ATI DOSAGES BY WEIGHT DOSAGE
CALCULATION TEST ACTUAL TEST PAPER 2026
QUESTIONS ANSWERS SOLUTIONS 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.
CALCULATION TEST ACTUAL TEST PAPER 2026
QUESTIONS ANSWERS SOLUTIONS 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.
