NURS 3110 Final Exam (all ati safe
med admin and dosage
calculation)Exam Questions and
Answers
A nurse is teaching a newly licensed nurse about crushing medications. The nurse
should explain that which of the following medications can be crushed?
Extended-release oxycodone
Sublingual nitroglycerine
Enteric-coated aspirin
Sucralfate tablets - answer-Sucralfate tablets
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 0600) 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.) (4)
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.) (2)
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. - answer-Assess the client for adverse effects.
A nurse is preparing to administer a time-critical medication to a client at 0800.
Which of the following times are appropriate for the nurse to administer the
medication? (Select all that apply.) (2)
0700
0745
0830
0845
0900 - answer-0745
0830
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?
Oxycodone 5 mg by mouth every 4 hr as needed for pain
Furosemide 20 mg IV stat
Acetaminophen 650 mg by mouth every 6 hr for temperature greater than 38.4° C
(101.2° F)
Diazepam 10 mg IV 30 min prior to procedure - answer-Acetaminophen 650 mg by
mouth every 6 hr for temperature greater than 38.4° C (101.2° F)
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?
.4 mL
0.6 mL
8.0 mL
125.0 mL - answer-0.6 mL
A nurse is administering medications to four clients. The nurse should identify which
of the following nursing actions as a part of the evaluation phase of the nursing
process?
Collecting information about a client's pain level following administration of a narcotic
Taking the blood pressure of a client before administering an antihypertensive
medication
Lowering the level of a client's bed before administering a benzodiazepine
medication
med admin and dosage
calculation)Exam Questions and
Answers
A nurse is teaching a newly licensed nurse about crushing medications. The nurse
should explain that which of the following medications can be crushed?
Extended-release oxycodone
Sublingual nitroglycerine
Enteric-coated aspirin
Sucralfate tablets - answer-Sucralfate tablets
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 0600) 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.) (4)
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.) (2)
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. - answer-Assess the client for adverse effects.
A nurse is preparing to administer a time-critical medication to a client at 0800.
Which of the following times are appropriate for the nurse to administer the
medication? (Select all that apply.) (2)
0700
0745
0830
0845
0900 - answer-0745
0830
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?
Oxycodone 5 mg by mouth every 4 hr as needed for pain
Furosemide 20 mg IV stat
Acetaminophen 650 mg by mouth every 6 hr for temperature greater than 38.4° C
(101.2° F)
Diazepam 10 mg IV 30 min prior to procedure - answer-Acetaminophen 650 mg by
mouth every 6 hr for temperature greater than 38.4° C (101.2° F)
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?
.4 mL
0.6 mL
8.0 mL
125.0 mL - answer-0.6 mL
A nurse is administering medications to four clients. The nurse should identify which
of the following nursing actions as a part of the evaluation phase of the nursing
process?
Collecting information about a client's pain level following administration of a narcotic
Taking the blood pressure of a client before administering an antihypertensive
medication
Lowering the level of a client's bed before administering a benzodiazepine
medication
