RN PHARMACOLOGY A PROPHECY 2024 UPDATE
COMPREHENSIVE QUESTIONS AND VERIFIED
CORRECT ANSWERS GRADE A+
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)
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
The dosage of which drug must be tapered off slowly to prevent acute adrenal
insufficiency?
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:
tinnitus
Which of the following medications is known to cause orange-colored urine?
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?
Hold digoxin and call the provider
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
Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much would you
administer?
400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may:
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?
Increase daily water intake
Which of the following medications will crystalize when mixed with D5NS?
phenytoin (Dilantin)
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 (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:
take the medication with a full glass of water
COMPREHENSIVE QUESTIONS AND VERIFIED
CORRECT ANSWERS GRADE A+
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)
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
The dosage of which drug must be tapered off slowly to prevent acute adrenal
insufficiency?
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:
tinnitus
Which of the following medications is known to cause orange-colored urine?
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?
Hold digoxin and call the provider
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
Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much would you
administer?
400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may:
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?
Increase daily water intake
Which of the following medications will crystalize when mixed with D5NS?
phenytoin (Dilantin)
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 (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:
take the medication with a full glass of water
