RN NCLEX Comprehensive
Review: Pharmacology in
Nursing (Fully Verified)
1 mg = ? mcg - Correct Answer: 1,000 mcg
1 g = ? mg - Correct Answer: 1,000 mg
1 kg = ? lbs - Correct Answer: 2.2 lbs
1 gr = ? mg - Correct Answer: 60 mg
1 oz = ? mL - Correct Answer: 30 mL
1 L = ? mL - Correct Answer: 1,000 mL
1 tsp = ? mL - Correct Answer: 5 mL
1 tbsp = ? mL - Correct Answer: 15 mL
1 tbsp = ? tsp - Correct Answer: 3 tsp
37.0 degrees Celsius = ? degrees Fahrenheit - Correct Answer: 98.6 degrees Fahrenheit
,Formula to find Celsius - Correct Answer: C=(F-32)x(5/9)
Formula to find Fahrenheit - Correct Answer: F=(Cx9/5)+32
Adverse Reaction - Correct Answer: Negative effects experienced by a client as a result of a
specific medication; may be hazardous, tolerated, or subside with continued use
RN must assess before administering medications to a pt. (3) - Correct Answer: 1. Allergies and
adverse effects
2. Current medication regimen for potential interactions
3. Physiologic status compared to baseline assessment data
6 Rights of Medication Administration - Correct Answer: 1. Right client
2. Right medication
3. Right dose
4. Right time
5. Right route
6. Right documentation
Average time to draw peak levels: Oral (PO) - Correct Answer: 1-2 hours after administration
Average time to draw peak levels: Intramuscular (IM) - Correct Answer: 1 hour after
administration
Average time to draw peak levels: Intravenous (IV) - Correct Answer: 30 minutes
Trough Level - Correct Answer: Reflect the lowest concentration or residual level and are
usually obtained within 15 minutes prior to administration of the next scheduled dose
,Culture and Sensitivity - Correct Answer: Cultures are obtained to detect the presence of
pathogens within the specimen collected. If a culture produces organisms, testing is performed in
the laboratory to identify the appropriate antibiotic therapy. Begin antibiotic therapy after
obtaining lab sample.
Guidelines for Safe IV Administration (5) - Correct Answer: 1. Review medication guidelines for
precautions related to IV administration for compatibility, rate of admin., necessity of infusion
pump, and serious adverse reactions
2. Never administer medications through tubing being used for blood administration
3. Implement standard precautions when performing and IV site change
4. Fluids should be infused within 24 hours to prevent infection (discard unused portion)
5. Maintain patency of IV access
Prevent Infiltration of IV site (3) - Correct Answer: 1. Use smallest catheter for prescribed
therapy
2. Stabilize port-access
3. Assess blood return
Treatment for Infiltrated IV (5) - Correct Answer: 1. Stop infusion
2. Remove peripheral catheters
3. Apply cold compress
4. Elevate extremity
5. Insert new catheter into opposite extremity
Prevent Extravasation of IV (1) - Correct Answer: 1. Know vesicant potential before giving med.
Treatment for Extravasated IV (5) - Correct Answer: 1. Stop infusion
2. Discontinue administration set
, 3. Aspirate drug if possible
4. Apply cold compress
5. Document condition of site (may photograph)
Infiltration - Correct Answer: When IV fluid or medication leaks into surrounding tissue
Extravasation - Correct Answer: Leakage of IV fluid or medication into the extravascular tissue
around the site of infusion
Phlebitis/Thrombophlebitis - Correct Answer: Inflammatory process that causes a blood clot to
form able block one or more vein
Prevent Phlebitis/Thrombophlebitis (3) - Correct Answer: 1. Rotate site every 72h-96h
2. Secure catheter
3. Use aseptic technique
Treatment for Phlebitis/Thrombophlebitis at IV site (4) - Correct Answer: 1. Stop infusion
2. Remove peripheral catheters
3. Apply heat compress
4. Insert new catheter in opposite extremity
Hematoma - Correct Answer: Localized bleeding outside of blood vessels
Prevent Hematoma at IV site (2) - Correct Answer: 1. Avoid veins not easily seen or palpated
2. Obtain hemostasis after insertion
Treatment for Hematoma at IV site (3) - Correct Answer: 1. Remove IV device
2. Apply light pressure if bleeding
Review: Pharmacology in
Nursing (Fully Verified)
1 mg = ? mcg - Correct Answer: 1,000 mcg
1 g = ? mg - Correct Answer: 1,000 mg
1 kg = ? lbs - Correct Answer: 2.2 lbs
1 gr = ? mg - Correct Answer: 60 mg
1 oz = ? mL - Correct Answer: 30 mL
1 L = ? mL - Correct Answer: 1,000 mL
1 tsp = ? mL - Correct Answer: 5 mL
1 tbsp = ? mL - Correct Answer: 15 mL
1 tbsp = ? tsp - Correct Answer: 3 tsp
37.0 degrees Celsius = ? degrees Fahrenheit - Correct Answer: 98.6 degrees Fahrenheit
,Formula to find Celsius - Correct Answer: C=(F-32)x(5/9)
Formula to find Fahrenheit - Correct Answer: F=(Cx9/5)+32
Adverse Reaction - Correct Answer: Negative effects experienced by a client as a result of a
specific medication; may be hazardous, tolerated, or subside with continued use
RN must assess before administering medications to a pt. (3) - Correct Answer: 1. Allergies and
adverse effects
2. Current medication regimen for potential interactions
3. Physiologic status compared to baseline assessment data
6 Rights of Medication Administration - Correct Answer: 1. Right client
2. Right medication
3. Right dose
4. Right time
5. Right route
6. Right documentation
Average time to draw peak levels: Oral (PO) - Correct Answer: 1-2 hours after administration
Average time to draw peak levels: Intramuscular (IM) - Correct Answer: 1 hour after
administration
Average time to draw peak levels: Intravenous (IV) - Correct Answer: 30 minutes
Trough Level - Correct Answer: Reflect the lowest concentration or residual level and are
usually obtained within 15 minutes prior to administration of the next scheduled dose
,Culture and Sensitivity - Correct Answer: Cultures are obtained to detect the presence of
pathogens within the specimen collected. If a culture produces organisms, testing is performed in
the laboratory to identify the appropriate antibiotic therapy. Begin antibiotic therapy after
obtaining lab sample.
Guidelines for Safe IV Administration (5) - Correct Answer: 1. Review medication guidelines for
precautions related to IV administration for compatibility, rate of admin., necessity of infusion
pump, and serious adverse reactions
2. Never administer medications through tubing being used for blood administration
3. Implement standard precautions when performing and IV site change
4. Fluids should be infused within 24 hours to prevent infection (discard unused portion)
5. Maintain patency of IV access
Prevent Infiltration of IV site (3) - Correct Answer: 1. Use smallest catheter for prescribed
therapy
2. Stabilize port-access
3. Assess blood return
Treatment for Infiltrated IV (5) - Correct Answer: 1. Stop infusion
2. Remove peripheral catheters
3. Apply cold compress
4. Elevate extremity
5. Insert new catheter into opposite extremity
Prevent Extravasation of IV (1) - Correct Answer: 1. Know vesicant potential before giving med.
Treatment for Extravasated IV (5) - Correct Answer: 1. Stop infusion
2. Discontinue administration set
, 3. Aspirate drug if possible
4. Apply cold compress
5. Document condition of site (may photograph)
Infiltration - Correct Answer: When IV fluid or medication leaks into surrounding tissue
Extravasation - Correct Answer: Leakage of IV fluid or medication into the extravascular tissue
around the site of infusion
Phlebitis/Thrombophlebitis - Correct Answer: Inflammatory process that causes a blood clot to
form able block one or more vein
Prevent Phlebitis/Thrombophlebitis (3) - Correct Answer: 1. Rotate site every 72h-96h
2. Secure catheter
3. Use aseptic technique
Treatment for Phlebitis/Thrombophlebitis at IV site (4) - Correct Answer: 1. Stop infusion
2. Remove peripheral catheters
3. Apply heat compress
4. Insert new catheter in opposite extremity
Hematoma - Correct Answer: Localized bleeding outside of blood vessels
Prevent Hematoma at IV site (2) - Correct Answer: 1. Avoid veins not easily seen or palpated
2. Obtain hemostasis after insertion
Treatment for Hematoma at IV site (3) - Correct Answer: 1. Remove IV device
2. Apply light pressure if bleeding
