RN Pharmacology A Relias Exam 2026/2027 COMPLETE
STUDY GUIDE WITH VERIFIED SOLUTIONS
• You are caring for a person with a capillary blood glucose of 33 mm/dL and they
are unable to tolerate oral intake. Which of the following would you administer? -
✓✓ Dextrose 50% IV Push
• Which statement, if made by the person you are caring for, reflects the need for
further education regarding a new prescription of warfarin (Coumadin)? -✓✓ If I
get headaches, aspirin is my best option for pain
• A person on a morphine (Duramorph) PCA pump without a basal infusion rate is
afraid of potential overdosing. What would you say to educate them? -✓✓ A small
dose is delivered only when you push the trigger button and only if it has been long
enough since your last dose
• What medication is a leukotriene receptor antagonist? -✓✓ Montelukast
(Singulair)
• You receive the report from the off-going nurse that the person being cared for
just received their fourth dose of IV Vancomysin (Vancocin) that was administered
over 30 minutes. Upon assessment of them, and you notice their face and neck are
red and they are itching all over. What would you suspect? -✓✓ Redman syndrome
due to a rapid infusion rate
• An order has been placed for a sublingual medication. The person you are caring
for currently has a nasogastric tube in place. What is your most appropriate action?
-✓✓ Administer the medication as ordered
, • A person was recently prescribed a corticosteroid inhaler. What would you
include when educating them on the medication? -✓✓ It is important that you wash
out your mask after every dose to help prevent a fungal infection in your mouth.
• A person has a new-onset dysrhythmia. What medication might be prescribed for
this condition? -✓✓ Diltiazem (Cardizem)
• What is the PRIMARY cause of red man syndrome (RMS) during the
administration of vancomycin? -✓✓ Increased histamine production
• The person you are caring for tells you that they frequently take acetaminophen
(Tylenol) at home. Which statement made by them is correct? -✓✓ I should pay
close attention to OTC drug labels so I don't take too much of
• You have an order for 4 mg of dexamethasone (Decadron) IV push. The
medication is supplied in a 10 mg/mL vial. How many mL would you administer?
-✓✓ 0.4 mL
• The physician orders 0.5 mg/kg of a medication. 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? -✓✓ 2 mL
• A person is noted to have a penicillin allergy. What medication would you
question if ordered by physician? -✓✓ Ceftriaxone
• Why would normal saline (NS) be the solution of choice when preparing to
administer a blood transfusion? -✓✓ Normal saline is isotonic which prevents
blood cells hemolysis
STUDY GUIDE WITH VERIFIED SOLUTIONS
• You are caring for a person with a capillary blood glucose of 33 mm/dL and they
are unable to tolerate oral intake. Which of the following would you administer? -
✓✓ Dextrose 50% IV Push
• Which statement, if made by the person you are caring for, reflects the need for
further education regarding a new prescription of warfarin (Coumadin)? -✓✓ If I
get headaches, aspirin is my best option for pain
• A person on a morphine (Duramorph) PCA pump without a basal infusion rate is
afraid of potential overdosing. What would you say to educate them? -✓✓ A small
dose is delivered only when you push the trigger button and only if it has been long
enough since your last dose
• What medication is a leukotriene receptor antagonist? -✓✓ Montelukast
(Singulair)
• You receive the report from the off-going nurse that the person being cared for
just received their fourth dose of IV Vancomysin (Vancocin) that was administered
over 30 minutes. Upon assessment of them, and you notice their face and neck are
red and they are itching all over. What would you suspect? -✓✓ Redman syndrome
due to a rapid infusion rate
• An order has been placed for a sublingual medication. The person you are caring
for currently has a nasogastric tube in place. What is your most appropriate action?
-✓✓ Administer the medication as ordered
, • A person was recently prescribed a corticosteroid inhaler. What would you
include when educating them on the medication? -✓✓ It is important that you wash
out your mask after every dose to help prevent a fungal infection in your mouth.
• A person has a new-onset dysrhythmia. What medication might be prescribed for
this condition? -✓✓ Diltiazem (Cardizem)
• What is the PRIMARY cause of red man syndrome (RMS) during the
administration of vancomycin? -✓✓ Increased histamine production
• The person you are caring for tells you that they frequently take acetaminophen
(Tylenol) at home. Which statement made by them is correct? -✓✓ I should pay
close attention to OTC drug labels so I don't take too much of
• You have an order for 4 mg of dexamethasone (Decadron) IV push. The
medication is supplied in a 10 mg/mL vial. How many mL would you administer?
-✓✓ 0.4 mL
• The physician orders 0.5 mg/kg of a medication. 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? -✓✓ 2 mL
• A person is noted to have a penicillin allergy. What medication would you
question if ordered by physician? -✓✓ Ceftriaxone
• Why would normal saline (NS) be the solution of choice when preparing to
administer a blood transfusion? -✓✓ Normal saline is isotonic which prevents
blood cells hemolysis
