PROPHECY RELIAS PHARMACOLOGY RN A LATEST 2024 ACTUAL EXAM 110 QUESTIONS AND CORRECT DETAIL, Study notes of Nursing

Download PROPHECY RELIAS PHARMACOLOGY RN A LATEST 2024 ACTUAL EXAM 110 QUESTIONS AND CORRECT DETAIL and more Study notes Nursing in PDF only on Docsity! PROPHECY RELIAS PHARMACOLOGY RN A LATEST 2024 ACTUAL EXAM 110 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 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 B12 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 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 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 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 *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 *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) 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 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