PROPHECY RN PHARMACOLOGY LATEST

PROPHECY RN PHARMACOLOGY LATEST

2023-2024 REAL EXAM QUESTIONS AND

CORRECT ANSWERS(VERIFIED

ANSWERS)|AGRADE

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

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 of f 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 vomiting? 1 / 3

tinnitus

Correct Ans:- 2 / 3

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:

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)

• Naloxone

(Narcan) C) Mephyton (Vitamin K)

• *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)

Correct Ans:- take

A nurse is caring for a patient with hyperparathyroidism and notes that

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