RELIAS RN PHARMACOLOGY EXAM

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RELIAS RN PHARMACOLOGY EXAM|| ACTUAL E e e e e e



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. "Red Man" Syndrome may occur during the administration of vancomycin (Vancoci
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n), primarily due to - ANSWER: an increase in histamine production
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*WRONG* which medication is used to treat iron toxicity? -
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ANSWER: A)digoxin immune fab (Digibind)
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B) Naloxone (Narcan) e




C) Mephyton (Vitamin K) e e




D) *WRONG* deferoxamine (Digibind) e e




*WRONG* which of the following anticoagulant is MOST commonly administered
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for DVT prophylaxis in a patient who has undergone a hipreplacement? -
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ANSWER: A)*WRONG* heparin
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B) Enoxaparin
C) Aspirin
D) Warfarin


A nurse is caring for a patient with hyperparathyroidism and notes that the patient'sser
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um calcium level is 13mg/dl. Which medication should the nurse prepare to administ
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er as prescribed to the patient? - ANSWER: calcintonin (Miacalcin)
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A patient has a prescription to take Guaifenesin (Mucinex) every 4 hours, as needed.
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The nurse determines that the patient understands the MOST effective use
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of the medication if the patient states that he or she will: -
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ANSWER: take themedication with a full glass of water
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A patient's capillary blood glucose reading is 33mg/dl. Which of the followingmedica
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tions will the nurse administer if the patient is unable to tolerate PO? -
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eANSWER: Dextrose 50% IV push e e e e




A provider orders one liter of NS to be infused over four hours. At what rate wouldyou
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set the IV pump? - ANSWER: 250ml/hr
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Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects?
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- ANSWER: Anti-inflammatory, anti-pyretic, decrease platelet aggregation
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Convert 1.2 milligrams to micrograms - ANSWER: 1200 mcg
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Normal Saline (NS) is the solution of choice over D5W when preparing to administer
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a blood transfusion because: -
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ANSWER: Normal Saline is an isotonicsolution and prevents cell hemolysis
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Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much wouldyo
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u administer? - ANSWER: 400mg
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Sildenafil (Viagra) is prescribed to treat a patient with erectile dysfunction. A nursere
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views the patient's medical record and would question the prescription if which of the
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following is noted in the history? - ANSWER: Use of nitroglycerin
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Sildenaphil (viagra) is prescribed to treat a patient with erectile dysfunction. A nurse r
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eviews the patient's medical record and would question the prescription ofwhich of th
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e following is noted in the history? - ANSWER: Use of Nitroglycerin
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The dosage of which drug must be tapered off slowly to prevent acute adrenalinsuffici
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ency? - ANSWER: prednisone (Deltasone)
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The patient is diagnosed with multiple myeloma. The physician has ordered cyclop
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hosphamide (Cytoxan). Which instruction should be given to the patient? -
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ANSWER: Increase daily water intake
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The patient is diagnosed with multiple Myeloma. The physician has ordered cyclop
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hosphamide (Cytoxan). Which instruction should be given to the patient? -
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ANSWER: Increase daily water intake
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When a patient has pernicious anemia, the nurse would expect to give them: -
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ANSWER: Vitamin B12
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When caring for a patient with a central line who is receiving TPN, what is the MOST
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important action on the part of the nurse to prevent CLABSI? -
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eANSWER:Perform correct sterile technique for dressing change at the CVC site
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When teaching a new nurse on how to administer IV push furosemide (Lasix), you emp
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hasize that it should be given over two minutes to avoid: - ANSWER: tinnitus
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Which of the following is considered an antiplatelet medication? - ANSWER:
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clopidogrel (Plavix) e




Which of the following medications is known to cause orange-colored urine? -
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ANSWER: phenazopyridine (Pyridium)
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Which of the following medications should be held today considering that your patie
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nt received IV contract two hours ago fir a CT scan? -
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ANSWER: Metformin(Glucophage)
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Which of the following medications should be questioned by the nurse, if ordered by t
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he provider to treat a patient's complaint of nausea and vomiting? -
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ANSWER:famotidine (Pepcid)
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Which of the following medications will crystalize when mixed with D5NS? -
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ANSWER: phenytoin (Dilantin)
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While delivering the lunch tray of a patient who is taking warfarin (Coumadin), thenur
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se notices diversity of food items. Which of the following foods would be a concern? -
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ANSWER: Spinach
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You are caring for a patient with diabetes. Humalog insulin is ordered via slidingscale
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AC and HS. When is the best time to administer Humalog insulin? -
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ANSWER: 15 minutes before meal arrives
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You are ordered to give digoxin. Your patient's vital signs are as follows: Blood Press
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ure 130/75, Temp 97.9 oral, HR 52, O2 Sat 100% room air. What should youdo next?
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- ANSWER: Hold digoxin and call the provider
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Your patient has an epidural infusing hydromorphone with bupivacaine at 6ml/hr co
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ntinuously. The patient's blood pressure at the beginning of your shift was 92/58with
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a heart rate of 68. You noticed the patient's blood pressures have been around130/70.
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What should you do FIRST? -
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ANSWER: Check infusion rate to confirm6ml/hr, then notify anesthesia provider
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