Prophecy RN Pharmacology A
Prophecy Exam Had 39 Questions
And Answers 2025
1. Which of the following medications is known to cause orange-colored
urine?:ANS phenazopyridine (Pyridium)
2. 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? ANS: Hold digoxin and call the provider
3. Normal Saline (NS) is the solution of choice over D5W when preparing to
administer a blood transfusion because: ANS Normal Saline is an isotonic
solution and prevents cell hemolysis
4. Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much
would you administer?: ANS 400mg
5. Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This
level may: ANS Increase risk of digoxin toxicity
6. The patient is diagnosed with multiple myeloma. The physician has ordered
cyclophosphamide (Cytoxan). Which instruction should be given to the pa-
tient?: ANS Increase daily water intake
7. Which of the following medications will crystalize when mixed with D5NS?-
: ANS phenytoin (Dilantin)
https://www.stuvia.com/en-us/user/17dollars
, 8. 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 vomit-
ing?: ANS famotidine (Pepcid)
9. 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 pres-
sures have been around 130/70. What should you do FIRST?: ANS Check
infusion rate to confirm 6ml/hr, then notify anesthesia provider
10. The dosage of which drug must be tapered off slowly to prevent acute
adrenal insufficiency?: ANS prednisone (Deltasone)
11. 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::
ANS - tinnitus
12. 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?: ANS calcintonin
(Miacalcin)
13. 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:: ANS
take the medication with a full glass of water
14. Acetylsalicylic acid (Aspirin) has which of the following pharmacological
effects?: ANS Anti-inflammatory, anti-pyretic, decrease platelet aggregation
https://www.stuvia.com/en-us/user/17dollars
Prophecy Exam Had 39 Questions
And Answers 2025
1. Which of the following medications is known to cause orange-colored
urine?:ANS phenazopyridine (Pyridium)
2. 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? ANS: Hold digoxin and call the provider
3. Normal Saline (NS) is the solution of choice over D5W when preparing to
administer a blood transfusion because: ANS Normal Saline is an isotonic
solution and prevents cell hemolysis
4. Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much
would you administer?: ANS 400mg
5. Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This
level may: ANS Increase risk of digoxin toxicity
6. The patient is diagnosed with multiple myeloma. The physician has ordered
cyclophosphamide (Cytoxan). Which instruction should be given to the pa-
tient?: ANS Increase daily water intake
7. Which of the following medications will crystalize when mixed with D5NS?-
: ANS phenytoin (Dilantin)
https://www.stuvia.com/en-us/user/17dollars
, 8. 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 vomit-
ing?: ANS famotidine (Pepcid)
9. 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 pres-
sures have been around 130/70. What should you do FIRST?: ANS Check
infusion rate to confirm 6ml/hr, then notify anesthesia provider
10. The dosage of which drug must be tapered off slowly to prevent acute
adrenal insufficiency?: ANS prednisone (Deltasone)
11. 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::
ANS - tinnitus
12. 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?: ANS calcintonin
(Miacalcin)
13. 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:: ANS
take the medication with a full glass of water
14. Acetylsalicylic acid (Aspirin) has which of the following pharmacological
effects?: ANS Anti-inflammatory, anti-pyretic, decrease platelet aggregation
https://www.stuvia.com/en-us/user/17dollars
