Relias Rn Pharmacology Exam Real Exam|| Most Recent
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Q1: Relias RN Pharm - What is 5 rights of medication administration?
A. Only 1 right exists Right drug only
B. 5 rights are Right nurse Right hospital Right shift Right doctor Right pharmacy
C. No rights exist medication administration
D. 5 rights Right patient Right drug Right dose Right route Right time plus documentation
PERFECT RATIONALE (Concept + Why Correct + Why Each Wrong):
D. 5 rights Right patient Right drug Right dose Right route Right time plus documentation
CONCEPT: 5 rights medication administration RN safety. CORRECT: 5 rights plus documentation:
Right patient check 2 identifiers, Right drug check label 3 times, Right dose calculate verify, Right route
oral IV IM etc, Right time schedule, Plus Right documentation, Right to refuse, Right assessment, Right
education now 7-10 rights. WHY WRONG: B No rights exist WRONG 5 rights exist Right patient drug
dose route time safety core. C Only 1 right drug only WRONG need 5 rights patient drug dose route
time not only drug. D Right nurse hospital shift doctor pharmacy WRONG those are not 5 rights 5 rights
patient drug dose route time plus documentation.
,Q2: What is high-alert medications?
A. All medications high-alert same risk
B. High-alert medications increased risk harm if error e.g., insulin heparin opioids chemo
concentrated electrolytes
C. No high-alert medications exist
D. High-alert means low risk no harm
PERFECT RATIONALE (Concept + Why Correct + Why Each Wrong):
B. High-alert medications increased risk harm if error e.g., insulin heparin opioids chemo
concentrated electrolytes
CONCEPT: High-alert medications ISMP list. CORRECT: High-alert medications increased risk
causing patient harm when used in error e.g., Insulin, Heparin anticoagulants, Opioids, Chemotherapy,
Concentrated electrolytes KCl, Require safeguards double-check. WHY WRONG: B No high-alert
exists WRONG high-alert list exists ISMP insulin heparin opioids chemo concentrated electrolytes. C
All same risk WRONG high-alert increased risk harm if error not all same risk. D Low risk no harm
WRONG high-alert means high risk harm if error opposite low risk.
Q3: What is antidote for opioid overdose?
A. Antidote is flumazenil opioid overdose
B. Antidote is vitamin K opioid
C. Naloxone Narcan opioid antagonist reverses respiratory depression 0.04-2 mg IV
D. No antidote exists opioid overdose
PERFECT RATIONALE (Concept + Why Correct + Why Each Wrong):
C. Naloxone Narcan opioid antagonist reverses respiratory depression 0.04-2 mg IV
CONCEPT: Opioid overdose antidote naloxone. CORRECT: Naloxone Narcan opioid antagonist
competitive antagonist mu receptors reverses opioid respiratory depression sedation dose 0.04-2 mg
IV IM IN may need repeat short half-life monitor. WHY WRONG: B No antidote WRONG antidote exists
naloxone Narcan opioid antagonist. C Flumazenil opioid WRONG flumazenil benzodiazepine
antagonist not opioid opioid antidote naloxone. D Vitamin K opioid WRONG vitamin K warfarin
anticoagulant reversal not opioid opioid reversal naloxone.
,Q4: What is antidote for benzodiazepine overdose?
A. Antidote protamine benzodiazepine
B. Antidote naloxone benzodiazepine overdose
C. Flumazenil Romazicon benzodiazepine antagonist reverses sedation 0.2 mg IV
D. No antidote benzodiazepine overdose
PERFECT RATIONALE (Concept + Why Correct + Why Each Wrong):
C. Flumazenil Romazicon benzodiazepine antagonist reverses sedation 0.2 mg IV
CONCEPT: Benzodiazepine overdose antidote flumazenil. CORRECT: Flumazenil Romazicon
benzodiazepine antagonist competitive GABA receptor reverses sedation respiratory depression dose
0.2 mg IV over 15 sec repeat 0.2 mg max 1 mg caution seizures. WHY WRONG: B No antidote
WRONG antidote exists flumazenil Romazicon benzodiazepine antagonist. C Naloxone benzo
WRONG naloxone opioid antagonist not benzo benzo antidote flumazenil. D Protamine benzo
WRONG protamine heparin reversal not benzo benzo reversal flumazenil.
Q5: What is antidote for heparin?
A. Antidote vitamin K heparin
B. Antidote naloxone heparin
C. No antidote heparin
D. Protamine sulfate binds heparin 1 mg protamine per 100 units heparin
PERFECT RATIONALE (Concept + Why Correct + Why Each Wrong):
D. Protamine sulfate binds heparin 1 mg protamine per 100 units heparin
CONCEPT: Heparin antidote protamine. CORRECT: Protamine sulfate antidote for heparin binds
heparin acidic heparin basic protamine inactivates dose 1 mg protamine per 100 units heparin max 50
mg slow IV. WHY WRONG: B No antidote heparin WRONG antidote exists protamine sulfate heparin
antidote. C Vitamin K heparin WRONG vitamin K warfarin reversal not heparin heparin reversal
protamine. D Naloxone heparin WRONG naloxone opioid antagonist not heparin heparin antidote
protamine.
, Q6: What is antidote for warfarin Coumadin?
A. Antidote protamine warfarin
B. No antidote warfarin
C. Antidote naloxone warfarin
D. Vitamin K phytonadione reverses warfarin plus 4F-PCC KCentra for bleeding INR high
PERFECT RATIONALE (Concept + Why Correct + Why Each Wrong):
D. Vitamin K phytonadione reverses warfarin plus 4F-PCC KCentra for bleeding INR high
CONCEPT: Warfarin antidote vitamin K 4F-PCC. CORRECT: Vitamin K phytonadione reverses
warfarin inhibits vitamin K dependent clotting factors II VII IX X protein C S warfarin inhibits, Dose oral
IV for high INR, For active bleeding 4F-PCC Four-factor Prothrombin Complex Concentrate KCentra
rapid reversal. WHY WRONG: B No antidote warfarin WRONG antidote exists vitamin K phytonadione
plus 4F-PCC for bleeding. C Protamine warfarin WRONG protamine heparin reversal not warfarin
warfarin reversal vitamin K. D Naloxone warfarin WRONG naloxone opioid antagonist not warfarin
warfarin antidote vitamin K.
Q7: What is therapeutic range digoxin?
A. Digoxin toxicity low level <0.5 not high
B. Therapeutic range 10-20 ng/mL digoxin
C. Digoxin therapeutic range 0.5-2.0 ng/mL toxicity >2.0 signs nausea visual changes yellow halos
bradycardia hypokalemia increases toxicity
D. No therapeutic range digoxin
PERFECT RATIONALE (Concept + Why Correct + Why Each Wrong):
C. Digoxin therapeutic range 0.5-2.0 ng/mL toxicity >2.0 signs nausea visual changes yellow
halos bradycardia hypokalemia increases toxicity
CONCEPT: Digoxin therapeutic range toxicity. CORRECT: Digoxin therapeutic range 0.5-2.0 ng/mL
newer goal 0.5-0.9 toxicity >2.0 ng/mL signs nausea vomiting anorexia visual changes yellow halos
halos, Bradycardia arrhythmia, Hypokalemia hypomagnesemia hypercalcemia increase toxicity risk.
WHY WRONG: B No range WRONG therapeutic range exists 0.5-2.0 ng/mL toxicity >2.0. C 10-20
ng/mL WRONG 10-20 would be highly toxic fatal therapeutic 0.5-2.0 not 10-20. D Toxicity low <0.5
WRONG toxicity high level >2.0 not low low <0.5 subtherapeutic not toxic.
Exam|| Actual Complete Real Exam Questions And Correct
Answers (Verified Answers) Already Graded A+ | Guaranteed
Success!! Newest Exam
Q1: Relias RN Pharm - What is 5 rights of medication administration?
A. Only 1 right exists Right drug only
B. 5 rights are Right nurse Right hospital Right shift Right doctor Right pharmacy
C. No rights exist medication administration
D. 5 rights Right patient Right drug Right dose Right route Right time plus documentation
PERFECT RATIONALE (Concept + Why Correct + Why Each Wrong):
D. 5 rights Right patient Right drug Right dose Right route Right time plus documentation
CONCEPT: 5 rights medication administration RN safety. CORRECT: 5 rights plus documentation:
Right patient check 2 identifiers, Right drug check label 3 times, Right dose calculate verify, Right route
oral IV IM etc, Right time schedule, Plus Right documentation, Right to refuse, Right assessment, Right
education now 7-10 rights. WHY WRONG: B No rights exist WRONG 5 rights exist Right patient drug
dose route time safety core. C Only 1 right drug only WRONG need 5 rights patient drug dose route
time not only drug. D Right nurse hospital shift doctor pharmacy WRONG those are not 5 rights 5 rights
patient drug dose route time plus documentation.
,Q2: What is high-alert medications?
A. All medications high-alert same risk
B. High-alert medications increased risk harm if error e.g., insulin heparin opioids chemo
concentrated electrolytes
C. No high-alert medications exist
D. High-alert means low risk no harm
PERFECT RATIONALE (Concept + Why Correct + Why Each Wrong):
B. High-alert medications increased risk harm if error e.g., insulin heparin opioids chemo
concentrated electrolytes
CONCEPT: High-alert medications ISMP list. CORRECT: High-alert medications increased risk
causing patient harm when used in error e.g., Insulin, Heparin anticoagulants, Opioids, Chemotherapy,
Concentrated electrolytes KCl, Require safeguards double-check. WHY WRONG: B No high-alert
exists WRONG high-alert list exists ISMP insulin heparin opioids chemo concentrated electrolytes. C
All same risk WRONG high-alert increased risk harm if error not all same risk. D Low risk no harm
WRONG high-alert means high risk harm if error opposite low risk.
Q3: What is antidote for opioid overdose?
A. Antidote is flumazenil opioid overdose
B. Antidote is vitamin K opioid
C. Naloxone Narcan opioid antagonist reverses respiratory depression 0.04-2 mg IV
D. No antidote exists opioid overdose
PERFECT RATIONALE (Concept + Why Correct + Why Each Wrong):
C. Naloxone Narcan opioid antagonist reverses respiratory depression 0.04-2 mg IV
CONCEPT: Opioid overdose antidote naloxone. CORRECT: Naloxone Narcan opioid antagonist
competitive antagonist mu receptors reverses opioid respiratory depression sedation dose 0.04-2 mg
IV IM IN may need repeat short half-life monitor. WHY WRONG: B No antidote WRONG antidote exists
naloxone Narcan opioid antagonist. C Flumazenil opioid WRONG flumazenil benzodiazepine
antagonist not opioid opioid antidote naloxone. D Vitamin K opioid WRONG vitamin K warfarin
anticoagulant reversal not opioid opioid reversal naloxone.
,Q4: What is antidote for benzodiazepine overdose?
A. Antidote protamine benzodiazepine
B. Antidote naloxone benzodiazepine overdose
C. Flumazenil Romazicon benzodiazepine antagonist reverses sedation 0.2 mg IV
D. No antidote benzodiazepine overdose
PERFECT RATIONALE (Concept + Why Correct + Why Each Wrong):
C. Flumazenil Romazicon benzodiazepine antagonist reverses sedation 0.2 mg IV
CONCEPT: Benzodiazepine overdose antidote flumazenil. CORRECT: Flumazenil Romazicon
benzodiazepine antagonist competitive GABA receptor reverses sedation respiratory depression dose
0.2 mg IV over 15 sec repeat 0.2 mg max 1 mg caution seizures. WHY WRONG: B No antidote
WRONG antidote exists flumazenil Romazicon benzodiazepine antagonist. C Naloxone benzo
WRONG naloxone opioid antagonist not benzo benzo antidote flumazenil. D Protamine benzo
WRONG protamine heparin reversal not benzo benzo reversal flumazenil.
Q5: What is antidote for heparin?
A. Antidote vitamin K heparin
B. Antidote naloxone heparin
C. No antidote heparin
D. Protamine sulfate binds heparin 1 mg protamine per 100 units heparin
PERFECT RATIONALE (Concept + Why Correct + Why Each Wrong):
D. Protamine sulfate binds heparin 1 mg protamine per 100 units heparin
CONCEPT: Heparin antidote protamine. CORRECT: Protamine sulfate antidote for heparin binds
heparin acidic heparin basic protamine inactivates dose 1 mg protamine per 100 units heparin max 50
mg slow IV. WHY WRONG: B No antidote heparin WRONG antidote exists protamine sulfate heparin
antidote. C Vitamin K heparin WRONG vitamin K warfarin reversal not heparin heparin reversal
protamine. D Naloxone heparin WRONG naloxone opioid antagonist not heparin heparin antidote
protamine.
, Q6: What is antidote for warfarin Coumadin?
A. Antidote protamine warfarin
B. No antidote warfarin
C. Antidote naloxone warfarin
D. Vitamin K phytonadione reverses warfarin plus 4F-PCC KCentra for bleeding INR high
PERFECT RATIONALE (Concept + Why Correct + Why Each Wrong):
D. Vitamin K phytonadione reverses warfarin plus 4F-PCC KCentra for bleeding INR high
CONCEPT: Warfarin antidote vitamin K 4F-PCC. CORRECT: Vitamin K phytonadione reverses
warfarin inhibits vitamin K dependent clotting factors II VII IX X protein C S warfarin inhibits, Dose oral
IV for high INR, For active bleeding 4F-PCC Four-factor Prothrombin Complex Concentrate KCentra
rapid reversal. WHY WRONG: B No antidote warfarin WRONG antidote exists vitamin K phytonadione
plus 4F-PCC for bleeding. C Protamine warfarin WRONG protamine heparin reversal not warfarin
warfarin reversal vitamin K. D Naloxone warfarin WRONG naloxone opioid antagonist not warfarin
warfarin antidote vitamin K.
Q7: What is therapeutic range digoxin?
A. Digoxin toxicity low level <0.5 not high
B. Therapeutic range 10-20 ng/mL digoxin
C. Digoxin therapeutic range 0.5-2.0 ng/mL toxicity >2.0 signs nausea visual changes yellow halos
bradycardia hypokalemia increases toxicity
D. No therapeutic range digoxin
PERFECT RATIONALE (Concept + Why Correct + Why Each Wrong):
C. Digoxin therapeutic range 0.5-2.0 ng/mL toxicity >2.0 signs nausea visual changes yellow
halos bradycardia hypokalemia increases toxicity
CONCEPT: Digoxin therapeutic range toxicity. CORRECT: Digoxin therapeutic range 0.5-2.0 ng/mL
newer goal 0.5-0.9 toxicity >2.0 ng/mL signs nausea vomiting anorexia visual changes yellow halos
halos, Bradycardia arrhythmia, Hypokalemia hypomagnesemia hypercalcemia increase toxicity risk.
WHY WRONG: B No range WRONG therapeutic range exists 0.5-2.0 ng/mL toxicity >2.0. C 10-20
ng/mL WRONG 10-20 would be highly toxic fatal therapeutic 0.5-2.0 not 10-20. D Toxicity low <0.5
WRONG toxicity high level >2.0 not low low <0.5 subtherapeutic not toxic.
