Prophecy Exam Questions with
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Your patient, a Type 1 diabetic with a history of schizophrenia is exhibiting
signs and symptoms of tardive dyskinesia, Which of the following long-term
medications is more likely the etiology of the problem? - ANSWER
chlorpromazine (Thorazine)
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? -
ANSWER Perform correct sterile technique for dressing change at the CVC
site
"Red Man" Syndrome may occur during the administration of vancomycin
(Vancocin), primarily due to - ANSWER An increase in histamine production
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? - ANSWER
Bananas, spinach, raisins
,phenazopyridine (Pyridium) - ANSWER Which of the following medications
is known to cause orange-colored urine?
Hold digoxin and call the provider - ANSWER 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?
Normal Saline is an isotonic solution and prevents cell hemolysis - ANSWER
Normal Saline (NS) is the solution of choice over D5W when preparing to
administer a blood transfusion because:
400mg - ANSWER Patient is to receive 5mg/kg of medication. Patient weighs
80kg. How much would you administer?
Increase risk of digoxin toxicity - ANSWER Your patient taking digoxin
(Lanoxin) has an AM Potassium level of 3.0. This level may:
Increase daily water intake - ANSWER The patient is diagnosed with multiple
myeloma. The physician has ordered cyclophosphamide (Cytoxan). Which
instruction should be given to the patient?
phenytoin (Dilantin) - ANSWER Which of the following medications will
crystalize when mixed with D5NS?
famotidine (Pepcid) - ANSWER 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?
Check infusion rate to confirm 6ml/hr, then notify anesthesia provider -
ANSWER 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?
prednisone (Deltasone) - ANSWER The dosage of which drug must be tapered
off slowly to prevent acute adrenal insufficiency?
tinnitus - ANSWER 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:
calcintonin (Miacalcin) - ANSWER 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?
take the medication with a full glass of water - ANSWER 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:
Anti-inflammatory, anti-pyretic, decrease platelet aggregation - ANSWER
Acetylsalicylic acid (Aspirin) has which of the following pharmacological
effects?
125ml/hr - ANSWER Your patient 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?
Use of nitroglycerin - ANSWER 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?