Practice Question
The following medication orders are found in the patient's MAR: Metformin HCI 500 mg PO daily at 0900 Hydrochlorothiazide 25 mg PO every 12 hr at 0900 and 2100. Digoxin .25 mg PO daily at 0900. In reading the medication orders for the 0700-1500 shift, the nurse determines that the priority intervention is to?
Answer Choices:
Correct Answer:
Clarify the digoxin order.
Rationale:
🟦 Written as .25 mg—a leading zero is missing, which is unsafe.
🟦 Could be misread as 25 mg, a lethal overdose.
🟦 Digoxin has a narrow therapeutic index; dose accuracy is critical.
🟦 Safe practice: write as 0.25 mg to prevent misinterpretation.
🟦 Clarification avoids toxicity and aligns with ISMP safety guidelines.
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This question is from NPN DOSE CALCULATION EXAM which contains 43 questions.
More Questions from This Exam
All of the following medication orders are found in a patient's MAR. Select the medication order that requires clarification prior to administration
Answer Choices:
A. Regular insulin 7 units SUBQ 30 minutes before breakfast
B. Captopril 12.5 mg PO at 0700 and 1700
C. Morphine sulfate 45.0 mg PO once a day for pain
D. Ketorolac 15 mg IM stat
In the administration of medications, the nurse is correct to document the administration of medications:
Answer Choices:
A. Immediately after administering to the patient
B. 30 minutes before administering to the patient
C. At the end of the shift
D. Immediately before administering to the patient
The following medication order is in the patient's medication administration record (MAR): Methyl PRED nisolone 40 mg PO daily at 0900. After reading the order, the nurse correctly determines
Answer Choices:
A. "PO" is an inappropriate abbreviation,
B. Tall man lettering indicates that the drug is a narcotic.
C. 40 mg should be written as 40mg.
D. The medication order is written correctly.
The nurse is reviewing a drug label with a drug name written with tall man lettering. Which statement indicates that the nurse has a correct understanding of tall man lettering on a drug label?
Answer Choices:
A. The tall man lettering means that this drug contains a boxed warning.
B. The tall man lettering helps to distinguish this drug from other drugs that have similar names.
C. The tall man lettering means this is a high-alert drug.
D. The tall man lettering helps to quickly identify that the drug is an injectable drug.
When practicing safety in the administration of medication, the nurse is correct to seek clarification prior to the administration of which of the following medication orders?
Answer Choices:
A. Benadryl 50 mg PO PRN every 6 hr for itching
B. Regular insulin 5 u SUBQ now
C. Enoxaparin 80 mg SUBQ every 12 hours
D. Ondansetron 4 mg IVP stat
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Dosage Calculations
- Answer Choices: 4