Relias Rn Pharmacology A Exam 2025/2026 Accurate Questions With Correct Detailed Answers || 100% Guaranteed Pass Recent Version

RELIAS RN PHARMACOLOGY A EXAM 2025/2026 ACCURATE QUESTIONS WITH CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS RECENT VERSION 1. A person you are caring for reports difficulty swallowing their metoprolol succinate (Toprol XL®) 50 mg. They ask if the medication can be crushed and mixed with oatmeal. What would be your BEST response? - ANSWER Wrong Use cold water instead of warm to facilitate your swallowing. That is not safe because it will be released more quickly than intended. 2. A person you are caring for has been taking a medication for more than 10 years. They report that it does not seem to be working anymore. What would be your BEST response? - ANSWER That happens sometimes. As we age, changes in our body may alter how a medication works. 3. When should antacids be administered in relation to iron? - ANSWER 2 hours before or after iron 4. A person you are caring for reports that trazadone (Desyrel®) is not helping them sleep. What do you anticipate the provider to order NEXT? - ANSWER Zolpidem 5. What is a common side effect of pantoprazole (Protonix®)? - ANSWER Head ache or diarrhea 6. A person you are caring for has new onset vomiting. What medication would you anticipate the provider to order? - ANSWER 7. What medication is likely to cause constipation - ANSWER Wrong ASA 8. A person you are caring for has a potassium level of 6.2. What medication would you anticipate? - ANSWER 9. What is the MOST effective medication to treat HIV? - ANSWER Wrong atb antiviral 10. Ramipirl (Altace®) 1.25 mg is ordered daily. The only available tablet strength is 625 mcg. What amount would you administer? - ANSWER 2 tab 625x2 1.25mg 11. A person you are caring for is prescribed mirtazapine (Remeron®). What medication class is contraindicated? - ANSWER Mao 12. A person you are caring for asks why they are taking phenytoin (Dilantin®). What would be your BEST response? - ANSWER Seizure 13. Which is an antiplatelet medication? - ANSWER Clopidogrel 14. The provider orders heparin 5 units/kg subcutaneously. The person you are caring for weighs 165 pounds. How many units would you administer? - ANSWER 375 15. A person you are caring for asks why they are taking omeprazole (Prilosec®). What would be your BEST response? - ANSWER Acid reflux 16. You are caring for a person who takes Norco 7.5/325 mg and extra strength acetaminophen (Tylenol®). What education is MOST important? - ANSWER Rotate the Norco and acetaminophen around the clock to maintain pain control. 17. A person you are caring for has new onset vomiting. What medication would you anticipate the provider to order? - ANSWER Phenergan what medication is a leukotriene receptor antagonist? - ANSWER Montelukast 18. Which statement made by a person regarding hydrochlorothiazide (HCTZ) is correct? - ANSWER I should take extra care when standing up or changing positions. 19. A 250mg dose of an oral medication has been ordered. The medication is supplied only in 100mg tablets. How many tablets would you administer? - ANSWER 2.5 20. What medication is considered a potassium-sparing diuretic? - ANSWER spironolactione (Aldactone) 21. You receive report from the off-going nurse that the person being cared for just received their fourth dose of IV vancomycin that was administered over 30 minutes. Upon assessment of them, you notice their face and neck are red and they are itching all over. What would you suspect? - ANSWER Red man syndrome due to a rapid infusion rate. 22. Which of the following would you question if prescribed for a person taking sildenafil (Viagra? - ANSWER nitroglycerin 23. You are caring for a person with a capillary blood glucose of 33 mg/dL and they are unable to tolerate oral intake. Which of the following would you administer? - ANSWER dextrose 50% IV push 24. A physician's written order for the person you are caring for is as follows: Insulin glargine (Lantus), 10 U, subQ QD. What changes would you suggest for safety and to avoid the use of "do not use" abbreviations? - ANSWER spell out units and daily 25. Which statement, if made by the person you are caring for, reflects the need for further education regarding a new prescriptions of warfarin (Coumadin)? - ANSWER If I get headaches, aspirin is my best options for pain 26. A person is noted to have a penicillin allergy. What medication would you question of ordered by a physician? - ANSWER ceftriaxone 27. You receive and order to start a Heparin drip at 18 units/kg/hr for a person weighing 75 kg. The heparin comes in a 500 mL bag with 25,000 units. what is the starting rate of the infusion? - ANSWER 27 mL/hr 28. The physician orders 0.5 mg/kg of a medications. The medication is supplied in a 10 mg/mL solution. The person you are caring for weighs 40 kg. How many mL of the drug would you administer?f - ANSWER 2 mL 29. A person with a hypothyroidism has a serum calcium level of 13 mg/dL. What medication would you expect to administer? - ANSWER Calcitonin 30. A person you are caring for has a known GI bleed. What drug is contraindicated? - ANSWER enoxaparin (Lovenox) 31. A person has been prescribed nitrofurantoin (Furadantin) for a UTI. What education would you provide for them? - ANSWER wash your mouth out after taking this medication to avoid staining of the teeth 32. What is appropriate education to provide to a person who has received a new prescription for a PPI? - ANSWER You should not take this medicine at the same time as other medicines. 33. Your patient presents with CHF and has a Potassium level of 5.8. Which diuretic do you anticipate being ordered by the provider? - ANSWER NOT amiloride 34. Your patient has been diagnosed with chronic CHF and will be taking Lasix 80 mg PO twice a day. When teaching about high Potassium foods in the diet, which group of foods would you recommend to the patient? - ANSWER NOT tofu, red meat, beans 35. which medication would you question if ordered by the provider to treat a person that is complaining of nausea and vomiting? - ANSWER famotidine 36. shortly after administering an IV med, person complains of itching and feeling flushed. Hives begun to form on chest. What is the best intervention? - ANSWER Administer PRN IV diphenhydramine and notify MD 37. Patient refuses a dose of IV medication. What is the MOST approriate action? - ANSWER document the refusal and notify the MD 38. you receive an order to administer 1 tsp of an elixir. What amount of elixir will you prepare? - ANSWER 39. pt has central line who is receiving TPN. What is the most important action to prevent CLABSI? - ANSWER perform correct sterile technique 40. order placed for sublingual medication. Pt has NG. what is the most appropriate action? - ANSWER administer the med 41. pt was prescribed a corticosteroid inhaler. What would you include when educating them on the medication? - ANSWER rinse mouth 42. what medication is incompatible with LR - ANSWER diazepam 43. new onset dysrhythmia. What medication might be prescribed for this condition? - ANSWER diltiazem 44. you are educating your patient for cyclosporine and a new diet with a potassium intake restriction. What food would you tell them to avoid? - ANSWER raisins 45. pt being treated for pain s/p ortho procedure. what order would you question? - ANSWER eplerenone 46. order for 4 mg of dexamethasone IV push. The med is supplied in 10mg/mL vial. How many mL do you give? - ANSWER 0.4 mL 47. pt is on a morphine PCA without a basal infusion rate and is afraid of overdosing. what ed do you provide? - ANSWER small dose is delivered only when you push the trigger button 48. pt has been diagnosted with diabetes and has oral meds ordered. What statement indicates understanding of s&s of hypoglycemia? - ANSWER sweating, shakes, nervouseness 49. what class of med would you expect ordered for a person with acid reflux? - ANSWER PPI 50. pt has epidural infusing at 6mL/hr. begining BP was 92/58 and now their BP is 130/70. what would you do FIRST? - ANSWER NOT :::: ask the person to rate their pain 51. order to give digoxin now. HR is 52. what do you do next? - ANSWER hold dig and call MD 52. What is the primary cause of Red man syndrome? - ANSWER increased histamine production 53. why would NS be the solution of choice when preparing to administer a blood transfusion? - ANSWER NS is isotonic 54. pt with no known risk factors to TB would need further diagnostic testing to rule out TB if the mantoux test showed an induration of what size? - ANSWER ??? 55. what statement is correct for determining you have the correct pt before adminstering a drug? - ANSWER ask them to state their name and DOB and compare it to the MAR and wrist band 56. pt is on morphine PCA and is unresponsive. You suspect narcotic OD. what med to give? - ANSWER narcan 57. Pt has new script for levothyroxine. What statement made by them is correct? - ANSWER NOT ::: take at the same time everyday. 58. MD orders 1000 mL of NS over 6 hrs. whats the rate? - ANSWER 166.67 59. 125 mcg is how many mg? - ANSWER 0.125 mg 60. pt to receive 5 mg/kg of medication. They weigh 80 kg. how much to give? - ANSWER 400 mg 61. pt has new order for dig. What would be assessed immediately before administering? - ANSWER Apical HR 62. antidote for heparin - ANSWER protamine sulfate 63. lasix ordered at 50 mg IV push. On hand is 20 mg/mL. How many mL to give? - ANSWER 2.5 64. pt has 4 new scripts and wants to know which one will help with migraines. - ANSWER Rizatriptan 65. pt says they frequently take tylenol at home. which statement is correct? - ANSWER I should pay attention to OTC drug label 66. which med is antiplatelet? - ANSWER clopidogrel 67. MD ordered atropine sulfate 0.6 mg IM before surgery. med is supplied in 0.8 mg/mL. How many mL to give? - ANSWER 0.75 mL 68. A person you are caring for reports difficulty swallowing their metoprolol succinate (Toprol XL®) 50 mg. They ask if the medication can be crushed and mixed with oatmeal. What would be your BEST response? - ANSWER Wrong :Use cold water instead of warm to facilitate your swallowing. 69. When educating about diltiazem (Cardizem®), what side effect would you teach to expect? - ANSWER Wrong: unusual bruising 70. Which is NOT a risk of polypharmacy? - ANSWER Wrong Drug interactions Reduce adherence 71. What is the MOST effective medication to treat HIV? - ANSWER Antiretroviral 72. A person you are caring for has pernicious anemia. What would be the MOST common treatment? - ANSWER B12 inj 73. A person you are caring for has an egg allergy. What would you educate them on regarding the flu vaccine? - ANSWER Some flu vaccines are made without using eggs and are safe. 74. What education would you provide for prescriptions of budesonide (Pulmicort®) and formoterol (Symbicort®)? - ANSWER Rinse mouth 75. A person you are caring for has a gastrointestinal bleed. What medication is contraindicated? - ANSWER Enoxaoarin 76. A person you are caring for is prescribed alprazolam (Xanax®) and diazepam (Valium®). What would be your BEST action? - ANSWER Notify provider 77. A person you are caring for has a methicillin-resistant staphylococcus aureus (MRSA) infection. What personal protective equipment would you don prior to medication administration? - ANSWER Gown gloves 78. When should magnesium hydroxide (Milk of Magnesia®) be administered? - ANSWER Wrong:4 hours before going to sleep 79. Who is MOST likely to have problems from polypharmacy? - ANSWER Wrong A person who does not have a list of their current prescriptions 80. You are caring for a person with nausea and vomiting. What is NOT an appropriate medication? - ANSWER Famotidine 81. A person you are caring for is starting a bronchodilator and steroid metered dose inhaler. What would you include in their education? - ANSWER WrongUse the steroid first followed by the bronchodilator. 82. You are caring for a person who takes Norco 7.5/325 mg and extra strength acetaminophen (Tylenol®). What education is MOST important? - ANSWER Wrong Take the Norco and acetaminophen with food to avoid GI upset 83. Antacids - ANSWER Antacids are used to chemically react with and neutralize the acid in the stomach. They can provide rapid relief from increased acid levels. They are known to cause GI alterations such as diarrhea or constipation and can alter the absorption of many drugs. 84. Antacids: Generic and Brand Names - ANSWER Here is a list of the most commonly encountered antacids and their brand names. ClassificationGeneric nameBrand nameAntacidsaluminum saltsAlternaGELcalcium saltsOystercal, TumsmagaldrateLosopan, Riopanmagnesium saltsMilk of Magnesia, otherssodium bicarbonateBell-ans 85. What are antacids? - ANSWER Antacids are a group of inorganic chemicals that neutralize stomach acid. Antacids are available OTC, and many patients use them to self-treat a variety of GI symptoms. The choice of an antacid depends on adverse effects and absorption factors. 86. Antacids Therapeutic actions - ANSWER The desired actions of antacids include the following: Neutralize stomach acid by direct chemical reaction. Symptomatic relief of an upset stomach associated with hyperacidity, as well as the hyperacidity associated with peptic ulcer, gastritis, peptic esophagitis, gastric hyperacidity, and hiatal hernia. 87. Antacids Contraindications and Cautions - ANSWER The following are contraindications and cautions when using antacids: Allergy. The antacids are contraindicated in the presence of any known allergy to antacid products or any component of the drug to prevent hypersensitivity reactions. Co-morbidities. Caution should be used in the following instances: any condition that can be exacerbated by electrolyte or acid-based imbalance to prevent exacerbations and serious adverse effects; any electrolyte imbalance , which could be exacerbated by the electrolyte-changing effects of these drugs; GI obstruction which could cause systemic absorption of the drugs and increase adverse effects; renal dysfunction, which could lead to electrolyte disturbance if any absorbed antacid is neutralized properly. Pregnancy and lactation. Antacids are contraindicated for pregnant and lactating women because of the potential for adverse effects on the fetus or neonate. 88. Histamine-2 (H2) receptor antagonists - ANSWER Histamine-2 (H2) receptor antagonists block the release of acid in response to gastrin or parasympathetic release. 89. Histamine-2 Antagonist: Generic and Brand Names - ANSWER Here is a table of the most commonly used H2 antagonists. ClassificationGeneric nameBrand nameHistamine-2 antagonistscimetidineTagametranitidineZantacfamotidinePepcidnizatidineA xid 90. H2 blockers Therapeutic actions - ANSWER The desired actions of H2 antagonists include the following: Selectively block H2 receptors located on the parietal cells. Prevents the release of gastrin, a hormone that causes local release of histamine (due to stimulation of histamine receptors), ultimately blocking the production of hydrochloric acid. Decreases pepsin production by the chief cells. 91. Proton Pump Inhibitors - ANSWER The gastric acid pump or proton pump inhibitors suppress gastric acid secretion by specifically inhibiting the hydrogen-potassium adenosine triphosphate enzyme system on the secretory surface of the gastric parietal cells. 92. Proton Pump Inhibitors: Generic and Brand Names - ANSWER Here is a table of the most commonly encountered proton pump inhibitor: ClassificationGeneric nameBrand nameProton pump inhibitorsdexlansoprazoleKapidexesomeprazoleNexiumlansoprazolePrevaci domeprazolePrilosecpantoprazoleProtonixrabeprazoleAciphex 93. What are Proton Pump Inhibitors? - ANSWER Proton pump inhibitors suppress the secretion of hydrochloric acid into the lumen of the stomach.