Prophecy RN Pharmacology A; latest 2022
I scored 95%
1. Which of the following medications is known to cause orange-colored urine?:
phenazopyridine (Pyridium)
2. 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?: Hold digoxin and call the provider
3. Normal Saline (NS) is the solution of choice over D5W when preparing to
administer a blood transfusion because:: Normal Saline is an isotonic solution and
prevents cell hemolysis
4. Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much would
you administer?: 400mg
5. Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This
level may:: Increase risk of digoxin toxicity
6. The patient is diagnosed with multiple myeloma. The physician has or- dered
cyclophosphamide (Cytoxan). Which instruction should be given to the patient?:
Increase daily water intake
7. Which of the following medications will crystalize when mixed with D5NS?-
: phenytoin (Dilantin)
8. 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?:
famotidine (Pepcid)
, 9. 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?: Check infusion rate to confirm
6ml/hr, then notify anesthesia provider
10. The dosage of which drug must be tapered off slowly to prevent acute adrenal
insufficiency?: prednisone (Deltasone)
11. 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:: - tinnitus
12. 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 prescribed to the patient?: calcintonin (Mia- calcin)
13. 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:: take the medication with a
full glass of water
14. Acetylsalicylic acid (Aspirin) has which of the following pharmacological
effects?: Anti-inflammatory, anti-pyretic, decrease platelet aggregation
15. 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?: 125ml/hr
I scored 95%
1. Which of the following medications is known to cause orange-colored urine?:
phenazopyridine (Pyridium)
2. 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?: Hold digoxin and call the provider
3. Normal Saline (NS) is the solution of choice over D5W when preparing to
administer a blood transfusion because:: Normal Saline is an isotonic solution and
prevents cell hemolysis
4. Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much would
you administer?: 400mg
5. Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This
level may:: Increase risk of digoxin toxicity
6. The patient is diagnosed with multiple myeloma. The physician has or- dered
cyclophosphamide (Cytoxan). Which instruction should be given to the patient?:
Increase daily water intake
7. Which of the following medications will crystalize when mixed with D5NS?-
: phenytoin (Dilantin)
8. 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?:
famotidine (Pepcid)
, 9. 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?: Check infusion rate to confirm
6ml/hr, then notify anesthesia provider
10. The dosage of which drug must be tapered off slowly to prevent acute adrenal
insufficiency?: prednisone (Deltasone)
11. 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:: - tinnitus
12. 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 prescribed to the patient?: calcintonin (Mia- calcin)
13. 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:: take the medication with a
full glass of water
14. Acetylsalicylic acid (Aspirin) has which of the following pharmacological
effects?: Anti-inflammatory, anti-pyretic, decrease platelet aggregation
15. 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?: 125ml/hr
