CMS Pharmacology Proctored Exam 2021 –
Verified Questions and Correct Answers with
Detailed Rationales
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
? - 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? - 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) - 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? - 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
Verified Questions and Correct Answers with
Detailed Rationales
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
? - 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? - 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) - 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? - 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
