PROPHECY RN PHARMACOLOGY A UPDATED EXAM
TEST QUESTIONS AND ANSWERS SURE A+
✔✔Patient refuses a dose of IV medication. What is the MOST approriate action? -
✔✔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? - ✔✔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? - ✔✔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? - ✔✔administer the med
✔✔A person was recently prescribed a corticosteroid inhaler. What would you include
when educating them on the medication? - ✔✔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? -
✔✔Diazepam (Valium)
✔✔A person has a new onset dysrhythmia. What medication might be prescribed for
this condition? - ✔✔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? - ✔✔raisins
✔✔A person is being treated for mild to moderate pain following an orthopedic
procedure. Which order would you question? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? -
✔✔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? - ✔✔Check infusion rate to confirm 6ml/hr, then notify
anesthesia provider
✔✔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? - ✔✔Hold digoxin and call the provider
✔✔"Red Man" Syndrome may occur during the administration of vancomycin
(Vancocin), primarily due to - ✔✔An increase in histamine production
✔✔Why would NS be the solution of choice when preparing to administer a blood
transfusion? - ✔✔NS is isotonic
✔✔pt with no known risk factors to TB would need further diagnostic testing to rule out
TB if the mantoux test showed an induration of what size? - ✔✔>15
✔✔Which statement is CORRECT for determining you have the correct person before
administering a drug? - ✔✔You should ask them to say their name and DOB and
compare it to the MAR and wrist band
✔✔Your patient is on a Morphine PCA. 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? - ✔✔naloxone
(Narcan)
✔✔You are educating a person about their new prescription for levothyroxine
(Synthroid®). Which statement made by them requires correction? - ✔✔I should take
this on a full stomach so I don't get nauseous
✔✔MD orders 1000 mL of NS over 6 hrs. whats the rate? - ✔✔166.67
✔✔125 mcg is how many mg? - ✔✔0.125 mg
TEST QUESTIONS AND ANSWERS SURE A+
✔✔Patient refuses a dose of IV medication. What is the MOST approriate action? -
✔✔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? - ✔✔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? - ✔✔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? - ✔✔administer the med
✔✔A person was recently prescribed a corticosteroid inhaler. What would you include
when educating them on the medication? - ✔✔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? -
✔✔Diazepam (Valium)
✔✔A person has a new onset dysrhythmia. What medication might be prescribed for
this condition? - ✔✔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? - ✔✔raisins
✔✔A person is being treated for mild to moderate pain following an orthopedic
procedure. Which order would you question? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? -
✔✔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? - ✔✔Check infusion rate to confirm 6ml/hr, then notify
anesthesia provider
✔✔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? - ✔✔Hold digoxin and call the provider
✔✔"Red Man" Syndrome may occur during the administration of vancomycin
(Vancocin), primarily due to - ✔✔An increase in histamine production
✔✔Why would NS be the solution of choice when preparing to administer a blood
transfusion? - ✔✔NS is isotonic
✔✔pt with no known risk factors to TB would need further diagnostic testing to rule out
TB if the mantoux test showed an induration of what size? - ✔✔>15
✔✔Which statement is CORRECT for determining you have the correct person before
administering a drug? - ✔✔You should ask them to say their name and DOB and
compare it to the MAR and wrist band
✔✔Your patient is on a Morphine PCA. 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? - ✔✔naloxone
(Narcan)
✔✔You are educating a person about their new prescription for levothyroxine
(Synthroid®). Which statement made by them requires correction? - ✔✔I should take
this on a full stomach so I don't get nauseous
✔✔MD orders 1000 mL of NS over 6 hrs. whats the rate? - ✔✔166.67
✔✔125 mcg is how many mg? - ✔✔0.125 mg
