RELIAS RN PHARMACOLOGY TEST

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. 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. Which of the following would you question if prescribed for a person taking sildenafil (Viagra? - 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 order to give digoxin now. HR is 52. what do you do next? - hold dig and call MD What is the primary cause of Red man syndrome? - increased histamine production why would NS be the solution of choice when preparing to administer a blood transfusion? - NS is isotonic pt with no known risk factors to TB would need further diagnostic testing to rule out TB if the mantoux test showed an induration of what size? - ??? what statement is correct for determining you have the correct pt before adminstering a drug? - ask them to state their name and DOB and compare it to the MAR and wrist band pt is on morphine PCA and is unresponsive. You suspect narcotic OD. what med to give? - narcan Pt has new script for levothyroxine. What statement made by them is correct? - NOT ::: take at the same time everyday. MD orders 1000 mL of NS over 6 hrs. whats the rate? - 166.67 125 mcg is how many mg? - 0.125 mg pt to receive 5 mg/kg of medication. They weigh 80 kg. how much to give? - 400 mg pt has new order for dig. What would be assessed immediately before administering? - Apical HR