CMS PHARMACOLOGY PROCTORED EXAM
2026 UPDATE QUESTIONS AND CORRECT
VERIFIED ANSWERS ALREADY GRADED
A+ (BRAND NEW VISION)
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? - ans-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? - ans-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? - ans-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) - ans-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? - ans-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? - ans-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 10,000 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.) - ans-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.) - ans-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? - ans-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) - ans-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? - ans-
Creatinine 2.5 mg/dL
A nurse is preparing to administer enoxaparin to a client. Which of the following actions
should the nurse take? - ans-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? - ans-Lidocaine patch
A nurse is assessing a client who reports taking over-the-counter antacids. Which of the
following findings should the nurse identify as a manifestation of hypercalcemia? - ans-
Positive Trousseau's sign
A nurse is caring for a client who is to receive potassium replacement. The provider's
prescription reads. "Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over
30 min." which of the following reasons should the nurse clarify this prescription with the
provider - ans-The potassium infusion rate is too rapid
A nurse is monitoring laboratory values for a client who has chronic heart failure and is
receiving digoxin. Which of the following values should the nurse report to the provider?
- ans-Potassium 2.9 mEq/L
A client who has active tuberculosis and is taking rifampin reports that his urine and
sweat have developed a red tinge. Which of the following actions should the nurse
take? - ans-Document this as an expected finding
A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. the
medication is provided as hydromorphone 8 mg per tablets. Which of the following
actions is appropriate for the nurse to take? - ans-Dispose of the remaining
medication while another nurse observes
2026 UPDATE QUESTIONS AND CORRECT
VERIFIED ANSWERS ALREADY GRADED
A+ (BRAND NEW VISION)
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? - ans-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? - ans-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? - ans-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) - ans-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? - ans-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? - ans-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 10,000 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.) - ans-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.) - ans-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? - ans-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) - ans-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? - ans-
Creatinine 2.5 mg/dL
A nurse is preparing to administer enoxaparin to a client. Which of the following actions
should the nurse take? - ans-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? - ans-Lidocaine patch
A nurse is assessing a client who reports taking over-the-counter antacids. Which of the
following findings should the nurse identify as a manifestation of hypercalcemia? - ans-
Positive Trousseau's sign
A nurse is caring for a client who is to receive potassium replacement. The provider's
prescription reads. "Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over
30 min." which of the following reasons should the nurse clarify this prescription with the
provider - ans-The potassium infusion rate is too rapid
A nurse is monitoring laboratory values for a client who has chronic heart failure and is
receiving digoxin. Which of the following values should the nurse report to the provider?
- ans-Potassium 2.9 mEq/L
A client who has active tuberculosis and is taking rifampin reports that his urine and
sweat have developed a red tinge. Which of the following actions should the nurse
take? - ans-Document this as an expected finding
A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. the
medication is provided as hydromorphone 8 mg per tablets. Which of the following
actions is appropriate for the nurse to take? - ans-Dispose of the remaining
medication while another nurse observes
