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PROPHECY/RELIAS RN PHARMACOLOGY A ACTUAL EXAM COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE

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Pass your Prophecy/Relias RN Pharmacology A exam with this complete Q&A study guide featuring actual exam questions and detailed solutions—latest update, 100% correct. Designed for registered nurses, nursing students, and healthcare professionals taking Prophecy or Relias pharmacology assessments, this resource covers essential topics including: dexamethasone IV dose calculation (0.4 mL from 10mg/mL), morphine PCA patient education (demand dose only with lockout), hypoglycemia symptoms (sweating, shakes, nervousness, tachycardia, headache), acid reflux treatment (PPIs), epidural hydromorphone/bupivacaine (check infusion rate first), digoxin hold for HR 52, Red Man syndrome (vancomycin histamine release), NS for blood transfusion (isotonic prevents hemolysis), Mantoux TB test induration 15mm for no risk factors, patient identification (name and DOB), naloxone for narcotic overdose, levothyroxine teaching correction (take on empty stomach), IV rate calculation (1000mL/6hr = 166.67 mL/hr), dose conversion (125 mcg = 0.125 mg), weight-based dosing (5mg/kg × 80kg = 400mg), apical pulse before digoxin, heparin antidote (protamine sulfate), lasix IV push calculation (50mg from 20mg/mL = 2.5 mL), migraine treatment (rizatriptan), acetaminophen safety (avoid OTC overdose), clopidogrel antiplatelet, atropine IM calculation (0.6mg from 0.8mg/mL = 0.75 mL), phenazopyridine orange urine, hypokalemia (K+ 3.0) increases digoxin toxicity, cyclophosphamide (increase water intake for hemorrhagic cystitis), enoxaparin for DVT prophylaxis post-hip replacement, montelukast leukotriene receptor antagonist, hydrochlorothiazide teaching (orthostatic hypotension), tablet calculation (250mg order/100mg tab = 2.5 tabs), spironolactone potassium-sparing diuretic, sildenafil contraindication (nitroglycerin), dextrose 50% for hypoglycemia (33 mg/dL unable to take PO), insulin glargine order correction (spell out “units” and “daily”), warfarin education (avoid aspirin for headaches), penicillin allergy cross-reactivity (ceftriaxone), heparin drip calculation (18 units/kg/hr × 75kg = 1350 units/hr; 25,000 units/500mL = 50 units/mL; 1350/50 = 27 mL/hr), dose calculation (0.5mg/kg × 40kg = 20mg; 20mg/10mg per mL = 2 mL), hypercalcemia in hyperparathyroidism (calcitonin), GI bleed contraindication (enoxaparin), nitrofurantoin teaching (rinse mouth to avoid tooth staining), PPI teaching (separate from other meds), bumetanide for CHF with K+ 5.8, high-potassium foods (bananas, spinach, raisins) for furosemide, famotidine not for nausea/vomiting, IV allergic reaction (diphenhydramine and notify provider), patient refusal (document and notify MD), 1 tsp = 5 mL, central line sterile technique to prevent CLABSI, sublingual medication with NG tube (administer sublingually as ordered), corticosteroid inhaler teaching (rinse mouth to prevent fungal infection), diazepam incompatible with Lactated Ringer’s, diltiazem for dysrhythmia, cyclosporine avoid raisins (high potassium), phenytoin crystallization with D5NS, warfarin avoid spinach (vitamin K), vancomycin rate calculation (2g in 250mL over 2 hours = 125 mL/hr), prednisone taper to prevent adrenal insufficiency, furosemide IV push over 2 minutes to avoid tinnitus, guaifenesin with full glass of water, vancomycin monitoring for nephrotoxicity, mg to mcg conversion (1.2mg = 1200 mcg), Humalog insulin 15 minutes before meal, NS infusion rate 250 mL/hr, vitamin B12 for pernicious anemia, metformin hold after IV contrast, chlorpromazine causing tardive dyskinesia, deferoxamine for iron toxicity, and digoxin hold for HR 52. Perfect for Prophecy RN Pharmacology A exam success, Relias pharmacology test prep, and nursing pharmacology review.

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Institution
PROPHECY/RELIAS RN PHARMACOLOGY A
Course
PROPHECY/RELIAS RN PHARMACOLOGY A

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PROPHECY/RELIAS RN
PHARMACOLOGY A ACTUAL EXAM
COMPLETE QUESTIONS AND
DETAILED SOLUTIONS LATEST
UPDATE


A person is being treated for mild to moderate pain following an orthopedic
procedure. Which order would you question? - CORRECT ANSWER ✔✔-
eplerenone


You have an order for 4 mg of dexamethasone (Decadron) IV push. The med is
supplied in 10mg/mL vial. How many mL do you give? - CORRECT ANSWER
✔✔- 0.4 mL


A person on a morphine PCA without a basal infusion rate and is afraid of
overdosing. What would you say to educate them? - CORRECT ANSWER ✔✔- A
small dose is delivered only when you push the trigger button and only if it has
been long enough since your last dose


A person has been diagnosed with diabetes and prescribed an oral
antihyperglycemic agent . What statement made by them indicates that they
adequately understand the symptoms of hypoglycemia? - CORRECT ANSWER
✔✔- If I have sweating, shakes, nervousness, increased heart rate, or headache, my
sugar might be low because of my new medicine




1

, What class of med would you expect ordered for a person with acid reflux? -
CORRECT ANSWER ✔✔- Proton pump inhibitor


Your patient has an epidural infusing hydromorphone with bupivacaine at 6ml/hr
continuously. The patient's blood pressure at the beginning of your shift was 92/58
with a heart rate of 68. You noticed the patient's blood pressures have been around
130/70. What should you do FIRST? - CORRECT ANSWER ✔✔- Check infusion
rate to confirm 6ml/hr, then notify anesthesia provider


You are ordered to give digoxin. Your patient's vital signs are as follows: Blood
Pressure 130/75, Temp 97.9 oral, HR 52, O2 Sat 100% room air. What should you
do next? - CORRECT ANSWER ✔✔- Hold digoxin and call the provider


"Red Man" Syndrome may occur during the administration of vancomycin
(Vancocin), primarily due to - CORRECT ANSWER ✔✔- An increase in
histamine production


Why would NS be the solution of choice when preparing to administer a blood
transfusion? - CORRECT ANSWER ✔✔- NS is isotonic


pt with no known risk factors to TB would need further diagnostic testing to rule
out TB if the mantoux test showed an induration of what size? - CORRECT
ANSWER ✔✔- >15


Which statement is CORRECT for determining you have the correct person before
administering a drug? - CORRECT ANSWER ✔✔- You should ask them to say
their name and DOB and compare it to the MAR and wrist band




2

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Institution
PROPHECY/RELIAS RN PHARMACOLOGY A
Course
PROPHECY/RELIAS RN PHARMACOLOGY A

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