PROPHECY RELIAS PHARMACOLOGY RN A LATEST
2024 ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|GRADED
A+
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? - ANSWER-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: - ANSWER-It can cause nephrotoxicity
Convert 1.2 milligrams to micrograms - ANSWER-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? -
ANSWER-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? - ANSWER-250ml/hr
*WRONG* Which medication is used to treat iron toxicity? - ANSWER-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? - ANSWER-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 delayed and slow respirations. You suspect narcotic overdose. Which
reversal medication would you administer? - ANSWER-naloxone (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? -
ANSWER-Dextrose 50% IV push
When a patient has pernicious anemia, the nurse would expect to give them: -
ANSWER-Vitamin B12
*WRONG* Which of the following anticoagulant is MOST commonly
administered for DVT prophylaxis in a patient who has undergone a hip
replacement? - ANSWER-A)*WRONG* heparin
B) enoxaparin
C) aspirin
D) warfarin
Which of the following is considered an antiplatelet medication? - ANSWER-
clopidogrel (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? - ANSWER-Use 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? - ANSWER-Metformin
(Glucophage)
The patient is diagnosed with multiple Myeloma. The physician has ordered
cyclophosphamide (Cytoxan). Which instruction should be given to the patient?
- ANSWER-Increase 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? - ANSWER-
chlorpromazine (Thorazine)
When caring for a patient with a central line who is receiving TPN, what is the
MOST important action on the part of the nurse to prevent CLABSI? - ANSWER-
Perform correct sterile technique for dressing change at the CVC site
"Red Man" Syndrome may occur during the administration of vancomycin
(Vancocin), primarily due to - ANSWER-An increase in histamine production
Your patient has been diagnosed with. chronic CHF and will be taking Lasix
80mg PO twice a day. When teaching about high Potassium foods in the diet,
which group of foods would you recommend to the patient? - ANSWER-
Bananas, spinach, raisins
Which of the following medications is known to cause orange-colored urine? -
ANSWER-phenazopyridine (Pyridium)
2024 ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|GRADED
A+
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? - ANSWER-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: - ANSWER-It can cause nephrotoxicity
Convert 1.2 milligrams to micrograms - ANSWER-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? -
ANSWER-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? - ANSWER-250ml/hr
*WRONG* Which medication is used to treat iron toxicity? - ANSWER-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? - ANSWER-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 delayed and slow respirations. You suspect narcotic overdose. Which
reversal medication would you administer? - ANSWER-naloxone (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? -
ANSWER-Dextrose 50% IV push
When a patient has pernicious anemia, the nurse would expect to give them: -
ANSWER-Vitamin B12
*WRONG* Which of the following anticoagulant is MOST commonly
administered for DVT prophylaxis in a patient who has undergone a hip
replacement? - ANSWER-A)*WRONG* heparin
B) enoxaparin
C) aspirin
D) warfarin
Which of the following is considered an antiplatelet medication? - ANSWER-
clopidogrel (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? - ANSWER-Use 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? - ANSWER-Metformin
(Glucophage)
The patient is diagnosed with multiple Myeloma. The physician has ordered
cyclophosphamide (Cytoxan). Which instruction should be given to the patient?
- ANSWER-Increase 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? - ANSWER-
chlorpromazine (Thorazine)
When caring for a patient with a central line who is receiving TPN, what is the
MOST important action on the part of the nurse to prevent CLABSI? - ANSWER-
Perform correct sterile technique for dressing change at the CVC site
"Red Man" Syndrome may occur during the administration of vancomycin
(Vancocin), primarily due to - ANSWER-An increase in histamine production
Your patient has been diagnosed with. chronic CHF and will be taking Lasix
80mg PO twice a day. When teaching about high Potassium foods in the diet,
which group of foods would you recommend to the patient? - ANSWER-
Bananas, spinach, raisins
Which of the following medications is known to cause orange-colored urine? -
ANSWER-phenazopyridine (Pyridium)
