Prophecy RN Pharmacology A | RN
Pharmacology
Questions With Answers – Latest Update
2023/2024
Which of the following medications is known to cause orange-colored urine?
Correct Ans:- phenazopyridine (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 Ans:- Hold digoxin and call the provider
Normal Saline (NS) is the solution of choice over D5W when preparing to administer
a blood transfusion because: Correct Ans:- 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 administer? Correct Ans:- 400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level
may: Correct Ans:- Increase 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 Ans:- Increase daily water intake
Which of the following medications will crystalize when mixed with D5NS?
Correct Ans:- 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? Correct
Ans:- famotidine (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 Ans:- Check 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 Ans:- 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: Correct Ans:-
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 prescribed to the patient? Correct Ans:- 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: Correct Ans:- take the
medication with a full glass of water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects?
Correct Ans:- 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? Correct Ans:- 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? Correct Ans:- Use 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 Ans:- Spinach
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 Ans:- It can cause nephrotoxicity
Convert 1.2 milligrams to micrograms Correct Ans:- 1200 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
Ans:- 15 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 Ans:- 250ml/hr
*WRONG* Which medication is used to treat iron toxicity? Correct Ans:- A)
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 Ans:- bumetanide
(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
Pharmacology
Questions With Answers – Latest Update
2023/2024
Which of the following medications is known to cause orange-colored urine?
Correct Ans:- phenazopyridine (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 Ans:- Hold digoxin and call the provider
Normal Saline (NS) is the solution of choice over D5W when preparing to administer
a blood transfusion because: Correct Ans:- 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 administer? Correct Ans:- 400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level
may: Correct Ans:- Increase 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 Ans:- Increase daily water intake
Which of the following medications will crystalize when mixed with D5NS?
Correct Ans:- 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? Correct
Ans:- famotidine (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 Ans:- Check 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 Ans:- 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: Correct Ans:-
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 prescribed to the patient? Correct Ans:- 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: Correct Ans:- take the
medication with a full glass of water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects?
Correct Ans:- 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? Correct Ans:- 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? Correct Ans:- Use 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 Ans:- Spinach
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 Ans:- It can cause nephrotoxicity
Convert 1.2 milligrams to micrograms Correct Ans:- 1200 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
Ans:- 15 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 Ans:- 250ml/hr
*WRONG* Which medication is used to treat iron toxicity? Correct Ans:- A)
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 Ans:- bumetanide
(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
