Prophecy Relias RN Pharmacology A questions with answers. | Exams Nursing | Docsity (2024)

Download Prophecy Relias RN Pharmacology A questions with answers. and more Exams Nursing in PDF only on Docsity! Prophecy Relias RN Pharmacology A questions with answers What medication is a leukotriene receptor antagonist? - ANSWER: ✔✔Montelukast Which statement made by a person regarding hydrochlorothiazide (HCTZ) is correct? - ANSWER: ✔✔I should take extra care when standing up or changing positions. A 250mg dose of an oral medication has been ordered. The medication is supplied only in 100mg tablets. How many tablets would you administer? - ANSWER: ✔✔2.5 What medication is considered a potassium-sparing diuretic? - ANSWER: ✔✔spironolactione (Aldactone) You receive report from the off-going nurse that the person being cared for just received their fourth dose of IV vancomycin that was administered over 30 minutes. Upon assessment of them, you notice their face and neck are red and they are itching all over. What would you suspect? - ANSWER: ✔✔Red man syndrome due to a rapid infusion rate. 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: ✔✔nitroglycerin You are caring for a person with a capillary blood glucose of 33 mg/dL and they are unable to tolerate oral intake. Which of the following would you administer? - ANSWER: ✔✔dextrose 50% IV push A physician's written order for the person you are caring for is as follows: Insulin glargine (Lantus), 10 U, subQ QD. What changes would you suggest for safety and to avoid the use of "do not use" abbreviations? - ANSWER: ✔✔Spell out units and daily Which statement, if made by the person you are caring for, reflects the need for further education regarding a new prescriptions of warfarin (Coumadin)? - ANSWER: ✔✔If I get headaches, aspirin is my best options for pain A person is noted to have a penicillin allergy. What medication would you question of ordered by a physician? - ANSWER: ✔✔ceftriaxone You receive and order to start a Heparin drip at 18 units/kg/hr for a person weighing 75 kg. The heparin comes in a 500 mL bag with 25,000 units. what is the starting rate of the infusion? - ANSWER: ✔✔27 mL/hr The physician orders 0.5 mg/kg of a medications. The medication is supplied in a 10 mg/mL solution. The person you are caring for weighs 40 kg. How many mL of the drug would you administer?f - ANSWER: ✔✔2 mL A person with a hypothyroidism has a serum calcium level of 13 mg/dL. What medication would you expect to administer? - ANSWER: ✔✔Calcitonin A person you are caring for has a known GI bleed. What drug is contraindicated? - ANSWER: ✔✔enoxaparin (Lovenox) A person has been prescribed nitrofurantoin (Furadantin) for a UTI. What education would you provide for them? - ANSWER: ✔✔wash your mouth out after taking this medication to avoid staining of the teeth What is appropriate education to provide to a person who has received a new prescription for a PPI? - ANSWER: ✔✔You should not take this medicine at the same time as other medicines. 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 has been diagnosed with. chronic CHF and will be taking Lasix 80mg PO twice a day. When teaching about high Potassium foods in the diet, which group of foods would you recommend to the patient? - ANSWER: ✔✔Bananas, spinach, raisins pt with no known risk factors to TB would need further diagnostic testing to rule out TB if the mantoux test showed an induration of what size? - ANSWER: ✔✔>15 Which statement is CORRECT for determining you have the correct person before administering a drug? - ANSWER: ✔✔You should ask them to say their name and DOB and compare it to the MAR and wrist band Your patient is on a Morphine PCA. 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) You are educating a person about their new prescription for levothyroxine (Synthroid®). Which statement made by them requires correction? - ANSWER: ✔✔I should take this on a full stomach so I don't get nauseous MD orders 1000 mL of NS over 6 hrs. whats the rate? - ANSWER: ✔✔166.67 125 mcg is how many mg? - ANSWER: ✔✔0.125 mg A person is to receive 5mg/kg of medication. Patient weighs 80kg. What amount would you administer? - ANSWER: ✔✔400 mg pt has new order for dig. What would be assessed immediately before administering? - ANSWER: ✔✔Apical HR Which of the following is the antidote for Heparin? - ANSWER: ✔✔protamine sulfate lasix ordered at 50 mg IV push. On hand is 20 mg/mL. How many mL to give? - ANSWER: ✔✔2.5 .The person you are caring for is reviewing written instructions from their physician and see that they have 4 new medicines prescribed. They are primarily concerned with their migraine headaches and want to know which of the medicines will help with that. What medication might be used to treat their migraine headaches? - ANSWER: ✔✔Rizatriptan A person you are caring for tells you that they frequently take acetaminophen (Tylenol)at home. Which statement made by them is correct? - ANSWER: ✔✔I should pay close attention to OTC drug label so I don't take to much of Which of the following is considered an antiplatelet medication? - ANSWER: ✔✔clopidogrel (Plavix) The physician ordered atropine sulfate 0.6 mg IM before surgery. The medication is supplied in 0.8 mg/mL. How many mL would you administer? - ANSWER: ✔✔0.75 mL Which of the following medications is known to cause orange-colored urine? - ANSWER: ✔✔phenazopyridine (Pyridium) 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 anticoagulant is MOST commonly administered for DVT prophylaxis in a patient who has undergone a hip replacement? - ANSWER: ✔✔A)*WRONG* heparin B) enoxaparin C) aspirin D) warfarin 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 Which of the following medications will crystalize when mixed with D5NS? - ANSWER: ✔✔phenytoin (Dilantin) 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 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 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) 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 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 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