Pharm CMS practice questions with
complete solutions
A |provider |prescribes |phenobarbital |for |a |client |who |has |a |seizure |disorder. |The |medication |
has |a |long |half-life |of |4 |days. |How |many |times |per |day |should |the |nurse |expect |to |administer |
this |medication?
A. |One
B. |Two
C. |Three
D. |Four
A. |One
A |nurse |educator |is |reviewing |medication |metabolism |at |an |in-service |presentation. |Which |of |
the |following |factors |should |the |educator |include |as |a |reason |to |administer |lower |medication |
dosages? |(select |all |that |apply)
A. |increased |renal |excretion
B. |increased |medication-metabolizing |enzymes
C. |liver |failure
D. |peripheral |vascular |disease
E. |concurrent |use |of |medication |the |same |pathway |metabolizes
C. |Liver |failure
E. |Concurrent |use |of |medication |the |same |pathway |metabolizes
A |nurse |is |preparing |to |administer |eye |drops |to |a |client. |Which |of |the |following |actions |should
|the |nurse |take? |(select |all |that |apply)
A. |Have |the |client |lie |on |one |side
B. |Ask |the |client |to |look |up |at |the |ceiling
C. |Tell |the |client |to |blink |when |the |drops |enter |the |eyes
D. |Drop |the |medication |into |the |clients |conjunctival |sac
E. |Instruct |the |client |to |close |the |eye |gently |after |instillation
B. |Ask |the |client |to |look |up |at |the |ceiling
D. |Drop |the |medication |into |the |clients |conjunctival |sac
E. |Instruct |the |client |to |close |the |eye |gently |after |instillation
,A |nurse |is |teaching |a |client |about |transdermal |patches. |Which |of |the |following |statements |
should |the |nurse |identify |as |an |indication |that |the |client |understands?
A. |"I |will |clean |the |site |with |an |alcohol |swab |before |i |apply |the |patch"
B. |"I |will |rotate |the |application |sites |weekly"
C. |"I |will |apply |the |patch |to |an |area |of |skin |with |no |hair"
D. |"I |will |place |the |new |patch |on |the |site |of |the |old |patch"
C. |"I |will |apply |the |patch |to |an |area |of |skin |with |no |hair"
A |nurse |reviewing |a |client's |medical |record |notes |a |new |prescription |for |verifying |the |trough |
level |of |the |client's |medication. |Which |of |the |following |actions |should |the |nurse |take?
A. |Obtain |a |blood |specimen |immediately |prior |to |administering |the |next |dose |of |medication.
B. |Verify |that |the |client |has |been |taking |the |medication |for |24 |hr |before |obtaining |a |blood |
specimen.
C. |Ask |the |client |to |provide |a |urine |specimen |after |the |next |dose |of |medication.
D. |Administer |the |medication,and |obtain |a |blood |specimen |30 |min |late
A. |Obtain |a |blood |specimen |immediately |prior |to |administering |the |next |dose |of |medication.
A |nurse |is |preparing |a |client's |medications. |Which |of |the |following |actions |should |the |nurse |
take |in |following |legal |practice |guidelines? |(Select |all |that |apply)
A. |Teach |the |client |about |the |med
B. |Determine |the |dosage
C. |Monitor |for |adverse |effects
D. |Lock |compartments |for |controlled |substances
E. |Determine |the |clients |insurance |status
A. |Teach |the |client |about |the |med
C. |Monitor |for |adverse |effects
D. |Lock |compartments |for |controlled |substances
The |nurse |is |preparing |to |administer |digoxin |to |a |client |who |states, |"I |don't |want |to |take |that |
medication. |I |do |not |want |one |more |pill." |Which |of |the |following |responses |should |the |nurse |
make?
A. |Your |physician |prescribes |it |for |you, |so |you |really |should |take |it
B. |Well, |lets |just |get |it |over |quickly |then
C. |Okay, |ill |just |give |you |your |other |medications
D. |Tell |me |your |concerns |about |taking |this |medication
D. |Tell |me |your |concerns |about |taking |this |medication
,The |nurse |is |reviewing |a |client's |prescribed |medications. |Which |of |the |following |situations |
represents |a |contraindication |to |med |administrations?
A. |The |client |drank |grapefruit |juice, |which |could |reduce |a |medications |effectiveness
B. |The |medication |has |orthostatic |hypotension |as |an |adverse |effect
C. |A |medication |is |approved |for |ages |12 |and |older, |and |the |client |is |8 |years |old
D. |An |antianxiety |medication |has |an |adverse |effect |of |drowsiness |is |prescribed |as |a |
preoperative |sedative
C. |A |medication |is |approved |for |ages |12 |and |older, |and |the |client |is |8 |years |old
The |nurse |is |assessing |a |client |before |administering |medications. |Which |of |the |following |data |
should |the |nurse |obtain? |(select |all |the |apply)
A. |Use |of |herbal |products
B. |Daily |fluid |intake
C. |Ability |to |swallow
D. |Previous |surgical |history
E. |Allergies
A. |Use |of |herbal |products
C. |Ability |to |swallow
E. |Allergies
A |nurse |is |working |with |a |newly |hired |nurse |who |is |administering |medications |to |clients. |
Which |of |the |following |actions |by |the |newly |hired |nurse |indicates |an |understanding |of |
medication |error |prevention.
A. |Taking |all |medications |out |of |the |unit- |dose |wrappers |before |entering |the |clients |room
B. |Checking |with |the |provider |when |a |single |dose |requires |administration |of |multiple |tablets
C. |Administering |a |medication, |then |looking |up |the |usual |dosage |range.
D. |Relying |on |another |nurse |to |clarify |a |medication |prescription.
B. |Checking |with |the |provider |when |a |single |dose |requires |administration |of |multiple |tablets
A |nurse |is |caring |for |a |client |experiencing |IV |extravasation. |The |facility |requires |the |
administration |of |an |antidote |for |the |prescribed |IV |solution. |After |stopping |the |IV |infusion, |
which |of |the |following |actions |should |the |nurse |take |first?
A. |Remove |the |IV |catheter
B. |Withdraw |the |solution |from |the |IV |access
C. |Administer |the |antidote |to |the |vesicant
D. |Insert |a |new |IV |access |in |a |different |extremity
B. |Withdraw |the |solution |from |the |IV |access
, A |nurse |is |preparing |to |initiate |IV |therapy |for |an |older |adult |client. |Which |of |the |following |
actions |should |the |nurse |plan |to |take?A. |Use |a |disposable |razor |to |remove |excess |hair |on |the |
extremity
B. |Select |the |back |of |the |client's |hand |to |insert |the |IV |catheter
C. |Distend |the |veins |by |using |a |blood |pressure |cuff
D. |Direct |the |client |to |raise |their |arm |above |their |heart
C. |Distend |the |veins |by |using |a |blood |pressure |cuff
A |nurse |assessing |the |IV |catheter |insertion |site |for |a |client |receiving |a |non |vesicant |solution |
and |notes |swelling |at |the |site |with |decreased |skin |temperature. |Which |of |the |following |
actions |should |the |nurse |take? |(select |all |that |apply)
A. |Stop |the |infusion
B. |Start |a |new |IV |access |distal |to |this |site
C. |Apply |warm |compresses |to |the |insertion |site
D. |Elevate |the |client's |arm
E. |Obtain |a |specimen |for |culture |at |the |insertion |site
A. |Stop |the |infusion
C. |Apply |warm |compresses |to |the |insertion |site
D. |Elevate |the |client's |arm
A |nurse |in |a |clinic |is |caring |for |a |group |of |clients. |The |nurse |should |contact |the |provider |about
|a |potential |contraindication |to |a |medication |for |which |of |the |following |clients? |SELECT |ALL |
THAT |APPLY.
A. |A |client |at |8 |weeks |of |gestation |who |asks |for |an |influenza |immunization.
B. |A |client |who |takes |prednisone |and |has |a |possible |fungal |infection.
C. |A |client |who |has |chronic |liver |disease |and |reports |he |is |taking |hydrocodone.
D. |A |client |who |has |peptic |ulcer |disease |and |takes |sucralfate |and |tells |the |nurse |she |has |
started |taking |over-the-counter |aluminum |hydroxide.
E. |A |client |who |has |a |prosthetic |heart |valve |who |takes |warfarin |and |reports |a |suspected |
pregnancy.
B. |A |client |who |takes |prednisone |and |has |a |possible |fungal |infection.
C. |A |client |who |has |chronic |liver |disease |and |reports |he |is |taking |hydrocodone.
E. |A |client |who |has |a |prosthetic |heart |valve |who |takes |warfarin |and |reports |a |suspected |
pregnancy.
A |nurse |is |preparing |to |administer |an |IM |dose |of |penicillin |to |a |client |who |has |a |new |
prescription. |The |client |states |she |took |penicillin |3 |years |ago |and |developed |a |rash. |Which |of |
the |following |is |an |appropriate |nursing |action?
complete solutions
A |provider |prescribes |phenobarbital |for |a |client |who |has |a |seizure |disorder. |The |medication |
has |a |long |half-life |of |4 |days. |How |many |times |per |day |should |the |nurse |expect |to |administer |
this |medication?
A. |One
B. |Two
C. |Three
D. |Four
A. |One
A |nurse |educator |is |reviewing |medication |metabolism |at |an |in-service |presentation. |Which |of |
the |following |factors |should |the |educator |include |as |a |reason |to |administer |lower |medication |
dosages? |(select |all |that |apply)
A. |increased |renal |excretion
B. |increased |medication-metabolizing |enzymes
C. |liver |failure
D. |peripheral |vascular |disease
E. |concurrent |use |of |medication |the |same |pathway |metabolizes
C. |Liver |failure
E. |Concurrent |use |of |medication |the |same |pathway |metabolizes
A |nurse |is |preparing |to |administer |eye |drops |to |a |client. |Which |of |the |following |actions |should
|the |nurse |take? |(select |all |that |apply)
A. |Have |the |client |lie |on |one |side
B. |Ask |the |client |to |look |up |at |the |ceiling
C. |Tell |the |client |to |blink |when |the |drops |enter |the |eyes
D. |Drop |the |medication |into |the |clients |conjunctival |sac
E. |Instruct |the |client |to |close |the |eye |gently |after |instillation
B. |Ask |the |client |to |look |up |at |the |ceiling
D. |Drop |the |medication |into |the |clients |conjunctival |sac
E. |Instruct |the |client |to |close |the |eye |gently |after |instillation
,A |nurse |is |teaching |a |client |about |transdermal |patches. |Which |of |the |following |statements |
should |the |nurse |identify |as |an |indication |that |the |client |understands?
A. |"I |will |clean |the |site |with |an |alcohol |swab |before |i |apply |the |patch"
B. |"I |will |rotate |the |application |sites |weekly"
C. |"I |will |apply |the |patch |to |an |area |of |skin |with |no |hair"
D. |"I |will |place |the |new |patch |on |the |site |of |the |old |patch"
C. |"I |will |apply |the |patch |to |an |area |of |skin |with |no |hair"
A |nurse |reviewing |a |client's |medical |record |notes |a |new |prescription |for |verifying |the |trough |
level |of |the |client's |medication. |Which |of |the |following |actions |should |the |nurse |take?
A. |Obtain |a |blood |specimen |immediately |prior |to |administering |the |next |dose |of |medication.
B. |Verify |that |the |client |has |been |taking |the |medication |for |24 |hr |before |obtaining |a |blood |
specimen.
C. |Ask |the |client |to |provide |a |urine |specimen |after |the |next |dose |of |medication.
D. |Administer |the |medication,and |obtain |a |blood |specimen |30 |min |late
A. |Obtain |a |blood |specimen |immediately |prior |to |administering |the |next |dose |of |medication.
A |nurse |is |preparing |a |client's |medications. |Which |of |the |following |actions |should |the |nurse |
take |in |following |legal |practice |guidelines? |(Select |all |that |apply)
A. |Teach |the |client |about |the |med
B. |Determine |the |dosage
C. |Monitor |for |adverse |effects
D. |Lock |compartments |for |controlled |substances
E. |Determine |the |clients |insurance |status
A. |Teach |the |client |about |the |med
C. |Monitor |for |adverse |effects
D. |Lock |compartments |for |controlled |substances
The |nurse |is |preparing |to |administer |digoxin |to |a |client |who |states, |"I |don't |want |to |take |that |
medication. |I |do |not |want |one |more |pill." |Which |of |the |following |responses |should |the |nurse |
make?
A. |Your |physician |prescribes |it |for |you, |so |you |really |should |take |it
B. |Well, |lets |just |get |it |over |quickly |then
C. |Okay, |ill |just |give |you |your |other |medications
D. |Tell |me |your |concerns |about |taking |this |medication
D. |Tell |me |your |concerns |about |taking |this |medication
,The |nurse |is |reviewing |a |client's |prescribed |medications. |Which |of |the |following |situations |
represents |a |contraindication |to |med |administrations?
A. |The |client |drank |grapefruit |juice, |which |could |reduce |a |medications |effectiveness
B. |The |medication |has |orthostatic |hypotension |as |an |adverse |effect
C. |A |medication |is |approved |for |ages |12 |and |older, |and |the |client |is |8 |years |old
D. |An |antianxiety |medication |has |an |adverse |effect |of |drowsiness |is |prescribed |as |a |
preoperative |sedative
C. |A |medication |is |approved |for |ages |12 |and |older, |and |the |client |is |8 |years |old
The |nurse |is |assessing |a |client |before |administering |medications. |Which |of |the |following |data |
should |the |nurse |obtain? |(select |all |the |apply)
A. |Use |of |herbal |products
B. |Daily |fluid |intake
C. |Ability |to |swallow
D. |Previous |surgical |history
E. |Allergies
A. |Use |of |herbal |products
C. |Ability |to |swallow
E. |Allergies
A |nurse |is |working |with |a |newly |hired |nurse |who |is |administering |medications |to |clients. |
Which |of |the |following |actions |by |the |newly |hired |nurse |indicates |an |understanding |of |
medication |error |prevention.
A. |Taking |all |medications |out |of |the |unit- |dose |wrappers |before |entering |the |clients |room
B. |Checking |with |the |provider |when |a |single |dose |requires |administration |of |multiple |tablets
C. |Administering |a |medication, |then |looking |up |the |usual |dosage |range.
D. |Relying |on |another |nurse |to |clarify |a |medication |prescription.
B. |Checking |with |the |provider |when |a |single |dose |requires |administration |of |multiple |tablets
A |nurse |is |caring |for |a |client |experiencing |IV |extravasation. |The |facility |requires |the |
administration |of |an |antidote |for |the |prescribed |IV |solution. |After |stopping |the |IV |infusion, |
which |of |the |following |actions |should |the |nurse |take |first?
A. |Remove |the |IV |catheter
B. |Withdraw |the |solution |from |the |IV |access
C. |Administer |the |antidote |to |the |vesicant
D. |Insert |a |new |IV |access |in |a |different |extremity
B. |Withdraw |the |solution |from |the |IV |access
, A |nurse |is |preparing |to |initiate |IV |therapy |for |an |older |adult |client. |Which |of |the |following |
actions |should |the |nurse |plan |to |take?A. |Use |a |disposable |razor |to |remove |excess |hair |on |the |
extremity
B. |Select |the |back |of |the |client's |hand |to |insert |the |IV |catheter
C. |Distend |the |veins |by |using |a |blood |pressure |cuff
D. |Direct |the |client |to |raise |their |arm |above |their |heart
C. |Distend |the |veins |by |using |a |blood |pressure |cuff
A |nurse |assessing |the |IV |catheter |insertion |site |for |a |client |receiving |a |non |vesicant |solution |
and |notes |swelling |at |the |site |with |decreased |skin |temperature. |Which |of |the |following |
actions |should |the |nurse |take? |(select |all |that |apply)
A. |Stop |the |infusion
B. |Start |a |new |IV |access |distal |to |this |site
C. |Apply |warm |compresses |to |the |insertion |site
D. |Elevate |the |client's |arm
E. |Obtain |a |specimen |for |culture |at |the |insertion |site
A. |Stop |the |infusion
C. |Apply |warm |compresses |to |the |insertion |site
D. |Elevate |the |client's |arm
A |nurse |in |a |clinic |is |caring |for |a |group |of |clients. |The |nurse |should |contact |the |provider |about
|a |potential |contraindication |to |a |medication |for |which |of |the |following |clients? |SELECT |ALL |
THAT |APPLY.
A. |A |client |at |8 |weeks |of |gestation |who |asks |for |an |influenza |immunization.
B. |A |client |who |takes |prednisone |and |has |a |possible |fungal |infection.
C. |A |client |who |has |chronic |liver |disease |and |reports |he |is |taking |hydrocodone.
D. |A |client |who |has |peptic |ulcer |disease |and |takes |sucralfate |and |tells |the |nurse |she |has |
started |taking |over-the-counter |aluminum |hydroxide.
E. |A |client |who |has |a |prosthetic |heart |valve |who |takes |warfarin |and |reports |a |suspected |
pregnancy.
B. |A |client |who |takes |prednisone |and |has |a |possible |fungal |infection.
C. |A |client |who |has |chronic |liver |disease |and |reports |he |is |taking |hydrocodone.
E. |A |client |who |has |a |prosthetic |heart |valve |who |takes |warfarin |and |reports |a |suspected |
pregnancy.
A |nurse |is |preparing |to |administer |an |IM |dose |of |penicillin |to |a |client |who |has |a |new |
prescription. |The |client |states |she |took |penicillin |3 |years |ago |and |developed |a |rash. |Which |of |
the |following |is |an |appropriate |nursing |action?
