Prophecy RN Pharmacology A 2024 ACTUAL EXAM 110 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS
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)
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
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS
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)
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
