RELIAS RN PHARMACOLOGY TEST EXAM

RELIAS RN PHARMACOLOGY TEST A ACTUAL EXAM LATEST / REAL EXAM QUESTIONS AND CORRECT ANSWERS GRADED A 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? - 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)? - 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? - 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? - 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 - 2 mL A person with a hypothyroidism has a serum calcium level of 13 mg/dL. What medication would you expect to administer? - Calcitonin A person you are caring for has a known GI bleed. What drug is contraindicated? - enoxaparin (Lovenox) A person has been prescribed nitrofurantoin (Furadantin) for a UTI. What education would you provide for them? - 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? - 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? - NOT amiloride Your patient has been diagnosed with chronic CHF and will be taking Lasix 80 mg PO twice a day. When teaching about high Potassium foods in the diet, which group of foods would you recommend to the patient? - NOT tofu, red meat, beans which medication would you question if ordered by the provider to treat a person that is complaining of nausea and vomiting? - famotidine shortly after administering an IV med, person complains of itching and feeling flushed. Hives begun to form on chest. What is the best intervention? - Administer PRN IV diphenhydramine and notify MD 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? - pt has central line who is receiving TPN. What is the most important action to prevent CLABSI? - perform correct sterile technique order placed for sublingual medication. Pt has NG. what is the most appropriate action? - administer the med pt was prescribed a corticosteroid inhaler. What would you include when educating them on the medication? - rinse mouth what medication is a leukotriene receptor antagonist? - Montelukast what medication is incompatible with LR - diazepam new onset dysrhythmia. What medication might be prescribed for this condition? - diltiazem 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 pt being treated for pain s/p ortho procedure. what order would you question? - eplerenone order for 4 mg of dexamethasone IV push. The med is supplied in 10mg/mL vial. How many mL do you give? - 0.4 mL pt is on a morphine PCA without a basal infusion rate and is afraid of overdosing. what ed do you provide? - small dose is delivered only when you push the trigger button pt has been diagnosted with diabetes and has oral meds ordered. What statement indicates understanding of s&s of hypoglycemia? - sweating, shakes, nervouseness what class of med would you expect ordered for a person with acid reflux? - PPI pt has epidural infusing at 6mL/hr. begining BP was 92/58 and now their BP is 130/70. what would you do FIRST? - NOT :::: ask the person to rate their pain Which statement made by a person regarding hydrochlorothiazide (HCTZ) is correct? - I should take extra care when standing up or changing positions.