CMS PHARMACOLOGY FINAL PAPER 2025/2026
QUESTIONS AND SOLUTIONS MARKED A+
✔✔A nurse is teaching a client who has active pulmonary tuberculosis about
management of medication for the disease. Which of the following statement is
appropriate for the nurse to take - ✔✔you will need to take two or more medication to
treat your disease
✔✔A nurse is reviewing agency protocol prior to administering epoetin alfa to a client
who has chronic kidney disease. Which of the following actions should the nurse plan to
take? - ✔✔Discard the vial of the medication if the solution is cloudy
✔✔A nurse is assessing a Client who is receiving penicillin IV. For which of the
following findings should the nurse report to the provider as a manifestation of
anaphylaxis? - ✔✔wheezing
✔✔A nurse in the emergency department is admitting a client who has diabetes
ketoacidosis and a blood glucose level of 800 mg. Which of the following interventions
should the nurse initiate first? - ✔✔0.9% sodium chloride 15 ML
✔✔A nurse is assessing a client who has asthma and a prescription for albuterol. The
nurse should monitor the client for which of the following adverse effects? -
✔✔tachycardia
✔✔a nurse is preparing to administer medication to a group of clients. Which of the
following prescriptions should the nurse clarify with the provider before administering? -
✔✔warfarin 100 units subcutaneously daily
✔✔a nurse is preparing to administer Propranolol to a client which of the following
should the nurse assess prior to administering? - ✔✔heart rate
✔✔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? - ✔✔monitor the client for hearing loss
✔✔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? - ✔✔Platelets within the expected reference range
✔✔A nurse is teaching a client who has multiple allergies about using epinephrine auto-
injector. Which of the following instructions should the nurse include? - ✔✔administer
the medication through clothing if necessary
, ✔✔A nurse is completing medication reconciliation for a client prior to their transfer to a
rehabilitation facility. Which of the following actions should the nurse take? - ✔✔include
the medication the client received during surgery on the client's medication list
✔✔nurse is assessing a client who is receiving intravenous therapy. The nurse should
identify which of the following findings as a manifestation of fluid volume excess? -
✔✔Distended neck vein
✔✔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? - ✔✔Improved cognition
✔✔A nurse is teaching a client who has a new prescription for a nitroglycerin
transdermal patch. Which of the following instructions should the nurse include? -
✔✔Remove the patch prior to going to bed
✔✔nurse is reviewing he laboratory results of a client who has a prescription for sodium
polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse
report to the provider? - ✔✔Potassium 5.2 mEq/L
✔✔A nurse is caring for a client who has tuberculosis and is taking isoniazid and
rifampin. Which of the following outcomes indicates that the client is adhering to the
medication regimen? - ✔✔The client has a negative sputum culture
✔✔A nurse is caring for a client who is taking sertraline and reports a desire to begin
taking supplements. Which of the following supplements should the nurse advise the
client to avoid? - ✔✔St. John's Wort
✔✔nurse is caring for a client who has heart failure and a new prescription for lisinopril.
For which of the following adverse effects should the nurse monitor when administering
lisinopril? - ✔✔Hypotension
✔✔A nurse is assessing a client who is receiving heparin IV continuous IV. The client
has an PPT of 90 seconds. They should monitor the client for which of the following
changes in their vital signs? - ✔✔increased blood pressure
✔✔A nurse is preparing to administer medication to a client and discovers a medication
error. The nurse should recognize that which of the following staff members is
responsible for completing an incident report? - ✔✔The nurse who identifies the error
✔✔a nurse is planning care for a client who is receiving morphine via continuous
epidural infusion. The nurse should monitor the client for which of the following? -
✔✔Pruritus
QUESTIONS AND SOLUTIONS MARKED A+
✔✔A nurse is teaching a client who has active pulmonary tuberculosis about
management of medication for the disease. Which of the following statement is
appropriate for the nurse to take - ✔✔you will need to take two or more medication to
treat your disease
✔✔A nurse is reviewing agency protocol prior to administering epoetin alfa to a client
who has chronic kidney disease. Which of the following actions should the nurse plan to
take? - ✔✔Discard the vial of the medication if the solution is cloudy
✔✔A nurse is assessing a Client who is receiving penicillin IV. For which of the
following findings should the nurse report to the provider as a manifestation of
anaphylaxis? - ✔✔wheezing
✔✔A nurse in the emergency department is admitting a client who has diabetes
ketoacidosis and a blood glucose level of 800 mg. Which of the following interventions
should the nurse initiate first? - ✔✔0.9% sodium chloride 15 ML
✔✔A nurse is assessing a client who has asthma and a prescription for albuterol. The
nurse should monitor the client for which of the following adverse effects? -
✔✔tachycardia
✔✔a nurse is preparing to administer medication to a group of clients. Which of the
following prescriptions should the nurse clarify with the provider before administering? -
✔✔warfarin 100 units subcutaneously daily
✔✔a nurse is preparing to administer Propranolol to a client which of the following
should the nurse assess prior to administering? - ✔✔heart rate
✔✔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? - ✔✔monitor the client for hearing loss
✔✔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? - ✔✔Platelets within the expected reference range
✔✔A nurse is teaching a client who has multiple allergies about using epinephrine auto-
injector. Which of the following instructions should the nurse include? - ✔✔administer
the medication through clothing if necessary
, ✔✔A nurse is completing medication reconciliation for a client prior to their transfer to a
rehabilitation facility. Which of the following actions should the nurse take? - ✔✔include
the medication the client received during surgery on the client's medication list
✔✔nurse is assessing a client who is receiving intravenous therapy. The nurse should
identify which of the following findings as a manifestation of fluid volume excess? -
✔✔Distended neck vein
✔✔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? - ✔✔Improved cognition
✔✔A nurse is teaching a client who has a new prescription for a nitroglycerin
transdermal patch. Which of the following instructions should the nurse include? -
✔✔Remove the patch prior to going to bed
✔✔nurse is reviewing he laboratory results of a client who has a prescription for sodium
polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse
report to the provider? - ✔✔Potassium 5.2 mEq/L
✔✔A nurse is caring for a client who has tuberculosis and is taking isoniazid and
rifampin. Which of the following outcomes indicates that the client is adhering to the
medication regimen? - ✔✔The client has a negative sputum culture
✔✔A nurse is caring for a client who is taking sertraline and reports a desire to begin
taking supplements. Which of the following supplements should the nurse advise the
client to avoid? - ✔✔St. John's Wort
✔✔nurse is caring for a client who has heart failure and a new prescription for lisinopril.
For which of the following adverse effects should the nurse monitor when administering
lisinopril? - ✔✔Hypotension
✔✔A nurse is assessing a client who is receiving heparin IV continuous IV. The client
has an PPT of 90 seconds. They should monitor the client for which of the following
changes in their vital signs? - ✔✔increased blood pressure
✔✔A nurse is preparing to administer medication to a client and discovers a medication
error. The nurse should recognize that which of the following staff members is
responsible for completing an incident report? - ✔✔The nurse who identifies the error
✔✔a nurse is planning care for a client who is receiving morphine via continuous
epidural infusion. The nurse should monitor the client for which of the following? -
✔✔Pruritus
