ATI DOSAGE CALCULATION 3 0
PEDIATRIC MEDICATIONS
PROCTORED EXAM 2026 FINAL
PAPER PRACTICE QUESTIONS
ANSWERS ACCURATE A+
◉ 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 600) 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?
Contact the provider to request an order for a different pain medication.
Administer oxycodone immediate-release 5 mg PO at 1600.
Administer oxycodone immediate-release 5 mg PO now.
Contact the provider to request an increase in the oxycodone extended-
release dose..
Answer: Administer oxycodone immediate-release 5 mg PO now.
◉ A nurse is reviewing a client's prescriptions. The nurse should contact
the provider to clarify which of the following prescriptions?
Phenytoin 100 mg PO every 8 hr
Morphine 2.5 mg IV bolus PRN for incisional pain
Regular insulin 7 units subcutaneous 30 min before breakfast and dinner
,Lisinopril 20 mg PO every 12 hr. Hold for systolic BP less than 110 mm
Hg.
Answer: Morphine 2.5 mg IV bolus PRN for incisional pain
◉ A nurse is preparing to administer an oral medication. Which of the
following actions should the nurse take? Select all that apply.
Provide client education about the medication.
Check the expiration date of the medication.
Verify the dosage of the medication.
Call the client by name to confirm their identity.
Ask the client if they have any allergies..
Answer: 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.
◉ 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 predictable and often unavoidable secondary effect
that can occur at a usual therapeutic dose."
,"Anaphylaxis will cause you to experience withdrawal symptoms when
you discontinue taking the medication."
"Anaphylaxis is an unusual response that can occur due to an inherited
predisposition."
"Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-
threatening.".
Answer: "Anaphylaxis is a severe hypersensitivity or allergic reaction
that is life-threatening."
◉ 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?
Notify the provider.
Complete an incident report.
Assess the client.
Report the error to the nurse manager..
Answer: Assess the client
◉ 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
Validate that the dosage is within the safe range.
Confirm the medication amount is appropriate for the child.
, Verify that the medication is not expired.
Check the client's heart rate prior to administration.
Document the administration in the medication administration record..
Answer: Validate that the dosage is within the safe range.
Confirm the medication amount is appropriate for the child.
◉ 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?
Assess the effectiveness of the pain medication.
Verify the dosage calculation with another nurse.
Teach the client about the action of the medication.
Ask the client to state their name and birthdate..
Answer: Verify the dosage calculation with another nurse.
◉ 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?
Complete an incident report.
Notify the provider about the medication error.
Assess the client for adverse effects.
Report the error to the risk manager..
PEDIATRIC MEDICATIONS
PROCTORED EXAM 2026 FINAL
PAPER PRACTICE QUESTIONS
ANSWERS ACCURATE A+
◉ 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 600) 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?
Contact the provider to request an order for a different pain medication.
Administer oxycodone immediate-release 5 mg PO at 1600.
Administer oxycodone immediate-release 5 mg PO now.
Contact the provider to request an increase in the oxycodone extended-
release dose..
Answer: Administer oxycodone immediate-release 5 mg PO now.
◉ A nurse is reviewing a client's prescriptions. The nurse should contact
the provider to clarify which of the following prescriptions?
Phenytoin 100 mg PO every 8 hr
Morphine 2.5 mg IV bolus PRN for incisional pain
Regular insulin 7 units subcutaneous 30 min before breakfast and dinner
,Lisinopril 20 mg PO every 12 hr. Hold for systolic BP less than 110 mm
Hg.
Answer: Morphine 2.5 mg IV bolus PRN for incisional pain
◉ A nurse is preparing to administer an oral medication. Which of the
following actions should the nurse take? Select all that apply.
Provide client education about the medication.
Check the expiration date of the medication.
Verify the dosage of the medication.
Call the client by name to confirm their identity.
Ask the client if they have any allergies..
Answer: 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.
◉ 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 predictable and often unavoidable secondary effect
that can occur at a usual therapeutic dose."
,"Anaphylaxis will cause you to experience withdrawal symptoms when
you discontinue taking the medication."
"Anaphylaxis is an unusual response that can occur due to an inherited
predisposition."
"Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-
threatening.".
Answer: "Anaphylaxis is a severe hypersensitivity or allergic reaction
that is life-threatening."
◉ 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?
Notify the provider.
Complete an incident report.
Assess the client.
Report the error to the nurse manager..
Answer: Assess the client
◉ 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
Validate that the dosage is within the safe range.
Confirm the medication amount is appropriate for the child.
, Verify that the medication is not expired.
Check the client's heart rate prior to administration.
Document the administration in the medication administration record..
Answer: Validate that the dosage is within the safe range.
Confirm the medication amount is appropriate for the child.
◉ 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?
Assess the effectiveness of the pain medication.
Verify the dosage calculation with another nurse.
Teach the client about the action of the medication.
Ask the client to state their name and birthdate..
Answer: Verify the dosage calculation with another nurse.
◉ 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?
Complete an incident report.
Notify the provider about the medication error.
Assess the client for adverse effects.
Report the error to the risk manager..
