NURS 3110 Final Exam (all ati safe med admin and dosage
calculation) Questions With Complete Solutions
A charge nurse is reviewing techniques for the safe
administration of medications to children with a newly licensed
nurse. Which of the following statements should the nurse
make?
A. "Confirm chemotherapy medication dosages using a body
surface area nomogram."
B. "Ask preschoolers their name to confirm their identity prior
to administering medication."
C. "Calculate medication dosages based on a child's age, not
their weight."
D. "Use paper cups to administer liquid dosages of
medications." Correct Answers A. "Confirm chemotherapy
medication dosages using a body surface area nomogram."
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 Correct Answers
Acetaminophen 650 mg by mouth every 6 hr for temperature
greater than 38.4° C (101.2° F)
,A charge nurse is teaching a newly licensed nurse about
medication reconciliation. Which of the following information
should the charge nurse include in the teaching?
Perform medication reconciliation daily during a client's
hospitalization.
Only newly prescribed medications need to be reviewed during
a medication reconciliation.
Vitamins, supplements, and over-the-counter (OTC)
medications should be included in a medication reconciliation.
The goal of medication reconciliation is to minimize the
financial impact of prescription medications to the client.
Correct Answers Vitamins, supplements, and over-the-counter
(OTC) medications should be included in a medication
reconciliation.
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. Correct Answers Assess
the client.
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
Instructing a client to rinse their mouth following administration
of an inhalation corticosteroid Correct Answers Collecting
information about a client's pain level following administration
of a narcotic
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?
Swollen lips
Hypertension
Low heart rate
Constipation Correct Answers Swollen lips
A nurse is caring for a child who weighs 13.5 kg. What is the
child's daily maintenance fluid requirement? Correct Answers
1,175 mL/day
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?
, Crush the contents of the capsule to administer in a small
amount of pudding.
Request extended-release sprinkles from the pharmacy.
Ask the charge nurse to clarify the prescription with the
provider.
Withhold the medication until the time for the next dose.
Correct Answers Request extended-release sprinkles from the
pharmacy.
A nurse is caring for a client who received lisinopril 30 min ago
and is now reporting dizziness and headache. Which of the
following actions should the nurse take first?
Obtain the client's vital signs.
Notify the provider.
Document the client's response in the medical record.
Tell the client to change positions slowly. Correct Answers
Obtain the client's vital signs.
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.
calculation) Questions With Complete Solutions
A charge nurse is reviewing techniques for the safe
administration of medications to children with a newly licensed
nurse. Which of the following statements should the nurse
make?
A. "Confirm chemotherapy medication dosages using a body
surface area nomogram."
B. "Ask preschoolers their name to confirm their identity prior
to administering medication."
C. "Calculate medication dosages based on a child's age, not
their weight."
D. "Use paper cups to administer liquid dosages of
medications." Correct Answers A. "Confirm chemotherapy
medication dosages using a body surface area nomogram."
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 Correct Answers
Acetaminophen 650 mg by mouth every 6 hr for temperature
greater than 38.4° C (101.2° F)
,A charge nurse is teaching a newly licensed nurse about
medication reconciliation. Which of the following information
should the charge nurse include in the teaching?
Perform medication reconciliation daily during a client's
hospitalization.
Only newly prescribed medications need to be reviewed during
a medication reconciliation.
Vitamins, supplements, and over-the-counter (OTC)
medications should be included in a medication reconciliation.
The goal of medication reconciliation is to minimize the
financial impact of prescription medications to the client.
Correct Answers Vitamins, supplements, and over-the-counter
(OTC) medications should be included in a medication
reconciliation.
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. Correct Answers Assess
the client.
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
Instructing a client to rinse their mouth following administration
of an inhalation corticosteroid Correct Answers Collecting
information about a client's pain level following administration
of a narcotic
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?
Swollen lips
Hypertension
Low heart rate
Constipation Correct Answers Swollen lips
A nurse is caring for a child who weighs 13.5 kg. What is the
child's daily maintenance fluid requirement? Correct Answers
1,175 mL/day
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?
, Crush the contents of the capsule to administer in a small
amount of pudding.
Request extended-release sprinkles from the pharmacy.
Ask the charge nurse to clarify the prescription with the
provider.
Withhold the medication until the time for the next dose.
Correct Answers Request extended-release sprinkles from the
pharmacy.
A nurse is caring for a client who received lisinopril 30 min ago
and is now reporting dizziness and headache. Which of the
following actions should the nurse take first?
Obtain the client's vital signs.
Notify the provider.
Document the client's response in the medical record.
Tell the client to change positions slowly. Correct Answers
Obtain the client's vital signs.
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.
