Prophecy/Relias RN Pharmacology A 2024
1. What medication is a leukotriene receptor antagonist?: Montelukast
2. Which statement made by a person regarding hydrochlorothiazide (HCTZ)
is correct?: I should take extra care when standing up or changing positions.
3. 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
4. What medication is considered a potassium-sparing diuretic?:
spironolactione (Aldactone)
5. 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.
6. 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?: nitroglycerin
7. 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
8. 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
9. 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
10. A person is noted to have a penicillin allergy. What medication would you
question of ordered by a physician?: ceftriaxone
11. 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
12. 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
13. A person with a hypothyroidism has a serum calcium level of 13 mg/dL.
What medication would you expect to administer?: Calcitonin
1/7
, 14. A person you are caring for has a known GI bleed. What drug is
contraindicated?: enoxaparin (Lovenox)
15 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
16. 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.
17. Your patient presents with CHF and has a Potassium level of 5.8. Which
diuretic do you anticipate being ordered by the provider?: bumetanide
(Bumex)
18. 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?:
Bananas, spinach, raisins
19. Which medication would you question if ordered by the provider to treat
a person that is complaining of nausea and vomiting?: Famotidine (Pepcid)
20. Shortly after administering an IV med, the person you are caring for
starts to complain of itching and feeling flushed. On assessment, you notice
hives begun to form on their chest. What is the best intervention?: Administer
PRN
IV diphenhydramine (Benadryl) and notify provider
21. Patient refuses a dose of IV medication. What is the MOST approriate
action?: Document the refusal and notify the MD
22. You receive an order to administer 1 tsp of an elixir. What amount of elixir
will you prepare?: 5ml
23. When caring for a patient with a central line who is receiving TPN, what
is the MOST important action on the part of the nurse to prevent CLABSI?:
Perform correct sterile technique for dressing change at the CVC site
24. An order has been placed for sublingual medication. Pt has NG. what is
the most appropriate action?: administer the med
25. 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 fungal infection of your mouth
26. What medication is incompatible for administration with Lactated
Ringers solution?: Diazepam (Valium)
27. A person has a new onset dysrhythmia. What medication might be
prescribed for this condition?: diltiazem (Cardizem)
2/7
1. What medication is a leukotriene receptor antagonist?: Montelukast
2. Which statement made by a person regarding hydrochlorothiazide (HCTZ)
is correct?: I should take extra care when standing up or changing positions.
3. 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
4. What medication is considered a potassium-sparing diuretic?:
spironolactione (Aldactone)
5. 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.
6. 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?: nitroglycerin
7. 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
8. 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
9. 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
10. A person is noted to have a penicillin allergy. What medication would you
question of ordered by a physician?: ceftriaxone
11. 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
12. 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
13. A person with a hypothyroidism has a serum calcium level of 13 mg/dL.
What medication would you expect to administer?: Calcitonin
1/7
, 14. A person you are caring for has a known GI bleed. What drug is
contraindicated?: enoxaparin (Lovenox)
15 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
16. 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.
17. Your patient presents with CHF and has a Potassium level of 5.8. Which
diuretic do you anticipate being ordered by the provider?: bumetanide
(Bumex)
18. 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?:
Bananas, spinach, raisins
19. Which medication would you question if ordered by the provider to treat
a person that is complaining of nausea and vomiting?: Famotidine (Pepcid)
20. Shortly after administering an IV med, the person you are caring for
starts to complain of itching and feeling flushed. On assessment, you notice
hives begun to form on their chest. What is the best intervention?: Administer
PRN
IV diphenhydramine (Benadryl) and notify provider
21. Patient refuses a dose of IV medication. What is the MOST approriate
action?: Document the refusal and notify the MD
22. You receive an order to administer 1 tsp of an elixir. What amount of elixir
will you prepare?: 5ml
23. When caring for a patient with a central line who is receiving TPN, what
is the MOST important action on the part of the nurse to prevent CLABSI?:
Perform correct sterile technique for dressing change at the CVC site
24. An order has been placed for sublingual medication. Pt has NG. what is
the most appropriate action?: administer the med
25. 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 fungal infection of your mouth
26. What medication is incompatible for administration with Lactated
Ringers solution?: Diazepam (Valium)
27. A person has a new onset dysrhythmia. What medication might be
prescribed for this condition?: diltiazem (Cardizem)
2/7
