PROPHECY RELIAS PHARMACOLOGY RN A LATEST 2024-2025 ACTUAL EXAM 110 QUESTIONS AND CORRECT D, Exams of Nursing

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PROPHECY RELIAS PHARMACOLOGY RN A LATEST 2024-

2025 ACTUAL EXAM 110 QUESTIONS AND CORRECT

DETAILED ANSWERS WITH RATIONALES (VERIFIED

ANSWERS) |ALREADY GRADED A+

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 100% 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)

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) 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? - 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

When a patient has pernicious anemia, the nurse would expect to give them: - ANSWER>Vitamin B WRONG 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 Which of the following is considered an antiplatelet medication? - ANSWER>clopidogrel (Plavix) 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? - 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? - ANSWER>Metformin (Glucophage) 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 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? - 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? - 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 - 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? - ANSWER>Bananas, spinach, raisins 1.2 milligrams is equal to how many micrograms? - ANSWER> 1200 mcg Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain function? - ANSWER>Compress the drain, thenplug the bulb to establish suction Your male patient complains of discomfort while inflating the balloon during insertion of an indwelling urinary catheter. What would be the MOST appropriate action? - ANSWER>Deflate the balloon, advance the catheter further, then reinflate the balloon Your patient has symptomatic anemia but is refusing a blood transfusion for religious reason. What is an appropriate response? - ANSWER>Respect his wishes and notify the provider Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the patient? - ANSWER>broth, jello, soft fruit no skin, You were hired to work the medical unit and when you arrive at work the charge nurse has assigned you to the post-surgical unit since they are understaffed. Which is the MOST appropriate action? - ANSWER>Report to the post-surgical unit. What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?

• ANSWER>Acid Reduction Which adaptive equipment would be MOST appropriate to use for a severely contracted patient who is unable to bear weight when transferring from the bed to the chair? - ANSWER>Patient lift (e.g., Hoyer) Which tool should you use to assess pain in you 80-year-old patient with severe dementia? - ANSWER>PAINAD scale

Your patient is admitted from the ED with failure to thrive and advanced dementia. You note he is extremely underweight, appears unbathed for some time, and has a stage 4 pressure injury to his coccyx. You were told in report that he lives at home with family members. What should you do? - ANSWER>Notify the charge nurse and social worker of your concerns. Your 85-year-old patient with atrial fibrillation fell at home 3 days ago. You notice she has been having several episodes of acute confusion since being admitted to your unit. What is the MOST important order you should anticipate from the provider? - ANSWER>Stat CT of head Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the indwelling urinary catheter in the last 2 hours. What is your patient MOST likely experiencing. - ANSWER>Sepsis What type of personal protective equipment (PPE) is applied prior to entering a room for a patient with C. diff? - ANSWER>Gown and gloves Your patient continues to pull at their IV site located in their left forearm despite verbal reminders and increased observation. The nursing assistant recommends using soft mitt restraints on the patient. What is your recommendation? - ANSWER>Request an order for soft mitts as they are the least restrictive Your patient was admitted for a hypertensive crisis and has a history of HTN, Parkinson's disease, depression, and alcohol use. On his second hospitalized day, you notice he is more anxious and restless than his baseline. What would be your FIRST nursing intervention? - ANSWER>Ask the patient when his last drink of alcohol was. What is the BEST indication of an acute neurological problem? - ANSWER>Change in level of consciousness While in a supine position your patient states, "I'm tired and cannot catch my breath." Physical assessment reveals jugular vein distention and a third heart sound (S3). These symptoms are indicative of what condition? - ANSWER>Heart failure Your new admission presents with a cough, unintentional weight loss, frequent night sweats, and bloody sputum. What type of isolation

precautions should you initiate, if any? - ANSWER>Airborne precautions Patients with diabetes are at high risk for complications from damage to what body areas? - ANSWER>Nerve and kidney damage If your patient with a known history of diabetes is displaying symptoms of diaphoresis, cool skin, lethargy, and shakiness. What is your first action? - ANSWER>Check the patient's blood glucose level. Your patient tells you, "I hope I don't die, but if I do I don't want to be brought back.? You notice on her chart and wrist band that she is a full code. What would be the MOST appropriate action? - ANSWER>Discuss code status with the patient and follow up with provider to ensure the medical record reflects her wishes. Your coworker posted photos on social media from a birthday party they had for her in the unit breakroom. What should be your NEXT course of action? - ANSWER>No action is necessary because no PHI was displayed. Your new patient understands very limited English. How should you communicate with them when completing the admission assessment? - ANSWER>Use the organization's interpreter services. You are caring for a patient with a history of diabetes mellitus. You walk into the room and find the patient lethargic and diaphoretic. What is your first action? - ANSWER>Obtain capillary blood glucose level. Your patient is 4 hours post open appendectomy and has not voided yet. You note his lower abdomen is distended. What should you do NEXT? - ANSWER>Perform a bladder scan A patient with peritonitis presents with tachycardia, hypotension, and dehydration. What other assessment finding would you anticipate as part of your physical assessment? - ANSWER>Severe abdominal pain or rebound tenderness What is the EARLIEST sign indicating increased intracranial pressure (ICP)? - ANSWER>Level of consciousness

In addition to pain, pallor, and pulselessness, a neurovascular assessment also includes checking for: - ANSWER>Paresthesia and paralysis You received a report on a patient that sustained a right hemisphere CVA 48 hours ago. What do you expect the patient to exhibit? - ANSWER>Left sided weakness of the leg, arm, and face. You are ordered to give digoxin (Lanoxin). Your patients vital signs are: BP 130/70, Temp 97.9F, HR 52, RR 16, O2 Sat 100% on room air. What should you do NEXT? - ANSWER>Hold digoxin (Lanoxin) and call the provider Upon entry to your patient's room, you find her sitting in High Fowler's position and complaining of shortness of breath. Her respiratory rate is 34 breaths/min and O2 sat is 84%. Which mode of oxygen delivery would MOST likely reverse these symptoms? - ANSWER>Non-rebreather mask Your patient is on contact precautions for active MRSA. What proper PPE should you use before entering the room? - ANSWER>Gown and gloves Your patient recently had a G-tube placed and intermittent enteral feedings have been initiated. What symptoms may indicate intolerance to the feedings? - ANSWER>Vomiting and diarrhea Upon entering your patient's room, you note that they are having a seizure. What is your FIRST action? - ANSWER>Position the patient on their side to maintain the airway. Your 18-year-old female patient was admitted with dehydration secondary to anorexia nervosa. During your assessment you note she has a flat affect and says, "I just want to die. I'm tired of my life." What should be your FIRST intervention? - ANSWER>Stay with the patient and ask fi she has a plan to carry out this wish. Your patient has a non-productive cough and presence of secretions in his tracheostomy. Prior to suctioning the patient, what should you do FIRST? - ANSWER>Hyperoxygenate patient.

Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and reports having black colored stool today. What do you most likely suspect? - ANSWER>Gastrointestinal bleeding Your new patient was admitted with blunt force trauma to the abdomen following a motor vehicle accident (MVA). A NG tube is in place for decompression; however, you note during the assessment that the stomach is rigid and hard during palpation. What condition do you suspect?

• ANSWER>Hemorrhage Which of the following nursing diagnoses is MOST important for a patient with chronic obstructive pulmonary disease (COPD)? - ANSWER>Impaired gas exchange You have a patient going for dialysis. Their medications include lisinopril (Prinivil), ondansetron (Zofran), famotidine (Pepcid), and atorvastatin (Lipitor). Which medication would you possibly hold and seek clarification?
• ANSWER>famotidine (Pepcid) What is an early symptom that the patient is developing a complication of heart failure? - ANSWER>Edema in the legs and feet Black and tarry colored stools are CLASSIC symptoms of what condition? - ANSWER>Bleeding gastric ulcer You have 4 patients who have high priority needs. One needs to go to surgery, one needs STAT lab draws from a PICC line, another has chest pain rated 8/10, and another needs toileting. Which patient should you tend to FIRST? - ANSWER>The patient with chest pain Your patient with Hepatitis C exhibits signs of jaundice and a distended abdomen. What procedure would you anticipate being performed by the provider at the bedside for this patient? - ANSWER>Paracentesis What is clubbing of the fingers MOST likely associated with? - ANSWER>Chronic oxygen deficiency A patient on warfarin (Coumadin/Jantoven) has an INR of 6. Which medication would you anticipate administering? - ANSWER>Vitamin K

To reduce the risk of infection and phlebitis in an adult patient with a peripheral IV, what is the MINIMUM duration the catheter should remain in place before ROUTINE replacement? - ANSWER> 72 hours You are caring for a patient post lobectomy with a chest tube in place for drainage. What is a priority in care for this patient? - ANSWER>Encourage the patient to cough and deep breathe. What patient population is the pneumococcal vaccine, PPSV23 indicated for? - ANSWER>Adults aged 65 years and older Your patient with stave IV terminal lung cancer continues to experience increasing pain as each day passes. What would you anticipate the provider ordering for this patient? - ANSWER>Palliative care consult The provider gives you a telephone order to explain a surgical procedure to your patient and obtain surgical consent. How should you respond? - ANSWER>Inform the provider that explaining the procedure is outside the nurse's scope of practice. The patient has diltiazem HCl (Cardizem CD) ordered and is requesting the capsule be mixed into her morning yogurt. How should you respond? - ANSWER>"Sorry, it is a slow-release medication that cannot be opened or crushed." Your 72-year-old male patient is admitted for colon cancer related complications and has a history of CHF, stroke, and a recent knee replacement. Based on your patient's risk assessment, you determine he is at risk for venous thromboembolism (VTE). What is an appropriate VTE prophylaxis order for this patient? - ANSWER>Enoxaparin (Lovenox) once daily and intermittent pneumatic compressions (IPC) You receive a provider's order that is not consistent with evidence-based practice. What is your FIRST step? - ANSWER>Clarify the order withthe provider. When would sucralfate (Carafate) 4 times daily be scheduled for? - ANSWER> 1 hour before meals and at bedtime

Your patient's morning labs revealed a hemoglobin level of 6.3 and hematocrit of 18. What blood product do you expect to administer? - ANSWER>PRBCs Your 68-year-old patient is a Type 1 diabetic with a history of schizophrenia and exhibits signs and symptoms of tardive dyskinesia. What long-term medication is associated with signs and symptoms of tardive dyskinesia? - ANSWER>risperidone, olanzapine, quetiapine, ziprasidone, aripiprazole, paliperidone, lurasidone, chlorpromazine, fluphenazine, haloperidol, perphenazine Your 80-year-old patient is being discharged home post CVA. She lives alone, yet still requires assistance with ADLs. What referral is MOST appropriate to ensure her needs are met? - ANSWER>Case Manager Central Telemetry calls and tells you your patient is experiencing bradycardia. What is the first thing you should do after entering the room? - ANSWER>Assess the patient and take vital signs. Your patient is currently under 1:1 observation for suicide precautions. He states he needs to have a bowel movement and would like some privacy to use the bathroom. What is the MOST appropriate response? - ANSWER>"I must be within an arms' length view of you at all times for your safety, including while using the bathroom." A female patient requests a female nurse to provide care for her based on her religious beliefs. What is the MOST appropriate action to take? - ANSWER>Accommodate her request if possible. Your patient is a 40-year-old female with a recent history of hair loss, extremely dry skin, a nd a 20-point weight loss in the last 3 weeks. She also exhibits occasional episodes of tremors in her upper extremities. What condition do these symptoms MOST likely indicate? - ANSWER>Hyperthyroidism Insulin lispro (Humalog) is orders via sliding scale a.c. for your patient with diabetes. When is the best time to administer insulin lispro (Humalog)? - ANSWER>15 min before the meal arrives

Which of the following would be used as part of the preop procedure to prevent infection? - ANSWER>Prophylactic antibiotics Two days after surgery, your 72-year-old patient is showing signs of agitation and confusion, which is not his baseline. The severity fluctuates throughout the day. His medications include hydromorphone (Dilaudid), amlodipine (Norvasc), alprazolam (Xanax), and carbidopa-levodopa (Sinemet). What condition do you MOST likely suspect? - ANSWER>Delirium What is the proper technique when suctioning a tracheostomy? - ANSWER>Suction in a circular motion while the catheter is being pulled out. Your new patient admitted for cholecystitis expresses she has a history of anxiety disorder. She is feeling panicked and does not think she can handle staying in the hospital for her surgery. What action is MOST appropriate for you to take? - ANSWER>Sit calmly next to her and offer her compassion and a sense of security. The provider orders and IV infusion of D5W 1000 mL to infuse over the next 6 hours. How many mLs per hour should the IV pump be set to? - ANSWER> 167 mL/hr You are assigned a new admission and note a Braden score of 11 after completing your assessment. Which interventions would be MOST appropriate based on your assessment? - ANSWER>Turn q 2hours, request nutrition consult, request low airloss mattress. Your patient may have tuberculosis TB) and is placed in airborne precautions. What test would you expect to be ordered? - ANSWER>Acid-fast bacilli sputum Your patient starts to complain of difficulty breathing while laying down, and states that he has been coughing up pink sputum. While performing your assessment, you notice jugular vein distention and coarse crackles in both lungs on auscultation. What diagnosis do you suspect? - ANSWER>Congestive heart failure

You received a patient post op transurethral resection of the prostate (TURP). Which of the following symptoms would cause you the MOST concern? - ANSWER>Hemorrhage and hypotension Your patient with C. diff (Clostridioides difficile) has a family member about to leave the room. What education about performing hand hygiene should you give? - ANSWER>Hand hygiene with soap and water Your patient has a diagnosis of urinary tract infection (UTI) and is currently taking medication that has recently made her urine reddish-orange. Which of the following medications would cause this side effect? - ANSWER>Phenazopyridine (Pyridium) Your patient is taking digoxin (Lanoxin) and has a potassium level of 3.0. How might this affect the patient? - ANSWER>Increase risk of digoxin toxicity You are preparing to hang 1 unit PRBC's to administer to your patient. The patient states, "I don't take blood products." What is the MOST appropriate response? - ANSWER>"You have the right to refuse the blood transfusion. I will inform the provider of your decision." An older adult patient arrives on the unit looking emaciated, disheveled, and with soiled clothes. The patient claims that his daughter cares for him at home. What would you suspect? - ANSWER>Neglect You just left your patient's room with her husband at bedside. You then receive a phone call from someone states that she is your patient's mother and demands updates about your patient. What should you do NEXT? - ANSWER>Verify your patient's consent to release information to her mother. The provider orders Heparin 4 units/kg SQ. Your patient weighs 176 pounds. How many units should you administer? - ANSWER> 320 units What diagnostic finding would support a diagnosis of deep vein thrombosis? - ANSWER>Positive D-dimer You are caring for a combative 85-year-old male with a history of dementia, CHF, UTI, and anemia. The family states he appears to be more confused

than his baseline. What tests do you expect the provider to order? - ANSWER>Urinalysis with cultures, CBC A patient has recently been diagnosed with terminal cancer. Her responses are caustic and abrasive. What is the BEST way to respond? - ANSWER>Acknowledge her feelings, understanding this is expected in the grieving process. You notice your patient who recently had a stroke is coughing intermittently during meals. What is the MOST likely cause of this? - ANSWER>He could be aspirating. A patient with acute diverticulitis is MOST likely to complain of abdominal pain with what quadrant? - ANSWER>Left lower quadrant Which of the following is MOST important in preventing a catheter associated urinary tract infection (CAUTI)? - ANSWER>Using sterile technique when inserting the catheter The provider orders a Heparin infusion of 900 units/hr. Your IV medication on hand has 25,000 units of Heparin in 500 mL of D5W. How many mL/hr will you infuse? - ANSWER> 18 mL/hr Your patient has developed a productive cough and fever. The provider is suspecting influenza. Which actions should you take FIRST? - ANSWER>Initiate droplet precautions What medication would you anticipate to be ordered for a patient who has a LDL > 200 mg/dL? - ANSWER>Statin Fifteen minutes after starting a blood transfusion, the patient complains of lower back pain, shortness of breath, and chills. What is your FIRST action? - ANSWER>Stop the tranfusion. Your patient had a transurethral resection of the prostate (TURP) 24 hours ago. What signs require further intervention? - ANSWER>Bright red urine What condition (not medication related) might cause an elevation in the patients PT/INR level? - ANSWER>Liver disease

Your patient admitted for small bowel obstruction has been vomiting for the last 3 days. What electrolyte imbalance would you expect to be associated with this patient? - ANSWER>Hypokalemia Digoxin (Lanoxin) 125 mcg is equivalent to how many mg? - ANSWER>0.125mg As you are walking down the hallway you overhear your colleague discussing her personal family issues with a patient. What would be the MOST appropriate response? - ANSWER>Remind her later of her responsibility for establishing and maintaining professional boundaries with patients. Your patient, who has soft wrist restraints for safety (non-violent), is working with the occupational therapist at the bedside. The nursing assistant enters and says, "The patient is not allowed to have his restraints untied." How do you respond? - ANSWER>"Restraints can be temporarily off while directly working with staff. Let me know when the therapy session is finished and I will re-apply them." Your patient suddenly develops signs and symptoms of shortness of breath, restlessness, tachypnea, hemoptysis, and decreased oxygen saturations despite being on 2L/min of O2 by nasal cannula. What do you expect is happening? - ANSWER>Pulmonary embolism The dosage of which drug must be tapered down slowly to prevent acute adrenal insufficiency? - ANSWER>Prednisone Your patient with CHF states, "I can still eat the same food, I just have to weight myself everyday." Based on this statement, which nursing diagnosis would be appropriate? - ANSWER>Knowledge Deficit patient arrives on unit. you do an assessment and notice lice in her hair. what is your first action? - ANSWER>Secure a private room Patient presents dusky pallor and pulseless. First action - ANSWER>Initiate facility code procedure

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. 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 mouthout 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 Which medication would you question if ordered by the provider to treat a person that is complaining of nausea and vomiting? - ANSWER>Famotidine (Pepcid)

Shortly after administering an IV med, the person you are caring for starts to complain of itching and feeling flushed. On assessment, you notice hives begun to form on their chest. What is the best intervention? - ANSWER>Administer PRN IV diphenhydramine (Benadryl) and notify provider Patient refuses a dose of IV medication. What is the MOST approriate action? - ANSWER>Document the refusal and notify the MD You receive an order to administer 1 tsp of an elixir. What amount of elixir will you prepare? - ANSWER>5ml 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? - ANSWER>Perform correct sterile technique for dressing change at the CVC site An order has been placed for sublingual medication. Pt has NG. what is the most appropriate action? - ANSWER>administer the med A person was recently prescribed a corticosteroid inhaler. What would you include when educating them on the medication? - ANSWER>It is important that you wash out your mask after every dose to help prevent fungal infection of your mouth What medication is incompatible for administration with Lactated Ringers solution? - ANSWER>Diazepam (Valium) A person has a new onset dysrhythmia. What medication might be prescribed for this condition? - ANSWER>diltiazem (Cardizem) You are educating your patient for cyclosporine and a new diet with a potassium intake restriction. What food would you tell them to avoid? - ANSWER>raisins A person is being treated for mild to moderate pain following an orthopedic procedure. Which order would you question? - ANSWER>eplerenone

You have an order for 4 mg of dexamethasone (Decadron) IV push. The med is supplied in 10mg/mL vial. How many mL do you give? - ANSWER>0.4 mL A person on a morphine PCA without a basal infusion rate and is afraid of overdosing. What would you say to educate them? - ANSWER>A small dose is delivered only when you push the trigger button and only if it has been long enough since your last dose 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? - ANSWER>If I have sweating, shakes, nervousness, increased heart rate, or headache, my sugar might be low because of my new medicine What class of med would you expect ordered for a person with acid reflux?

• ANSWER>Proton pump inhibitor 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 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? - ANSWER>Hold digoxin and call the provider "Red Man" Syndrome may occur during the administration of vancomycin (Vancocin), primarily due to - ANSWER>An increase in histamine production Why would NS be the solution of choice when preparing to administer a blood transfusion? - ANSWER>NS is isotonic 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>>

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. 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. .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 When a patient has pernicious anemia, the nurse would expect to give them: - ANSWER>Vitamin B12

Which of the following medications should be held today considering that your patient received IV contract two hours ago fir a CT scan? - ANSWER>Metformin (Glucophage) 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? - ANSWER>chlorpromazine (Thorazine) Which medication is used to treat iron toxicity? - ANSWER>A) digoxin immune fab (Digibind) B) Naloxone (Narcan) C) Mephyton (Vitamin K) D) WRONG deferoxamine (Digibind) There is an order to give Digoxin now. You note that the person you are caring for has a heart rate of 52. What would you do NEXT? - ANSWER>Hold digoxin and call the provider The person you are caring for has a known gastrointestinal bleed. What drug is contraindicated? - ANSWER>Enoxaparin (Lovenox)