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CMS PHARMACOLOGY PROCTORED
(250 QS & ANS )EXAM 202 4 - 2025
QUESTIONS AND CORRECT
ANSWERS (100%
COMPLETE)AGRADE
A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing a client's respiratory status and stopping the medication infusion, which of the following actions should the nurse take next? - ANSWER- Administer Epinephrine IM A nurse is caring for a client who is taking triamterene. For which of the following laboratory values should the nurse withhold the medication? - ANSWER- Potassium 5.3 mEq/ L A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps) - ANSWERS- Obtain the client's apical heart rate Remove the medication from the dispensing system Open the medication package Compare the client's wristband to the medication administration record Document administration of the medication A nurse is reviewing the list of current medications for a client who is to start a new prescription for carbamazepine. The nurse should identify which of the following medications interacts with carbamazepine? - ANSWER- estrogen-containing contraceptives
A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? - ANSWER- Notify your provider if you develop a fever while taking this medication" you should have your WBC monitor every week A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting for prescription for sildenafil. the nurse should identify which of the following medications is a contraindication for receiving medication? - ANSWER- nitroglycerin A nurse in a medical surgical unit is preparing to administer an influenza vaccine to a client. The client tells the nurse I no longer want this vaccine. Which of the following responses should the nurse make? - ANSWER- the influenza vaccine this strongly and coverage but I understand you would like to decline right now A nurse is discussing adverse reactions to pain medications in older adults clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? select all that applies - ANSWER- multiple health problems decrease percentage of body fat decreased renal function A nurse is reviewing a client's medical record before administering acetaminophen 650 mg by mouth every 6 hours. Which of the following findings indicate a need for the nurse to notify the provider? - ANSWER- history of alcohol use disorder a nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective? - ANSWER- improve cognition
A nurse in a provider's office is assessing a client who has hypothyroidism and has been taking levothyroxine for 2 months. Which of the following statements by the client indicate a therapeutic response to the medication? - ANSWER- I have noticed I'm not as cold as I used to be a nurse is receiving the laboratory results of a client who has rheumatoid arthritis and a prescription for cyclosporine. The nurse should report which of the following laboratory results of the provider? - ANSWER- creatinine 2.8 mg A nurse is teaching a newly-licensed nurse about expired medication. Which of the following instructions should the nurse include in the teaching? - ANSWER- return the medication to the pharmacy a nurse is administering naloxone to a client who has developed an adverse reaction to Morphine. The nurse should identify which of the following findings as a therapeutic effect of naloxone? - ANSWER- increased respiratory rate a nurse is preparing to administer Heparin subcutaneously to a client. Which of the following should the nurse plan to minimize bleeding following the injection? - ANSWER- grasp skin between thumb and forefinger throughout the injection A nurse is caring for an older adult client who is taking Prednisone for long term treatment for rheumatoid arthritis. The nurse should monitor the client for which of the following adverse reactions to the drug? - ANSWER- bone loss A nurse is interviewing a client who reports a desire to quit smoking. Which of the following prescriptions should the nurse expect the provider to prescribe? - ANSWER- bupropion
A nurse is teaching a client about self-administration of an enoxaparin. Which of the following instructions should the nurse include to select all that applies? - ANSWER- alternate the injection site between the sides of the abdomen grasp the skin between the thumb and forefinger while injecting the medication insert the entire length of the needle into the skin during injection a nurse is assessing a client who is in septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of the infusion? - ANSWER- headache A nurse is reviewing the laboratory report of a client who has bipolar disorder prior to the administration of lithium carbonate. The client's lithium level is 2.6 meq. Which of the following actions should the nurse take? - ANSWER- prepare the client for hemodialysis A nurse is interviewing a client who was newly admitted prior to administering medication. The client tells the nurse, " I forgot to tell the doctor I like albuterol for asthma". for which of the following medications should the nurse withhold the dose and notify the provider?
- ANSWER- propranolol A nurse is teaching a client who is to start taking clopidogrel. the nurse should instruct the client to Monitor and Report which of the following adverse effects of the medication? - ANSWER- blurred vision A nurse is providing teaching to a client who has a new prescription for paroxetine. the nurse should instruct the client to monitor which of the following adverse effects? - ANSWER- Drowsiness A nurse is administering ferrous sulfate elixir to a client who has iron deficiency anemia. Which of the following actions should the nurse take? - ANSWER- administer the medication through a straw
A nurse is caring for a client who has a major depression and a new prescription for citalopram. Which of the following adverse effects is the nurse to report to the provider? - ANSWER- confusion A nurse is providing teaching to a client who has gastric ulcer and a new prescription for ranitidine. Which of the following statements does the client indicate an understanding of the teaching? - ANSWER- I should not take in and Anti Acid within 1 hour of taking his medication A nurse is preparing to administer amphotericin B lipid complex via intermittent IV bolus to a client who has infected endocarditis. Which of the following actions should the nurse take? - ANSWER- administer the medication over 2 hours a nurse is preparing to administer insulin to a client who has diabetes mellitus. The client has a prescription for regular insulin for you and NPH insulin 12 units subsequent oenis identify the steps the nurse should take when mixing the two types of insulin. - ANSWER- inject 12 unit of air into the NPH insulin vial A nurse is reviewing the laboratory results of a client who has diabetes mellitus and is taking Glipizide. Which of the following values indicate the client is adhering to the treatment plan? - ANSWER- hba1c 6.8% a nurse is caring for a client who has a prescription for Total parenteral Nutrition. Which of the following routes of administration should the nurse use? - ANSWER- intravenous a nurse is reviewing the medical history of a client prior to the medication administration and knows a history of anaphylactic reaction to penicillin. The nurse should identify which of the following medications is a contraindication for this medication? - ANSWER- ceftriaxone
A nurse is assessing a client who has been taking lithium for one year. Which of the following client reports is the nurse's priority? - ANSWER- mild thirst a nurse is caring for a client who reports taking Propranolol for several years but has recently stopped for financial reasons the nurse should assess the client for which of the following findings - ANSWER- tachycardia a nurse is caring for a client who has cancer and reports moderate pain. Which of the following medications should the nurse expect to administer? - ANSWER- ibuprofen a nurse is teaching a client who has pernicious anemia to self-administer nasal cyanocobalamin. Which of the following information should the nurse include in the teaching? - ANSWER- administer the medication into one nostril once per week A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER- I should stay upright for 15 minutes after taking this medication. A nurse is providing teaching about the adverse effect of ergotamine to a client who has migraine headaches. Which of the following adverse effects should the nurse include in the teaching? - ANSWER- paresthesia A nurse is preparing to administer medication to a client and discover a medication error. The nurse should recognize which of the following staff members is responsible for completing an incident report? - ANSWER- the nurse who identifies the error
actions should the nurse plan to take? - ANSWER- Discard the vial of the medication if the solution is cloudy A nurse is assessing a Client who is receiving penicillin IV. For which of the following findings should the nurse report to the provider as a manifestation of anaphylaxis? - ANSWER- wheezing A nurse in the emergency department is admitting a client who has diabetes ketoacidosis and a blood glucose level of 800 mg. Which of the following interventions should the nurse initiate first? - ANSWER- 0.9% sodium chloride 15 ML A nurse is assessing a client who has asthma and a prescription for albuterol. The nurse should monitor the client for which of the following adverse effects? - ANSWER- tachycardia a nurse is preparing to administer medication to a group of clients. Which of the following prescriptions should the nurse clarify with the provider before administering? - ANSWER- warfarin 100 units subcutaneously daily a nurse is preparing to administer Propranolol to a client which of the following should the nurse assess prior to administering? - ANSWER- heart rate A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus. Which of the following should the nurse include in the plan of care? - ANSWER- monitor the client for hearing loss A nurse is assessing a client who is receiving Heparin therapy for deep vein thrombosis. Which of the following findings should the nurse indicate to the nurse that the therapy is effective? - ANSWER- Platelets within the expected reference range
A nurse is teaching a client who has multiple allergies about using epinephrine auto-injector. Which of the following instructions should the nurse include? - ANSWER- administer the medication through clothing if necessary A nurse is completing medication reconciliation for a client prior to their transfer to a rehabilitation facility. Which of the following actions should the nurse take? - ANSWER- include the medication the client received during surgery on the client's medication list nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess? - ANSWER- Distended neck vein A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective? - ANSWER- Improved cognition A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include? - ANSWER- Remove the patch prior to going to bed nurse is reviewing he laboratory results of a client who has a prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider? - ANSWER- Potassium 5.2 mEq/L A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen? - ANSWER- The client has a negative sputum culture
following actions should the nurse take first? - ANSWER- Determine medication adherence by the client A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection? - ANSWER- Urticaria A nurse is teaching a client who has angina a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching? - ANSWER- Keep the tablets at room temperature in their original glass bottle. A nurse is providing teaching to a client who has a new prescription for theophylline, a sustained-released capsule. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER- I can take my medication in the morning with my coffee. A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to client who has diabetes mellitus following actions should the nurse take first? - ANSWER- Inject air into the regular insulin vial A nurse is preparing to administer subcutaneous heparin to a client. Which of the following should the nurse take? - ANSWER- Insert the needle at least 5 cm (2 in) from the umbilicus A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings indicates the client is experiencing an allergic reaction? - ANSWER- Cardiac dysrhythmia A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following? - ANSWER- A client who is transferal to a step-down unit
nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been effective? - ANSWER- LDL 120 mg/dL A nurse is receiving a medication prescription by telephone from a provider. The provider states, "Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain." How should the nurse transcribe the prescription in the client's medical record? - ANSWER- Morphine 6 mg IV push every 3 hr PRN acute pain A nurse is assessing a client's IV infusion site and notes that the site is cool and edematous. Which of the following actions should the nurse take? - ANSWER- Apply a warm, moist compress a nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? - ANSWER- Notify your provider if you develop a fever while taking this medication. A nurse is teaching a client about oral contraceptive. Which of the following information should the nurse include in the teaching? - ANSWER- it can take up to 1 year to become pregnant after stopping an oral contraceptive A nurse is planning to administer medication to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take? - ANSWER- Mix the medications with a semisolid food for the client A nurse is providing teaching to a client about the administration of omeprazole. Which of the following should the nurse include? - ANSWER- You cannot take this medication with an antacid.
A nurse manager is planning an in-service about pain management with opioids for client who has cancer. Which of the following information should the nurse manager include? - ANSWER- IM administration is recommended if PO opioids are ineffective A nurse is reviewing the list of current medication for a client who is to start prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine? - ANSWER- estrogen-progestin combination A nurse is caring for a client who has a respiratory infection and is receiving an antibiotic. Which of the following medications puts the client at risk for developing hearing loss? - ANSWER- Ciprofloxacin A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (SATA)
- ANSWER- Shake the device prior to administration. A spacer will make it easier to use the device. Rinse your child's mouth following administration. A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching? - ANSWER- You will need liver function tests before beginning therapy. A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissue surrounding the insertion site. Which of the following actions should the nurse take? - ANSWER- Elevate the extremity A nurse is preparing to administer 4,000 units of heparin subcutaneously to a client who has deep-vein thrombosis. Available is heparin 10, units. How many mL of heparin should the nurse administer? (Round to
the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - ANSWER- 0.4 mL A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide equally 12 hr. available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trialing zero.) - ANSWER- 7.5 ml A nurse us caring for a client who is in shock and is receiving an infusion of albumin. Which of the following findings should the nurse expect? - ANSWER- Increase in BP A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (SATA) - ANSWER- Polypharmacy Decreased percentage of body fat Multiple health problems Decreased renal function A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin. Which of the following laboratory values should the nurse report to the provider? - ANSWER- Creatinine 2. mg/dL A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take? - ANSWER- Apply firm pressure to the injection site following administration A nurse is caring for a client who has breast cancer and reports pain. 1 hr after administration of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to administer? - ANSWER- Lidocaine patch
A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider? - ANSWER- The client reports difficulty hearing A nurse is planning teaching for a client who is trying to quit smoking. Which of the following instructions about nicotine replacement options should the nurse include? - ANSWER- Do not drink beverages while sucking on a nicotine lozenge A nurse is preparing to administer filgrastim 5mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - ANSWER- 325 mcg A nurse is preparing to initiate IV therapy for a client. Which of the following sites should the nurse use to place the peripheral IV catheter? - ANSWER- Nondominant dorsal venous arch A nurse is assessing a client who is taking an osmotic laxative which of the following findings should the nurse identify as an indication of fluid volume deficit? - ANSWER- Oliguria A nurse is reviewing the laboratory results of a client who is taking amitriptyline which of the following laboratory values should the nurse report to the provider? - ANSWER- Total bilirubin 1.5 mg/dL A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances? - ANSWER- Hyponatremia A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following should the nurse identify as an adverse effect of this medication? - ANSWER- Bradycardia
A nurse is consulting a formulary about a client's new prescription for raloxifene. The nurse should identify that this medication is used to treat which of the following conditions? - ANSWER- Osteoporosis A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess? a. Decreased bowel sounds b. Distended neck veins c. Bilateral muscle weakness d. Thread pulse - ANSWER- b. Distended neck veins A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective? a. Absent Chvostek's sign b. Improved cognition c. Decreased vomiting d. Cardiac arrhythmias absent - ANSWER- b. Improved cognition A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include? a. "Discontinue the patch if you experience a headache." b. "Apply a new patch if you have chest pain." c. "Cover the patch with dry gauze when taking a shower." d. "Remove the patch prior to going to bed." - ANSWER- d. "Remove the patch prior to going to bed." A nurse is reviewing he laboratory results of a client who has a prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider? a. Creatinine 0.72 mg/dL b. Sodium 138 mEq/L
