ATI Dosage Calculation And Safe Medication Administration Test Of The Actual ATI Assessments

Exam

ATI Dosage Calculation And Safe Medication Administration Test Of The Actual ATI Assessments, And Each Includes A Detailed Rationale This exam is div ... ided into sections based on the standard ATI modules. Use this to assess your knowledge and identify areas for further review. 1. A nurse is assisting with 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 and insulin, for which of the following reasons?  A. The medications require a specific monitoring protocol.  B. The medications are prescribed frequently on the unit.  C. Dosage errors have the potential for significant harm to the client.  D. The pharmacy requires a co-signature for these medications. Answer: C Rationale: High-alert medications are drugs that bear a heightened risk of causing significant patient harm when used in error. Although monitoring (A) and frequency (B) may be factors, the primary reason for a double-check is patient safety due to the high potential for severe adverse effects if an error occurs . 2. 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. Which of the following actions should the nurse take?  A. Crush the pill and mix it with applesauce.  B. Request a liquid form of the medication from the pharmacy.  C. Cut the pill in half to make it smaller.  D. Instruct the client to try swallowing the pill with a larger sip of water. Answer: B Rationale: Many oral medications, including omeprazole, are enteric-coated or sustained release and should not be crushed, cut, or chewed (A, C). Doing so can alter the medication's absorption and effectiveness or cause irritation. The safest action is to obtain an appropriate formulation, such as a liquid, from the pharmacy . 3. A nurse is preparing to administer insulin subcutaneously to a client. The nurse should document the administration of the medication immediately after which action?

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