.

time critical medications (SATA)

need to be given at precise time or within 30 minutes (0745, 0830)

Newly licensed nurse to have a second nurse review the dosage of which of the following meds prior to administration?

Heparin

A nurse is preparing to administer an oral medication. Which of the following actions should the nurse take? (SATA)

-Provide client education about the medication -Check the expiration date of the medication -Verify the dosage of the medication -Ask the client if they have any allergies

The prescription reads morphine 2 mg IV bolus at 1400. It means?

Single order

Manifestation of an anaphylactic reaction to the medication?

Swollen Lips

A nurse is working in a MEd Surg unit is preparing to administer medications to a client. The nurse plans to use 2 forms of identification to verify that she has the right client. Which of the following actions can the nurse take to identify the client? (SATA)

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

A nurse is preparing to administer digoxin 225 mcg for a pediatric client who has a heart rate above 90/min. Which action(s) should the nurse take to ensure administration of the right dose? (SATA)

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

Document the administration of the medication immediately after which of the following actions?

Injecting the insulin

The nurse should contact the provider to clarify which of the following prescriptions?

Morphine 2.5 mg IV bolus PRN for incisional pain

standing prescription

Written for specific circumstances and/or for specific units A: Acetaminophen 650 mg by mouth every 6 hr for temperature greater than 38.4° C (101.2° F)