ATI DOSAGE CALCULATION RN ADULT
MEDICAL SURGICAL PROCTORED
ASSESSMENT 3.0 2026 ACTUAL TEST PAPER
QUESTIONS AND SOLUTIONS COMPLETE
REVIEW GRADED A+
⩥ 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 as 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 to take?
Answer: Administer meperidine 75 mg PO now.
The client is reporting severe pain and can receive another dose of
meperidine now. The client last received meperidine 75 mg PO at 0700.
⩥ A nurse is reviewing a client's prescriptions. The nurse should contact
the provider to clarify which of the following prescriptions?
Answer: Acetaminophen (Tylenol) 325 mg by mouth PRN for headache
This prescription contains name of medication, dosage, route, and
circumstance for administration, but not the frequency.
,⩥ A nurse working in a medical surgical unit is preparing to administer
medications 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.)
Answer: Compare the name on the client's wristband with the name on
the 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 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.)
Answer: The amount of liquid in which to dissolve the tablets
The type of liquid in which to dissolve the tablets
The acceptable dose range of the medication
⩥ 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?
Answer: Obtain the client's vital signs.
,The first action the nurse should take using the nursing process is to
assess the client. Therefore, the first action the nurse should take is to
obtain the client's vital signs.
⩥ A nurse is reviewing a client's prescriptions. The nurse should contact
the provider to clarify which of the following prescriptions?
Answer: Morphine 2.5 mg IV bolus PRN for incisional pain
This prescription requires clarification because it is missing the
frequency of medication administration.
⩥ 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?
Answer: Assess the client for adverse effects.
Using the nursing process, the first step the nurse should take is to assess
the client for adverse effects.
⩥ A nurse is assisting with the orientation of a newly licensed nurse. The
nurse should explain that it 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?
Answer: Dosage errors have the potential for significant harm to the
client.
, The nurse should have a second nurse check the dosage of high-alert
medications because serious harm with excessive dosing can occur.
Heparin overdose can lead to hemorrhage, and insulin overdose can lead
to shock.
⩥ 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?
Answer: Injecting the insulin
The nurse should not delay documentation because this could lead to
errors, such as omission of the documentation or administration of a
second dose of medication to the client by another nurse.
⩥ 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?
Answer: Reporting medication errors
The nurse is legally responsible for reporting medication errors
according to facility policy.
MEDICAL SURGICAL PROCTORED
ASSESSMENT 3.0 2026 ACTUAL TEST PAPER
QUESTIONS AND SOLUTIONS COMPLETE
REVIEW GRADED A+
⩥ 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 as 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 to take?
Answer: Administer meperidine 75 mg PO now.
The client is reporting severe pain and can receive another dose of
meperidine now. The client last received meperidine 75 mg PO at 0700.
⩥ A nurse is reviewing a client's prescriptions. The nurse should contact
the provider to clarify which of the following prescriptions?
Answer: Acetaminophen (Tylenol) 325 mg by mouth PRN for headache
This prescription contains name of medication, dosage, route, and
circumstance for administration, but not the frequency.
,⩥ A nurse working in a medical surgical unit is preparing to administer
medications 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.)
Answer: Compare the name on the client's wristband with the name on
the 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 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.)
Answer: The amount of liquid in which to dissolve the tablets
The type of liquid in which to dissolve the tablets
The acceptable dose range of the medication
⩥ 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?
Answer: Obtain the client's vital signs.
,The first action the nurse should take using the nursing process is to
assess the client. Therefore, the first action the nurse should take is to
obtain the client's vital signs.
⩥ A nurse is reviewing a client's prescriptions. The nurse should contact
the provider to clarify which of the following prescriptions?
Answer: Morphine 2.5 mg IV bolus PRN for incisional pain
This prescription requires clarification because it is missing the
frequency of medication administration.
⩥ 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?
Answer: Assess the client for adverse effects.
Using the nursing process, the first step the nurse should take is to assess
the client for adverse effects.
⩥ A nurse is assisting with the orientation of a newly licensed nurse. The
nurse should explain that it 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?
Answer: Dosage errors have the potential for significant harm to the
client.
, The nurse should have a second nurse check the dosage of high-alert
medications because serious harm with excessive dosing can occur.
Heparin overdose can lead to hemorrhage, and insulin overdose can lead
to shock.
⩥ 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?
Answer: Injecting the insulin
The nurse should not delay documentation because this could lead to
errors, such as omission of the documentation or administration of a
second dose of medication to the client by another nurse.
⩥ 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?
Answer: Reporting medication errors
The nurse is legally responsible for reporting medication errors
according to facility policy.
