PHARM CMS LATEST UPDATED 2025 FINAL EXAM WITH
COMPLETE DETAILED QUESTIONS AND CORRECT ANSWERS
GUARANTEED A+ GRADED
A client has a new prescription for spironolactone (Aldactone). Which of the following laboratory values
should the nurse recognize as a reason to withhold the morning dose of the medication and notify the
provider?
a. Serum sodium 138 mEq/L
b. Serum potassium 5.2 mEq/L
c. Serum creatinine 1.2 mEq/L
d. Serum chloride 106 mEq/L
ANSWER-b. Serum potassium 5.2 mEq/L
A nurse is caring for a client who is prescribed daily doses of both digoxin (Lanoxin) and furosemide
(Lasix). The client's potassium level is 3.2 mEq/L. For which of the following medication interaction is the
client at risk?
a. Toxic levels of furosemide
b. Toxic levels of digoxin
c. Sub-therapeutic levels of furosemide
d. Sub-therapeutic levels of digoxin
ANSWER-b. Toxic levels of digoxin
Propranolol (Inderal) is contraindicated for a client who has which of the following conditions?
a. Asthma
,b. Diabetes
c. Angina
d. Dementia
ANSWER-a. Asthma
A nurse is reinforcing teaching for a client who has a prescription for verapamil (Calan). Which of the
following statements by the clients indicates a need for further teaching?
a. "I should increase the amount of fiber in my diet since the medication causes constipation."
b. "I should eliminate grapefruit juice from my diet while taking verapamil."
c. "I should decrease the amount of calcium in my diet while taking the medication."
d. I should take the medication with food if it causes an upset stomach."
ANSWER-c. "I should decrease the amount of calcium in my diet while taking the medication."
A nurse is caring for a client with prescription for nifedipine (Procardia) to treat angina pectoris. The
nurse should plan to monitor the client for which of the following findings?
a. Weight loss
b. Reflex tachycardia
c. Grand mal seizures
d. Urinary Retention
ANSWER-. Reflex tachycardia
A nurse is caring for a client on a medical unit who takes regular doses of propranolol (Inderal) for
hypertension. Before administering the client's morning dose of propranolol, which of the following
should the nurse plan to monitor? (SATA)
, a. Urinary output
b. Pulse rate
c. Temperature
d. Blood pressure
e. Deep tendon reflexes
ANSWER-b. Pulse rate
d. Blood pressure
7. A nurse is reinforcing teaching for a client who is prescribed digoxin (Lanoxin). Which of the following
should the nurse instruct the client to report to the provider? (SATA)
a. Fatigue
b. Constipation
c. Anorexia
d. Rash
e. Diplopia
ANSWER-a. Fatigue
c. Anorexia
e. Diplopia
A nurse is caring for a client who is prescribed isosorbide mononitrate (Imdur) for chronic stable angina.
The nurse should plan to monitor the client for which of the following findings?
a. Bradycardia
b. Fever
c. Hypertension
COMPLETE DETAILED QUESTIONS AND CORRECT ANSWERS
GUARANTEED A+ GRADED
A client has a new prescription for spironolactone (Aldactone). Which of the following laboratory values
should the nurse recognize as a reason to withhold the morning dose of the medication and notify the
provider?
a. Serum sodium 138 mEq/L
b. Serum potassium 5.2 mEq/L
c. Serum creatinine 1.2 mEq/L
d. Serum chloride 106 mEq/L
ANSWER-b. Serum potassium 5.2 mEq/L
A nurse is caring for a client who is prescribed daily doses of both digoxin (Lanoxin) and furosemide
(Lasix). The client's potassium level is 3.2 mEq/L. For which of the following medication interaction is the
client at risk?
a. Toxic levels of furosemide
b. Toxic levels of digoxin
c. Sub-therapeutic levels of furosemide
d. Sub-therapeutic levels of digoxin
ANSWER-b. Toxic levels of digoxin
Propranolol (Inderal) is contraindicated for a client who has which of the following conditions?
a. Asthma
,b. Diabetes
c. Angina
d. Dementia
ANSWER-a. Asthma
A nurse is reinforcing teaching for a client who has a prescription for verapamil (Calan). Which of the
following statements by the clients indicates a need for further teaching?
a. "I should increase the amount of fiber in my diet since the medication causes constipation."
b. "I should eliminate grapefruit juice from my diet while taking verapamil."
c. "I should decrease the amount of calcium in my diet while taking the medication."
d. I should take the medication with food if it causes an upset stomach."
ANSWER-c. "I should decrease the amount of calcium in my diet while taking the medication."
A nurse is caring for a client with prescription for nifedipine (Procardia) to treat angina pectoris. The
nurse should plan to monitor the client for which of the following findings?
a. Weight loss
b. Reflex tachycardia
c. Grand mal seizures
d. Urinary Retention
ANSWER-. Reflex tachycardia
A nurse is caring for a client on a medical unit who takes regular doses of propranolol (Inderal) for
hypertension. Before administering the client's morning dose of propranolol, which of the following
should the nurse plan to monitor? (SATA)
, a. Urinary output
b. Pulse rate
c. Temperature
d. Blood pressure
e. Deep tendon reflexes
ANSWER-b. Pulse rate
d. Blood pressure
7. A nurse is reinforcing teaching for a client who is prescribed digoxin (Lanoxin). Which of the following
should the nurse instruct the client to report to the provider? (SATA)
a. Fatigue
b. Constipation
c. Anorexia
d. Rash
e. Diplopia
ANSWER-a. Fatigue
c. Anorexia
e. Diplopia
A nurse is caring for a client who is prescribed isosorbide mononitrate (Imdur) for chronic stable angina.
The nurse should plan to monitor the client for which of the following findings?
a. Bradycardia
b. Fever
c. Hypertension
