ATI Safe Dosage (2025) ACTUAL EXAM
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a nurse is assisting w/ 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 & insulin, for what reason? - (answers)dosage errors
have the potential for significant harm to the client
a nurse is caring for a client who is to receive omeprazole (Prilosec) 40 mg PO
daily. the client tells the nurse that the pill is too hard to swallow. what action
should the nurse take? - (answers)request a liquid form of the medication from
the pharmacy
a nurse is preparing to administer insulin subcutaneously to a client. the nurse
should document the administration of the medication immediately after what
action? - (answers)injecting the insulin
a nurse is caring for a client who has a prescription for meperidine (Demerol) 50
mg PO every 3 hr PRN for moderate pain, & meperidine 75 mg PO every 3 hr PRN
for severe pain. at 1200, the client reports back pain rated as 8 on a pain scale of
0-10. the client received 75 mg PO at 0700 & 50 mg PO at 1000. what action
should the nurse take? - (answers)administer meperidine 75 mg PO now
(it's been 5 hrs since the previous dose so this is the appropriate action)
, 2
a nurse is in a client's room preparing to administer docusate sodium (Colace) PO
& acetaminophen (Tylenol) PO. the client refuses to take the medications because
of nausea. what action should the nurse take? - (answers)withhold the
medications
a nurse is reviewing a client's prescriptions. the nurse should contact the provider
to clarify what prescription? - (answers)Morphine 2.5 mg IV bolus PRN for
incisional pain
(prescription contains name of med, dosage, route, circumstance of
administration, but no frequency ... therefore needs clarification)
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
what? - (answers)1. the amount of liquid in which to dissolve the tablets
2. the type of liquid in which to dissolve the tablets
3. the acceptable dose range of the medication
a nurse is preparing to administer a medication subcutaneously. what should the
nurse use? - (answers)5/8-inch, 25 gauge needle
a nurse working in a medical surgical unit is preparing to administer medications
to a client. the nurse plans to use 2 forms of ID to verify that she the right client.
what actions should the nurse take to ID the client? - (answers)1. compare the
name on the client's wristband with the name on the MAR
, 3
2. ask the client to state his DOB
3. ask the client to state his name
4. use the bar code scan to ID the client
a nurse is caring for a client who received lisinopril (Zestril) 30 min ago & is now
reporting dizziness & headaches. what actions should the nurse take first? -
(answers)obtain the client's vital signs
a nurse is preparing to administer a liquid medication to a toddler. what action
should the nurse take? - (answers)offer the child a choice of taking the
medication with either a cup or a spoon
a nurse is planning atraumatic care for a preschooler who has a prescription for
an intramuscular medication. a parent is with the child. what actions should the
nurse include in the plan of care? - (answers)1. provide an explanation of the
hospital alarm system
2. suggest the parent bring the child's favorite toy to the hospital
3. use a doll to demonstrate how the nurse will administer the IM medication
a nurse is transcribing medication prescriptions for a group of clients. what is an
example of the appropriate way for the nurse to record medications that require
the use of a decimal point? - (answers)0.6 mL
, 4
a nurse is transcribing a provider's prescription for a client. the prescription reads
morphine 2mg IV bolus at 1400. the nurse recognizes this as which of the
following types of medication orders? - (answers)single order
a nurse is reviewing a client's prescriptions. the nurse should contact the provider
to clarify what prescription? - (answers)acetaminophen (Tylenol) 325 mg by
mouth PRN for headache
(prescription contains name of med, dosage, route, circumstance of
administration, but no frequency)
a nurse is caring for a client who states that his provider told him he is at risk for
anaphylaxis following administration of amoxicillin (Amoxil) and that he does not
understand what this means. what is an appropriate response? -
(answers)"anaphylaxis is a severe hypersensitivity or allergic rxn that is life-
threatening"
a nurse is providing teaching regarding medication administration to a group of
newly licensed nurses. what is a legal responsibility of a nurse? -
(answers)reporting medication errors
a nurse manager is reviewing a client's medical record & discovers that the client
received a double dose of a prescribed medication. what action should the nurse
manager take first? - (answers)assess the client for adverse effects