Page 1 of 20
CMS Pharmacology Proctored Exam Review 2026 – Actual Test
Questions, Verified Answers & Complete Study Guide
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
, Page 2 of 20
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
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? - ANSWER-improve cognition
, Page 3 of 20
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? - 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? - 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? - 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? -
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? - 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? - 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 medication was administered, should the nurse file an incident report? -
ANSWER-The medication vial sat at room temperature for 2 hours before it was
administered.
CMS Pharmacology Proctored Exam Review 2026 – Actual Test
Questions, Verified Answers & Complete Study Guide
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
, Page 2 of 20
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
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? - ANSWER-improve cognition
, Page 3 of 20
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? - 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? - 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? - 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? -
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? - 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? - 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 medication was administered, should the nurse file an incident report? -
ANSWER-The medication vial sat at room temperature for 2 hours before it was
administered.
