2023 RN Pharmacology A

What is 125 mcg in milligrams (mg)?

0.125 mg

You have an order for 4 mg of dexamethasone (Decadron) IV push. The medication is supplied in a 10 mg/mL vial. How many mL would you administer?

0.4 mL

The physician ordered atropine sulfate 0.6 mg IM before surgery. The medication is supplied in 0.8 mg/mL. How many mL of the medication would your administered?

0.75 mL

The provider orders 1 liter of NS to be infused over 6 hours. At what rate would you set the IV pump?

166.67 mL/hr

The physician orders 0.5 mg/kg of a medication. 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?

2 mL

A 250 mg dose of an oral medication has been ordered. The medication is supplied only in 100 mg tablets. How many tablets would you administer?

2.5

Furosemide (Lasix) is ordered 50 mg IV push. On hand is 20 mg/mL. How many mL would you administer?

2.5

You receive an order to start 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 this infusion?

27 mL/hr

A person is to receive 5mg/kg of medication. They weigh 80kg. What amount would you administer?

400 mg

You receive an order to administer one tsp of an elixir. What amount of elixir will you prepare?

5 ml

A person with no known risk factors to TB would need further diagnostic testing to rule out TB if the Mantoux test showed and induration of what size?

> 15 mm

A person on a morphine (Duramorph) PCA pump without a basal infusion rate is afraid of potential overdosing. What would you say to educate them?

A small dose is delivered only when you push the trigger button and only if it has been long enough since your last dose

Shortly after administering an IV medication, the person you are caring for starts to complain of itching and feeling flushed. On assessment, you notice hives have begun to form on their chest. What is your BEST intervention?

Administer PRN IV diphenhydramine (Benadryl) and notify provider.

An order has been placed for a sublingual medication. The person you are caring for currently has a nasogastric tube in place. What is your most appropriate action?

Administer the medication as ordered

A person has a new order for digoxin (Lanoxin). What would be assessed immediately before administration?

Apical heart rate.

A person with hypothyroidism has a serum calcium level of 13 mg/dL. What medication would you expect to administer?

Calcitonin (Miacalcin)

A person is noted to have a penicillin allergy. What medication would you question if ordered by physician?

Ceftriaxone

A person has an epidural infusing hydromorphone (Dilaudid) with bupivacaine (Marcaine) infusing at 6 mL/hr continuously. Their blood pressure at the beginning of your shift was 92/58 with a heart rate of 68. You notice their prior blood pressures have been around 130/70. What would you do FIRST?

Check infusion rate to confirm 6 mL/hr and then notify anesthesia provider.

Which of the following is considered an antiplatelet medication?

Clopidogrel (Plavix)

You are caring for a person with a capillary blood glucose of 33 mm/dL and they are unable to tolerate oral intake. Which of the following would you administer?

Dextrose 50% IV Push

Which medication is incompatible for administration with Lactated Ringer's solution?

Diazepam (Valium)

A person has a new-onset dysrhythmia. What medication might be prescribed for this condition?

Diltiazem (Cardizem)

The person you are caring for has refused a dose of IV medication. What is your most appropriate action?

Document their refusal and notify the prescribing provider

You receive the report from the off-going nurse that the person being cared for just received their fourth dose of IV Vancomysin (Vancocin) that was administered over 30 minutes. Upon assessment of them, and you notice their face and neck are red and they are itching all over. What would you suspect?

Redman syndrome due to a rapid infusion rate

The person you are caring for, is reviewing written instructions from their physician and see that they have a four new medicines prescribed. They are primarily concerned with their migraine headaches, and want to know which of these medicines will help with that. What medication might be used to treat their migraine headaches?

Rizatriptan (Maxalt)

A physicians written order for the person you are caring for is as follows: Insulin glargine (Lantus) 10 U, subQ, Q.D. What changes would you suggest for safety and you avoid the use of "do not use" abbreviations?

Spell out units and daily.

What medication is considered a potassium-sparing diarrhetic?

Spironolactone (Aldactone)

A person has been prescribed nitrofurantoin (Furadantin) for a urinary tract infection. What education would you provide to them?

Wash your mouth out after taking this medicine to avoid staining of the teeth.

Which statement is CORRECT for determining you have the correct person before administering a drug?

You should ask them to say their name and date of birth, then compare those to their arm band and the medication record.

What is appropriate education to provide to a person who has received a new prescription for a proton-pump inhibitor?

You should not take this medicine at the same time as other medicines

You are educating a person about their prescription for cyclosporine (Gengraf) and a new diet with a potassium intake restriction. What food would you tell them to avoid?

rasins

A person has been diagnosed with diabetes, and prescribed and oral antihyperglycemic agent. What statement made by (your) them indicates that they adequately understand the symptoms of hypoglycemia?

If I have sweating, shakes, nervousness, increased, heart rate, or headache, my sugar might be low because of my new medicine.

What is the PRIMARY cause of red man syndrome (RMS) during the administration of vancomycin?

Increased histamine production

A person was recently prescribed a corticosteroid inhaler. What would you include when educating them on the medication?

It is important that you wash out your mask after every dose to help prevent a fungal infection in your mouth.

What medication is a leukotriene receptor antagonist?

Montelukast (Singulair)

You are caring for a person who is on a Morphine (Duramorph) PCA. While conducting, while conducting your rounds, you notice that they are slumped over and unresponsive with the delayed and slow respirations. You suspect narcotic overdose. What reversal medication would you administered?

Naloxone (Narcan)

Which of the following would you question if prescribed for a person taking sildenafil (Viagra)?

Nitroglycerin (Nitrostat)

Why would normal saline (NS) be the solution of choice when preparing to administer a blood transfusion?

Normal saline is isotonic which prevents blood cells hemolysis

You are caring for a person with a central line who is receiving TPN. What is your MOST important action to prevent CLABSI?

Perform correct sterile technique for dressing change at the CVC site.

Which of the following is the antidote for Heparin?

Protamine Sulfate

What class of medication would you expect to be ordered for a person with acid reflux?

Proton pump inhibitor

A person you are caring for has a known gastrointestinal bleeding. What drug is contraindicated?

Enoxaparin (Lovenox)

A person is being treated for mild to moderate pain following an orthopedic procedure. Which order would you question?

Eplerenone (Inspra) 25 mg tab PO daily for pain

Which medication would you question if ordered by a physician to treat a person that is complaining of nausea and vomiting?

Famotidine (Pepcid)

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?

Hold digoxin and call the provider

The person you are caring for tells you that they frequently take acetaminophen (Tylenol) at home. Which statement made by them is correct?

I should pay close attention to OTC drug labels so I don't take too much of

Which statement made by a person regarding hydrochlorothiazide (HCTZ) is correct?

I should take extra care when standing up or changing positions

You are educating a person about their new prescription for levothyroxine (Synthroid). Which statement made by them REQUIRES CORRECTION?

I should take this on a full stomach so I don't get nauseated.

Which statement, if made by the person you are caring for, reflects the need for further education regarding a new prescription of warfarin (Coumadin)?

If I get headaches, aspirin is my best option for pain