PROCTORED ASSESSMENT EXAM - (60 QUESTIONS) UP-TO-DATE
ACTUAL EXAM QUESTIONS AND 100% ACCURATE SOLUTIONS |
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Examiner/Administrator: Assessment Technologies Institute (ATI)
CANDIDATE INFORMATION
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Candidate ID Number: ___________________________________
Testing Date: __________________________________________
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ATI PN ADULT MEDICAL SURGICAL DOSAGE CALCULATION
ASSESSMENT
Time Allowed: 90 Minutes
Approximate Number of Questions: 60 Multiple-Choice Questions
Calculator Policy: Basic four-function calculator permitted where applicable.
Reference Values: Standard nursing dosage and conversion formulas apply.
CANDIDATE INSTRUCTIONS
• Read each question carefully before selecting an answer.
• Use safe medication administration principles and standard nursing
judgment throughout the examination.
• All dosage calculations should be rounded according to accepted nursing
practice standards.
• Unless otherwise specified, administer oral medications using metric
measurements.
• Intravenous flow rate questions should be calculated precisely to ensure
, patient safety.
• This assessment evaluates competence in medication administration, dosage
calculations, IV therapy, pharmacological safety, and adult medical-surgical
nursing applications.
• The examination contains approximately 60 questions modeled after the
structure and complexity commonly used in practical nursing dosage
calculation assessments.
CORE CONTENT DOMAINS
• Oral and Parenteral Medication Calculations
• Intravenous Infusion Rates
• Safe Medication Administration
• Weight-Based Dosage Calculations
• Reconstitution and Medication Preparation
• Adult Medical-Surgical Pharmacology
• Critical Care Medication Safety
• Intake and Output Calculations
• Dimensional Analysis and Ratio-Proportion Methods
• Nursing Clinical Judgment in Medication Administration
The ATI Dosage Calculation PN Adult Medical Surgical Proctored
Assessment is designed to evaluate the practical nurse’s ability to safely
calculate, prepare, and administer medications in adult medical-surgical
settings. Candidates are expected to apply mathematical accuracy, clinical
reasoning, pharmacological knowledge, and patient safety principles in
scenarios commonly encountered in inpatient and acute care environments.
This simulated assessment reflects the tone, structure, and professional
presentation style associated with standardized nursing dosage examinations
while remaining an original educational resource created solely for practice
and study purposes.
Disclaimer: This document is an original educational simulation inspired by
standardized nursing dosage calculation examination formats. It is not an
official examination product and does not contain actual copyrighted
examination content.
,Q1. A nurse is preparing to administer cefazolin 1.5 g IV every 8 hr. The
medication label reads cefazolin 500 mg per vial. How many vials should the
nurse reconstitute for one dose?
A. 2 vials
B. 3 vials
C. 4 vials
D. 5 vials
Correct Answer: B. 3 vials
Explanation: The prescribed dose is 1.5 g, which equals 1500 mg. Each vial
contains 500 mg. Divide 1500 mg by 500 mg = 3 vials.
Option A provides only 1000 mg.
Option C would provide 2000 mg, exceeding the prescribed dose.
Option D would significantly overdose the patient with 2500 mg.
Q2. A provider prescribes heparin 18 units/kg/hr IV for a client weighing 176
lb. How many units per hour should the nurse administer?
A. 1080 units/hr
B. 1296 units/hr
C. 1440 units/hr
D. 1584 units/hr
Correct Answer: C. 1440 units/hr
Explanation: First convert pounds to kilograms: 176 lb ÷ 2.2 = 80 kg. Then
calculate 18 units × 80 kg = 1440 units/hr.
, Option A results from incorrect multiplication.
Option B reflects a conversion error.
Option D exceeds the calculated safe infusion rate.
Q3. A nurse must administer 0.25 mg digoxin PO. Available is digoxin 125 mcg
tablets. How many tablets should the nurse administer?
A. 1 tablet
B. 1.5 tablets
C. 2 tablets
D. 2.5 tablets
Correct Answer: C. 2 tablets
Explanation: Convert 0.25 mg to micrograms: 0.25 mg = 250 mcg. Each
tablet contains 125 mcg. Divide 250 mcg by 125 mcg = 2 tablets.
Option A provides only half the prescribed dose.
Options B and D provide inaccurate dosages.
Q4. A client is prescribed 1200 mL of 0.9% sodium chloride over 10 hr using
an infusion pump. What rate should the nurse set?
A. 100 mL/hr
B. 110 mL/hr
C. 120 mL/hr
D. 130 mL/hr