RN PHARMACOLOGY RELIAS EXAM 2023-2024 QUESTIONS AND DETAILED ANSWERS WITH NGN
what medication is a leukotriene receptor antagonist?
Montelukast
Which
... [Show More] statement made by a person regarding hydrochlorothiazide (HCTZ) is correct?
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?
2.5
What medication is considered a potassium-sparing diuretic?
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?
Red man syndrome due to a rapid infusion rate.
Which of the following would you question if prescribed for a person taking sildenafil (Viagra?
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?
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?
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)?
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?
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?
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
2 mL
A person with a hypothyroidism has a serum calcium level of 13 mg/dL. What medication would you expect to administer?
Calcitonin
A person you are caring for has a known GI bleed. What drug is contraindicated?
enoxaparin (Lovenox)
A person has been prescribed nitrofurantoin (Furadantin) for a UTI. What education would you provide for them?
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?
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?
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?
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?
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?
Administer PRN IV diphenhydramine and notify MD
Patient refuses a dose of IV medication. What is the MOST approriate action?
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?
pt has central line who is receiving TPN. What is the most important action to prevent CLABSI?
perform correct sterile technique
order placed for sublingual medication. Pt has NG. what is the most appropriate action?
administer the med
pt was prescribed a corticosteroid inhaler. What would you include when educating them on the medication?
rinse mouth
what medication is incompatible with LR
diazepam
new onset dysrhythmia. What medication might be prescribed for this condition?
diltiazem
you are educating your patient for cyclosporine and a new diet with a potassium intake restriction. What food would you tell them to avoid?
raisins
pt being treated for pain s/p ortho procedure. what order would you question?
eplerenone
order for 4 mg of dexamethasone IV push. The med is supplied in 10mg/mL vial. How many mL do you give?
0.4 mL
pt is on a morphine PCA without a basal infusion rate and is afraid of overdosing. what ed do you provide?
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?
sweating, shakes, nervouseness
what class of med would you expect ordered for a person with acid reflux?
PPI
pt has epidural infusing at 6mL/hr. begining BP was 92/58 and now their BP is 130/70. what would you do FIRST?
NOT :::: ask the person to rate their pain
order to give digoxin now. HR is 52. what do you do next?
hold dig and call MD
What is the primary cause of Red man syndrome?
increased histamine production
why would NS be the solution of choice when preparing to administer a blood transfusion?
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?
???
what statement is correct for determining you have the correct pt before adminstering a drug?
ask them to state their name and DOB and compare it to the MAR and wrist band
pt is on morphine PCA and is unresponsive. You suspect narcotic OD. what med to give?
narcan
Pt has new script for levothyroxine. What statement made by them is correct?
NOT ::: take at the same time everyday.
MD orders 1000 mL of NS over 6 hrs. whats the rate?
166.67
125 mcg is how many mg?
0.125 mg
pt to receive 5 mg/kg of medication. They weigh 80 kg. how much to give?
400 mg
pt has new order for dig. What would be assessed immediately before administering?
Apical HR
antidote for heparin
protamine sulfate
lasix ordered at 50 mg IV push. On hand is 20 mg/mL. How many mL to give?
2.5
pt has 4 new scripts and wants to know which one will help with migraines.
Rizatriptan
pt says they frequently take tylenol at home. which statement is correct?
I should pay attention to OTC drug label
which med is antiplatelet?
clopidogrel
MD ordered atropine sulfate 0.6 mg IM before surgery. med is supplied in 0.8 mg/mL. How many mL to give?
0.75 mL
What is the current recommended dose of intravenous or intraosseous epinephrine in adult patients with cardiac arrest?
10 mg every 10 minutes
1 mg every 3-5 minutes
1 mg every 7 minutes
0.1 mg every 2 minutes
1 mg every 3-5 minutes
A patient with a traumatic brain injury (TBI) is MOST likely to suffer from what condition?
Diabetes mellitus
Cerebral palsy
Diabetes Insipidus
Myxedema coma
Diabetes Insipidus
A patient presents after sustaining a roll-over motor vehicle accident. They are complaining of pain around the mid-upper back. On your initial triage assessment, you find that patient has preserved motor function below L5 but is suffering from a loss of sensory function. The assessment findings are consistent with:
Posterior cord syndrome
Central cord syndrome
Anterior cord syndrome
Autonomic syndrome
Posterior cord syndrome
A patient arrives with acute onset of central chest pain. The patient is tachycardic and tachypneic and appears very anxious and restless. What would be the MOST important initial intervention for this patient?
Obtain electrocardiogram
Administer nitroglycerin
Administer oxygen
Obtain venous blood gas
IDK, but its not administer nitroglycerin or obtain electrocardiogram!!
A patient who is 27 weeks pregnant presents with painless bright red vaginal bleeding. What condition correlates with the presenting symptoms?
Abruptio placenta
Placenta Previa [Show Less]