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? - AN-
SWER Hold digoxin and call the provider
The patient is diagnosed with multiple myeloma. The physician has ordered cyclophospha-
mide (Cytoxan). Which instruction should be given to the patient? - ANSWER Increase
daily water intake
Which of the following medications is known to cause orange-colored urine? - ANSWER
phenazopyridine (Pyridium)
Normal Saline (NS) is the solution of choice over D5W when preparing to administer a blood
transfusion because: - ANSWER Normal Saline is an isotonic solution and prevents cell
hemolysis
Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much would you ad-
minister? - ANSWER 400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may: - AN-
SWER Increase risk of digoxin toxicity
Which of the following medications will crystalize when mixed with D5NS? - ANSWER
phenytoin (Dilantin)
Which of the following medications should be questioned by the nurse, if ordered by the
provider to treat a patient's complaint of nausea and vomiting? - ANSWER famotidine
(Pepcid)
1
, Your patient has an epidural infusing hydromorphone with bupivacaine at 6ml/hr continu-
ously. 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? - ANSWER Check infusion rate to confirm 6ml/hr, then notify anesthesia pro-
vider
The dosage of which drug must be tapered off slowly to prevent acute adrenal insufficiency?
- ANSWER prednisone (Deltasone)
When teaching a new nurse on how to administer IV push furosemide (Lasix), you emphasize
that it should be given over two minutes to avoid: - ANSWER tinnitus
A nurse is caring for a patient with hyperparathyroidism and notes that the patient's serum
calcium level is 13mg/dl. Which medication should the nurse prepare to administer as pre-
scribed to the patient? - ANSWER calcintonin (Miacalcin)
A patient has a prescription to take Guaifenesin (Mucinex) every 4 hours, as needed. The
nurse determines that the patient understands the MOST effective use of the medication if
the patient states that he or she will: - ANSWER take the medication with a full glass of
water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? - AN-
SWER Anti-inflammatory, anti-pyretic, decrease platelet aggregation
Your patient is to receive 2 G vancomycin over 2 hours. The medication comes in from the
pharmacy as 2 G Vancomycin in 250ml normal saline. At what rate will the IV medication
run? - ANSWER 125ml/hr
Sildenafil (Viagra) is prescribed to treat a patient with erectile dysfunction. A nurse reviews
the patient's medical record and would question the prescription if which of the following is
noted in the history? - ANSWER Use of nitroglycerin
2
130/75, Temp 97.9 oral, HR 52, O2 Sat 100% room air. What should you do next? - AN-
SWER Hold digoxin and call the provider
The patient is diagnosed with multiple myeloma. The physician has ordered cyclophospha-
mide (Cytoxan). Which instruction should be given to the patient? - ANSWER Increase
daily water intake
Which of the following medications is known to cause orange-colored urine? - ANSWER
phenazopyridine (Pyridium)
Normal Saline (NS) is the solution of choice over D5W when preparing to administer a blood
transfusion because: - ANSWER Normal Saline is an isotonic solution and prevents cell
hemolysis
Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much would you ad-
minister? - ANSWER 400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may: - AN-
SWER Increase risk of digoxin toxicity
Which of the following medications will crystalize when mixed with D5NS? - ANSWER
phenytoin (Dilantin)
Which of the following medications should be questioned by the nurse, if ordered by the
provider to treat a patient's complaint of nausea and vomiting? - ANSWER famotidine
(Pepcid)
1
, Your patient has an epidural infusing hydromorphone with bupivacaine at 6ml/hr continu-
ously. 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? - ANSWER Check infusion rate to confirm 6ml/hr, then notify anesthesia pro-
vider
The dosage of which drug must be tapered off slowly to prevent acute adrenal insufficiency?
- ANSWER prednisone (Deltasone)
When teaching a new nurse on how to administer IV push furosemide (Lasix), you emphasize
that it should be given over two minutes to avoid: - ANSWER tinnitus
A nurse is caring for a patient with hyperparathyroidism and notes that the patient's serum
calcium level is 13mg/dl. Which medication should the nurse prepare to administer as pre-
scribed to the patient? - ANSWER calcintonin (Miacalcin)
A patient has a prescription to take Guaifenesin (Mucinex) every 4 hours, as needed. The
nurse determines that the patient understands the MOST effective use of the medication if
the patient states that he or she will: - ANSWER take the medication with a full glass of
water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? - AN-
SWER Anti-inflammatory, anti-pyretic, decrease platelet aggregation
Your patient is to receive 2 G vancomycin over 2 hours. The medication comes in from the
pharmacy as 2 G Vancomycin in 250ml normal saline. At what rate will the IV medication
run? - ANSWER 125ml/hr
Sildenafil (Viagra) is prescribed to treat a patient with erectile dysfunction. A nurse reviews
the patient's medical record and would question the prescription if which of the following is
noted in the history? - ANSWER Use of nitroglycerin
2
