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Relias RN Pharmacology Test A (Latest 2025 / 2026):
Most Comprehensive Qs & Ans - to Pass the Exam, 100% Verified
- A person you are caring for has a known gastrointestinal
bleed. What drug is contraindicated?Enoxaparin (Lovenox®) Pantoprazole (Protonix®) Ondansetron (Zofran®) Famotidine (Pepcid®) Enoxaparin
Answer : Enoxaparin (Lovenox®)
Feedback: Accurate. Enoxaparin, an anticoagulant, increases
bleeding risk and is contraindicated in active GI bleeding.Pantoprazole (PPI) reduces acid, ondansetron (anti-emetic) manages nausea, and famotidine (H2 blocker) reduces acid— none exacerbate bleeding.
- The provider orders 1 liter of NS to be infused over 6 hours.
At what rate would you set the IV pump?
166.67
Answer : 166.67 mL/hr
Feedback: Accurate. Calculation: 1000 mL ÷ 6 hr = 166.67 mL/hr. IV pumps typically use whole numbers, so 167 mL/hr would be practical, but the exact Answer is correct as stated.
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- We have an expert-written solution to this problem! Which
statement made by a person regarding hydrochlorothiazide (HCTZ) is correct?I should take extra care when standing up or changing positions
Answer : I should take extra care when standing up or
changing positions
Feedback: Accurate. HCTZ, a thiazide diuretic, can cause
orthostatic hypotension due to fluid loss, making caution with position changes appropriate.
- Normal Saline (NS) is the solution of choice over D5W when
preparing to administer a blood transfusion because:
Normal Saline is an isotonic solution and prevents cell hemolysis
Answer : Normal Saline is an isotonic solution and prevents
cell hemolysis
Feedback: Accurate. NS (0.9% NaCl) is isotonic (similar to
blood osmolarity), preventing red cell hemolysis. D5W (5% dextrose in water) is hypotonic and can cause hemolysis.
- You are educating a person about their new prescription for
levothyroxine (Synthroid®). Which statement made by them requires correction?
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I should take this on a full stomach so I don't get nauseous.
Answer : I should take this on a full stomach so I don’t get
nauseous
Feedback: Accurate. Levothyroxine should be taken on an
empty stomach (30-60 minutes before food) for optimal absorption. Taking it with food reduces efficacy, so this statement needs correction.
- You are educating a person about their prescription for
cyclosporine (Gengraf®) and a new diet with a potassium intake restriction. What food would you tell them to avoid?Mushrooms
Answer : Mushrooms
Feedback: Accurate. Mushrooms are high in potassium (e.g.,
~300-400 mg per 100 g), which should be avoided on a potassium-restricted diet, especially with cyclosporine, which can elevate potassium levels.
- A person is being treated for mild to moderate pain following
an orthopedic procedure. Which order would you question?Eplerenone (Inspra®) 25 mg tab PO daily for pain Acetaminophen (Ofirmev®) 650 mg IV every 6 hours for pain Oxycodone (Roxycodone®) 5 mg tab PO every 4 hours as needed for pain
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Celecoxib (Celebrex®) 200 mg cap daily for pain Acetaminophen (Ofirmev®) 650 mg IV every 6 hours for pain
Answer : Eplerenone (Inspra®) 25 mg tab PO daily for pain
Feedback: Accurate. Eplerenone, a potassium-sparing diuretic,
is used for hypertension or heart failure, not pain. The other options (acetaminophen, oxycodone, celecoxib) are appropriate analgesics.
- A person has been diagnosed with diabetes and prescribed an
oral antihyperglycemic agent. What statement made by them indicates that they adequately understand the symptoms of hypoglycemia?If I have sweating, shakes, nervousness, increased heart rate, or headache, my sugar might be low because of my new medicine.
Answer : If I have sweating, shakes, nervousness, increased
heart rate, or headache, my sugar might be low because of my new medicine
Feedback: Accurate. These are classic hypoglycemia
symptoms (sweating, tremors, anxiety, tachycardia, headache), correctly linked to the antihyperglycemic agent’s effect on blood sugar.
- What medication is considered a potassium-sparing diuretic?
Spirinolactone