ne
sh
PROPHECY RN PHARMACOLOGY REAL EXAM 2023-
ne
la
2024 QUESTIONS AND CORRECT DETAILED ANSWERS
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sh
A+ GRADED
Sp
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la
sh
Sp
Which of the following medications is known to cause orange-colored urine?
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Correct Ans:- phenazopyridine (Pyridium)
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tz
sh
You are ordered to give digoxin. Your patient's vital signs are as follows: Blood Pressure
Sp
130/75, Temp 97.9 oral, HR 52, O2 Sat 100% room air. What should you do next? Correct
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Ans:- Hold digoxin and call the provider
la
Normal Saline (NS) is the solution of choice over D5W when preparing to administer a blood
sh
transfusion because: Correct Ans:- Normal Saline is an isotonic solution and prevents cell
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hemolysis
ne
la
Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much would you
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sh
administer? Correct Ans:- 400mg
Sp
ne
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may: Correct
la
Ans:- Increase risk of digoxin toxicity
sh
Sp
The patient is diagnosed with multiple myeloma. The physician has ordered cyclophosphamide
ne
(Cytoxan). Which instruction should be given to the patient? Correct Ans:- Increase daily water
intake
la
tz
sh
Sp
Which of the following medications will crystalize when mixed with D5NS? Correct Ans:-
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phenytoin (Dilantin)
la
Which of the following medications should be questioned by the nurse, if ordered by the provider
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to treat a patient's complaint of nausea and
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vomiting? Correct
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Ans:- famotidine (Pepcid)
a
tz
l
Your patient has an epidural infusing hydromorphone with bupivacaine at 6ml/hr continuously.
sh
Sp
The patient's blood pressure at the beginning of your shift was 92/58 with a heart rate of 68.
ne
You noticed the patient's blood pressures have been around 130/70. What should you do FIRST?
Correct Ans:- Check infusion rate to confirm 6ml/hr, then notify anesthesia provider
la
sh
The dosage of which drug must be tapered of f slowly to prevent acute adrenal insufficiency?
Sp
Correct Ans:- prednisone (Deltasone)
la
Sp
, ne
sh
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: Correct Ans - tinnitus
ne
la
A nurse is caring for a patient with hyperparathyroidism and notes that the patient's serum
tz
calcium level is 13mg/dl. Which medication should the nurse prepare to administer as prescribed
sh
to the patient? Correct Ans:- calcintonin (Miacalcin)
Sp
ne
A patient has a prescription to take Guaifenesin (Mucinex) every 4 hours, as needed. The
la
nurse determines that the patient understands the MOST effective use of the medication if
sh
the patient states that he or she will:
Sp
Correct Ans:- take
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the medication with a full glass of water
la
tz
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? Correct
sh
Ans:- Anti-inflammatory, anti-pyretic, decrease platelet aggregation
Sp
ne
Your patient is to receive 2 G vancomycin over 2 hours. The medication comes in from the
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pharmacy as 2 G Vancomycin in 250ml normal saline. At what rate will the IV medication run?
sh
Correct Ans:- 125ml/hr
Sp
ne
Sildenafil (Viagra) is prescribed to treat a patient with erectile dysfunction. A nurse reviews
la
the patient's medical record and would question the prescription if which of the following is
tz
noted in the history? Correct Ans:- Use of nitroglycerin
sh
Sp
ne
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
la
concern? Correct Ans:- Spinach
sh
Sp
ne
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
la
vancomycin is that: Correct Ans:- It can cause nephrotoxicity
tz
sh
Sp
Convert 1.2 milligrams to micrograms Correct Ans:- 1200 mcg
ne
la
You are caring for a patient with diabetes. Humalog insulin is ordered via sliding scale AC
and HS. When is the best time to administer Humalog insulin?
sh
Sp
ne
Correct Ans:- 15 minutes before meal arrives
a
tz
A provider orders one liter of NS to be infused over four hours. At what rate would you set the
l
sh
IV pump? Correct Ans:- 250ml/hr
Sp
ne
*WRONG* Which medication is used to treat iron toxicity? Correct
la
Ans:- A) digoxin immune fab (Digibind)
sh
B) Naloxone
Sp
(Narcan) C)
Mephyton (Vitamin
K)
la
D) *WRONG* deferoxamine (Digibind)
Sp
sh
PROPHECY RN PHARMACOLOGY REAL EXAM 2023-
ne
la
2024 QUESTIONS AND CORRECT DETAILED ANSWERS
tz
sh
A+ GRADED
Sp
ne
la
sh
Sp
Which of the following medications is known to cause orange-colored urine?
ne
Correct Ans:- phenazopyridine (Pyridium)
la
tz
sh
You are ordered to give digoxin. Your patient's vital signs are as follows: Blood Pressure
Sp
130/75, Temp 97.9 oral, HR 52, O2 Sat 100% room air. What should you do next? Correct
ne
Ans:- Hold digoxin and call the provider
la
Normal Saline (NS) is the solution of choice over D5W when preparing to administer a blood
sh
transfusion because: Correct Ans:- Normal Saline is an isotonic solution and prevents cell
Sp
hemolysis
ne
la
Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much would you
tz
sh
administer? Correct Ans:- 400mg
Sp
ne
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may: Correct
la
Ans:- Increase risk of digoxin toxicity
sh
Sp
The patient is diagnosed with multiple myeloma. The physician has ordered cyclophosphamide
ne
(Cytoxan). Which instruction should be given to the patient? Correct Ans:- Increase daily water
intake
la
tz
sh
Sp
Which of the following medications will crystalize when mixed with D5NS? Correct Ans:-
ne
phenytoin (Dilantin)
la
Which of the following medications should be questioned by the nurse, if ordered by the provider
sh
to treat a patient's complaint of nausea and
Sp
vomiting? Correct
ne
Ans:- famotidine (Pepcid)
a
tz
l
Your patient has an epidural infusing hydromorphone with bupivacaine at 6ml/hr continuously.
sh
Sp
The patient's blood pressure at the beginning of your shift was 92/58 with a heart rate of 68.
ne
You noticed the patient's blood pressures have been around 130/70. What should you do FIRST?
Correct Ans:- Check infusion rate to confirm 6ml/hr, then notify anesthesia provider
la
sh
The dosage of which drug must be tapered of f slowly to prevent acute adrenal insufficiency?
Sp
Correct Ans:- prednisone (Deltasone)
la
Sp
, ne
sh
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: Correct Ans - tinnitus
ne
la
A nurse is caring for a patient with hyperparathyroidism and notes that the patient's serum
tz
calcium level is 13mg/dl. Which medication should the nurse prepare to administer as prescribed
sh
to the patient? Correct Ans:- calcintonin (Miacalcin)
Sp
ne
A patient has a prescription to take Guaifenesin (Mucinex) every 4 hours, as needed. The
la
nurse determines that the patient understands the MOST effective use of the medication if
sh
the patient states that he or she will:
Sp
Correct Ans:- take
ne
the medication with a full glass of water
la
tz
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? Correct
sh
Ans:- Anti-inflammatory, anti-pyretic, decrease platelet aggregation
Sp
ne
Your patient is to receive 2 G vancomycin over 2 hours. The medication comes in from the
la
pharmacy as 2 G Vancomycin in 250ml normal saline. At what rate will the IV medication run?
sh
Correct Ans:- 125ml/hr
Sp
ne
Sildenafil (Viagra) is prescribed to treat a patient with erectile dysfunction. A nurse reviews
la
the patient's medical record and would question the prescription if which of the following is
tz
noted in the history? Correct Ans:- Use of nitroglycerin
sh
Sp
ne
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
la
concern? Correct Ans:- Spinach
sh
Sp
ne
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
la
vancomycin is that: Correct Ans:- It can cause nephrotoxicity
tz
sh
Sp
Convert 1.2 milligrams to micrograms Correct Ans:- 1200 mcg
ne
la
You are caring for a patient with diabetes. Humalog insulin is ordered via sliding scale AC
and HS. When is the best time to administer Humalog insulin?
sh
Sp
ne
Correct Ans:- 15 minutes before meal arrives
a
tz
A provider orders one liter of NS to be infused over four hours. At what rate would you set the
l
sh
IV pump? Correct Ans:- 250ml/hr
Sp
ne
*WRONG* Which medication is used to treat iron toxicity? Correct
la
Ans:- A) digoxin immune fab (Digibind)
sh
B) Naloxone
Sp
(Narcan) C)
Mephyton (Vitamin
K)
la
D) *WRONG* deferoxamine (Digibind)
Sp
