2023 RN Pharmacology A
You are educating a person about their prescription for cyclosporine (Gengraf) and a new diet with a
potassium intake restriction. What food would you tell them to avoid? - ANS rasins
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? - ANS 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)? - ANS 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? - ANS 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? - ANS 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?
- ANS 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? - ANS Administer the medication as
ordered
A person was recently prescribed a corticosteroid inhaler. What would you include when educating
them on the medication? - ANS 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? - ANS
Diltiazem (Cardizem)
What is the PRIMARY cause of red man syndrome (RMS) during the administration of vancomycin? - ANS
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? - ANS 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? - ANS 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? - ANS 2 mL
A person is noted to have a penicillin allergy. What medication would you question if ordered by
physician? - ANS Ceftriaxone
Why would normal saline (NS) be the solution of choice when preparing to administer a blood
transfusion? - ANS Normal saline is isotonic which prevents blood cells hemolysis
The physician ordered atropine sulfate 0.6 mg IM before surgery. The medication is supplied in 0.8
mg/mL. How many mL of the medication would your administered? - ANS 0.75 mL
Which statement is CORRECT for determining you have the correct person before administering a drug?
- ANS You should ask them to say their name and date of birth, then compare those to their arm band
and the medication record.
You are educating a person about their prescription for cyclosporine (Gengraf) and a new diet with a
potassium intake restriction. What food would you tell them to avoid? - ANS rasins
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? - ANS 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)? - ANS 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? - ANS 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? - ANS 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?
- ANS 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? - ANS Administer the medication as
ordered
A person was recently prescribed a corticosteroid inhaler. What would you include when educating
them on the medication? - ANS 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? - ANS
Diltiazem (Cardizem)
What is the PRIMARY cause of red man syndrome (RMS) during the administration of vancomycin? - ANS
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? - ANS 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? - ANS 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? - ANS 2 mL
A person is noted to have a penicillin allergy. What medication would you question if ordered by
physician? - ANS Ceftriaxone
Why would normal saline (NS) be the solution of choice when preparing to administer a blood
transfusion? - ANS Normal saline is isotonic which prevents blood cells hemolysis
The physician ordered atropine sulfate 0.6 mg IM before surgery. The medication is supplied in 0.8
mg/mL. How many mL of the medication would your administered? - ANS 0.75 mL
Which statement is CORRECT for determining you have the correct person before administering a drug?
- ANS You should ask them to say their name and date of birth, then compare those to their arm band
and the medication record.
