ATI DOSAGE CALCULATION AND SAFE
MEDICATION ADMINISTRATION 4 EXAM
PREPARATION PACK 2026 KEY CONCEPTS
AND REVISION NOTES
◉ 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: Acetaminophen 650 mg by mouth every 6 hr for
temperature greater than 38.4 degrees Celsius (101.2 degrees
Fahrenheit)
◉ A nurse is reviewing a client's prescriptions. The nurse should
contact the provider to clarify which of the following prescriptions?
MEDICATION ADMINISTRATION 4 EXAM
PREPARATION PACK 2026 KEY CONCEPTS
AND REVISION NOTES
◉ 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: Acetaminophen 650 mg by mouth every 6 hr for
temperature greater than 38.4 degrees Celsius (101.2 degrees
Fahrenheit)
◉ A nurse is reviewing a client's prescriptions. The nurse should
contact the provider to clarify which of the following prescriptions?
