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All kings in the current Chakri dynasty of Thailand are often referred to as King Rama in the English speaking world. The name Rama was adopted from the name of the Hindu God Rama, an avatar of Vishnu.
The use of the name "King Rama 'n'th" is in line with Thai practice of giving numbers to the king in the current dynasty. However, the translation was not exact and can give rise to some confusion as to whether this was actually the name adopted by the king on his coronation.