Prophecy/Relias RN Pharmacology A
EXAM 2024 RETAKE 99 QUESTIONS
AND CORRECT DETAILED ANSWERS
WITH RATIONALES
What medication is a leukotriene receptor antagonist? - Montelukast
Which statement made by a person regarding hydrochlorothiazide (HCTZ) is correct? - 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? - 2.5
What medication is considered a potassium-sparing diuretic? - 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? - 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? - 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? - 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? - 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? - 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? - Bananas, spinach, raisins
Which medication would you question if ordered by the provider to treat a person that is
complaining of nausea and vomiting? - 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? - Administer PRN IV diphenhydramine (Benadryl)
and notify provider
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
EXAM 2024 RETAKE 99 QUESTIONS
AND CORRECT DETAILED ANSWERS
WITH RATIONALES
What medication is a leukotriene receptor antagonist? - Montelukast
Which statement made by a person regarding hydrochlorothiazide (HCTZ) is correct? - 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? - 2.5
What medication is considered a potassium-sparing diuretic? - 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? - 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? - 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? - 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? - 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? - 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? - Bananas, spinach, raisins
Which medication would you question if ordered by the provider to treat a person that is
complaining of nausea and vomiting? - 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? - Administer PRN IV diphenhydramine (Benadryl)
and notify provider
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
