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CMS PHARMACOLOGY PROCTORED
EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS
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 ? Ans: 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? Ans: 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?
Ans: 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)
Ans: 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? Ans:
estrogen-containing contraceptives
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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? Ans: 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? Ans: 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? Ans:
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 Ans: 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? Ans:
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?
Ans: improve cognition
A nurse is reviewing the laboratory results of a client who is receiving
genital medicine for Staphylococcus. Which of the following findings
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should the nurse report to there immediately? Ans: 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? Ans: 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? Ans: 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? Ans: 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?
Ans: 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? Ans:
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? Ans: The medication vial sat at room
temperature for 2 hours before it was administered.
A nurse in a provider's office is assessing a client who has hypothyroidism
and has been taking levothyroxine for 2 months. Which of the following
statements by the client indicate a therapeutic response to the
medication? Ans: I have noticed I'm not as cold as I used to be
a nurse is receiving the laboratory results of a client who has rheumatoid
arthritis and a prescription for cyclosporine. The nurse should report
CMS PHARMACOLOGY PROCTORED
EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS
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 ? Ans: 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? Ans: 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?
Ans: 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)
Ans: 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? Ans:
estrogen-containing contraceptives
, Page | 2
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? Ans: 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? Ans: 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? Ans:
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 Ans: 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? Ans:
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?
Ans: improve cognition
A nurse is reviewing the laboratory results of a client who is receiving
genital medicine for Staphylococcus. Which of the following findings
, Page | 3
should the nurse report to there immediately? Ans: 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? Ans: 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? Ans: 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? Ans: 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?
Ans: 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? Ans:
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? Ans: The medication vial sat at room
temperature for 2 hours before it was administered.
A nurse in a provider's office is assessing a client who has hypothyroidism
and has been taking levothyroxine for 2 months. Which of the following
statements by the client indicate a therapeutic response to the
medication? Ans: I have noticed I'm not as cold as I used to be
a nurse is receiving the laboratory results of a client who has rheumatoid
arthritis and a prescription for cyclosporine. The nurse should report
