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2026 RN Pharmacology Exam Prep: High-Yield Concepts & Practice Questions for A+ Performance

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Prepare effectively for the 2026 RN Pharmacology A exam with this updated study guide, covering essential drug classes, mechanisms, side effects, and nursing considerations. The guide provides representative practice questions with detailed rationales to strengthen understanding and clinical judgment. Focused on safe medication administration and pharmacologic principles, it supports BSN, ADN, and RN-to-BSN students in building confidence. This structured approach ensures retention of high-yield content and readiness for assessment checkpoints. Use evidence-based strategies, clinical scenarios, and practice items to maximize performance and achieve top grades.

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RN Pharmacology A Relias (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)-
GUARANTEED PASS A+ UPDATED



What medication is a leukotriene receptor antagonist? - CORRECT ANSWER
Montelukast


QUESTION : Which statement made by a person regarding hydrochlorothiazide (HCTZ)
is correct? - CORRECT ANSWER I should take extra care when standing up or
changing positions.


QUESTION : A 250mg dose of an oral medication has been ordered. The medication is
supplied only in 100mg tablets. How many tablets would you administer? - CORRECT
ANSWER 2.5



QUESTION : What medication is considered a potassium-sparing diuretic? - CORRECT
ANSWER spironolactione (Aldactone)



QUESTION : You receive report from the off-going nurse that the person being cared for
just received their fourth dose of IV vancomycin that was administered over 30 minutes.
Upon assessment of them, you notice their face and neck are red and they are itching all
over. What would you suspect? - CORRECT ANSWER Red man syndrome due to a
rapid infusion rate.


QUESTION : 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 ANSWER nitroglycerin



QUESTION : You are caring for a person with a capillary blood glucose of 33 mg/dL and
they are unable to tolerate oral intake. Which of the following would you administer? -
CORRECT ANSWER dextrose 50% IV push




2026 2027 GRADED A+

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QUESTION : A physician's written order for the person you are caring for is as follows:
Insulin glargine (Lantus), 10 U, subQ QD. What changes would you suggest for safety
and to avoid the use of "do not use" abbreviations? - CORRECT ANSWER Spell out
units and daily


QUESTION : Which statement, if made by the person you are caring for, reflects the need
for further education regarding a new prescriptions of warfarin (Coumadin)? -
CORRECT ANSWER If I get headaches, aspirin is my best options for pain



QUESTION : A person is noted to have a penicillin allergy. What medication would you
question of ordered by a physician? - CORRECT ANSWER ceftriaxone



QUESTION : You receive and order to start a Heparin drip at 18 units/kg/hr for a person
weighing 75 kg. The heparin comes in a 500 mL bag with 25,000 units. what is the
starting rate of the infusion? - CORRECT ANSWER 27 mL/hr



QUESTION : The physician orders 0.5 mg/kg of a medications. The medication is
supplied in a 10 mg/mL solution. The person you are caring for weighs 40 kg. How many
mL of the drug would you administer?f - CORRECT ANSWER 2 mL



QUESTION : A person with a hypothyroidism has a serum calcium level of 13 mg/dL.
What medication would you expect to administer? - CORRECT ANSWER Calcitonin



QUESTION : A person you are caring for has a known GI bleed. What drug is
contraindicated? - CORRECT ANSWER enoxaparin (Lovenox)



QUESTION : A person has been prescribed nitrofurantoin (Furadantin) for a UTI. What
education would you provide for them? - CORRECT ANSWER wash your mouth out
after taking this medication to avoid staining of the teeth


QUESTION : What is appropriate education to provide to a person who has received a
new prescription for a PPI? - CORRECT ANSWER You should not take this medicine
at the same time as other medicines.




2026 2027 GRADED A+

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QUESTION : Your patient presents with CHF and has a Potassium level of 5.8. Which
diuretic do you anticipate being ordered by the provider? - CORRECT ANSWER
bumetanide (Bumex)


QUESTION : 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? - CORRECT ANSWER
Bananas, spinach, raisins


QUESTION : Which medication would you question if ordered by the provider to treat a
person that is complaining of nausea and vomiting? - CORRECT ANSWER
Famotidine (Pepcid)


QUESTION : Shortly after administering an IV med, the person you are caring for starts
to complain of itching and feeling flushed. On assessment, you notice hives begun to
form on their chest. What is the best intervention? - CORRECT ANSWER Administer
PRN IV diphenhydramine (Benadryl) and notify provider


QUESTION : Patient refuses a dose of IV medication. What is the MOST approriate
action? - CORRECT ANSWER Document the refusal and notify the MD



QUESTION : You receive an order to administer 1 tsp of an elixir. What amount of elixir
will you prepare? - CORRECT ANSWER 5ml



QUESTION : 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? - CORRECT
ANSWER Perform correct sterile technique for dressing change at the CVC site



QUESTION : An order has been placed for sublingual medication. Pt has NG. what is the
most appropriate action? - CORRECT ANSWER administer the med



QUESTION : A person was recently prescribed a corticosteroid inhaler. What would you
include when educating them on the medication? - CORRECT ANSWER It is
important that you wash out your mask after every dose to help prevent fungal infection
of your mouth



2026 2027 GRADED A+

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