Prophecy/Relias RN Pharmacology A EXAM 2024 RETAKE 99
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES |
ALREADY GRADED A+
What medication is a leukotriene receptor antagonist?
Montelukast
Which statement made by a person regarding hydrochlorothiazide (HCTZ) is correct?
I should take extra care when standing up or changing positions.
A 250mg dose of an oral medication has been ordered. The medication is supplied only in 100mg
tablets. How many tablets would you administer?
2.5
What medication is considered a potassium-sparing diuretic?
spironolactione (Aldactone)
You receive report from the off-going nurse that the person being cared for just received their fourth
dose of IV vancomycin that was administered over 30 minutes. Upon assessment of them, you notice
their face and neck are red and they are itching all over. What would you suspect?
Red man syndrome due to a rapid infusion rate.
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?
nitroglycerin
You are caring for a person with a capillary blood glucose of 33 mg/dL and they are unable to tolerate
oral intake. Which of the following would you administer?
dextrose 50% IV push
A physician's written order for the person you are caring for is as follows: Insulin glargine (Lantus), 10
U, subQ QD. What changes would you suggest for safety and to avoid the use of "do not use"
abbreviations?
Spell out units and daily
Which statement, if made by the person you are caring for, reflects the need for further education
regarding a new prescriptions of warfarin (Coumadin)?
If I get headaches, aspirin is my best options for pain
A person is noted to have a penicillin allergy. What medication would you question of ordered by a
physician?
ceftriaxone
You receive and order to start a Heparin drip at 18 units/kg/hr for a person weighing 75 kg. The
heparin comes in a 500 mL bag with 25,000 units. what is the starting rate of the infusion?
27 mL/hr
, The physician orders 0.5 mg/kg of a medications. The medication is supplied in a 10 mg/mL solution.
The person you are caring for weighs 40 kg. How many mL of the drug would you administer?f
2 mL
A person with a hypothyroidism has a serum calcium level of 13 mg/dL. What medication would you
expect to administer?
Calcitonin
A person you are caring for has a known GI bleed. What drug is contraindicated?
enoxaparin (Lovenox)
A person has been prescribed nitrofurantoin (Furadantin) for a UTI. What education would you
provide for them?
wash your mouth out after taking this medication to avoid staining of the teeth
What is appropriate education to provide to a person who has received a new prescription for a PPI?
You should not take this medicine at the same time as other medicines.
Your patient presents with CHF and has a Potassium level of 5.8. Which diuretic do you anticipate
being ordered by the provider?
bumetanide (Bumex)
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?
Bananas, spinach, raisins
Which medication would you question if ordered by the provider to treat a person that is complaining
of nausea and vomiting?
Famotidine (Pepcid)
Shortly after administering an IV med, the person you are caring for starts to complain of itching and
feeling flushed. On assessment, you notice hives begun to form on their chest. What is the best
intervention?
Administer PRN IV diphenhydramine (Benadryl) and notify provider
Patient refuses a dose of IV medication. What is the MOST approriate action?
Document the refusal and notify the MD
You receive an order to administer 1 tsp of an elixir. What amount of elixir will you prepare?
5ml
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?
Perform correct sterile technique for dressing change at the CVC site
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES |
ALREADY GRADED A+
What medication is a leukotriene receptor antagonist?
Montelukast
Which statement made by a person regarding hydrochlorothiazide (HCTZ) is correct?
I should take extra care when standing up or changing positions.
A 250mg dose of an oral medication has been ordered. The medication is supplied only in 100mg
tablets. How many tablets would you administer?
2.5
What medication is considered a potassium-sparing diuretic?
spironolactione (Aldactone)
You receive report from the off-going nurse that the person being cared for just received their fourth
dose of IV vancomycin that was administered over 30 minutes. Upon assessment of them, you notice
their face and neck are red and they are itching all over. What would you suspect?
Red man syndrome due to a rapid infusion rate.
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?
nitroglycerin
You are caring for a person with a capillary blood glucose of 33 mg/dL and they are unable to tolerate
oral intake. Which of the following would you administer?
dextrose 50% IV push
A physician's written order for the person you are caring for is as follows: Insulin glargine (Lantus), 10
U, subQ QD. What changes would you suggest for safety and to avoid the use of "do not use"
abbreviations?
Spell out units and daily
Which statement, if made by the person you are caring for, reflects the need for further education
regarding a new prescriptions of warfarin (Coumadin)?
If I get headaches, aspirin is my best options for pain
A person is noted to have a penicillin allergy. What medication would you question of ordered by a
physician?
ceftriaxone
You receive and order to start a Heparin drip at 18 units/kg/hr for a person weighing 75 kg. The
heparin comes in a 500 mL bag with 25,000 units. what is the starting rate of the infusion?
27 mL/hr
, The physician orders 0.5 mg/kg of a medications. The medication is supplied in a 10 mg/mL solution.
The person you are caring for weighs 40 kg. How many mL of the drug would you administer?f
2 mL
A person with a hypothyroidism has a serum calcium level of 13 mg/dL. What medication would you
expect to administer?
Calcitonin
A person you are caring for has a known GI bleed. What drug is contraindicated?
enoxaparin (Lovenox)
A person has been prescribed nitrofurantoin (Furadantin) for a UTI. What education would you
provide for them?
wash your mouth out after taking this medication to avoid staining of the teeth
What is appropriate education to provide to a person who has received a new prescription for a PPI?
You should not take this medicine at the same time as other medicines.
Your patient presents with CHF and has a Potassium level of 5.8. Which diuretic do you anticipate
being ordered by the provider?
bumetanide (Bumex)
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?
Bananas, spinach, raisins
Which medication would you question if ordered by the provider to treat a person that is complaining
of nausea and vomiting?
Famotidine (Pepcid)
Shortly after administering an IV med, the person you are caring for starts to complain of itching and
feeling flushed. On assessment, you notice hives begun to form on their chest. What is the best
intervention?
Administer PRN IV diphenhydramine (Benadryl) and notify provider
Patient refuses a dose of IV medication. What is the MOST approriate action?
Document the refusal and notify the MD
You receive an order to administer 1 tsp of an elixir. What amount of elixir will you prepare?
5ml
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?
Perform correct sterile technique for dressing change at the CVC site
