RELIAS RN Pharmacology Exam 2026
Test Bank with Verified Answers (A+
Graded)
A patient has a prescription to take Quaifenesin (mucinex) every 4 hours, as needed
What medication is a leukotriene receptor antagonist? - answer- Montelukast
Which statement made by a person regarding hydrochlorothiazide (HCTZ) is correct? -
answer- I should take extra care when standing up or changing positions.
A 250mg dose of an oral medication has been ordered. The medication is supplied only in
100mg tablets. How many tablets would you administer? - answer- 2.5
What medication is considered a potassium-sparing diuretic? - answer- spironolactione
(Aldactone)
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? - answer- Red man syndrome due to a rapid infusion rate.
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? - answer- nitroglycerin
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? - answer- dextrose 50% IV
push
,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? - answer- Spell out units and daily
Which statement, if made by the person you are caring for, reflects the need for further
education regarding a new prescriptions of warfarin (Coumadin)? - answer- If I get
headaches, aspirin is my best options for pain
A person is noted to have a penicillin allergy. What medication would you question of
ordered by a physician? - answer- ceftriaxone
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? - answer- 27 mL/hr
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 - answer- 2 mL
A person with a hypothyroidism has a serum calcium level of 13 mg/dL. What medication
would you expect to administer? - answer- Calcitonin
A person you are caring for has a known GI bleed. What drug is contraindicated? - answer-
enoxaparin (Lovenox)
A person has been prescribed nitrofurantoin (Furadantin) for a UTI. What education would
you provide for them? - answer- wash your mouth out after taking this medication to avoid
staining of the teeth
What is appropriate education to provide to a person who has received a new prescription
for a PPI? - answer- You should not take this medicine at the same time as other medicines.
,Your patient presents with CHF and has a Potassium level of 5.8. Which diuretic do you
anticipate being ordered by the provider? - answer- bumetanide (Bumex)
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? - answer- Bananas, spinach, raisins
Which medication would you question if ordered by the provider to treat a person that is
complaining of nausea and vomiting? - answer- Famotidine (Pepcid)
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? - answer- Administer PRN IV diphenhydramine (Benadryl) and
notify provider
Patient refuses a dose of IV medication. What is the MOST approriate action? - answer-
Document the refusal and notify the MD
You receive an order to administer 1 tsp of an elixir. What amount of elixir will you prepare? -
answer- 5ml
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? - answer- Perform correct
sterile technique for dressing change at the CVC site
An order has been placed for sublingual medication. Pt has NG. what is the most appropriate
action? - answer- administer the med
A person was recently prescribed a corticosteroid inhaler. What would you include when
educating them on the medication? - answer- It is important that you wash out your mask
after every dose to help prevent fungal infection of your mouth
, What medication is incompatible for administration with Lactated Ringers solution? - answer-
Diazepam (Valium)
A person has a new onset dysrhythmia. What medication might be prescribed for this
condition? - answer- diltiazem (Cardizem)
You are educating your patient for cyclosporine and a new diet with a potassium intake
restriction. What food would you tell them to avoid? - answer- raisins
A person is being treated for mild to moderate pain following an orthopedic procedure.
Which order would you question? - answer- eplerenone
You have an order for 4 mg of dexamethasone (Decadron) IV push. The med is supplied in
10mg/mL vial. How many mL do you give? - answer- 0.4 mL
A person on a morphine PCA without a basal infusion rate and is afraid of overdosing. What
would you say to educate them? - answer- A small dose is delivered only when you push the
trigger button and only if it has been long enough since your last dose
A person has been diagnosed with diabetes and prescribed an oral antihyperglycemic agent .
What statement made by them indicates that they adequately understand the symptoms of
hypoglycemia? - answer- If I have sweating, shakes, nervousness, increased heart rate, or
headache, my sugar might be low because of my new medicine
What class of med would you expect ordered for a person with acid reflux? - answer- Proton
pump inhibitor
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? - answer- Check infusion rate to confirm 6ml/hr, then notify anesthesia
provider
Test Bank with Verified Answers (A+
Graded)
A patient has a prescription to take Quaifenesin (mucinex) every 4 hours, as needed
What medication is a leukotriene receptor antagonist? - answer- Montelukast
Which statement made by a person regarding hydrochlorothiazide (HCTZ) is correct? -
answer- I should take extra care when standing up or changing positions.
A 250mg dose of an oral medication has been ordered. The medication is supplied only in
100mg tablets. How many tablets would you administer? - answer- 2.5
What medication is considered a potassium-sparing diuretic? - answer- spironolactione
(Aldactone)
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? - answer- Red man syndrome due to a rapid infusion rate.
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? - answer- nitroglycerin
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? - answer- dextrose 50% IV
push
,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? - answer- Spell out units and daily
Which statement, if made by the person you are caring for, reflects the need for further
education regarding a new prescriptions of warfarin (Coumadin)? - answer- If I get
headaches, aspirin is my best options for pain
A person is noted to have a penicillin allergy. What medication would you question of
ordered by a physician? - answer- ceftriaxone
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? - answer- 27 mL/hr
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 - answer- 2 mL
A person with a hypothyroidism has a serum calcium level of 13 mg/dL. What medication
would you expect to administer? - answer- Calcitonin
A person you are caring for has a known GI bleed. What drug is contraindicated? - answer-
enoxaparin (Lovenox)
A person has been prescribed nitrofurantoin (Furadantin) for a UTI. What education would
you provide for them? - answer- wash your mouth out after taking this medication to avoid
staining of the teeth
What is appropriate education to provide to a person who has received a new prescription
for a PPI? - answer- You should not take this medicine at the same time as other medicines.
,Your patient presents with CHF and has a Potassium level of 5.8. Which diuretic do you
anticipate being ordered by the provider? - answer- bumetanide (Bumex)
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? - answer- Bananas, spinach, raisins
Which medication would you question if ordered by the provider to treat a person that is
complaining of nausea and vomiting? - answer- Famotidine (Pepcid)
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? - answer- Administer PRN IV diphenhydramine (Benadryl) and
notify provider
Patient refuses a dose of IV medication. What is the MOST approriate action? - answer-
Document the refusal and notify the MD
You receive an order to administer 1 tsp of an elixir. What amount of elixir will you prepare? -
answer- 5ml
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? - answer- Perform correct
sterile technique for dressing change at the CVC site
An order has been placed for sublingual medication. Pt has NG. what is the most appropriate
action? - answer- administer the med
A person was recently prescribed a corticosteroid inhaler. What would you include when
educating them on the medication? - answer- It is important that you wash out your mask
after every dose to help prevent fungal infection of your mouth
, What medication is incompatible for administration with Lactated Ringers solution? - answer-
Diazepam (Valium)
A person has a new onset dysrhythmia. What medication might be prescribed for this
condition? - answer- diltiazem (Cardizem)
You are educating your patient for cyclosporine and a new diet with a potassium intake
restriction. What food would you tell them to avoid? - answer- raisins
A person is being treated for mild to moderate pain following an orthopedic procedure.
Which order would you question? - answer- eplerenone
You have an order for 4 mg of dexamethasone (Decadron) IV push. The med is supplied in
10mg/mL vial. How many mL do you give? - answer- 0.4 mL
A person on a morphine PCA without a basal infusion rate and is afraid of overdosing. What
would you say to educate them? - answer- A small dose is delivered only when you push the
trigger button and only if it has been long enough since your last dose
A person has been diagnosed with diabetes and prescribed an oral antihyperglycemic agent .
What statement made by them indicates that they adequately understand the symptoms of
hypoglycemia? - answer- If I have sweating, shakes, nervousness, increased heart rate, or
headache, my sugar might be low because of my new medicine
What class of med would you expect ordered for a person with acid reflux? - answer- Proton
pump inhibitor
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? - answer- Check infusion rate to confirm 6ml/hr, then notify anesthesia
provider
