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,
...
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
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may: -
CORRECT 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? –
CORRECT ANSWER: Increase daily water intake
Which of the following medications will crystalize when mixed with D5NS? –
CORRECT 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? –
CORRECT 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? -
CORRECT 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? -
CORRECT 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: - 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)
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: 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 respirati
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