Prophecy RN Pharmacology A Exam
Questions With Correct Answers
Which |of |the |following |medications |is |known |to |cause |orange-colored |urine? | | | | | | | |Correct
|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? | | | | | | |
|Correct |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: | | | | | | | |Correct |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? | | | | | | | |Correct |Ans:- | |400mg
Your |patient |taking |digoxin |(Lanoxin) |has |an |AM |Potassium |level |of |3.0. |This |level |may: | | | |
| | | |Correct |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? | | | | | | |
|Correct |Ans:- | |Increase |daily |water |intake
Which |of |the |following |medications |will |crystalize |when |mixed |with |D5NS? | | | | | | | |Correct
|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? | | | | | | | |Correct |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? | | | | | | | |Correct |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? | | | | | | | |Correct |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: | | | | | | | |Correct |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? | | | | | | | |Correct |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: | | | | | | | |Correct |Ans:- | |take |the |medication |with |a |full
|glass |of |water
Acetylsalicylic |acid |(Aspirin) |has |which |of |the |following |pharmacological |effects? | | | | | | |
|Correct |Ans:- | |Anti-inflammatory, |anti-pyretic, |decrease |platelet |aggregation
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? | | | | | | | |Correct |Ans:- | |125ml/hr
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? | | | | | | | |Correct |Ans:- | |Use |of |nitroglycerin
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? | | | | | | |
|Correct |Ans:- | |Spinach
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: | | | | | | | |Correct |Ans:- | |It |can |cause |nephrotoxicity
Convert |1.2 |milligrams |to |micrograms | | | | | | | |Correct |Ans:- | |1200 |mcg
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? | | | | | | | |Correct |Ans:- | |15
|minutes |before |meal |arrives
A |provider |orders |one |liter |of |NS |to |be |infused |over |four |hours. |At |what |rate |would |you
|set |the |IV |pump? | | | | | | | |Correct |Ans:- | |250ml/hr
*WRONG* |Which |medication |is |used |to |treat |iron |toxicity? | | | | | | | |Correct |Ans:- | |A) |digoxin
|immune |fab |(Digibind)
B) |Naloxone |(Narcan)
C) |Mephyton |(Vitamin |K)
D) |*WRONG* |deferoxamine |(Digibind)
Your |patient |presents |with |CHF |and |has |a |Potassium |level |of |5.8. |Which |diuretic |do |you
|anticipate |being |ordered |by |the |provider? | | | | | | | |Correct |Ans:- | |bumetanide |(Bumex)
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? | | | | | | | |Correct |Ans:- | |naloxone |(Narcan)
Questions With Correct Answers
Which |of |the |following |medications |is |known |to |cause |orange-colored |urine? | | | | | | | |Correct
|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? | | | | | | |
|Correct |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: | | | | | | | |Correct |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? | | | | | | | |Correct |Ans:- | |400mg
Your |patient |taking |digoxin |(Lanoxin) |has |an |AM |Potassium |level |of |3.0. |This |level |may: | | | |
| | | |Correct |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? | | | | | | |
|Correct |Ans:- | |Increase |daily |water |intake
Which |of |the |following |medications |will |crystalize |when |mixed |with |D5NS? | | | | | | | |Correct
|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? | | | | | | | |Correct |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? | | | | | | | |Correct |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? | | | | | | | |Correct |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: | | | | | | | |Correct |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? | | | | | | | |Correct |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: | | | | | | | |Correct |Ans:- | |take |the |medication |with |a |full
|glass |of |water
Acetylsalicylic |acid |(Aspirin) |has |which |of |the |following |pharmacological |effects? | | | | | | |
|Correct |Ans:- | |Anti-inflammatory, |anti-pyretic, |decrease |platelet |aggregation
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? | | | | | | | |Correct |Ans:- | |125ml/hr
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? | | | | | | | |Correct |Ans:- | |Use |of |nitroglycerin
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? | | | | | | |
|Correct |Ans:- | |Spinach
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: | | | | | | | |Correct |Ans:- | |It |can |cause |nephrotoxicity
Convert |1.2 |milligrams |to |micrograms | | | | | | | |Correct |Ans:- | |1200 |mcg
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? | | | | | | | |Correct |Ans:- | |15
|minutes |before |meal |arrives
A |provider |orders |one |liter |of |NS |to |be |infused |over |four |hours. |At |what |rate |would |you
|set |the |IV |pump? | | | | | | | |Correct |Ans:- | |250ml/hr
*WRONG* |Which |medication |is |used |to |treat |iron |toxicity? | | | | | | | |Correct |Ans:- | |A) |digoxin
|immune |fab |(Digibind)
B) |Naloxone |(Narcan)
C) |Mephyton |(Vitamin |K)
D) |*WRONG* |deferoxamine |(Digibind)
Your |patient |presents |with |CHF |and |has |a |Potassium |level |of |5.8. |Which |diuretic |do |you
|anticipate |being |ordered |by |the |provider? | | | | | | | |Correct |Ans:- | |bumetanide |(Bumex)
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? | | | | | | | |Correct |Ans:- | |naloxone |(Narcan)
