RN A LATEST 2025 ACTUAL EXAM 110
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY
GRADED A+
Which of the following medications is known to cause orange-colored
urine? - CORR ANS: phenazopyridine (Pyridium)
You are ordered to give digoxin. Your client'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? - CORR ANS: Hold digoxin and call the provider
Normal Saline (NS) is the solution of choice over D5W when preparing to
administer a blood transfusion because: - CORR ANS: Normal Saline is
an isotonic solution and prevents cell hemolysis
Client is to receive 5mg/kg of medication. Client weighs 80kg. How much
would you administer? - CORR ANS: 400mg
Your client taking digoxin (Lanoxin) has an AM Potassium level of 3.0.
This level may: - CORR ANS: Increase risk of digoxin toxicity
The client is diagnosed with multiple myeloma. The physician has ordered
cyclophosphamide (Cytoxan). Which instruction should be given to the
client? - CORR ANS: Increase daily water intake
Which of the following medications will crystalize when mixed with D5NS? -
CORR ANS: phenytoin (Dilantin)
,Which of the following medications should be questioned by the nurse, if
ordered by the provider to treat a client's complaint of nausea and
vomiting? - CORR ANS: famotidine (Pepcid)
Your client has an epidural infusing hydromorphone with bupivacaine at
6ml/hr continuously. The client's blood pressure at the beginning of your
shift was 92/58 with a heart rate of 68. You noticed the client's blood
pressures have been around 130/70. What should you do FIRST? - CORR
ANS: 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? - CORR ANS: 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: -
CORR ANS: tinnitus
A nurse is caring for a client with hyperparathyroidism and notes that the
client's serum calcium level is 13mg/dl. Which medication should the
nurse prepare to administer as prescribed to the client? -
CORR ANS: calcintonin (Miacalcin)
A client has a prescription to take Guaifenesin (Mucinex) every 4 hours,
as needed. The nurse determines that the client understands the MOST
effective use of the medication if the client states that he or she will: -
CORR ANS: take the medication with a full glass of water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological
effects? - CORR ANS: Anti-inflammatory, anti-pyretic, decrease platelet
aggregation
Your client is to receive 2 G vancomycin over 2 hours. The medication
comes in from the pharmacy as 2 G Vancomycin in 250ml normal saline. At
what rate will the IV medication run? - CORR ANS: 125ml/hr
Sildenafil (Viagra) is prescribed to treat a client with erectile dysfunction.
A nurse reviews the client's medical record and would question the
, prescription if which of the following is noted in the history? -
CORR ANS: Use of nitroglycerin
While delivering the lunch tray of a client who is taking warfarin
(Coumadin), the nurse notices diversity of food items. Which of the
following foods would be a concern? - CORR ANS: Spinach
Your client 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: - CORR ANS: It can cause
nephrotoxicity
Convert 1.2 milligrams to micrograms - CORR ANS: 1200 mcg
You are caring for a client with diabetes. Humalog insulin is ordered via
sliding scale AC and HS. When is the best time to administer Humalog
insulin? - CORR ANS: 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? - CORR ANS: 250ml/hr
*WRONG* Which medication is used to treat iron toxicity? -
CORR ANS: A) digoxin immune fab (Digibind)
B) Naloxone (Narcan)
C) Mephyton (Vitamin K)
D) *WRONG* deferoxamine (Digibind)
Your client presents with CHF and has a Potassium level of 5.8. Which
diuretic do you anticipate being ordered by the provider? -
CORR ANS: bumetanide (Bumex)
Your client is on a Morphine PCA after a recent exploratory surgery. While
doing your rounds, you notice that your client is slumped over,
unresponsive, with delayed and slow respirations. You suspect narcotic
overdose. Which reversal medication would you administer? - CORR ANS:
naloxone (Narcan)