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RELIAS RN PHARMACOLOGY TEST AN ACTUAL EXAM LATEST EXAM
2025/2026 /PHARMACOLOGY RELIAS TEST AN EXAM PREPARATION
140 QUESTIONS AND CORRECT ANSWERS|ALREADY GRADED A+
Which statement is CORRECT for determining you have the correct person before
administering a drug? - ......ANSWER........You should ask them to say their name and DOB
and compare it to the MAR and wrist band
Which statement made by a person regarding hydrochlorothiazide (HCTZ) is correct?
- ......ANSWER........I should take extra care when standing up or changing positions.
Which statement, if made by the person you are caring for, reflects the need for further
education regarding a new prescription of warfarin (Coumadin)? - ......ANSWER........If I get
headaches, aspirin is my best options for pain
While delivering the lunch tray of a patient who is taking warfarin (Coumadin), the nurse
notices diversity of food items. Which of the following foods would be a concern?
- ......ANSWER........Spinach
Why would NS be the solution of choice when preparing to administer a blood transfusion?
- ......ANSWER........NS is isotonic
You are caring for a patient with diabetes. Humalog insulin is ordered via sliding scale AC
and HS. When is the best time to administer Humalog insulin? - ......ANSWER........15
minutes before meal arrives
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
You are educating a person about their new prescription for levothyroxine (Synthroid®).
Which statement made by them requires correction? - ......ANSWER........I should take this
on a full stomach, so I don't get nauseous
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
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?
- ......ANSWER........Hold digoxin and call the provider
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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
You receive an order to administer 1 tsp of an elixir. What amount of elixir will you prepare?
- ......ANSWER........5ml
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.
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.
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
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
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? - ......ANSWER........naloxone
(Narcan)
Your patient is receiving vancomycin (Vancocin) 500mg IV every 12 hours. As a nurse, you
understand that the PRIMARY rationale for monitoring serum levels of vancomycin is that:
- ......ANSWER........It can cause nephrotoxicity
Your patient is to receive 2 G vancomycin over 2 hours. The medication comes in from the
pharmacy as 2 G Vancomycin in 250ml normal saline. At what rate will the IV medication
run? - ......ANSWER........125ml/hr.
RELIAS RN PHARMACOLOGY TEST AN ACTUAL EXAM LATEST EXAM
2025/2026 /PHARMACOLOGY RELIAS TEST AN EXAM PREPARATION
140 QUESTIONS AND CORRECT ANSWERS|ALREADY GRADED A+
Which statement is CORRECT for determining you have the correct person before
administering a drug? - ......ANSWER........You should ask them to say their name and DOB
and compare it to the MAR and wrist band
Which statement made by a person regarding hydrochlorothiazide (HCTZ) is correct?
- ......ANSWER........I should take extra care when standing up or changing positions.
Which statement, if made by the person you are caring for, reflects the need for further
education regarding a new prescription of warfarin (Coumadin)? - ......ANSWER........If I get
headaches, aspirin is my best options for pain
While delivering the lunch tray of a patient who is taking warfarin (Coumadin), the nurse
notices diversity of food items. Which of the following foods would be a concern?
- ......ANSWER........Spinach
Why would NS be the solution of choice when preparing to administer a blood transfusion?
- ......ANSWER........NS is isotonic
You are caring for a patient with diabetes. Humalog insulin is ordered via sliding scale AC
and HS. When is the best time to administer Humalog insulin? - ......ANSWER........15
minutes before meal arrives
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
You are educating a person about their new prescription for levothyroxine (Synthroid®).
Which statement made by them requires correction? - ......ANSWER........I should take this
on a full stomach, so I don't get nauseous
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
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?
- ......ANSWER........Hold digoxin and call the provider
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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
You receive an order to administer 1 tsp of an elixir. What amount of elixir will you prepare?
- ......ANSWER........5ml
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.
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.
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
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
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? - ......ANSWER........naloxone
(Narcan)
Your patient is receiving vancomycin (Vancocin) 500mg IV every 12 hours. As a nurse, you
understand that the PRIMARY rationale for monitoring serum levels of vancomycin is that:
- ......ANSWER........It can cause nephrotoxicity
Your patient is to receive 2 G vancomycin over 2 hours. The medication comes in from the
pharmacy as 2 G Vancomycin in 250ml normal saline. At what rate will the IV medication
run? - ......ANSWER........125ml/hr.
