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CMS PHARMACOLOGY PROCTORED
EXAM QUESTIONS AND ANSWERS 2025
A nurse is reviewing a client's 0800 Laboratory values at 1100.
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The nurse notes that the client received heparin at 1100. Which of
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the following laboratory values warrants an incident report ? -
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correct answer- aPTT 90 seconds
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A nurse is caring for a client who develops an anaphylactic
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reaction to IV antibiotic administration. After assessing a client's
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respiratory status and stopping the medication infusion, which of
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the following actions should the nurse take next? - correct
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answer- Administer Epinephrine IM
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A nurse is caring for a client who is taking triamterene. For which
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of the following laboratory values should the nurse withhold the
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medication? - correct answer- Potassium 5.3 mEq/ L
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A nurse is preparing to administer digoxin orally to a client. Identify
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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
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Remove the medication from the dispensing system | | | | | |
,2 | Page
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Open the medication package | | |
Compare the client's wristband to the medication administration
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record
|
Document administration of the medication | | | |
A nurse is reviewing the list of current medications for a client who
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is to start a new prescription for carbamazepine. The nurse should
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identify which of the following medications interacts with
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carbamazepine? - correct answer- estrogen-containing
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contraceptives
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A nurse is providing teaching to a client who has a new
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prescription for clozapine. Which of the following statements
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should the nurse include in the teaching? - correct answer- Notify
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your provider if you develop a fever while taking this medication"
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you should have your WBC monitor every week
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A nurse is reviewing the medication list of a client who has erectile
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dysfunction and is requesting for prescription for sildenafil. the
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nurse should identify which of the following medications is a
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contraindication for receiving medication? - correct answer-
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nitroglycerin
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, 3 | Page
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A nurse in a medical surgical unit is preparing to administer an
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influenza vaccine to a client. The client tells the nurse I no longer
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want this vaccine. Which of the following responses should the
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nurse make? - correct answer- the influenza vaccine this strongly
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and coverage but I understand you would like to decline right now
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A nurse is discussing adverse reactions to pain medications in
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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
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decrease percentage of body fat decreased | | | | |
| renal function |
A nurse is reviewing a client's medical record before
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administering acetaminophen 650 mg by mouth every 6 hours.
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Which of the following findings indicate a need for the nurse to
| | | | | | | | | | | |
notify the provider? - correct answer- history of alcohol use
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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 | | | | | | |
| | | | | |
CMS PHARMACOLOGY PROCTORED
EXAM QUESTIONS AND ANSWERS 2025
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 | | | | | |
,2 | Page
| | | | | |
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
|
, 3 | Page
| | | | | |
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 | | | | | | |