PROPHECY RELIAS PHARMACOLOGY RN A LATEST 2025
ACTUAL EXAM 110 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Which of the following medications is known to cause orange-colored urine? -
CORRECT ANS>>phenazopyridine (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? -
CORRECT 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: - CORRECT ANS>>Normal 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? - CORRECT ANS>>400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may:
- CORRECT ANS>>Increase 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? -
CORRECT ANS>>Increase daily water intake
Which of the following medications will crystalize when mixed with D5NS? - CORRECT
ANS>>phenytoin (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? - CORRECT
ANS>>famotidine (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? - CORRECT 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? - CORRECT 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: - CORRECT
ANS>>tinnitus
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? - CORRECT ANS>>calcintonin (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: - CORRECT ANS>>take the
medication with a full glass of water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? -
CORRECT ANS>>Anti-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? - CORRECT ANS>>125ml/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? - CORRECT ANS>>Use 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? -
CORRECT ANS>>Spinach
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: - CORRECT ANS>>It can cause nephrotoxicity
Convert 1.2 milligrams to micrograms - CORRECT ANS>>1200 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? - CORRECT
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? - CORRECT ANS>>250ml/hr
*WRONG* Which medication is used to treat iron toxicity? - CORRECT ANS>>A)
digoxin immune fab (Digibind)
Naloxone (Narcan)
Mephyton (Vitamin K)
*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? - CORRECT ANS>>bumetanide (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? - CORRECT ANS>>naloxone (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? -
CORRECT ANS>>Dextrose 50% IV push
ACTUAL EXAM 110 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Which of the following medications is known to cause orange-colored urine? -
CORRECT ANS>>phenazopyridine (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? -
CORRECT 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: - CORRECT ANS>>Normal 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? - CORRECT ANS>>400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may:
- CORRECT ANS>>Increase 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? -
CORRECT ANS>>Increase daily water intake
Which of the following medications will crystalize when mixed with D5NS? - CORRECT
ANS>>phenytoin (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? - CORRECT
ANS>>famotidine (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? - CORRECT 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? - CORRECT 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: - CORRECT
ANS>>tinnitus
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? - CORRECT ANS>>calcintonin (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: - CORRECT ANS>>take the
medication with a full glass of water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? -
CORRECT ANS>>Anti-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? - CORRECT ANS>>125ml/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? - CORRECT ANS>>Use 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? -
CORRECT ANS>>Spinach
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: - CORRECT ANS>>It can cause nephrotoxicity
Convert 1.2 milligrams to micrograms - CORRECT ANS>>1200 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? - CORRECT
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? - CORRECT ANS>>250ml/hr
*WRONG* Which medication is used to treat iron toxicity? - CORRECT ANS>>A)
digoxin immune fab (Digibind)
Naloxone (Narcan)
Mephyton (Vitamin K)
*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? - CORRECT ANS>>bumetanide (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? - CORRECT ANS>>naloxone (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? -
CORRECT ANS>>Dextrose 50% IV push
