QUESTIONS AND ANSWERS

QUESTIONS AND ANSWERS

Exam

ACG CXA QUESTIONS WITH

TESTED AND CONFIRMED ANSWERS

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 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)

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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

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

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

*WRONG* Which medication is used to treat iron toxicity? - ANSWER>>>A) digoxin immune fab (Digibind)

• Naloxone (Narcan)
• 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? - ANSWER>>>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? - ANSWER>>>naloxone (Narcan)

A patient's capillary blood glucose reading is 33mg/dl. Which of the following medications will the nurse administer if the patient is unable to tolerate PO? - ANSWER>>>Dextrose 50% IV push

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