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CMS PHARMACOLOGY PROCTORED
EXAM QUESTIONS AND ANSWERS 2025
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 ? -
correct answer- 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? - correct
answer- 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? - correct answer- 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) - correct answer- Obtain the
client's apical heart rate
Remove the medication from the dispensing system
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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? - correct answer- estrogen-containing
contraceptives
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? - correct answer-
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? -
correct answer- nitroglycerin
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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? - correct answer- 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 - correct answer-
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? - correct answer- 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? - correct answer- improve cognition
CMS PHARMACOLOGY PROCTORED
EXAM QUESTIONS AND ANSWERS 2025
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 ? -
correct answer- 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? - correct
answer- 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? - correct answer- 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) - correct answer- Obtain the
client's apical heart rate
Remove the medication from the dispensing system
,2 | Page
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? - correct answer- estrogen-containing
contraceptives
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? - correct answer-
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? -
correct answer- nitroglycerin
, 3 | Page
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? - correct answer- 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 - correct answer-
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? - correct answer- 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? - correct answer- improve cognition
