PROPHECY RN PHARMACOLOGY A
EXAM QUESTIONS AND ANSWERS
GRADED A+ 2025/2026
Which of the following medications is known to cause orange-colored urine? -
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? - 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: - 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? - ANS 400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may: -
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? - ANS Increase daily water intake
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Which of the following medications will crystalize when mixed with D5NS? - 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? - 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?
- 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? -
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: - 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? - 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: - ANS take the medication with a full glass of water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? - ANS Anti-
inflammatory, anti-pyretic, decrease platelet aggregation
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
EXAM QUESTIONS AND ANSWERS
GRADED A+ 2025/2026
Which of the following medications is known to cause orange-colored urine? -
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? - 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: - 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? - ANS 400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may: -
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? - ANS Increase daily water intake
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Which of the following medications will crystalize when mixed with D5NS? - 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? - 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?
- 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? -
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: - 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? - 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: - ANS take the medication with a full glass of water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? - ANS Anti-
inflammatory, anti-pyretic, decrease platelet aggregation
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
