2025 PROPHECY RELIAS PHARMACOLOGY RN |WITH
QUESTIONS AND ANSWERS |GUARANTEED PASS
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
Convert 1.2 milligrams to micrograms - ANSWER1200 mcg
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? - ANSWER15 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? - ANSWER250ml/hr
*WRONG* Which medication is used to treat iron toxicity? - ANSWERA)
digoxin immune fab (Digibind)
B) Naloxone (Narcan)
C) Mephyton (Vitamin K)
D) *WRONG* deferoxamine (Digibind)
Your patient presents with CHF and has a Potassium level of 5.8. Which
diuretic do you anticipate being ordered by the provider? -
ANSWERbumetanide (Bumex)
Your patient is on a Morphine PCA after a recent exploratory surgery.
While doing your rounds, you notice that your patient is slumped over,
unresponsive, with delayed and slow respirations. You suspect narcotic
overdose. Which reversal medication would you administer? -
ANSWERnaloxone (Narcan)
A patient's capillary blood glucose reading is 33mg/dl. Which of the
following medications will the nurse administer if the patient is unable to
tolerate PO? - ANSWERDextrose 50% IV push
QUESTIONS AND ANSWERS |GUARANTEED PASS
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
Convert 1.2 milligrams to micrograms - ANSWER1200 mcg
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? - ANSWER15 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? - ANSWER250ml/hr
*WRONG* Which medication is used to treat iron toxicity? - ANSWERA)
digoxin immune fab (Digibind)
B) Naloxone (Narcan)
C) Mephyton (Vitamin K)
D) *WRONG* deferoxamine (Digibind)
Your patient presents with CHF and has a Potassium level of 5.8. Which
diuretic do you anticipate being ordered by the provider? -
ANSWERbumetanide (Bumex)
Your patient is on a Morphine PCA after a recent exploratory surgery.
While doing your rounds, you notice that your patient is slumped over,
unresponsive, with delayed and slow respirations. You suspect narcotic
overdose. Which reversal medication would you administer? -
ANSWERnaloxone (Narcan)
A patient's capillary blood glucose reading is 33mg/dl. Which of the
following medications will the nurse administer if the patient is unable to
tolerate PO? - ANSWERDextrose 50% IV push
