CMS pharmacology EXAM STUDY GUIDE
2026/2027 ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. 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
2. 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
3. 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
4. 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
5. 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
,6. 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
7. 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
8. A nurse is planning care for a client who has a prescription for erythromycin
lactobionate IV bolus. Which of the following should the nurse include in
the plan of care? - ANSWER ✔ monitor the client for hearing loss
9. A nurse is assessing a client who is receiving Heparin therapy for deep vein
thrombosis. Which of the following findings should the nurse indicate to the
nurse that the therapy is effective? - ANSWER ✔ Platelets within the
expected reference range
10.What are the tests for liver function? - ANSWER ✔ AST, ALT, and
Bilirubin total
11.What are the tests for kidney function? - ANSWER ✔ Creatinine and GFR
levels
12.How do medications travel through the body? - ANSWER ✔ "MADE"
- Metabolism
- Absorption
- Distribution
- Excretion
13.What are the 8 routes of medication administration? - ANSWER ✔ 1.
Nasal
2. Otic
3. Oral
4. Inhalation
,5. Ocular
6. Inhalation
7. Topical/transdermal
8. Rectal/vaginal
14.Pharmacokinetics of Absorption - ANSWER ✔ IV route
- No barrier for absorption
15.Pharmacokinetics of Metabolism - ANSWER ✔ Liver, kidneys, lungs,
intestines, blood
- Can be affected by age, increase in some medication metabolism
enzymes, FIRST-PASS EFFECT, and nutritional status
16.Pharmacokinetics of Elimination - ANSWER ✔ Kidneys, liver, lungs,
intestines, and exocrine glands (ex. breast milk)
17.Pharmacodynamics - ANSWER ✔ Interaction between medication and
target cells, body systems, and organs to produce effects
- Agonist
- Antagonist
- Partial Agonist
18.Things to remember for the oral/enteral route - ANSWER ✔ - Avoid
administration with interacting foods and beverages (ex. Grapefruit)
- Ensure to swallow enteric-coated or time-release capsules whole
- For sublingual, DO NOT eat or drink till fully dissolved
19.Things to remember for NGT and gastrostomy tube routes - ANSWER ✔ -
DO NOT administer sublingual medications through NG tube
- Administrate medications separately
- Completely dissolve crushed tablets and capsules
- DO NOT crush extended/time-release, fluid-filled, or enteric-coated
20.A nurse is teaching a newly licensed nurse about medication reconciliation?
The nurse should instruct the newly licensed nurse to preform medication
reconciliation for which of the following clients? - ANSWER ✔ A client
who is transferred to the step down unit.
, 21.A nurse is caring for a client who is to start therapy with lovastatin. The
nurse should prepare the client for which of the following diagnostic
assessments? - ANSWER ✔ Liver function tests
22.A nurse is planning care for a client who has a prescription for erythromycin
lactobionate IV bolus. Which of the following actions should the nurse
include in the plan of care? - ANSWER ✔ Monitor the client for hearing
loss.
23.A nurse is teaching a client who has pernicious anemia to self administer
nasal cyanocobalamin (Vit b12). Which of the following information should
the nurse include in the teaching? - ANSWER ✔ Administer the
medication into one nostril once per week.
24.A nurse is administering medications to a client. Which of the following
medications should the nurse plan to administer by a parenteral route? -
ANSWER ✔ fondaparinux
25.A nurse is providing discharge teaching to a client who is receiving warfarin.
Which of the following statements is appropriate for the nurse to make? -
ANSWER ✔ Avoid eating large amounts of cabbage and broccoli.
26.A nurse is reviewing a clients 0800 lab values at 1100. The nurse notes that
the client received heparin at 1000. Which of the following lab values
warrants an incident report? - ANSWER ✔ aPTT 90 seconds
27.A nurse is obtaining a medication history from a client who has gout and is
prescribed probenecid. The nurse should notify the provider that the client is
taking which of the following over the counter medications? - ANSWER ✔
Salicylic acid
28.A nurse is caring for a client who is receiving IV amphotericin B. Which of
the following should the nurse identify as an acute infusion reaction? -
ANSWER ✔ Fever
29.A nurse in the emergency department is caring for a client who reports a
severe headache. The clients blood is 280/160 mm Hg. The nurse should
2026/2027 ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. 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
2. 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
3. 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
4. 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
5. 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
,6. 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
7. 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
8. A nurse is planning care for a client who has a prescription for erythromycin
lactobionate IV bolus. Which of the following should the nurse include in
the plan of care? - ANSWER ✔ monitor the client for hearing loss
9. A nurse is assessing a client who is receiving Heparin therapy for deep vein
thrombosis. Which of the following findings should the nurse indicate to the
nurse that the therapy is effective? - ANSWER ✔ Platelets within the
expected reference range
10.What are the tests for liver function? - ANSWER ✔ AST, ALT, and
Bilirubin total
11.What are the tests for kidney function? - ANSWER ✔ Creatinine and GFR
levels
12.How do medications travel through the body? - ANSWER ✔ "MADE"
- Metabolism
- Absorption
- Distribution
- Excretion
13.What are the 8 routes of medication administration? - ANSWER ✔ 1.
Nasal
2. Otic
3. Oral
4. Inhalation
,5. Ocular
6. Inhalation
7. Topical/transdermal
8. Rectal/vaginal
14.Pharmacokinetics of Absorption - ANSWER ✔ IV route
- No barrier for absorption
15.Pharmacokinetics of Metabolism - ANSWER ✔ Liver, kidneys, lungs,
intestines, blood
- Can be affected by age, increase in some medication metabolism
enzymes, FIRST-PASS EFFECT, and nutritional status
16.Pharmacokinetics of Elimination - ANSWER ✔ Kidneys, liver, lungs,
intestines, and exocrine glands (ex. breast milk)
17.Pharmacodynamics - ANSWER ✔ Interaction between medication and
target cells, body systems, and organs to produce effects
- Agonist
- Antagonist
- Partial Agonist
18.Things to remember for the oral/enteral route - ANSWER ✔ - Avoid
administration with interacting foods and beverages (ex. Grapefruit)
- Ensure to swallow enteric-coated or time-release capsules whole
- For sublingual, DO NOT eat or drink till fully dissolved
19.Things to remember for NGT and gastrostomy tube routes - ANSWER ✔ -
DO NOT administer sublingual medications through NG tube
- Administrate medications separately
- Completely dissolve crushed tablets and capsules
- DO NOT crush extended/time-release, fluid-filled, or enteric-coated
20.A nurse is teaching a newly licensed nurse about medication reconciliation?
The nurse should instruct the newly licensed nurse to preform medication
reconciliation for which of the following clients? - ANSWER ✔ A client
who is transferred to the step down unit.
, 21.A nurse is caring for a client who is to start therapy with lovastatin. The
nurse should prepare the client for which of the following diagnostic
assessments? - ANSWER ✔ Liver function tests
22.A nurse is planning care for a client who has a prescription for erythromycin
lactobionate IV bolus. Which of the following actions should the nurse
include in the plan of care? - ANSWER ✔ Monitor the client for hearing
loss.
23.A nurse is teaching a client who has pernicious anemia to self administer
nasal cyanocobalamin (Vit b12). Which of the following information should
the nurse include in the teaching? - ANSWER ✔ Administer the
medication into one nostril once per week.
24.A nurse is administering medications to a client. Which of the following
medications should the nurse plan to administer by a parenteral route? -
ANSWER ✔ fondaparinux
25.A nurse is providing discharge teaching to a client who is receiving warfarin.
Which of the following statements is appropriate for the nurse to make? -
ANSWER ✔ Avoid eating large amounts of cabbage and broccoli.
26.A nurse is reviewing a clients 0800 lab values at 1100. The nurse notes that
the client received heparin at 1000. Which of the following lab values
warrants an incident report? - ANSWER ✔ aPTT 90 seconds
27.A nurse is obtaining a medication history from a client who has gout and is
prescribed probenecid. The nurse should notify the provider that the client is
taking which of the following over the counter medications? - ANSWER ✔
Salicylic acid
28.A nurse is caring for a client who is receiving IV amphotericin B. Which of
the following should the nurse identify as an acute infusion reaction? -
ANSWER ✔ Fever
29.A nurse in the emergency department is caring for a client who reports a
severe headache. The clients blood is 280/160 mm Hg. The nurse should
