Prophecy RN Pharmacology A
Which of the following medications is known to cause orange-colored urine? - ANSWERphenazopyridine
(Pyridium)
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? - ANSWERHold digoxin and call the
provider
Normal Saline (NS) is the solution of choice over D5W when preparing to administer a blood transfusion
because: - ANSWERNormal Saline is an isotonic solution and prevents cell hemolysis
Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much would you administer? -
ANSWER400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may: -
ANSWERIncrease risk of digoxin toxicity
The patient is diagnosed with multiple myeloma. The physician has ordered cyclophosphamide
(Cytoxan). Which instruction should be given to the patient? - ANSWERIncrease daily water intake
Which of the following medications will crystalize when mixed with D5NS? - ANSWERphenytoin
(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? - ANSWERfamotidine (Pepcid)
, 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? - ANSWERCheck
infusion rate to confirm 6ml/hr, then notify anesthesia provider
The dosage of which drug must be tapered off slowly to prevent acute adrenal insufficiency? -
ANSWERprednisone (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: - ANSWERtinnitus
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? -
ANSWERcalcintonin (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: - ANSWERtake the medication with a full glass of water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? - ANSWERAnti-
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? - ANSWER125ml/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? -
ANSWERUse of nitroglycerin
While delivering the lunch tray of a patient who is taking warfarin (Coumadin), the nurse notices
diversity of food items. Which of the following foods would be a concern? - ANSWERSpinach
Which of the following medications is known to cause orange-colored urine? - ANSWERphenazopyridine
(Pyridium)
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? - ANSWERHold digoxin and call the
provider
Normal Saline (NS) is the solution of choice over D5W when preparing to administer a blood transfusion
because: - ANSWERNormal Saline is an isotonic solution and prevents cell hemolysis
Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much would you administer? -
ANSWER400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may: -
ANSWERIncrease risk of digoxin toxicity
The patient is diagnosed with multiple myeloma. The physician has ordered cyclophosphamide
(Cytoxan). Which instruction should be given to the patient? - ANSWERIncrease daily water intake
Which of the following medications will crystalize when mixed with D5NS? - ANSWERphenytoin
(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? - ANSWERfamotidine (Pepcid)
, 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? - ANSWERCheck
infusion rate to confirm 6ml/hr, then notify anesthesia provider
The dosage of which drug must be tapered off slowly to prevent acute adrenal insufficiency? -
ANSWERprednisone (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: - ANSWERtinnitus
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? -
ANSWERcalcintonin (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: - ANSWERtake the medication with a full glass of water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? - ANSWERAnti-
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? - ANSWER125ml/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? -
ANSWERUse of nitroglycerin
While delivering the lunch tray of a patient who is taking warfarin (Coumadin), the nurse notices
diversity of food items. Which of the following foods would be a concern? - ANSWERSpinach
