Pharmacology CMS
CMS Pharmacology Study Exam Latest
Questions and Answers 2025
A nurse is teaching a client about the use of a dinoprostone vaginal insert pouch to
stimulate labor. Which of the following statements should the nurse include in the
teaching? -Correct Answer ✔"Lie on your back for at least 2 hours without getting up."
The client should remain supine for at least 2 hours after the dinoprostone vaginal pouch
is inserted to allow a slow release of the medication from the pouch to stimulate labor.
A nurse is teaching a client who is about to start taking propylthiouracil to treat
hyperthyroidism. Which of the following statements should the nurse identify as an
indication that the teaching has been effective? -Correct Answer ✔"I will need
laboratory tests to check my liver function."
Propylthiouracil is hepatotoxic and can cause severe liver injury. The nurse should
instruct the client to report dark urine and yellowing of the eyes, which can indicate an
injury to the liver.
A nurse is preparing a discharge teaching plan for a 6-year-old client with asthma who
has several prescription medications using metered-dose inhalers (MDIs). Which of the
following interventions should the nurse include in the plan? -Correct Answer ✔Add a
spacer to each MDI.
MDIs are difficult to use correctly; even when properly used, only a portion of the
medication is delivered to the lungs. A spacer applied to an MDI can make up for a lack
of hand-lung coordination by increasing the amount of medication delivered to the
lungs.
Pharmacology CMS
,Pharmacology CMS
A nurse is preparing to administer oxytocin to a client who is at 41 weeks gestation and
is experiencing ineffective labor. Which of the following actions should the nurse plan to
take? -Correct Answer ✔Increase the dose of oxytocin to obtain uterine contractions
that occur every 2 to 3 min.
Effective uterine contractions should occur every 2 to 3 minutes.
A nurse is monitoring the laboratory values of a male client who has leukemia and is
receiving weekly chemotherapy with methotrexate via IV infusion. Which of the
following laboratory values should the nurse report to the provider? -Correct Answer
✔Platelets 78,000/mm^3
The nurse should monitor the platelet count of a client who is taking methotrexate
because the medication can cause thrombocytopenia. This client's platelet count is very
low and puts the client at risk of severe bleeding. The nurse should report this finding
promptly to the provider.
A nurse is teaching a client who has a new prescription for alosetron. Which of the
following client statements indicates an understanding of the teaching? -Correct Answer
✔"I should contact my provider immediately if I experience constipation."
The nurse should identify that constipation is an adverse effect of this medication and
requires the provider to be notified. The provider may adjust the dose or withhold the
medication and then instruct the client to resume taking it once the constipation has
resolved.
A nurse is reviewing the medical record of a client who might have hearing loss. Which
of the following data from the client's medical record should the nurse identify as a risk
factor for hearing loss? -Correct Answer ✔Chronic use of salicylates.
Pharmacology CMS
, Pharmacology CMS
Chronic use of salicylates such as aspirin can lead to ototoxicity, which can manifest as
tinnitus or hearing loss.
A nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older
adult client who has Paget's disease of the bone. Which of the following actions should
be the nurse's priority? -Correct Answer ✔Ambulate the client to a chair prior to
administering the medication .
The nurse should ambulate the client to a chair and ensure that the client is sitting
upright before administering the alendronate to prevent esophagitis from occurring. The
client must also be able to sit or stand upright for 30 minutes after taking the
medication. The nurse should apply the safety and risk-reduction priority-setting
framework, which assigns priority to the factor or situation posing the greatest safety
risk to the client. When there are several risks to safety, the one posing the greatest
threat is the highest priority. The nurse should use Maslow's Hierarchy of Needs, the
ABC priority-setting framework, and/or nursing knowledge to identify which risk poses
the greatest threat to the client.
A nurse is preparing to administer dantrolene to a client who has muscle spasticity.
Which of the following findings from the client's medical history should the nurse
identify as a contraindication to the administration of this medication? -Correct Answer
✔History of cirrhosis
The nurse should identify that dantrolene is contraindicated for clients who have active
liver disease because it is hepatotoxic and can cause liver failure. Liver function tests are
monitored for clients throughout treatment with this medication.
A nurse is assessing a client who was recently admitted and has a history of alcohol use
disorder. The client displays ataxia, an altered level of consciousness, and nystagmus.
Which of the following medications should the nurse anticipate administering to the
client? -Correct Answer ✔Parenteral thiamine.
Pharmacology CMS
CMS Pharmacology Study Exam Latest
Questions and Answers 2025
A nurse is teaching a client about the use of a dinoprostone vaginal insert pouch to
stimulate labor. Which of the following statements should the nurse include in the
teaching? -Correct Answer ✔"Lie on your back for at least 2 hours without getting up."
The client should remain supine for at least 2 hours after the dinoprostone vaginal pouch
is inserted to allow a slow release of the medication from the pouch to stimulate labor.
A nurse is teaching a client who is about to start taking propylthiouracil to treat
hyperthyroidism. Which of the following statements should the nurse identify as an
indication that the teaching has been effective? -Correct Answer ✔"I will need
laboratory tests to check my liver function."
Propylthiouracil is hepatotoxic and can cause severe liver injury. The nurse should
instruct the client to report dark urine and yellowing of the eyes, which can indicate an
injury to the liver.
A nurse is preparing a discharge teaching plan for a 6-year-old client with asthma who
has several prescription medications using metered-dose inhalers (MDIs). Which of the
following interventions should the nurse include in the plan? -Correct Answer ✔Add a
spacer to each MDI.
MDIs are difficult to use correctly; even when properly used, only a portion of the
medication is delivered to the lungs. A spacer applied to an MDI can make up for a lack
of hand-lung coordination by increasing the amount of medication delivered to the
lungs.
Pharmacology CMS
,Pharmacology CMS
A nurse is preparing to administer oxytocin to a client who is at 41 weeks gestation and
is experiencing ineffective labor. Which of the following actions should the nurse plan to
take? -Correct Answer ✔Increase the dose of oxytocin to obtain uterine contractions
that occur every 2 to 3 min.
Effective uterine contractions should occur every 2 to 3 minutes.
A nurse is monitoring the laboratory values of a male client who has leukemia and is
receiving weekly chemotherapy with methotrexate via IV infusion. Which of the
following laboratory values should the nurse report to the provider? -Correct Answer
✔Platelets 78,000/mm^3
The nurse should monitor the platelet count of a client who is taking methotrexate
because the medication can cause thrombocytopenia. This client's platelet count is very
low and puts the client at risk of severe bleeding. The nurse should report this finding
promptly to the provider.
A nurse is teaching a client who has a new prescription for alosetron. Which of the
following client statements indicates an understanding of the teaching? -Correct Answer
✔"I should contact my provider immediately if I experience constipation."
The nurse should identify that constipation is an adverse effect of this medication and
requires the provider to be notified. The provider may adjust the dose or withhold the
medication and then instruct the client to resume taking it once the constipation has
resolved.
A nurse is reviewing the medical record of a client who might have hearing loss. Which
of the following data from the client's medical record should the nurse identify as a risk
factor for hearing loss? -Correct Answer ✔Chronic use of salicylates.
Pharmacology CMS
, Pharmacology CMS
Chronic use of salicylates such as aspirin can lead to ototoxicity, which can manifest as
tinnitus or hearing loss.
A nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older
adult client who has Paget's disease of the bone. Which of the following actions should
be the nurse's priority? -Correct Answer ✔Ambulate the client to a chair prior to
administering the medication .
The nurse should ambulate the client to a chair and ensure that the client is sitting
upright before administering the alendronate to prevent esophagitis from occurring. The
client must also be able to sit or stand upright for 30 minutes after taking the
medication. The nurse should apply the safety and risk-reduction priority-setting
framework, which assigns priority to the factor or situation posing the greatest safety
risk to the client. When there are several risks to safety, the one posing the greatest
threat is the highest priority. The nurse should use Maslow's Hierarchy of Needs, the
ABC priority-setting framework, and/or nursing knowledge to identify which risk poses
the greatest threat to the client.
A nurse is preparing to administer dantrolene to a client who has muscle spasticity.
Which of the following findings from the client's medical history should the nurse
identify as a contraindication to the administration of this medication? -Correct Answer
✔History of cirrhosis
The nurse should identify that dantrolene is contraindicated for clients who have active
liver disease because it is hepatotoxic and can cause liver failure. Liver function tests are
monitored for clients throughout treatment with this medication.
A nurse is assessing a client who was recently admitted and has a history of alcohol use
disorder. The client displays ataxia, an altered level of consciousness, and nystagmus.
Which of the following medications should the nurse anticipate administering to the
client? -Correct Answer ✔Parenteral thiamine.
Pharmacology CMS
