ATI DOSAGE CALCULATIONS CRITICAL CARE EXAM 2024
NEWEST ACTUAL EXAM COMPLETE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWER )
/ALREADY GRADED A+
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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: administer meperidine 75 mg PO now
(it's been 5 hrs since the previous dose so this is the appropriate action)
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? - ANSWER: withhold the medications
a nurse is reviewing a client's prescriptions. the nurse should contact the provider to
clarify what prescription? - ANSWER: 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? -
ANSWER: 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? - ANSWER: 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? - ANSWER: 1. compare the name on
the client's wristband with the name on the MAR
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? -
ANSWER: obtain the client's vital signs
a nurse is preparing to administer a liquid medication to a toddler. what action
should the nurse take? - ANSWER: 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? - ANSWER: 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? - ANSWER: 0.6 mL
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? - ANSWER: single order
a nurse is reviewing a client's prescriptions. the nurse should contact the provider to
clarify what prescription? - ANSWER: 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? - ANSWER:
"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? - ANSWER: 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? - ANSWER: assess the client for adverse effects
a nurse on a med surg unit is caring for a client who has type 2 diabetes mellitus &
has a prescription for metformin (Glucophage) 500 mg PO every 12 hr. the client is
scheduled for a chest X-ray in the morning. what is an appropriate action by the
nurse? - ANSWER: administer the medication as prescribed
a nurse is preparing to administer medication to a client who has a prescription for
doxycycline (Vibramycin) 100 mg PO daily at 0800. what times are appropriate for
the nurse to administer the medication? - ANSWER: anywhere within 30 min of the
scheduled time (ex: 0745 or 0830)
a nurse is caring for an unconcscious patient. what statement by the nurse indicates
an understanding of providing good oral hygiene? - ANSWER: "i'll swab the patient's
mouth with diluted hydrogen peroxide"
when planning morning hygiene care for a postoperative patient, what action should
the nurse include? - ANSWER: ask the pt in what order she typically performs her
morning routine
a nurse is caring for an adult pt who is NPO. pt is refusing oral care. what's an
appropriate response? - ANSWER: "oral care is still important even though you are
not eating."
a nurse is caring for a pt who is on long-term bedrest & requires frequent linen
changes due to excessive diaphoresis. what is a priority rationale for frequent linen
changes? - ANSWER: moisture from excessive diaphoresis can cause skin breakdown.
a nurse observes an assistive personnel (AP) make a client's bed while the client is
out of the room. what action by the AP is appropriate? - ANSWER: the AP reuses the
pt's blanket & spread.
while performing a complete bed bath for a pt, the nurse should - ANSWER: raise the
room temperature
a nurse is preparing to assist a pt w/ a hot tub bath. what steps should the nurse
take? - ANSWER: 1. gather all necessary supplies
2. place a rubber mat on the tub floor
3. assist the pt into the bathroom
4. instruct the pt on using safety bars when getting in & out of the tub
5. instruct the pt to remain in the tub for no longer than 20 min
NEWEST ACTUAL EXAM COMPLETE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWER )
/ALREADY GRADED A+
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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: administer meperidine 75 mg PO now
(it's been 5 hrs since the previous dose so this is the appropriate action)
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? - ANSWER: withhold the medications
a nurse is reviewing a client's prescriptions. the nurse should contact the provider to
clarify what prescription? - ANSWER: 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? -
ANSWER: 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? - ANSWER: 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? - ANSWER: 1. compare the name on
the client's wristband with the name on the MAR
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? -
ANSWER: obtain the client's vital signs
a nurse is preparing to administer a liquid medication to a toddler. what action
should the nurse take? - ANSWER: 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? - ANSWER: 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? - ANSWER: 0.6 mL
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? - ANSWER: single order
a nurse is reviewing a client's prescriptions. the nurse should contact the provider to
clarify what prescription? - ANSWER: 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? - ANSWER:
"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? - ANSWER: 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? - ANSWER: assess the client for adverse effects
a nurse on a med surg unit is caring for a client who has type 2 diabetes mellitus &
has a prescription for metformin (Glucophage) 500 mg PO every 12 hr. the client is
scheduled for a chest X-ray in the morning. what is an appropriate action by the
nurse? - ANSWER: administer the medication as prescribed
a nurse is preparing to administer medication to a client who has a prescription for
doxycycline (Vibramycin) 100 mg PO daily at 0800. what times are appropriate for
the nurse to administer the medication? - ANSWER: anywhere within 30 min of the
scheduled time (ex: 0745 or 0830)
a nurse is caring for an unconcscious patient. what statement by the nurse indicates
an understanding of providing good oral hygiene? - ANSWER: "i'll swab the patient's
mouth with diluted hydrogen peroxide"
when planning morning hygiene care for a postoperative patient, what action should
the nurse include? - ANSWER: ask the pt in what order she typically performs her
morning routine
a nurse is caring for an adult pt who is NPO. pt is refusing oral care. what's an
appropriate response? - ANSWER: "oral care is still important even though you are
not eating."
a nurse is caring for a pt who is on long-term bedrest & requires frequent linen
changes due to excessive diaphoresis. what is a priority rationale for frequent linen
changes? - ANSWER: moisture from excessive diaphoresis can cause skin breakdown.
a nurse observes an assistive personnel (AP) make a client's bed while the client is
out of the room. what action by the AP is appropriate? - ANSWER: the AP reuses the
pt's blanket & spread.
while performing a complete bed bath for a pt, the nurse should - ANSWER: raise the
room temperature
a nurse is preparing to assist a pt w/ a hot tub bath. what steps should the nurse
take? - ANSWER: 1. gather all necessary supplies
2. place a rubber mat on the tub floor
3. assist the pt into the bathroom
4. instruct the pt on using safety bars when getting in & out of the tub
5. instruct the pt to remain in the tub for no longer than 20 min
