CMS PHARMACOLOGY EXAM SRIPT 2025/2026 QUESTIONS
AND SOLUTIONS MARKED A+
✔✔A nurse is caring for an older adult client who is taking Prednisone for long term
treatment for rheumatoid arthritis. The nurse should monitor the client for which of the
following adverse reactions to the drug? - ✔✔bone loss
✔✔A nurse is interviewing a client who reports a desire to quit smoking. Which of the
following prescriptions should the nurse expect the provider to prescribe? -
✔✔bupropion
✔✔A nurse is teaching a client about self-administration of an enoxaparin. Which of the
following instructions should the nurse include to select all that applies? - ✔✔alternate
the injection site between the sides of the abdomen
grasp the skin between the thumb and forefinger while injecting the medication
insert the entire length of the needle into the skin during injection
✔✔a nurse is assessing a client who is in septic shock and is receiving dopamine by
continuous IV infusion. Which of the following findings indicates that the nurse should
increase the rate of the infusion? - ✔✔headache
✔✔A nurse is reviewing the laboratory report of a client who has bipolar disorder prior to
the administration of lithium carbonate. The client's lithium level is 2.6 meq. Which of the
following actions should the nurse take? - ✔✔prepare the client for hemodialysis
✔✔A nurse is interviewing a client who was newly admitted prior to administering
medication. The client tells the nurse, " I forgot to tell the doctor I like albuterol for
asthma". for which of the following medications should the nurse withhold the dose and
notify the provider? - ✔✔propranolol
✔✔A nurse is teaching a client who is to start taking clopidogrel. the nurse should
instruct the client to Monitor and Report which of the following adverse effects of the
medication? - ✔✔blurred vision
✔✔A nurse is providing teaching to a client who has a new prescription for paroxetine.
the nurse should instruct the client to monitor which of the following adverse effects? -
✔✔Drowsiness
✔✔A nurse is administering ferrous sulfate elixir to a client who has iron deficiency
anemia. Which of the following actions should the nurse take? - ✔✔administer the
medication through a straw
, ✔✔A nurse is caring for a client who is receiving Total parenteral Nutrition. Which of the
following actions should the nurse take? - ✔✔monitor the client's weight daily
✔✔a nurse is assessing a client who has hypermagnesemia. Which of the following
medications should the nurse prepare to administer? - ✔✔calcium gluconate
✔✔a nurse is caring for a client who is receiving hospice care and has a prescription for
fentanyl buccal film. Which of the following methods should the nurse use to administer
this medication? - ✔✔insert the medication against the mucosal membrane of the cheek
✔✔A client who has Graves disease is prescribed methimazole. Which of the following
effects should the nurse expect to see after the clients take the medication after 2
months? - ✔✔increase sleeping
✔✔A nurse is assessing a client who has Graves disease and is taking methimazole.
Which of the following findings indicate that the client needs a lower dose of the
medication? - ✔✔exophthalmos
✔✔A nurse is planning to administer a controlled substance to a client who is
experiencing pain. Which of the following actions should the nurse plan to take first? -
✔✔Identify the client using two identifiers
✔✔a nurse accidentally administers the medication Metformin instead of metoprolol to a
client which of the following actions should the nurse take? - ✔✔check the client's
glucose level
✔✔A nurse is providing discharge teaching to a client who is prescribed spironolactone.
Which of the following statements by the client indicates an understanding of the
teaching? - ✔✔I will limit potassium rich foods in my diet
✔✔A nurse is caring for a client who has a major depression and a new prescription for
citalopram. Which of the following adverse effects is the nurse to report to the provider?
- ✔✔confusion
✔✔A nurse is providing teaching to a client who has gastric ulcer and a new
prescription for ranitidine. Which of the following statements does the client indicate an
understanding of the teaching? - ✔✔I should not take in and Anti Acid within 1 hour of
taking his medication
✔✔A nurse is preparing to administer amphotericin B lipid complex via intermittent IV
bolus to a client who has infected endocarditis. Which of the following actions should
the nurse take? - ✔✔administer the medication over 2 hours
AND SOLUTIONS MARKED A+
✔✔A nurse is caring for an older adult client who is taking Prednisone for long term
treatment for rheumatoid arthritis. The nurse should monitor the client for which of the
following adverse reactions to the drug? - ✔✔bone loss
✔✔A nurse is interviewing a client who reports a desire to quit smoking. Which of the
following prescriptions should the nurse expect the provider to prescribe? -
✔✔bupropion
✔✔A nurse is teaching a client about self-administration of an enoxaparin. Which of the
following instructions should the nurse include to select all that applies? - ✔✔alternate
the injection site between the sides of the abdomen
grasp the skin between the thumb and forefinger while injecting the medication
insert the entire length of the needle into the skin during injection
✔✔a nurse is assessing a client who is in septic shock and is receiving dopamine by
continuous IV infusion. Which of the following findings indicates that the nurse should
increase the rate of the infusion? - ✔✔headache
✔✔A nurse is reviewing the laboratory report of a client who has bipolar disorder prior to
the administration of lithium carbonate. The client's lithium level is 2.6 meq. Which of the
following actions should the nurse take? - ✔✔prepare the client for hemodialysis
✔✔A nurse is interviewing a client who was newly admitted prior to administering
medication. The client tells the nurse, " I forgot to tell the doctor I like albuterol for
asthma". for which of the following medications should the nurse withhold the dose and
notify the provider? - ✔✔propranolol
✔✔A nurse is teaching a client who is to start taking clopidogrel. the nurse should
instruct the client to Monitor and Report which of the following adverse effects of the
medication? - ✔✔blurred vision
✔✔A nurse is providing teaching to a client who has a new prescription for paroxetine.
the nurse should instruct the client to monitor which of the following adverse effects? -
✔✔Drowsiness
✔✔A nurse is administering ferrous sulfate elixir to a client who has iron deficiency
anemia. Which of the following actions should the nurse take? - ✔✔administer the
medication through a straw
, ✔✔A nurse is caring for a client who is receiving Total parenteral Nutrition. Which of the
following actions should the nurse take? - ✔✔monitor the client's weight daily
✔✔a nurse is assessing a client who has hypermagnesemia. Which of the following
medications should the nurse prepare to administer? - ✔✔calcium gluconate
✔✔a nurse is caring for a client who is receiving hospice care and has a prescription for
fentanyl buccal film. Which of the following methods should the nurse use to administer
this medication? - ✔✔insert the medication against the mucosal membrane of the cheek
✔✔A client who has Graves disease is prescribed methimazole. Which of the following
effects should the nurse expect to see after the clients take the medication after 2
months? - ✔✔increase sleeping
✔✔A nurse is assessing a client who has Graves disease and is taking methimazole.
Which of the following findings indicate that the client needs a lower dose of the
medication? - ✔✔exophthalmos
✔✔A nurse is planning to administer a controlled substance to a client who is
experiencing pain. Which of the following actions should the nurse plan to take first? -
✔✔Identify the client using two identifiers
✔✔a nurse accidentally administers the medication Metformin instead of metoprolol to a
client which of the following actions should the nurse take? - ✔✔check the client's
glucose level
✔✔A nurse is providing discharge teaching to a client who is prescribed spironolactone.
Which of the following statements by the client indicates an understanding of the
teaching? - ✔✔I will limit potassium rich foods in my diet
✔✔A nurse is caring for a client who has a major depression and a new prescription for
citalopram. Which of the following adverse effects is the nurse to report to the provider?
- ✔✔confusion
✔✔A nurse is providing teaching to a client who has gastric ulcer and a new
prescription for ranitidine. Which of the following statements does the client indicate an
understanding of the teaching? - ✔✔I should not take in and Anti Acid within 1 hour of
taking his medication
✔✔A nurse is preparing to administer amphotericin B lipid complex via intermittent IV
bolus to a client who has infected endocarditis. Which of the following actions should
the nurse take? - ✔✔administer the medication over 2 hours
