Safe Dosage Test - Dosage Calculation and
Safe Medication Administration 3.0
A nurse is reviewing a client's prescriptions. The nurse should contact the
provider to clarify which of the following prescriptions?
Morphine 2.5 mg IV bolus PRN for incisional pain
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
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?
Administer oxycodone immediate - release 5 mg PO now
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 can the nurse
take to identify the client? Select all that apply.
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 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?
Assess the client
A nurse is preparing to administer medication to a client who has a prescription
for decussate 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?
Withhold the medication
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?
Heparin
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?
Request extended - release sprinkles from the pharmacy
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?
Swollen lips
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
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?
Acetaminophen 650 mg by mouth every 6 hr for temperature greater than 38.4 degrees
Celsius (101.2 degrees Fahrenheit)
Safe Medication Administration 3.0
A nurse is reviewing a client's prescriptions. The nurse should contact the
provider to clarify which of the following prescriptions?
Morphine 2.5 mg IV bolus PRN for incisional pain
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
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?
Administer oxycodone immediate - release 5 mg PO now
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 can the nurse
take to identify the client? Select all that apply.
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 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?
Assess the client
A nurse is preparing to administer medication to a client who has a prescription
for decussate 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?
Withhold the medication
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?
Heparin
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?
Request extended - release sprinkles from the pharmacy
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?
Swollen lips
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
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?
Acetaminophen 650 mg by mouth every 6 hr for temperature greater than 38.4 degrees
Celsius (101.2 degrees Fahrenheit)
