2
Pharm CMS Exam questions with precise detailed answers
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A provider prescribes phenobarbital for a client who has a seizure disorder. The medication
|| || || || || || || || || || || || || ||
has a long half-life of 4 days. How many times per day should the nurse expect to
|| || || || || || || || || || || || || || || || ||
administer this medication? || ||
A. One ||
B. Two ||
C. Three
||
D. Four ||
A. One ||
A nurse educator is reviewing medication metabolism at an in-service presentation. Which
|| || || || || || || || || || || ||
of the following factors should the educator include as a reason to administer lower
|| || || || || || || || || || || || || ||
medication dosages? (select all that apply) || || || || ||
A. increased renal excretion
|| || ||
B. increased medication-metabolizing enzymes
|| || ||
C. liver failure
|| ||
D. peripheral vascular disease
|| || ||
E. concurrent use of medication the same pathway metabolizes
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C. Liver failure
|| ||
E. Concurrent use of medication the same pathway metabolizes
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A nurse is preparing to administer eye drops to a client. Which of the following actions
|| || || || || || || || || || || || || || || ||
should the nurse take? (select all that apply)
|| || || || || || ||
A. Have the client lie on one side
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,2
B. Ask the client to look up at the ceiling
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C. Tell the client to blink when the drops enter the eyes
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D. Drop the medication into the clients conjunctival sac
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E. Instruct the client to close the eye gently after instillation
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B. Ask the client to look up at the ceiling
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D. Drop the medication into the clients conjunctival sac
|| || || || || || || ||
E. Instruct the client to close the eye gently after instillation
|| || || || || || || || || ||
A nurse is teaching a client about transdermal patches. Which of the following statements
|| || || || || || || || || || || || || ||
should the nurse identify as an indication that the client understands?
|| || || || || || || || || ||
A. "I will clean the site with an alcohol swab before i apply the patch"
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B. "I will rotate the application sites weekly"
|| || || || || || ||
C. "I will apply the patch to an area of skin with no hair"
|| || || || || || || || || || || || ||
D. "I will place the new patch on the site of the old patch"
|| || || || || || || || || || || || ||
C. "I will apply the patch to an area of skin with no hair"
|| || || || || || || || || || || || ||
A nurse reviewing a client's medical record notes a new prescription for verifying the trough
|| || || || || || || || || || || || || ||
level of the client's medication. Which of the following actions should the nurse take?
|| || || || || || || || || || || || || ||
A. Obtain a blood specimen immediately prior to administering the next dose of
|| || || || || || || || || || || || ||
medication.
B. Verify that the client has been taking the medication for 24 hr before obtaining a blood
|| || || || || || || || || || || || || || || || ||
specimen.
C. Ask the client to provide a urine specimen after the next dose of medication.
|| || || || || || || || || || || || || ||
D. Administer the medication,and obtain a blood specimen 30 min late
|| || || || || || || || || ||
,2
A. Obtain a blood specimen immediately prior to administering the next dose of
|| || || || || || || || || || || || ||
medication.
A nurse is preparing a client's medications. Which of the following actions should the nurse
|| || || || || || || || || || || || || ||
take in following legal practice guidelines? (Select all that apply)
|| || || || || || || || || ||
A. Teach the client about the med
|| || || || || ||
B. Determine the dosage
|| || ||
C. Monitor for adverse effects
|| || || ||
D. Lock compartments for controlled substances
|| || || || ||
E. Determine the clients insurance status
|| || || || ||
A. Teach the client about the med
|| || || || || ||
C. Monitor for adverse effects
|| || || ||
D. Lock compartments for controlled substances
|| || || || ||
The nurse is preparing to administer digoxin to a client who states, "I don't want to take that
|| || || || || || || || || || || || || || || || ||
medication. I do not want one more pill." Which of the following responses should the
|| || || || || || || || || || || || || || || ||
nurse make? ||
A. Your physician prescribes it for you, so you really should take it
|| || || || || || || || || || || ||
B. Well, lets just get it over quickly then
|| || || || || || || ||
C. Okay, ill just give you your other medications
|| || || || || || || ||
D. Tell me your concerns about taking this medication
|| || || || || || || ||
D. Tell me your concerns about taking this medication
|| || || || || || || ||
, 2
The nurse is reviewing a client's prescribed medications. Which of the following situations
|| || || || || || || || || || || || ||
represents a contraindication to med administrations?
|| || || || ||
A. The client drank grapefruit juice, which could reduce a medications effectiveness
|| || || || || || || || || || ||
B. The medication has orthostatic hypotension as an adverse effect
|| || || || || || || || ||
C. A medication is approved for ages 12 and older, and the client is 8 years old
|| || || || || || || || || || || || || || || ||
D. An antianxiety medication has an adverse effect of drowsiness is prescribed as a
|| || || || || || || || || || || || || ||
preoperative sedative ||
C. A medication is approved for ages 12 and older, and the client is 8 years old
|| || || || || || || || || || || || || || || ||
The nurse is assessing a client before administering medications. Which of the following
|| || || || || || || || || || || || ||
data should the nurse obtain? (select all the apply)
|| || || || || || || ||
A. Use of herbal products
|| || || ||
B. Daily fluid intake
|| || ||
C. Ability to swallow
|| || ||
D. Previous surgical history
|| || ||
E. Allergies
||
A. Use of herbal products
|| || || ||
C. Ability to swallow
|| || ||
E. Allergies
||
A nurse is working with a newly hired nurse who is administering medications to clients.
|| || || || || || || || || || || || || || ||
Which of the following actions by the newly hired nurse indicates an understanding of
|| || || || || || || || || || || || || ||
medication error prevention. || ||
A. Taking all medications out of the unit- dose wrappers before entering the clients room
|| || || || || || || || || || || || || ||
Pharm CMS Exam questions with precise detailed answers
|| || || || || || ||
A provider prescribes phenobarbital for a client who has a seizure disorder. The medication
|| || || || || || || || || || || || || ||
has a long half-life of 4 days. How many times per day should the nurse expect to
|| || || || || || || || || || || || || || || || ||
administer this medication? || ||
A. One ||
B. Two ||
C. Three
||
D. Four ||
A. One ||
A nurse educator is reviewing medication metabolism at an in-service presentation. Which
|| || || || || || || || || || || ||
of the following factors should the educator include as a reason to administer lower
|| || || || || || || || || || || || || ||
medication dosages? (select all that apply) || || || || ||
A. increased renal excretion
|| || ||
B. increased medication-metabolizing enzymes
|| || ||
C. liver failure
|| ||
D. peripheral vascular disease
|| || ||
E. concurrent use of medication the same pathway metabolizes
|| || || || || || || ||
C. Liver failure
|| ||
E. Concurrent use of medication the same pathway metabolizes
|| || || || || || || ||
A nurse is preparing to administer eye drops to a client. Which of the following actions
|| || || || || || || || || || || || || || || ||
should the nurse take? (select all that apply)
|| || || || || || ||
A. Have the client lie on one side
|| || || || || || ||
,2
B. Ask the client to look up at the ceiling
|| || || || || || || || ||
C. Tell the client to blink when the drops enter the eyes
|| || || || || || || || || || ||
D. Drop the medication into the clients conjunctival sac
|| || || || || || || ||
E. Instruct the client to close the eye gently after instillation
|| || || || || || || || || ||
B. Ask the client to look up at the ceiling
|| || || || || || || || ||
D. Drop the medication into the clients conjunctival sac
|| || || || || || || ||
E. Instruct the client to close the eye gently after instillation
|| || || || || || || || || ||
A nurse is teaching a client about transdermal patches. Which of the following statements
|| || || || || || || || || || || || || ||
should the nurse identify as an indication that the client understands?
|| || || || || || || || || ||
A. "I will clean the site with an alcohol swab before i apply the patch"
|| || || || || || || || || || || || || ||
B. "I will rotate the application sites weekly"
|| || || || || || ||
C. "I will apply the patch to an area of skin with no hair"
|| || || || || || || || || || || || ||
D. "I will place the new patch on the site of the old patch"
|| || || || || || || || || || || || ||
C. "I will apply the patch to an area of skin with no hair"
|| || || || || || || || || || || || ||
A nurse reviewing a client's medical record notes a new prescription for verifying the trough
|| || || || || || || || || || || || || ||
level of the client's medication. Which of the following actions should the nurse take?
|| || || || || || || || || || || || || ||
A. Obtain a blood specimen immediately prior to administering the next dose of
|| || || || || || || || || || || || ||
medication.
B. Verify that the client has been taking the medication for 24 hr before obtaining a blood
|| || || || || || || || || || || || || || || || ||
specimen.
C. Ask the client to provide a urine specimen after the next dose of medication.
|| || || || || || || || || || || || || ||
D. Administer the medication,and obtain a blood specimen 30 min late
|| || || || || || || || || ||
,2
A. Obtain a blood specimen immediately prior to administering the next dose of
|| || || || || || || || || || || || ||
medication.
A nurse is preparing a client's medications. Which of the following actions should the nurse
|| || || || || || || || || || || || || ||
take in following legal practice guidelines? (Select all that apply)
|| || || || || || || || || ||
A. Teach the client about the med
|| || || || || ||
B. Determine the dosage
|| || ||
C. Monitor for adverse effects
|| || || ||
D. Lock compartments for controlled substances
|| || || || ||
E. Determine the clients insurance status
|| || || || ||
A. Teach the client about the med
|| || || || || ||
C. Monitor for adverse effects
|| || || ||
D. Lock compartments for controlled substances
|| || || || ||
The nurse is preparing to administer digoxin to a client who states, "I don't want to take that
|| || || || || || || || || || || || || || || || ||
medication. I do not want one more pill." Which of the following responses should the
|| || || || || || || || || || || || || || || ||
nurse make? ||
A. Your physician prescribes it for you, so you really should take it
|| || || || || || || || || || || ||
B. Well, lets just get it over quickly then
|| || || || || || || ||
C. Okay, ill just give you your other medications
|| || || || || || || ||
D. Tell me your concerns about taking this medication
|| || || || || || || ||
D. Tell me your concerns about taking this medication
|| || || || || || || ||
, 2
The nurse is reviewing a client's prescribed medications. Which of the following situations
|| || || || || || || || || || || || ||
represents a contraindication to med administrations?
|| || || || ||
A. The client drank grapefruit juice, which could reduce a medications effectiveness
|| || || || || || || || || || ||
B. The medication has orthostatic hypotension as an adverse effect
|| || || || || || || || ||
C. A medication is approved for ages 12 and older, and the client is 8 years old
|| || || || || || || || || || || || || || || ||
D. An antianxiety medication has an adverse effect of drowsiness is prescribed as a
|| || || || || || || || || || || || || ||
preoperative sedative ||
C. A medication is approved for ages 12 and older, and the client is 8 years old
|| || || || || || || || || || || || || || || ||
The nurse is assessing a client before administering medications. Which of the following
|| || || || || || || || || || || || ||
data should the nurse obtain? (select all the apply)
|| || || || || || || ||
A. Use of herbal products
|| || || ||
B. Daily fluid intake
|| || ||
C. Ability to swallow
|| || ||
D. Previous surgical history
|| || ||
E. Allergies
||
A. Use of herbal products
|| || || ||
C. Ability to swallow
|| || ||
E. Allergies
||
A nurse is working with a newly hired nurse who is administering medications to clients.
|| || || || || || || || || || || || || || ||
Which of the following actions by the newly hired nurse indicates an understanding of
|| || || || || || || || || || || || || ||
medication error prevention. || ||
A. Taking all medications out of the unit- dose wrappers before entering the clients room
|| || || || || || || || || || || || || ||
