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PROPHECY RELIAS PHARMACOLOGY RN A LATEST 2025 ACTUAL EXAM 110 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

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Which of the following medications is known to cause orange-colored urine? - ANSWERphenazopyridine (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? - ANSWERHold digoxin and call the provider Normal Saline (NS) is the solution of choice over D5W when preparing to administer a blood transfusion because: - ANSWERNormal 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? - ANSWER400mg Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may: - ANSWERIncrease 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? - ANSWERIncrease daily water intake Which of the following medications will crystalize when mixed with D5NS? - ANSWERphenytoin (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? - ANSWERfamotidine (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? - ANSWERCheck 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? - ANSWERprednisone (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: - ANSWERtinnitus 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? - ANSWERcalcintonin (Miacalcin) 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: - ANSWERtake the medication with a full glass of water Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? - ANSWERAnti-inflammatory, anti-pyretic, decrease platelet aggregation 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? - ANSWER125ml/hr 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? - ANSWERUse of nitroglycerin While delivering the lunch tray of a patient who is taking warfarin (Coumadin), the nurse notices diversity of food items. Which of the following foods would be a concern? - ANSWERSpinach Your patient 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: - ANSWERIt can cause nephrotoxicity

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