Dosage Calculation 4.0 Safe Medication Administration with 100% accurate solutions + rationales 2026-2027

A nurse is preparing to administer a medication to a newly admitted client. The nurse should identify which of the following actions as part of the assessment phase of the nursing process?

Asking the client about a history of medication allergies.

Rationale: During assessment, identify client's prior adverse reactions, lab data, use of other meds, and vital signs

A nurse manager is reviewing a client's medical record and discovers that the client received double dose of a prescribed medication. Which of the following actions should the manager take first?

Assess the client for adverse effects

Rationale: The nurse can provide prompt treatment to minimize the harm to 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

Rationale: Include in the evaluation phase, the therapeutic response, adverse effects, and adherence to the medication therapy

A nurse is caring for.a client who is receiving a new medication. The nurse is explaining the side effects of the medication to the client. Which of the rights of medication is the nurse following?

Right education.

Rationale: Education should include name of med, expected benefits, and potential adverse effects.

A nurse is preparing to administer a time-critical med to a client at 0800. Which of the following times is appropriate for the nurse to administer the med?

0745 and 0830

Rationale: These times are both within the 30 min. time frame of 0800

A nurse is assessing a client following administration of an antibiotic. The nurse should identify that which if the following findings is a manifestation of an anaphylactic reaction to the medication?

Swollen lips

Rationale: Signs of an allergic reaction, swollen lips, stridor, dyspnea, wheezing, urticaria, and pruritis.

Actions to care: Alert rapid response team, elevate patient's head off the bed, apply high-flow oxygen, and prepare to administer epinephrine.

A nurse is teaching a newly licensed nurse about crushing medications. The nurse should explain that which of the following medications can be crushed?

Sucralfate tablets

Rationale: Certain meds such as scored medications can be crushed or mixed with food. Check with the pharmacist before crushing a medication.

A nurse is preparing to administer digoxin 225 mcg for a pediatric client who has a heart rate above 90/min. Which of the following actions should the nurse take to ensure administration of the right dose? (Select all that apply)

Validate that the dosage is within the safe range and confirm the medication amount is appropriate for the child.

Rationale: Closely adhere to the right med, dose, time, route, client and documentation.

A nurse is transcribing a provider's prescription for a client. The prescription reads morphine 2 mg IV bolus at 1400. The nurse should recognize this as which of the following types of medication orders?

Single order

Rationale: A single (one-time) order means giving med one time or when as soon as possible.

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?

Acetaminophen 650 mg by mouth every 6 hr for temperature greater than 38.4 C (101.1 F)

Rationale: It is protocol-based and contains directions for specific situations, such as development of a fever.

A nurse is caring for a client who states that their provider told them they are at risk for anaphylaxis following the administration of amoxicillin. The client states they do not understand what this means. Which of the following statements should the nurse make?

Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-threatening.

Rationale: It can result in severe bronchoconstriction with laryngeal edema and a preciptious drop in BP

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?

Reporting medication errors.

Rationale: A nurse is legally responsible for reporting medication errors according to a facility policy.

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 meds prior to administration?

Heparin

Rationale: High-alert med classes include central nervous system drugs, chemo drugs, and anticoagulants.

A nurse is transcribing med prescriptions for a group of clients. Which of the following is the right way to record meds that require the use of a decimal point?

0.6 mL

Rationale: Use a leading zero when a number is less than 1, but do not use a trailing zero.

This number is read as, "six tenths" of a milliliter.

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

Rationale: When using the nursing process, first assess the client such as taking vital signs.

A nurse is caring for a client who reports severe 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?

Administer oxycodone immediate-release 5 mg PO now

Rationale: It has been 15 hr since the previous dose of oxycodone immediate-release, and the med is prescribed every 4 hr as needed, the nurse should prepare to administer a dose now to treat the client's pain

A nurse is preparing to administer a high-alert pain med to a client . Which of the following actions should the nurse perform during the planning stage of med administration?

Prioritize verifying the dosage calculation with another nurse

Rationale: Verifying dosage calc prior to a high-alert med occurs during the planning stage.

A nurse is caring for a client who is to receive topiramate XR 100mg PO daily. The client tells the nurse that the capsule is too hard to swallow. Which of the following actions should the nurse take?

The nurse can administer topiramate XR in sprinkle form, if available.

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?

Vitamins, supplements, and over-the-counter (OTC) medications should be included in medication reconciliation.

A nurse is preparing to administer medication to a client who has a prescription for docusate sodium 50 mg capsule PO twice daily. The client refused to take the medication because of nausea. Which of the following actions should the nurse take?

Withhold the medication

Rationale: Contact the provider. If it persists, ask for an antiemetic.

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 med, verify the dosage of the med, ask the client if they have any allergies.

A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of the following prescriptions?

Morphine 2.5 mg IV bolus PRN for incisional pain.

Rationale: This prescription requires clarification because it is missing the frequency of medication administration.

A nurse is working in a medical-surgical unit that is preparing to administer medications to a client. Which of the following actions can the nurse take to identify the client? (Select all that apply)

Compare the name on wristband and MAR is correct, ask patient to state their date of birth, ask the patient to state their name, use the bar code to identify the client.

A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of following prescriptions?

Acetaminophen 325 mg every 6 hr PRN for headache.

Rationale: The prescription contains name of medication, dosage, frequency, and circumstance for administration, but not the route.

A nurse is preparing to administer insulin subcutaneously to a client. The nurse should document the administration of the med immediately after which of the following actions?

Injecting the insulin.

Rationale: Documenting immediately after documentation prevents errors.