NURS3110 - ATI EXAM WITH
COMPLETE SOLUTION
The nurse manager is reviewing the medical record of a client who received a
double dose of medication ordered for the client. Which of the following is
the first action that the nurse manager should take?
A. Complete an incident report.
B. Notify the provider about the medication error.
C. Assess the client for adverse effects.
D. Report the error to the risk manager. - ANSWER C. Assess the client for
adverse effects.
The charge nurse is explaining the different types of prescriptions to a newly
licensed nurse. Which of the following prescriptions would be a correct
example that the nurse should include as a standing prescription?
A. Oxycodone 5 mg po q 4 hr prn pain
B. Furosemide 20 mg IV stat
C. Acetaminophen 650 mg po q 6 hr for temperature above 38.4° C (101.2°
F)
D. Diazepam 10 mg IV 30 min prior to procedure - ANSWER C.
Acetaminophen 650 mg by mouth every 6 hr for temperature greater than
38.4° C (101.2° F)
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.
0700
0745
0830
0845
0900 - ANSWER 0745
0830
30 minutes before or after
The charge nurse is conducting teaching for a newly licensed nurse about
medication reconciliation. Which of the following statements should the
charge nurse include in the teaching?
A. Medication reconciliation should occur daily throughout the client's
hospital stay.
B. A medication reconciliation needs review of only newly ordered
medications.
C. A medication reconciliation must include vitamins, supplements, and OTC
medications.
D. The medication reconciliation is done to decrease the cost of medications
prescribed for the client. - ANSWER C. A medication reconciliation should
include a list of vitamins, supplements, and OTC medications.
The nurse should document all medications the client takes, to include
,prescription and OTC. Medication reconciliation allows for potential
interaction between medications that could prevent adverse effects.
A nurse is going to administer insulin via subcutaneous injection to a client.
After performing which of the following actions, should the nurse document
that the medication was given?
A. When the nurse retrieves the insulin from the automated dispensing
machine
B. After the nurse injects the insulin
C. After the nurse has checked the client's blood glucose level
D. After the nurse has double-checked the proper dose of the insulin -
ANSWER Injecting the insulin
A nurse is caring for a client who states that his provider told him he is at risk
for anaphylaxis following the administration of the medication amoxicillin
and that he doesn't know what this means. Which of the following is an
appropriate response by the nurse?
A. "Anaphylaxis is a predictable and often unavoidable secondary effect that
can occur at a usual therapeutic dose."
B. "Anaphylaxis will cause you to experience withdrawal symptoms when you
discontinue taking the medication."
C. "Anaphylaxis is an unusual response that can occur due to an inherited
predisposition."
D. "Anaphylaxis is a severe hypersensitivity or allergic reaction that is
, life-threatening." - ANS D. "Anaphylaxis is a severe hypersensitivity or
allergic reaction that is life-threatening."
A nurse is reviewing a client's prescription. The nurse should notify the
provider for clarification of which of the following prescriptions?
A. Phenytoin 100 mg PO every 8 hr
B. Morphine 2.5 mg IV bolus PRN for incisional pain
C. Regular insulin 7 units subcutaneous 30 min before breakfast and dinner
D. Lisinopril 20 mg PO every 12 hr. Hold for systolic BP less than 110 mm Hg
- ANSWER B. Morphine 2.5 mg IV bolus PRN for incisional pain
The nurse working on a medical unit is helping to orient a newly licensed
nurse. The nurse should instruct the newly licensed nurse to obtain a second
nurse's review of the dose of which of the following medications before
giving it?
Heparin
Acetaminophen
Acetylcysteine
Hydroxychloroquine - ANSWER Heparin
A nurse is transcribing a provider's prescription for a client. The prescription
reads morphine 2 mg IV bolus at 1400. The nurse should identify this as
COMPLETE SOLUTION
The nurse manager is reviewing the medical record of a client who received a
double dose of medication ordered for the client. Which of the following is
the first action that the nurse manager should take?
A. Complete an incident report.
B. Notify the provider about the medication error.
C. Assess the client for adverse effects.
D. Report the error to the risk manager. - ANSWER C. Assess the client for
adverse effects.
The charge nurse is explaining the different types of prescriptions to a newly
licensed nurse. Which of the following prescriptions would be a correct
example that the nurse should include as a standing prescription?
A. Oxycodone 5 mg po q 4 hr prn pain
B. Furosemide 20 mg IV stat
C. Acetaminophen 650 mg po q 6 hr for temperature above 38.4° C (101.2°
F)
D. Diazepam 10 mg IV 30 min prior to procedure - ANSWER C.
Acetaminophen 650 mg by mouth every 6 hr for temperature greater than
38.4° C (101.2° F)
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.
0700
0745
0830
0845
0900 - ANSWER 0745
0830
30 minutes before or after
The charge nurse is conducting teaching for a newly licensed nurse about
medication reconciliation. Which of the following statements should the
charge nurse include in the teaching?
A. Medication reconciliation should occur daily throughout the client's
hospital stay.
B. A medication reconciliation needs review of only newly ordered
medications.
C. A medication reconciliation must include vitamins, supplements, and OTC
medications.
D. The medication reconciliation is done to decrease the cost of medications
prescribed for the client. - ANSWER C. A medication reconciliation should
include a list of vitamins, supplements, and OTC medications.
The nurse should document all medications the client takes, to include
,prescription and OTC. Medication reconciliation allows for potential
interaction between medications that could prevent adverse effects.
A nurse is going to administer insulin via subcutaneous injection to a client.
After performing which of the following actions, should the nurse document
that the medication was given?
A. When the nurse retrieves the insulin from the automated dispensing
machine
B. After the nurse injects the insulin
C. After the nurse has checked the client's blood glucose level
D. After the nurse has double-checked the proper dose of the insulin -
ANSWER Injecting the insulin
A nurse is caring for a client who states that his provider told him he is at risk
for anaphylaxis following the administration of the medication amoxicillin
and that he doesn't know what this means. Which of the following is an
appropriate response by the nurse?
A. "Anaphylaxis is a predictable and often unavoidable secondary effect that
can occur at a usual therapeutic dose."
B. "Anaphylaxis will cause you to experience withdrawal symptoms when you
discontinue taking the medication."
C. "Anaphylaxis is an unusual response that can occur due to an inherited
predisposition."
D. "Anaphylaxis is a severe hypersensitivity or allergic reaction that is
, life-threatening." - ANS D. "Anaphylaxis is a severe hypersensitivity or
allergic reaction that is life-threatening."
A nurse is reviewing a client's prescription. The nurse should notify the
provider for clarification of which of the following prescriptions?
A. Phenytoin 100 mg PO every 8 hr
B. Morphine 2.5 mg IV bolus PRN for incisional pain
C. Regular insulin 7 units subcutaneous 30 min before breakfast and dinner
D. Lisinopril 20 mg PO every 12 hr. Hold for systolic BP less than 110 mm Hg
- ANSWER B. Morphine 2.5 mg IV bolus PRN for incisional pain
The nurse working on a medical unit is helping to orient a newly licensed
nurse. The nurse should instruct the newly licensed nurse to obtain a second
nurse's review of the dose of which of the following medications before
giving it?
Heparin
Acetaminophen
Acetylcysteine
Hydroxychloroquine - ANSWER Heparin
A nurse is transcribing a provider's prescription for a client. The prescription
reads morphine 2 mg IV bolus at 1400. The nurse should identify this as
