ProphecyRNPharmacologyA +
2024 Prophecy RN Pharmacology A
Whichofthefollowingmedicationsisknowntocauseorange-coloredurine?
phenazopyridine (Pyridium)
You are ordered to give digoxin.Your patient's vital signs are as follows: Blood
Pressure130/75,Temp97.9oral,HR52,O2Sat100%roomair.Whatshouldyou do
next?
Holddigoxinandcalltheprovider
NormalSaline(NS)isthesolutionofchoiceoverD5Wwhenpreparingto administer a
blood transfusion because:
NormalSalineisan isotonicsolutionandpreventscellhemolysis
Patientistoreceive5mg/kgofmedication.Patientweighs80kg.Howmuchwould you
administer?
400mg
Yourpatienttakingdigoxin(Lanoxin)hasanAMPotassiumlevelof3.0.Thislevel may:
Increaseriskofdigoxin toxicity
The patient is diagnosed with multiple myeloma. The physician has ordered
cyclophosphamide(Cytoxan).Whichinstructionshouldbegiventothepatient? Increase
daily water intake
WhichofthefollowingmedicationswillcrystalizewhenmixedwithD5NS? phenytoin
(Dilantin)
Whichofthefollowingmedicationsshouldbequestionedbythenurse,ifordered by the
provider to treat a patient's complaint of nausea and vomiting?
famotidine (Pepcid)
, ProphecyRNPharmacologyA +
Your patient has an epidural infusing hydromorphone with bupivacaine at 6ml/hr
continuously.Thepatient'sbloodpressureatthebeginningofyourshiftwas92/58
withaheartrateof68.Younoticedthepatient'sbloodpressureshavebeenaround 130/70.
What should you do FIRST?
Checkinfusionratetoconfirm6ml/hr,thennotifyanesthesia provider
Thedosageofwhichdrugmustbetaperedoffslowlytopreventacuteadrenal insufficiency?
prednisone(Deltasone)
WhenteachinganewnurseonhowtoadministerIVpushfurosemide(Lasix),you
emphasize that it should be given over two minutes to avoid:
tinnitus
Anurseiscaringforapatientwithhyperparathyroidismandnotesthatthepatient's serum
calcium level is 13mg/dl. Which medication should the nurse prepare to administer
as prescribed to the patient?
calcintonin(Miacalcin)
Apatient has a prescription to take Guaifenesin (Mucinex) every 4 hours, as
needed.ThenursedeterminesthatthepatientunderstandstheMOSTeffectiveuse of the
medication if the patient states that he or she will:
takethe medicationwithafullglassofwater
Acetylsalicylicacid(Aspirin)haswhichofthefollowingpharmacologicaleffects?
Anti-inflammatory, anti-pyretic, decrease platelet aggregation
Yourpatientistoreceive2Gvancomycinover2hours.Themedicationcomesin from the
pharmacy as 2 GVancomycin in 250ml normal saline.At what rate will the IV
medication run?
125ml/hr
2024 Prophecy RN Pharmacology A
Whichofthefollowingmedicationsisknowntocauseorange-coloredurine?
phenazopyridine (Pyridium)
You are ordered to give digoxin.Your patient's vital signs are as follows: Blood
Pressure130/75,Temp97.9oral,HR52,O2Sat100%roomair.Whatshouldyou do
next?
Holddigoxinandcalltheprovider
NormalSaline(NS)isthesolutionofchoiceoverD5Wwhenpreparingto administer a
blood transfusion because:
NormalSalineisan isotonicsolutionandpreventscellhemolysis
Patientistoreceive5mg/kgofmedication.Patientweighs80kg.Howmuchwould you
administer?
400mg
Yourpatienttakingdigoxin(Lanoxin)hasanAMPotassiumlevelof3.0.Thislevel may:
Increaseriskofdigoxin toxicity
The patient is diagnosed with multiple myeloma. The physician has ordered
cyclophosphamide(Cytoxan).Whichinstructionshouldbegiventothepatient? Increase
daily water intake
WhichofthefollowingmedicationswillcrystalizewhenmixedwithD5NS? phenytoin
(Dilantin)
Whichofthefollowingmedicationsshouldbequestionedbythenurse,ifordered by the
provider to treat a patient's complaint of nausea and vomiting?
famotidine (Pepcid)
, ProphecyRNPharmacologyA +
Your patient has an epidural infusing hydromorphone with bupivacaine at 6ml/hr
continuously.Thepatient'sbloodpressureatthebeginningofyourshiftwas92/58
withaheartrateof68.Younoticedthepatient'sbloodpressureshavebeenaround 130/70.
What should you do FIRST?
Checkinfusionratetoconfirm6ml/hr,thennotifyanesthesia provider
Thedosageofwhichdrugmustbetaperedoffslowlytopreventacuteadrenal insufficiency?
prednisone(Deltasone)
WhenteachinganewnurseonhowtoadministerIVpushfurosemide(Lasix),you
emphasize that it should be given over two minutes to avoid:
tinnitus
Anurseiscaringforapatientwithhyperparathyroidismandnotesthatthepatient's serum
calcium level is 13mg/dl. Which medication should the nurse prepare to administer
as prescribed to the patient?
calcintonin(Miacalcin)
Apatient has a prescription to take Guaifenesin (Mucinex) every 4 hours, as
needed.ThenursedeterminesthatthepatientunderstandstheMOSTeffectiveuse of the
medication if the patient states that he or she will:
takethe medicationwithafullglassofwater
Acetylsalicylicacid(Aspirin)haswhichofthefollowingpharmacologicaleffects?
Anti-inflammatory, anti-pyretic, decrease platelet aggregation
Yourpatientistoreceive2Gvancomycinover2hours.Themedicationcomesin from the
pharmacy as 2 GVancomycin in 250ml normal saline.At what rate will the IV
medication run?
125ml/hr
