ATI PN Dosage Med-Surg

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Sample questions from ATI PN Dosage Med-Surg

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A client with heart failure is prescribed furosemide 40 mg PO. The available tablets contain 20 mg each. How many tablets should the practical nurse administer?

   • A.0.5 tablet
   • B.1 tablet
   • C.4 tablets
   • D.2 tablets

   Rationale: Divide the prescribed dose, 40 mg, by the amount per tablet, 20 mg, to obtain 2 tablets. One tablet provides only 20 mg, while 0.5 tablet and 4 tablets provide 10 mg and 80 mg, respectively. Verify the medication and dose against the prescription before administration.

2. 2.A client taking digoxin reports nausea and seeing yellow halos around lights. The practical nurse notes an apical pulse of 54/min. What is the priority action?

   • A.Withhold the dose and promptly report the findings to the RN
   • B.Administer the dose with food to reduce nausea
   • C.Document the findings as an expected effect of digoxin
   • D.Encourage the client to walk and recheck the pulse in an hour

   Rationale: Nausea, visual changes, and bradycardia can indicate digoxin toxicity, so the dose should be withheld and the findings promptly reported. Giving the medication or waiting an hour could worsen or delay care for toxicity. These findings are not expected effects to dismiss or merely document.

3. 3.A practical nurse is monitoring a client receiving sublingual nitroglycerin for chest pain. Which actions are appropriate? Select all that apply.

   • A.Check the client's blood pressure before administering a dose
   • B.Offer the medication with a full glass of water
   • C.Give a dose every 5 minutes for up to three doses as prescribed
   • D.Report persistent chest pain or worsening symptoms promptly
   • E.Have the client sit or lie down before the dose

   Rationale: Checking blood pressure helps identify hypotension risk, and sitting or lying down reduces injury if dizziness occurs. Nitroglycerin may be repeated every 5 minutes for up to three doses when prescribed, but persistent or worsening pain requires prompt reporting and emergency response per protocol. The sublingual tablet dissolves under the tongue and should not be swallowed with water.

4. 4.A client with hypertension has a prescription for lisinopril. Which finding should the practical nurse report promptly to the RN?

   • A.A pulse of 78/min
   • B.A persistent dry cough
   • C.A blood pressure of 134/82 mm Hg
   • D.Mild fatigue after a busy day

   Answer and rationale are in the full material.

5. 5.A client with peripheral arterial disease reports calf pain after walking one block that resolves with rest. Which instruction should the practical nurse reinforce?

   • A.Avoid walking to prevent further reduction in leg circulation
   • B.Apply a heating pad to the calves before each walk
   • C.Walk until moderate discomfort occurs, rest until it resolves, and repeat as prescribed
   • D.Elevate the legs above heart level whenever sitting

   Answer and rationale are in the full material.