RELIAS RN PHARMACOLOGY TEST A ACTUAL EXAM LATEST
2024-2025 PHARMACOLOGY RELIAS TEST A REAL
. "Red Man" Syndrome may occur during the administration of vancomycin (Vancocin),
primarily due to - ansAn increase in histamine production
*WRONG* Which medication is used to treat iron toxicity? - ansA) digoxin immune fab
(Digibind)
B) Naloxone (Narcan)
C) Mephyton (Vitamin K)
D) *WRONG* deferoxamine (Digibind)
*WRONG* Which of the following anticoagulant is MOST commonly administered for
DVT prophylaxis in a patient who has undergone a hip replacement? - ansA)*WRONG*
heparin
B) enoxaparin
C) aspirin
D) warfarin
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? - anscalcintonin (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: - anstake the medication with a full
glass of water
A patient's capillary blood glucose reading is 33mg/dl. Which of the following
medications will the nurse administer if the patient is unable to tolerate PO? -
ansDextrose 50% IV push
A provider orders one liter of NS to be infused over four hours. At what rate would you
set the IV pump? - ans250ml/hr
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? -
ansAnti-inflammatory, anti-pyretic, decrease platelet aggregation
Convert 1.2 milligrams to micrograms - ans1200 mcg
Normal Saline (NS) is the solution of choice over D5W when preparing to administer a
blood transfusion because: - ansNormal 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? - ans400mg
,RELIAS RN PHARMACOLOGY TEST A ACTUAL EXAM LATEST
2024-2025 PHARMACOLOGY RELIAS TEST A REAL
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? - ansUse of nitroglycerin
Sildenaphil(viagra) is prescribed to treat a patient with erectile dysfuction. A nurse
reviews the patient's medical record and would question the prescription of which of the
following is noted in the history? - ansUse of Nitroglycerin
The dosage of which drug must be tapered off slowly to prevent acute adrenal
insufficiency? - ansprednisone (Deltasone)
The patient is diagnosed with multiple myeloma. The physician has ordered
cyclophosphamide (Cytoxan). Which instruction should be given to the patient? -
ansIncrease daily water intake
The patient is diagnosed with multiple Myeloma. The physician has ordered
cyclophosphamide (Cytoxan). Which instruction should be given to the patient? -
ansIncrease daily water intake
When a patient has pernicious anemia, the nurse would expect to give them: -
ansVitamin B12
When caring for a patient with a central line who is receiving TPN, what is the MOST
important action on the part of the nurse to prevent CLABSI? - ansPerform correct
sterile technique for dressing change at the CVC site
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: - anstinnitus
Which of the following is considered an antiplatelet medication? - ansclopidogrel
(Plavix)
Which of the following medications is known to cause orange-colored urine? -
ansphenazopyridine (Pyridium)
Which of the following medications should be held today considering that your patient
received IV contract two hours ago fir a CT scan? - ansMetformin (Glucophage)
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? - ansfamotidine (Pepcid)
Which of the following medications will crystalize when mixed with D5NS? -
ansphenytoin (Dilantin)
,RELIAS RN PHARMACOLOGY TEST A ACTUAL EXAM LATEST
2024-2025 PHARMACOLOGY RELIAS TEST A REAL
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? -
ansSpinach
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? - ans15 minutes
before meal arrives
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? -
ansHold digoxin and call the provider
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? - ansCheck infusion rate to confirm 6ml/hr, then notify
anesthesia provider
Your patient has been diagnosed with. chronic CHF and will be taking Lasix 80mg PO
twice a day. When teaching about high Potassium foods in the diet, which group of
foods would you recommend to the patient? - ansBananas, spinach, raisins
Your patient is on a Morphine PCA after a recent exploratory surgery. While doing your
rounds, you notice that your patient is slumped over, unresponsive, with delayed and
slow respirations. You suspect narcotic overdose. Which reversal medication would you
administer? - ansnaloxone (Narcan)
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: - ansIt can cause nephrotoxicity
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? - ans125ml/hr
Your patient presents with CHF and has a Potassium level of 5.8. Which diuretic do you
anticipate being ordered by the provider? - ansbumetanide (Bumex)
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may:
- ansIncrease risk of digoxin toxicity
Your patient, a Type 1 diabetic with a history of schizophrenia is exhibiting signs and
symptoms of tardive dyskinesia, Which of the following long-term medications is more
likely the etiology of the problem? - anschlorpromazine (Thorazine)
, RELIAS RN PHARMACOLOGY TEST A ACTUAL EXAM LATEST
2024-2025 PHARMACOLOGY RELIAS TEST A REAL
When implementing interventions at the systems-level of practice, the public health
nurse would:
a. Involve the entire community in solving the health problem.
b. Identify health problems in the community.
c. Change laws, policies, and practices that influence population-based issues.
d. Provide outreach services to populations at risk. - ANSANS: C
Systems-level practice consists of changing laws, policies, and practices that influence
population-based issues.
. Which statement regarding mutations is true?
a. Mutations in the DNA sequence occur on a regular basis.
b. Mutagens are a result of a mutation.
c. Environmental factors can be linked to many mutations.
d. Spontaneous mutations occur because of environmental exposure. - ANSANS: C
A large number of agents are known to cause mutations. These mutations are attributed
to known environmental causes. DNA replication is very accurate, thus, mutations do
not occur on a regular basis. Mutagens are the factors that cause mutations.
Spontaneous mutations occur naturally during DNA replication.
1. A home health case manager is charged with identifying opportunities for health
promotion and illness prevention. The fulfillment of this charge would best be
demonstrated when the case manager:
a. collaborates with a local chaplain to ensure that the spiritual needs of cancer clients
are addressed.
b. refers a new diabetic client to a nutrition counselor for dietary teaching.
c. teaches a school nurse how to care for a client who will be returning to school and will
require new asthma treatments.
d. tracks the immunization status of clients and facilitates access to immunization when
needed. - ANSANS: D
Case management involves assessment—in this case, screening—and arrangement for
delivery of services. Primary prevention includes case management to identify at-risk
clients and arrange for services to prevent disease. Through nurse management
activities, general community deficiencies in the quality or quantity of health services are
often discovered. Case management activities with individual clients and families will
reveal the broader picture of health services in and health status of the community.
Community assessment, policy development, and assurance activities that frame the
core functions of public health actions are often the logical next step in the nurse case
manager's practice to intervene at the community level to make changes. Therefore, the
core components of case management and the nursing process are complementary.
The nursing process function of assessment is complementary to the case management
2024-2025 PHARMACOLOGY RELIAS TEST A REAL
. "Red Man" Syndrome may occur during the administration of vancomycin (Vancocin),
primarily due to - ansAn increase in histamine production
*WRONG* Which medication is used to treat iron toxicity? - ansA) digoxin immune fab
(Digibind)
B) Naloxone (Narcan)
C) Mephyton (Vitamin K)
D) *WRONG* deferoxamine (Digibind)
*WRONG* Which of the following anticoagulant is MOST commonly administered for
DVT prophylaxis in a patient who has undergone a hip replacement? - ansA)*WRONG*
heparin
B) enoxaparin
C) aspirin
D) warfarin
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? - anscalcintonin (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: - anstake the medication with a full
glass of water
A patient's capillary blood glucose reading is 33mg/dl. Which of the following
medications will the nurse administer if the patient is unable to tolerate PO? -
ansDextrose 50% IV push
A provider orders one liter of NS to be infused over four hours. At what rate would you
set the IV pump? - ans250ml/hr
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? -
ansAnti-inflammatory, anti-pyretic, decrease platelet aggregation
Convert 1.2 milligrams to micrograms - ans1200 mcg
Normal Saline (NS) is the solution of choice over D5W when preparing to administer a
blood transfusion because: - ansNormal 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? - ans400mg
,RELIAS RN PHARMACOLOGY TEST A ACTUAL EXAM LATEST
2024-2025 PHARMACOLOGY RELIAS TEST A REAL
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? - ansUse of nitroglycerin
Sildenaphil(viagra) is prescribed to treat a patient with erectile dysfuction. A nurse
reviews the patient's medical record and would question the prescription of which of the
following is noted in the history? - ansUse of Nitroglycerin
The dosage of which drug must be tapered off slowly to prevent acute adrenal
insufficiency? - ansprednisone (Deltasone)
The patient is diagnosed with multiple myeloma. The physician has ordered
cyclophosphamide (Cytoxan). Which instruction should be given to the patient? -
ansIncrease daily water intake
The patient is diagnosed with multiple Myeloma. The physician has ordered
cyclophosphamide (Cytoxan). Which instruction should be given to the patient? -
ansIncrease daily water intake
When a patient has pernicious anemia, the nurse would expect to give them: -
ansVitamin B12
When caring for a patient with a central line who is receiving TPN, what is the MOST
important action on the part of the nurse to prevent CLABSI? - ansPerform correct
sterile technique for dressing change at the CVC site
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: - anstinnitus
Which of the following is considered an antiplatelet medication? - ansclopidogrel
(Plavix)
Which of the following medications is known to cause orange-colored urine? -
ansphenazopyridine (Pyridium)
Which of the following medications should be held today considering that your patient
received IV contract two hours ago fir a CT scan? - ansMetformin (Glucophage)
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? - ansfamotidine (Pepcid)
Which of the following medications will crystalize when mixed with D5NS? -
ansphenytoin (Dilantin)
,RELIAS RN PHARMACOLOGY TEST A ACTUAL EXAM LATEST
2024-2025 PHARMACOLOGY RELIAS TEST A REAL
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? -
ansSpinach
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? - ans15 minutes
before meal arrives
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? -
ansHold digoxin and call the provider
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? - ansCheck infusion rate to confirm 6ml/hr, then notify
anesthesia provider
Your patient has been diagnosed with. chronic CHF and will be taking Lasix 80mg PO
twice a day. When teaching about high Potassium foods in the diet, which group of
foods would you recommend to the patient? - ansBananas, spinach, raisins
Your patient is on a Morphine PCA after a recent exploratory surgery. While doing your
rounds, you notice that your patient is slumped over, unresponsive, with delayed and
slow respirations. You suspect narcotic overdose. Which reversal medication would you
administer? - ansnaloxone (Narcan)
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: - ansIt can cause nephrotoxicity
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? - ans125ml/hr
Your patient presents with CHF and has a Potassium level of 5.8. Which diuretic do you
anticipate being ordered by the provider? - ansbumetanide (Bumex)
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may:
- ansIncrease risk of digoxin toxicity
Your patient, a Type 1 diabetic with a history of schizophrenia is exhibiting signs and
symptoms of tardive dyskinesia, Which of the following long-term medications is more
likely the etiology of the problem? - anschlorpromazine (Thorazine)
, RELIAS RN PHARMACOLOGY TEST A ACTUAL EXAM LATEST
2024-2025 PHARMACOLOGY RELIAS TEST A REAL
When implementing interventions at the systems-level of practice, the public health
nurse would:
a. Involve the entire community in solving the health problem.
b. Identify health problems in the community.
c. Change laws, policies, and practices that influence population-based issues.
d. Provide outreach services to populations at risk. - ANSANS: C
Systems-level practice consists of changing laws, policies, and practices that influence
population-based issues.
. Which statement regarding mutations is true?
a. Mutations in the DNA sequence occur on a regular basis.
b. Mutagens are a result of a mutation.
c. Environmental factors can be linked to many mutations.
d. Spontaneous mutations occur because of environmental exposure. - ANSANS: C
A large number of agents are known to cause mutations. These mutations are attributed
to known environmental causes. DNA replication is very accurate, thus, mutations do
not occur on a regular basis. Mutagens are the factors that cause mutations.
Spontaneous mutations occur naturally during DNA replication.
1. A home health case manager is charged with identifying opportunities for health
promotion and illness prevention. The fulfillment of this charge would best be
demonstrated when the case manager:
a. collaborates with a local chaplain to ensure that the spiritual needs of cancer clients
are addressed.
b. refers a new diabetic client to a nutrition counselor for dietary teaching.
c. teaches a school nurse how to care for a client who will be returning to school and will
require new asthma treatments.
d. tracks the immunization status of clients and facilitates access to immunization when
needed. - ANSANS: D
Case management involves assessment—in this case, screening—and arrangement for
delivery of services. Primary prevention includes case management to identify at-risk
clients and arrange for services to prevent disease. Through nurse management
activities, general community deficiencies in the quality or quantity of health services are
often discovered. Case management activities with individual clients and families will
reveal the broader picture of health services in and health status of the community.
Community assessment, policy development, and assurance activities that frame the
core functions of public health actions are often the logical next step in the nurse case
manager's practice to intervene at the community level to make changes. Therefore, the
core components of case management and the nursing process are complementary.
The nursing process function of assessment is complementary to the case management
