2024 RN PHARMACOLOGY A EXAM WITH 5
VERSIONS (A,B,C,D,E) QUESTIONS & CORRECT
ANSWERS LATEST 2024 EXAM
A Which of the following medications is known to cause orange-colored urine? - ANSWER-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? - ANSWER-Hold digoxin and call the provider
Normal Saline (NS) is the solution of choice over D5W when preparing to
administer a blood transfusion because: - ANSWER-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? - ANSWER-400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This
level may: - ANSWER-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? - ANSWER-Increase daily water intake
Which of the following medications will crystalize when mixed with D5NS? - ANSWER-phenytoin (Dilantin) 1 / 3
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? - ANSWER- 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? - ANSWER-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? - ANSWER-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: - ANSWER-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? - ANSWER-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: - ANSWER-take the
medication with a full glass of water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects?
- ANSWER-Anti-inflammatory, anti-pyretic, decrease platelet aggregation
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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? - ANSWER-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? - ANSWER-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? - ANSWER-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: - ANSWER-It can cause nephrotoxicity
Convert 1.2 milligrams to micrograms - ANSWER-1200 mcg
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? - ANSWER-
wrong answer: Change IV tubing and perform CVC dressing on patient every 36
hours
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? - ANSWER-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? - ANSWER-250ml/hr
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