PROPHECY RELIAS PHARMACOLOGY RN 2025 ACTUAL
EXAM WITH 110 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ALREADY GRADED A+
Which of the following medications is known to cause orange-colored
urine? - CORRECT ANS✔✔ 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 ANS✔✔ 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 ANS✔✔ 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 ANS✔✔ 400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0.
This level may: - CORRECT ANS✔✔ 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 ANS✔✔ Increase daily water intake
Which of the following medications will crystalize when mixed with D5NS? -
CORRECT ANS✔✔ 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 ANS✔✔ 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 ANS✔✔ 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 ANS✔✔ 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 ANS✔✔ 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
ANS✔✔ 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 ANS✔✔ take the medication with a full glass of water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological
,effects? - CORRECT ANS✔✔ 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 ANS✔✔ 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
ANS✔✔ 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 ANS✔✔ 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 ANS✔✔ It can cause
nephrotoxicity
Convert 1.2 milligrams to micrograms - CORRECT ANS✔✔ 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 ANS✔✔ 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 ANS✔✔ 250ml/hr
*WRONG* Which medication is used to treat iron toxicity? - CORRECT
ANS✔✔ 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
ANS✔✔ bumetanide (Bumex)
Your patient is on a Morphine PCA after a recent exploratory surgery.
EXAM WITH 110 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ALREADY GRADED A+
Which of the following medications is known to cause orange-colored
urine? - CORRECT ANS✔✔ 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 ANS✔✔ 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 ANS✔✔ 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 ANS✔✔ 400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0.
This level may: - CORRECT ANS✔✔ 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 ANS✔✔ Increase daily water intake
Which of the following medications will crystalize when mixed with D5NS? -
CORRECT ANS✔✔ 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 ANS✔✔ 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 ANS✔✔ 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 ANS✔✔ 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 ANS✔✔ 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
ANS✔✔ 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 ANS✔✔ take the medication with a full glass of water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological
,effects? - CORRECT ANS✔✔ 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 ANS✔✔ 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
ANS✔✔ 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 ANS✔✔ 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 ANS✔✔ It can cause
nephrotoxicity
Convert 1.2 milligrams to micrograms - CORRECT ANS✔✔ 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 ANS✔✔ 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 ANS✔✔ 250ml/hr
*WRONG* Which medication is used to treat iron toxicity? - CORRECT
ANS✔✔ 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
ANS✔✔ bumetanide (Bumex)
Your patient is on a Morphine PCA after a recent exploratory surgery.
