Questions from ATIs

A charge nurse is reviewing techniques for the safe administration of medications to children with a newly licensed nurse. Which of the following statements should the nurse make? a. "confirm chemotherapy medication dosages using a body surface area nomogram." b. "ask preschoolers their name to confirm their identity prior to administering medication." c. "calculate medication dosages based on a child's age, not their weight." d. "use paper cups to administer liquid dosages of medications."

a. "confirm chemotherapy medication dosages using a body surface area nomogram."

a nurse is preparing to administer an oral medication. which of the following actions should the nurse take? (select all that apply - 4) a. provide client education about the medication b. check the expiration date of the medication c. verify the dosage of the medication d. call the client by name to confirm their identity e. ask the client if they have any allergies

a. provide client education about the medication b. check the expiration date of the medication c. verify the dosage of the medication confirm their identity e. ask the client if they have any allergies

a nurse discovers a medication error in which the client received twice the prescribed amount of medication. which of the following actions should the nurse take first? a. notify the provider b. complete an incident report c. assess the client d. report the error to the nurse manager

c. assess the client

a nurse is planning to administer an IM medication to a 2-month-old infant. Which of the following actions should the nurse plan to take? a. draw the medication up using a 3-mL syringe b. use a needle that is 1 1/4 inches long c. apply lidocaine cream to the site 10 min prior to the injection d. use a 25-gauge needle for the injection

d. use a 25-gauge needle for the injection

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? a. asking the client about a history of medication allergies b. instructing the client about the medication's adverse effects c. determining whether the medication should be administered with or without meals d. monitoring the client's response to the medication

a. asking the client about a history of medication allergies

A nurse should use which of the following units when measuring weight? a. gram b. liter c. meter d. mililiter

a. gram

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? a. heparin b. acetaminophen c. acetylcysteine d. hydroxychloroquine

a. heparin

a nurse is reviewing a client's prescriptions. the nurse should contact the provider to clarify which of the following prescriptions? a. ampicillin 100 mg/kg/day by mouth in 4 equally divided doses b. phenytoin 300 mg by mouth every 12 hours c. metronidazole 500 mg IV bolus every 6 hr d. acetaminophen 325 mg every 6 hr PRN for headache

d. acetaminophen 325 mg every 6 hr 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 should recognize 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 preparing to administer glipizide 5 mg PO ac. At which of the following times should the nurse administer the medication? a. after meals b. before meals c. as needed d. at bedtmie

b. before meals

a nurse is preparing to administer immunizations to a preschooler. Which of the following actions should the nurse take? a. request the preschooler's parent leave the room during the injections b. tell the preschooler that the injections are not going to hurt c. tell the preschooler to remain quiet during the injections d. have the preschooler blow bubbles during the injections

d. have the preschooler blow bubbles during the injections

a nurse is teaching a newly licensed nurse about crushing medications. the nurse should explain that which of the following medications can be crushed? a. extended-release oxycodone b. sublingual nitroglycerine c. enteric-coated aspirin d. sucralfate tablets

d. 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? a. 0700 b. 0745 c. 0830 d. 0845 e. 0900

b. 0745 c. 0830

a nurse is administering medications for 4 clients. the nurse should identify which of the following nursing actions as a part of the evaluation phase of the nursing process? a. collecting information about a client's pain level following administration of a narcotic b. taking the blood pressure of a client before administering an antihypertensive medication c. lowering the level of a client's bed before administering a benzodiazepine medication d. instructing a client to rinse their mouth following administration of an inhalation corticosteroid

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

A nurse is teaching a class about error-prone abbreviations in medication prescriptions. The nurse should include that which of the following prescriptions has acceptable abbreviations? a. metoclopramide 10mg IM Q6H PRN nausea b. desipramine 100 mg PO QD c. enoxaparin 30 mg sub q 2 hr before surgery d. MSO4 10 mg IM Q3H PRN pain

a. metoclopramide 10mg IM Q6H PRN nausea

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. .4mL b. 0.6mL c. 8.0mL d. 125.0mL

b. 0.6mL

a nurse is preparing to administer regular insulin 15 units and isophane insulin 40 units subcutaneous at 6:30 a.m. At which of the following times should the nurse administer the medication? a. 0430 b. 1630 c. 0630 d. 1430

c. 0630

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? a. "anaphylaxis is a predictable and often unavoidable secondary effect that can occur at a usual theraputic dose." b. "anaphylaxis will cause you to experience withdrawal symptoms when you discontinue taking the medication." 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."

A nurse is preparing to administer digoxin 0.125 mg PO at 9:00 a.m. At which of the following times should the nurse administer the medication? a. 1500 b. 0900 c. 1700 d. 2100

b. 0900

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? a. swollen lips b. hypertension c. low heart rate d. constipation

a. swollen lips

a nurse is preparing to administer 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 - 2) a. validate that the dosage is within the safe range b. confirm the medication amount is appropriate for the child c. verify that the medication is not expired d. check the client's heart rate prior to administration e. document the administration in the medication administration record

a. validate that the dosage is within the safe range b. confirm the medication amount is appropriate for the child

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 regimen c. reporting medication errors d. delegating administration to assistive personnel

c. 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? a. perform medication reconciliation daily during a client's hospitalization b. only newly prescribed medications need to be reviewed during a medication reconciliation c. vitamins, supplements, and over-the-counter (OTC) medications should be included in a medication reconciliation d. the goal of medication reconciliation is to minimize the financial impact of prescription medications to the client

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

A nurse is preparing to administer haloperidol 5 mg IM at 1715. At which of the following times should the nurse administer the medication? a. 7:15 a.m. b. 5:15 a.m. c. 7:15 p.m. d. 5:15 p.m.

d. 5:15 p.m.

a nurse is working in a medical-surgical 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? (select all that apply - 4) a. compare the name on the client's wristband with the name in the medication administration record (MAR) b. ask the client to state his date of birth c. check the room number in the medication administration record (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 in the medication administration record (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 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's vital signs b. notify the provider c. document the client's response in the medical record d. tell the client to change positions slowly

a. obtain the client's vital signs

a nurse is preparing to administer a dose of q liquid medication to a 6-month-old infant. Which of the following actions should the nurse take? a. offer the infant a feeding after administering the medication b. place the medication dropper on the center of the infant's tongue to administer the medication c. mix the medication in a bottle with 30mL (1 oz) of infant formula to diguise the taste d. use a household teaspoon to measure and administer the medication.

a. offer the infant a feeding after administering the medication

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 d. checking the correct dosage of the insulin

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 100 mg PO every 8 hr b. morphine 2.5 mg IV bolus PRN for incisional pain c. regular insulin 7 units subcutaneous 30 min before breakfast and dinner d. lisinopril 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 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? a. crush the contents of the capsule to administer in a small amount of pudding b. request extended-release sprinkles from the pharmacy c. ask the charge nurse to clarify the prescription with the provider d. withhold the medication until the time for the next dose

b. request extended-release sprinkles from the pharmacy

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 state of medication administration? a. assess the effectiveness of the pain medication b. verify the dosage calculation with another nurse c. teach the client about the action of the medication d. ask the client to state their name and birthdate

b. verify the dosage calculation with another nurse

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? a. administer a docusate sodium capsule rectally b. withhold the medication c. administer 100 mg docusate sodium with the next scheduled administration d. encourage the client to take the medication as the provider prescribed

b. withhold the medication

a nurse is teaching a newly licensed nurse about administering IM injections to children. Which of the following statements should the nurse make? a. "you should sue the deltoid muscle for intramuscular injections in young infants." b. "insert the needle at a 60-degree in angle for an intramusclar injection." c. "do not inject more than 1 mililiter for an intramuscular injection in infants." d. "you should aspirate for blood when administering intramuscular vaccines."

c. "do not inject more than 1 mililiter for an intramuscular injection in infants."

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? a. oxycodone 5 mg by mouth every 4 hr as needed for pain b. furosemide 20 mg IV stat c. acetaminophen 650 mg by mouth every 6 hr for temperature greater than 38.4ºC (101.2ºF) d. diazepam 10 mg IV 30 min prior to procedure

c. acetaminophen 650 mg by mouth every 6 hr for temperature greater than 38.4ºC (101.2ºF)

a nurse is caring for 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 os the following actions should the nurse take? a. contract the provider to request an order for a different pain medication b. administer oxycodone immediate-release 5 mg PO at 1600 c. administer oxycodone immediate-release 5 mg PO now d. contact the provider to request an increase in the oxycodone extended-release dose

c. 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? 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 preparing to reconstitute and administer a powdered medication in a multidose vial. Which of the following actions should the nurse plan to take? a. use a filtered needle to administer the medication b. briskly shake the medication vial after adding the diluent c. label the vial with the date and time before administering the medication d. swab the rubber seal on the vial with triclosan prior to adding the diluent

c. label the vial with the date and time before administering the medication

A nurse is preparing to administer codeine 30 mg PO every 4 hr PRN for pain. The client last received the medication at 1 p.m. The earliest the nurse should administer the next dose is at which of the following times? a. 1400 b. 1500 c. 1600 d. 1700

d. 1700