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:
vomiting? Correct
tinnitus
Correct Ans:-
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)
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)
Correct Ans:- take
A nurse is caring for a patient with hyperparathyroidism and notes that
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