Prophecy RN Pharmacology A CORRECT ANSWERS 100%
Which of the following medications is known to cause orange-colored urine? - correct 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? - correct answerHold digoxin and call the provider
Normal Saline (NS) is the solution of choice over D5W when preparing to administer a blood transfusion because: - correct
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? - correct answer400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may: - correct 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? - correct answerIncrease daily water intake
Which of the following medications will crystalize when mixed with D5NS? - correct 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? - correct 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? - correct 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? - correct 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: - correct 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? - correct 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: - correct answertake the medication
with a full glass of water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? - correct 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? - correct 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? - correct 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? - correct answerSpinach
Your patient is receiving vancomycin (Vancocin) 500mg IV every 12 hours. As a nurse, you understand that the PRIMARY rationale
for monitoring serum levels of vancomycin is that: - correct answerIt can cause nephrotoxicity
Convert 1.2 milligrams to micrograms - correct answer1200 mcg
You are caring for a patient with diabetes. Humalog insulin is ordered via sliding scale AC and HS. When is the best time to
administer Humalog insulin? - correct answer15 minutes before meal arrives
A provider orders one liter of NS to be infused over four hours. At what rate would you set the IV pump? - correct answer250ml/hr
*WRONG* Which medication is used to treat iron toxicity? - correct answerA) digoxin immune fab (Digibind)
B) Naloxone (Narcan)
C) Mephyton (Vitamin K)
D) *WRONG* deferoxamine (Digibind)
Your patient presents with CHF and has a Potassium level of 5.8. Which diuretic do you anticipate being ordered by the provider? -
correct answerbumetanide (Bumex)
Your patient is on a Morphine PCA after a recent exploratory surgery. While doing your rounds, you notice that your patient is
slumped over, unresponsive, with delayed and slow respirations. You suspect narcotic overdose. Which reversal medication would
you administer? - correct answernaloxone (Narcan)
A patient's capillary blood glucose reading is 33mg/dl. Which of the following medications will the nurse administer if the patient is
unable to tolerate PO? - correct answerDextrose 50% IV push
When a patient has pernicious anemia, the nurse would expect to give them: - correct answerVitamin B12
*WRONG* Which of the following anticoagulant is MOST commonly administered for DVT prophylaxis in a patient who has
undergone a hip replacement? - correct answerA)*WRONG* heparin
B) enoxaparin
C) aspirin
D) warfarin
Which of the following is considered an antiplatelet medication? - correct answerclopidogrel (Plavix)
Sildenaphil(viagra) is prescribed to treat a patient with erectile dysfuction. A nurse reviews the patient's medical record and would
question the prescription of which of the following is noted in the history? - correct answerUse of Nitroglycerin
Which of the following medications should be held today considering that your patient received IV contract two hours ago fir a CT
scan? - correct answerMetformin (Glucophage)
The patient is diagnosed with multiple Myeloma. The physician has ordered cyclophosphamide (Cytoxan). Which instruction should
be given to the patient? - correct answerIncrease daily water intake
Your patient, a Type 1 diabetic with a history of schizophrenia is exhibiting signs and symptoms of tardive dyskinesia, Which of the
following long-term medications is more likely the etiology of the problem? - correct answerchlorpromazine (Thorazine)
Which of the following medications is known to cause orange-colored urine? - correct 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? - correct answerHold digoxin and call the provider
Normal Saline (NS) is the solution of choice over D5W when preparing to administer a blood transfusion because: - correct
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? - correct answer400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may: - correct 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? - correct answerIncrease daily water intake
Which of the following medications will crystalize when mixed with D5NS? - correct 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? - correct 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? - correct 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? - correct 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: - correct 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? - correct 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: - correct answertake the medication
with a full glass of water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? - correct 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? - correct 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? - correct 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? - correct answerSpinach
Your patient is receiving vancomycin (Vancocin) 500mg IV every 12 hours. As a nurse, you understand that the PRIMARY rationale
for monitoring serum levels of vancomycin is that: - correct answerIt can cause nephrotoxicity
Convert 1.2 milligrams to micrograms - correct answer1200 mcg
You are caring for a patient with diabetes. Humalog insulin is ordered via sliding scale AC and HS. When is the best time to
administer Humalog insulin? - correct answer15 minutes before meal arrives
A provider orders one liter of NS to be infused over four hours. At what rate would you set the IV pump? - correct answer250ml/hr
*WRONG* Which medication is used to treat iron toxicity? - correct answerA) digoxin immune fab (Digibind)
B) Naloxone (Narcan)
C) Mephyton (Vitamin K)
D) *WRONG* deferoxamine (Digibind)
Your patient presents with CHF and has a Potassium level of 5.8. Which diuretic do you anticipate being ordered by the provider? -
correct answerbumetanide (Bumex)
Your patient is on a Morphine PCA after a recent exploratory surgery. While doing your rounds, you notice that your patient is
slumped over, unresponsive, with delayed and slow respirations. You suspect narcotic overdose. Which reversal medication would
you administer? - correct answernaloxone (Narcan)
A patient's capillary blood glucose reading is 33mg/dl. Which of the following medications will the nurse administer if the patient is
unable to tolerate PO? - correct answerDextrose 50% IV push
When a patient has pernicious anemia, the nurse would expect to give them: - correct answerVitamin B12
*WRONG* Which of the following anticoagulant is MOST commonly administered for DVT prophylaxis in a patient who has
undergone a hip replacement? - correct answerA)*WRONG* heparin
B) enoxaparin
C) aspirin
D) warfarin
Which of the following is considered an antiplatelet medication? - correct answerclopidogrel (Plavix)
Sildenaphil(viagra) is prescribed to treat a patient with erectile dysfuction. A nurse reviews the patient's medical record and would
question the prescription of which of the following is noted in the history? - correct answerUse of Nitroglycerin
Which of the following medications should be held today considering that your patient received IV contract two hours ago fir a CT
scan? - correct answerMetformin (Glucophage)
The patient is diagnosed with multiple Myeloma. The physician has ordered cyclophosphamide (Cytoxan). Which instruction should
be given to the patient? - correct answerIncrease daily water intake
Your patient, a Type 1 diabetic with a history of schizophrenia is exhibiting signs and symptoms of tardive dyskinesia, Which of the
following long-term medications is more likely the etiology of the problem? - correct answerchlorpromazine (Thorazine)
