PROPHECY RN PHARMACOLOGY A RELIAS A 2024 LATEST 2024 ACTUAL WITH ACCURATE QUESTIONS & DETAILED ANSWERS COMPLETE VERIFIED EXAM GRADED A+
PROPHECY RN PHARMACOLOGY A RELIAS A 2024 LATEST 2024 ACTUAL WITH ACCURATE QUESTIONS & DETAILED ANSWERS COMPLETE VERIFIED EXAM GRADED A+ Which of the following medications is known to cause orange-colored urine? - CORRECT 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? - CORRECT 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: - CORRECT 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? - CORRECT ANSWER:400mg Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may: - CORRECT 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? - CORRECT ANSWER:Increase daily water intake Which of the following medications will crystalize when mixed with D5NS? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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: - CORRECT 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? - CORRECT 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: - CORRECT ANSWER:take the medication with a full glass of water Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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: - CORRECT ANSWER:It can cause nephrotoxicity Convert 1.2 milligrams to micrograms - CORRECT 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? - CORRECT 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? - CORRECT ANSWER:250ml/hr *WRONG* Which medication is used to treat iron toxicity? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER:Dextrose 50% IV push When a patient has pernicious anemia, the nurse would expect to give them: - CORRECT 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? - CORRECT ANSWER:A)*WRONG* heparin B) enoxaparin C) aspirin D) warfarin Which of the following is considered an antiplatelet medication? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER:Metformin (Glucophage) The patient is diagnosed with multiple Myeloma. The physician has ordered cyclophosphamide (Cytoxan). Which instruction should be given to the patient? - CORRECT ANSWER:Increase da
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