Prophecy RN Pharmacology A | Latest 2025 |Accuracy:
100%
Which of the following medications is known to cause orange-colored urine? - ANSWER-
phenazopyridine (Pyridium)
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
Normal Saline (NS) is the solution of choice over D5W when preparing to administer a blood
transfusion because: - ANSWER-Normal Saline is an isotonic solution and prevents cell hemolysis
Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much would you administer? -
ANSWER-400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may: - ANSWER-
Increase risk of digoxin toxicity
The patient is diagnosed with multiple myeloma. The physician has ordered cyclophosphamide
(Cytoxan). Which instruction should be given to the patient? - ANSWER-Increase daily water intake
Which of the following medications will crystalize when mixed with D5NS? - ANSWER-phenytoin
(Dilantin)
Which of the following medications should be questioned by the nurse, if ordered by the provider to
treat a patient's complaint of nausea and vomiting? - ANSWER-famotidine (Pepcid)
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
The dosage of which drug must be tapered off slowly to prevent acute adrenal insufficiency? -
ANSWER-prednisone (Deltasone)
When teaching a new nurse on how to administer IV push furosemide (Lasix), you emphasize that it
should be given over two minutes to avoid: - ANSWER-tinnitus
A nurse is caring for a patient with hyperparathyroidism and notes that the patient's serum calcium
level is 13mg/dl. Which medication should the nurse prepare to administer as prescribed to the
patient? - ANSWER-calcintonin (Miacalcin)
A patient has a prescription to take Guaifenesin (Mucinex) every 4 hours, as needed. The nurse
determines that the patient understands the MOST effective use of the medication if the patient
states that he or she will: - ANSWER-take the medication with a full glass of water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? - ANSWER-Anti-
inflammatory, anti-pyretic, decrease platelet aggregation
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
, 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? - ANSWER-Use of nitroglycerin
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
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
Convert 1.2 milligrams to micrograms - ANSWER-1200 mcg
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
A provider orders one liter of NS to be infused over four hours. At what rate would you set the IV
pump? - ANSWER-250ml/hr
*WRONG* Which medication is used to treat iron toxicity? - ANSWER-A) digoxin immune fab
(Digibind)
B) Naloxone (Narcan)
C) Mephyton (Vitamin K)
D) *WRONG* deferoxamine (Digibind)
Your patient presents with CHF and has a Potassium level of 5.8. Which diuretic do you anticipate
being ordered by the provider? - ANSWER-bumetanide (Bumex)
Your patient is on a Morphine PCA after a recent exploratory surgery. 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)
A patient's capillary blood glucose reading is 33mg/dl. Which of the following medications will the
nurse administer if the patient is unable to tolerate PO? - ANSWER-Dextrose 50% IV push
When a patient has pernicious anemia, the nurse would expect to give them: - ANSWER-Vitamin B12
*WRONG* Which of the following anticoagulant is MOST commonly administered for DVT prophylaxis
in a patient who has undergone a hip replacement? - ANSWER-A)*WRONG* heparin
B) enoxaparin
C) aspirin
D) warfarin
Which of the following is considered an antiplatelet medication? - ANSWER-clopidogrel (Plavix)
Sildenaphil(viagra) is prescribed to treat a patient with erectile dysfuction. A nurse reviews the
patient's medical record and would question the prescription of which of the following is noted in the
history? - ANSWER-Use of Nitroglycerin
Which of the following medications should be held today considering that your patient received IV
contract two hours ago fir a CT scan? - ANSWER-Metformin (Glucophage)
The patient is diagnosed with multiple Myeloma. The physician has ordered cyclophosphamide
(Cytoxan). Which instruction should be given to the patient? - ANSWER-Increase daily water intake
100%
Which of the following medications is known to cause orange-colored urine? - ANSWER-
phenazopyridine (Pyridium)
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
Normal Saline (NS) is the solution of choice over D5W when preparing to administer a blood
transfusion because: - ANSWER-Normal Saline is an isotonic solution and prevents cell hemolysis
Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much would you administer? -
ANSWER-400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may: - ANSWER-
Increase risk of digoxin toxicity
The patient is diagnosed with multiple myeloma. The physician has ordered cyclophosphamide
(Cytoxan). Which instruction should be given to the patient? - ANSWER-Increase daily water intake
Which of the following medications will crystalize when mixed with D5NS? - ANSWER-phenytoin
(Dilantin)
Which of the following medications should be questioned by the nurse, if ordered by the provider to
treat a patient's complaint of nausea and vomiting? - ANSWER-famotidine (Pepcid)
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
The dosage of which drug must be tapered off slowly to prevent acute adrenal insufficiency? -
ANSWER-prednisone (Deltasone)
When teaching a new nurse on how to administer IV push furosemide (Lasix), you emphasize that it
should be given over two minutes to avoid: - ANSWER-tinnitus
A nurse is caring for a patient with hyperparathyroidism and notes that the patient's serum calcium
level is 13mg/dl. Which medication should the nurse prepare to administer as prescribed to the
patient? - ANSWER-calcintonin (Miacalcin)
A patient has a prescription to take Guaifenesin (Mucinex) every 4 hours, as needed. The nurse
determines that the patient understands the MOST effective use of the medication if the patient
states that he or she will: - ANSWER-take the medication with a full glass of water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? - ANSWER-Anti-
inflammatory, anti-pyretic, decrease platelet aggregation
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
, 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? - ANSWER-Use of nitroglycerin
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
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
Convert 1.2 milligrams to micrograms - ANSWER-1200 mcg
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
A provider orders one liter of NS to be infused over four hours. At what rate would you set the IV
pump? - ANSWER-250ml/hr
*WRONG* Which medication is used to treat iron toxicity? - ANSWER-A) digoxin immune fab
(Digibind)
B) Naloxone (Narcan)
C) Mephyton (Vitamin K)
D) *WRONG* deferoxamine (Digibind)
Your patient presents with CHF and has a Potassium level of 5.8. Which diuretic do you anticipate
being ordered by the provider? - ANSWER-bumetanide (Bumex)
Your patient is on a Morphine PCA after a recent exploratory surgery. 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)
A patient's capillary blood glucose reading is 33mg/dl. Which of the following medications will the
nurse administer if the patient is unable to tolerate PO? - ANSWER-Dextrose 50% IV push
When a patient has pernicious anemia, the nurse would expect to give them: - ANSWER-Vitamin B12
*WRONG* Which of the following anticoagulant is MOST commonly administered for DVT prophylaxis
in a patient who has undergone a hip replacement? - ANSWER-A)*WRONG* heparin
B) enoxaparin
C) aspirin
D) warfarin
Which of the following is considered an antiplatelet medication? - ANSWER-clopidogrel (Plavix)
Sildenaphil(viagra) is prescribed to treat a patient with erectile dysfuction. A nurse reviews the
patient's medical record and would question the prescription of which of the following is noted in the
history? - ANSWER-Use of Nitroglycerin
Which of the following medications should be held today considering that your patient received IV
contract two hours ago fir a CT scan? - ANSWER-Metformin (Glucophage)
The patient is diagnosed with multiple Myeloma. The physician has ordered cyclophosphamide
(Cytoxan). Which instruction should be given to the patient? - ANSWER-Increase daily water intake
