ATI: Safe Dosage Dosage Calculation
3.0 Safe Dosage Test – 25 Q’s and A’s
A nurse is teaching a newly licensed nurse about crushing medications. The
nurse should explain that which of the following medications can be crushed?
Extended-release oxycodone
Sublingual nitroglycerine
Enteric-coated aspirin
Sucralfate tablets - -Sucralfate tablets
The nurse should explain that certain medications, such as those that are
scored, can be safely crushed and mixed with food or water for a client who
has difficulty swallowing. The nurse should check with the pharmacist before
crushing a medication to make certain it can safely be crushed.
-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.
Contact the provider to request an increase in the oxycodone extended-
release dose. - -Administer oxycodone immediate-release 5 mg PO now.
It has been 15 hr since the previous dose of oxycodone immediate-release,
and the medication is prescribed every 4 hr as needed, so the nurse should
prepare to administer a dose now to treat the client's pain.
-A nurse is reviewing a client's prescriptions. The nurse should contact the
provider to clarify which of the following prescriptions?
Phenytoin 100 mg PO every 8 hr
Morphine 2.5 mg IV bolus PRN for incisional pain
Regular insulin 7 units subcutaneous 30 min before breakfast and dinner
Lisinopril 20 mg PO every 12 hr. Hold for systolic BP less than 110 mm Hg - -
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 is preparing to administer an oral medication. Which of the
following actions should the nurse take? (Select all that apply.)
Provide client education about the medication.
Check the expiration date of the medication.
Verify the dosage of the medication.
Call the client by name to confirm their identity.
Ask the client if they have any allergies. - -Provide client education about
the medication.
Check the expiration date of the medication.
Verify the dosage of the medication.
Ask the client if they have any allergies.
The nurse should provide education for the client regarding the name and
purpose of each medication when administering them to the client.
The nurse should review the package information prior to administering the
medication, including the expiration date.
The nurse should review the package information prior to administering the
medication, including the medication name and dosage.
The nurse should ask the client about any allergies that they have to
decrease the risk of an adverse reaction.
-A nurse is caring for a client who states that his provider told him he is at
risk for anaphylaxis following administration of amoxicillin and that he does
not understand what this means. Which of the following is an appropriate
response by the nurse?
"Anaphylaxis is a predictable and often unavoidable secondary effect that
can occur at a usual therapeutic dose."
"Anaphylaxis will cause you to experience withdrawal symptoms when you
discontinue taking the medication."
"Anaphylaxis is an unusual response that can occur due to an inherited
predisposition."
"Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-
threatening." - -"Anaphylaxis is a severe hypersensitivity or allergic reaction
that is life-threatening."
Anaphylaxis is a severe allergic reaction that can result in severe
bronchoconstriction with laryngeal edema and a precipitous drop in blood
pressure.
-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.
3.0 Safe Dosage Test – 25 Q’s and A’s
A nurse is teaching a newly licensed nurse about crushing medications. The
nurse should explain that which of the following medications can be crushed?
Extended-release oxycodone
Sublingual nitroglycerine
Enteric-coated aspirin
Sucralfate tablets - -Sucralfate tablets
The nurse should explain that certain medications, such as those that are
scored, can be safely crushed and mixed with food or water for a client who
has difficulty swallowing. The nurse should check with the pharmacist before
crushing a medication to make certain it can safely be crushed.
-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.
Contact the provider to request an increase in the oxycodone extended-
release dose. - -Administer oxycodone immediate-release 5 mg PO now.
It has been 15 hr since the previous dose of oxycodone immediate-release,
and the medication is prescribed every 4 hr as needed, so the nurse should
prepare to administer a dose now to treat the client's pain.
-A nurse is reviewing a client's prescriptions. The nurse should contact the
provider to clarify which of the following prescriptions?
Phenytoin 100 mg PO every 8 hr
Morphine 2.5 mg IV bolus PRN for incisional pain
Regular insulin 7 units subcutaneous 30 min before breakfast and dinner
Lisinopril 20 mg PO every 12 hr. Hold for systolic BP less than 110 mm Hg - -
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 is preparing to administer an oral medication. Which of the
following actions should the nurse take? (Select all that apply.)
Provide client education about the medication.
Check the expiration date of the medication.
Verify the dosage of the medication.
Call the client by name to confirm their identity.
Ask the client if they have any allergies. - -Provide client education about
the medication.
Check the expiration date of the medication.
Verify the dosage of the medication.
Ask the client if they have any allergies.
The nurse should provide education for the client regarding the name and
purpose of each medication when administering them to the client.
The nurse should review the package information prior to administering the
medication, including the expiration date.
The nurse should review the package information prior to administering the
medication, including the medication name and dosage.
The nurse should ask the client about any allergies that they have to
decrease the risk of an adverse reaction.
-A nurse is caring for a client who states that his provider told him he is at
risk for anaphylaxis following administration of amoxicillin and that he does
not understand what this means. Which of the following is an appropriate
response by the nurse?
"Anaphylaxis is a predictable and often unavoidable secondary effect that
can occur at a usual therapeutic dose."
"Anaphylaxis will cause you to experience withdrawal symptoms when you
discontinue taking the medication."
"Anaphylaxis is an unusual response that can occur due to an inherited
predisposition."
"Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-
threatening." - -"Anaphylaxis is a severe hypersensitivity or allergic reaction
that is life-threatening."
Anaphylaxis is a severe allergic reaction that can result in severe
bronchoconstriction with laryngeal edema and a precipitous drop in blood
pressure.
-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.
