Page 1 of 37
CMS Pharmacology Proctored Exam; Latest 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 ?
.....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?
.....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? .....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
,Page 2 of 37
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
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
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
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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?
.....ANSWER.....nitroglycerin
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? .....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
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following findings should the nurse include as risk factors for an
adverse drug reaction? select all that applies
.....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? .....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? .....ANSWER.....improve cognition
A nurse is reviewing the laboratory results of a client who is
receiving genital medicine for Staphylococcus. Which of the
CMS Pharmacology Proctored Exam; Latest 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 ?
.....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?
.....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? .....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
,Page 2 of 37
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
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
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
,Page 3 of 37
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?
.....ANSWER.....nitroglycerin
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? .....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
, Page 4 of 37
following findings should the nurse include as risk factors for an
adverse drug reaction? select all that applies
.....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? .....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? .....ANSWER.....improve cognition
A nurse is reviewing the laboratory results of a client who is
receiving genital medicine for Staphylococcus. Which of the
