PROPHECY RELIAS RN PHARMACOLOGY A
ACTUAL EXAM PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ 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? Answer: Hold digoxin and call the
provider
◉ Normal Saline (NS) is the solution of choice over D5W when
preparing to administer a blood transfusion because: Answer: 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? Answer: 400mg
◉ Your patient taking digoxin (Lanoxin) has an AM Potassium level of
3.0. This level may: Answer: 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? Answer: Increase daily water intake
◉ Which of the following medications will crystalize when mixed with
D5NS? Answer: 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? Answer: 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? Answer: 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? Answer: 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: Answer: tinnitus
ACTUAL EXAM PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ 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? Answer: Hold digoxin and call the
provider
◉ Normal Saline (NS) is the solution of choice over D5W when
preparing to administer a blood transfusion because: Answer: 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? Answer: 400mg
◉ Your patient taking digoxin (Lanoxin) has an AM Potassium level of
3.0. This level may: Answer: 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? Answer: Increase daily water intake
◉ Which of the following medications will crystalize when mixed with
D5NS? Answer: 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? Answer: 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? Answer: 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? Answer: 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: Answer: tinnitus
