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RELIAS RN PHARMACOLOGY EXAM
2024 ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS
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A person has been prescribed nitrofurantoin (Furadantin) for a UTI. What education would you provide for them? -------CORRECT 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? -------CORRECT 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? -------CORRECT ANSWER----------NOT amiloride Your patient has been diagnosed with chronic CHF and will be taking Lasix 80 mg PO twice a day. When teaching about high Potassium foods in the diet, which group of foods would you recommend to the patient? ------- CORRECT ANSWER----------NOT tofu, red meat, beans
which medication would you question if ordered by the provider to treat a person that is complaining of nausea and vomiting? -------CORRECT ANSWER----------famotidine shortly after administering an IV med, person complains of itching and feeling flushed. Hives begun to form on chest. What is the best intervention? -------CORRECT ANSWER----------Administer PRN IV diphenhydramine and notify MD Patient refuses a dose of IV medication. What is the MOST approriate action? -------CORRECT ANSWER----------document the refusal and notify the MD pt has central line who is receiving TPN. What is the most important action to prevent CLABSI? -------CORRECT ANSWER----------perform correct sterile technique order placed for sublingual medication. Pt has NG. what is the most appropriate action? -------CORRECT ANSWER----------administer the med pt was prescribed a corticosteroid inhaler. What would you include when educating them on the medication? -------CORRECT ANSWER----------rinse mouth what medication is incompatible with LR -------CORRECT ANSWER---------- diazepam
Which of the following would you question if prescribed for a person taking sildenafil (Viagra? -------CORRECT 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? -------CORRECT 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? ------- CORRECT 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)? -------CORRECT 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? -------CORRECT 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? -------CORRECT 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 -------CORRECT ANSWER----------2 mL A person with a hypothyroidism has a serum calcium level of 13 mg/dL. What medication would you expect to administer? -------CORRECT ANSWER----------Calcitonin A person you are caring for has a known GI bleed. What drug is contraindicated? -------CORRECT ANSWER----------enoxaparin (Lovenox) pt being treated for pain s/p ortho procedure. what order would you question? -------CORRECT ANSWER----------eplerenone order for 4 mg of dexamethasone IV push. The med is supplied in 10mg/mL vial. How many mL do you give? -------CORRECT ANSWER------- ---0.4 mL pt is on a morphine PCA without a basal infusion rate and is afraid of overdosing. what ed do you provide? -------CORRECT ANSWER---------- small dose is delivered only when you push the trigger button pt has been diagnosted with diabetes and has oral meds ordered. What statement indicates understanding of s&s of hypoglycemia? ------- CORRECT ANSWER----------sweating, shakes, nervouseness
pt is on morphine PCA and is unresponsive. You suspect narcotic OD. what med to give? -------CORRECT ANSWER----------narcan Pt has new script for levothyroxine. What statement made by them is correct? -------CORRECT ANSWER----------NOT ::: take at the same time everyday. MD orders 1000 mL of NS over 6 hrs. whats the rate? -------CORRECT ANSWER----------166. 125 mcg is how many mg? -------CORRECT ANSWER----------0.125 mg pt to receive 5 mg/kg of medication. They weigh 80 kg. how much to give? - ------CORRECT ANSWER----------400 mg pt has new order for dig. What would be assessed immediately before administering? -------CORRECT ANSWER----------Apical HR antidote for heparin -------CORRECT ANSWER----------protamine sulfate lasix ordered at 50 mg IV push. On hand is 20 mg/mL. How many mL to give? -------CORRECT ANSWER----------2.
pt has 4 new scripts and wants to know which one will help with migraines. -------CORRECT ANSWER----------Rizatriptan pt says they frequently take tylenol at home. which statement is correct? --- ----CORRECT ANSWER----------I should pay attention to OTC drug label which med is antiplatelet? -------CORRECT ANSWER----------clopidogrel MD ordered atropine sulfate 0.6 mg IM before surgery. med is supplied in 0.8 mg/mL. How many mL to give? -------CORRECT ANSWER----------0. mL Which of the following medications is known to cause orange-colored urine? --------CORRECT 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 100% room air. What should you do next? --------CORRECT 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: --------CORRECT 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? --------CORRECT ANSWER--------------400mg
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 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? --------CORRECT 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: -------
- CORRECT ANSWER--------------take the medication with a full glass of water Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? --------CORRECT 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? --------CORRECT 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? -------- CORRECT 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? --------CORRECT 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: --------CORRECT ANSWER--------------It can cause nephrotoxicity Convert 1.2 milligrams to micrograms --------CORRECT 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? --------CORRECT 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? --------CORRECT ANSWER-------------- 250ml/hr WRONG Which medication is used to treat iron toxicity? -------- CORRECT ANSWER--------------A) digoxin immune fab (Digibind) B) Naloxone (Narcan) C) Mephyton (Vitamin K) D) WRONG deferoxamine (Digibind)
Sildenaphil(viagra) is prescribed to treat a patient with erectile dysfuction. A nurse reviews the patient's medical record and would question the prescription of which of the following is noted in the history? -------- CORRECT ANSWER--------------Use of Nitroglycerin Which of the following medications should be held today considering that your patient received IV contract two hours ago fir a CT scan? -------- CORRECT ANSWER--------------Metformin (Glucophage) The patient is diagnosed with multiple Myeloma. The physician has ordered cyclophosphamide (Cytoxan). Which instruction should be given to the patient? --------CORRECT ANSWER--------------Increase daily water intake Your patient, a Type 1 diabetic with a history of schizophrenia is exhibiting signs and symptoms of tardive dyskinesia, Which of the following long-term medications is more likely the etiology of the problem? --------CORRECT ANSWER--------------chlorpromazine (Thorazine) When caring for a patient with a central line who is receiving TPN, what is the MOST important action on the part of the nurse to prevent CLABSI? ---- ----CORRECT ANSWER--------------Perform correct sterile technique for dressing change at the CVC site "Red Man" Syndrome may occur during the administration of vancomycin (Vancocin), primarily due to --------CORRECT ANSWER--------------An increase in histamine production
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? -------- CORRECT ANSWER--------------Bananas, spinach, raisins
