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CMS pharmacology Proctored 2021 Exam Study Questions with Correct Detailed Answers

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A nurse is reviewing a client's 0800 Laboratory values at 1100. The nurse notes that the client received heparin at 1100. Which of the following laboratory values warrants an incident report ? -Correct Answer aPTT 90 seconds 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? -Correct 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? -Correct 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) -Correct Answer 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? -Correct 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? -Correct 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? -Correct 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? -Correct 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 -Correct 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? -Correct 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? -Correct Answer improve cognition A nurse is reviewing the laboratory results of a client who is receiving genital medicine for Staphylococcus. Which of the following findings should the nurse report to there immediately? -Correct Answer fasting blood glucose 130 mg A nurse is reviewing the laboratory results of a client who is receiving Heparin by continuous IV infusion. Which of the following Results indicates the nurse should decrease the infusion rate? -Correct Answer aPTT 90 sec The nurse is caring for a client who has diabetes mellitus and is taking Pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects? -Correct Answer orthostatic hypotension A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following manifestations should the nurse identify as an allergic reaction? -Correct Answer Hypotension A nurse is reviewing the laboratory results of a client who received a dose of sodium polystyrene sulfonate. Which of the following findings should a nurse identify as an indication that the medication has been effective? -Correct Answer calcium 8 mg- under normal range potassium 4.6 meq- in normal range A nurse is caring for a client who has heart failure and is taking hydrochlorothiazide. The nurse should monitor the client for which of the following manifestations has an adverse effect of the medication? -Correct Answer hypokalemia

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Pharmacology CMS



CMS pharmacology Proctored 2021 Exam Study
Questions with Correct Detailed Answers 2025-2026
A nurse is reviewing a client's 0800 Laboratory values at 1100. The nurse notes that the
client received heparin at 1100. Which of the following laboratory values warrants an
incident report ? -Correct Answer ✔aPTT 90 seconds


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? -Correct 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? -Correct 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) -Correct Answer ✔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? -Correct Answer ✔estrogen-containing
contraceptives



Pharmacology CMS

,Pharmacology CMS




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? -Correct 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? -Correct 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? -Correct 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 -Correct 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? -Correct 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? -Correct Answer ✔improve cognition


Pharmacology CMS

, Pharmacology CMS




A nurse is reviewing the laboratory results of a client who is receiving genital medicine
for Staphylococcus. Which of the following findings should the nurse report to there
immediately? -Correct Answer ✔fasting blood glucose 130 mg


A nurse is reviewing the laboratory results of a client who is receiving Heparin by
continuous IV infusion. Which of the following Results indicates the nurse should
decrease the infusion rate? -Correct Answer ✔aPTT 90 sec


The nurse is caring for a client who has diabetes mellitus and is taking Pioglitazone. The
nurse should plan to monitor the client for which of the following adverse effects? -
Correct Answer ✔orthostatic hypotension


A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the
following manifestations should the nurse identify as an allergic reaction? -Correct
Answer ✔Hypotension


A nurse is reviewing the laboratory results of a client who received a dose of sodium
polystyrene sulfonate. Which of the following findings should a nurse identify as an
indication that the medication has been effective? -Correct Answer ✔calcium 8 mg-
under normal range
potassium 4.6 meq- in normal range


A nurse is caring for a client who has heart failure and is taking hydrochlorothiazide. The
nurse should monitor the client for which of the following manifestations has an adverse
effect of the medication? -Correct Answer ✔hypokalemia


A nurse recently administered filgrastim intravenously to a client who has cancer and is
receiving cytotoxic chemotherapy. For which of the following data, discovered after the




Pharmacology CMS

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