Pharm CJE Review – High-Yield Medication Safety
& Clinical Judgment Questions Verified Complete
with A+ Graded Rationales Updated 2026
Question: The nurse is providing care for a newly admitted adult client who has experienced
severe electrical burns over the bilateral upper extremities, neck, and chest. Which order should
the nurse question?
A. Place 16-gauge IV catheter in lower extremity
B. Consult cardiology for nontraditional electrocardiogram (ECG) placement
C. Peripherally inserted central catheter (PICC) placement in upper left arm
D. Insert indwelling urinary catheter
C. Peripherally inserted central catheter (PICC) placement in upper left arm
Rationale:PICC placement in the burned upper extremity should be questioned because severe
electrical burns can cause significant tissue damage, increased risk of infection, and poor
healing. The damaged vasculature may not support proper catheter function, leading to
complications such as thrombosis or infection. Alternative sites should be considered to ensure
safe and effective vascular access.
Arrange the steps the nurse should follow in the correct order to safely administer rituximab to
a client.
Steps to be ordered:
Pretreat with methylprednisolone.
Confirm client identity.
Administer rituximab.
Check health care provider prescriptions.
Document medication administration.
Check the patency of the intravenous line.
1. Check health care provider prescriptions.
2. Confirm client identity.
, 3. Check the patency of the intravenous line.
4. Pretreat with methylprednisolone.
5. Administer rituximab.
6. Document medication administration.
A client with newly diagnosed hypertension is prescribed valsartan. The nurse provides
instruction about the medication.Which should the nurse include in the teaching about this
medication?
A. "Use a reliable method of birth control while on this medication."
B. "Make sure you eat bananas or drink orange juice every day."
C. "Drink lots of fluids to get rid of the annoying cough."
D. "If you feel dizzy while taking the medication, skip one dose."
A. "Use a reliable method of birth control while on this medication."
Rationale:Valsartan, an angiotensin II receptor blocker (ARB), can cause harm to a developing
fetus and is contraindicated during pregnancy. Clients of childbearing age should be advised to
use effective birth control methods while taking this medication.
Option B is incorrect because valsartan can increase potassium levels, and consuming
potassium-rich foods like bananas and orange juice may lead to hyperkalemia.
Option C is incorrect as valsartan is not typically associated with a persistent cough; this side
effect is more common with ACE inhibitors.
Option D is incorrect because skipping doses can lead to ineffective blood pressure control. If
dizziness occurs, the client should consult their healthcare provider instead.
An adult client with multiple sclerosis is prescribed baclofen. The client asks why they are on
this medication.Which statements should the nurse include in the teaching plan? Select all that
apply.
A. "This medication relaxes the muscles that make your movements spastic."
B. "Baclofen is used to prevent your seizures."
C. "This medication will help you be alert during the day."
D. "The medication will allow you to sleep."
E. "The medication will prevent your gastroesophageal reflux."
F. "Baclofen will allow you to move more easily and purposefully."
& Clinical Judgment Questions Verified Complete
with A+ Graded Rationales Updated 2026
Question: The nurse is providing care for a newly admitted adult client who has experienced
severe electrical burns over the bilateral upper extremities, neck, and chest. Which order should
the nurse question?
A. Place 16-gauge IV catheter in lower extremity
B. Consult cardiology for nontraditional electrocardiogram (ECG) placement
C. Peripherally inserted central catheter (PICC) placement in upper left arm
D. Insert indwelling urinary catheter
C. Peripherally inserted central catheter (PICC) placement in upper left arm
Rationale:PICC placement in the burned upper extremity should be questioned because severe
electrical burns can cause significant tissue damage, increased risk of infection, and poor
healing. The damaged vasculature may not support proper catheter function, leading to
complications such as thrombosis or infection. Alternative sites should be considered to ensure
safe and effective vascular access.
Arrange the steps the nurse should follow in the correct order to safely administer rituximab to
a client.
Steps to be ordered:
Pretreat with methylprednisolone.
Confirm client identity.
Administer rituximab.
Check health care provider prescriptions.
Document medication administration.
Check the patency of the intravenous line.
1. Check health care provider prescriptions.
2. Confirm client identity.
, 3. Check the patency of the intravenous line.
4. Pretreat with methylprednisolone.
5. Administer rituximab.
6. Document medication administration.
A client with newly diagnosed hypertension is prescribed valsartan. The nurse provides
instruction about the medication.Which should the nurse include in the teaching about this
medication?
A. "Use a reliable method of birth control while on this medication."
B. "Make sure you eat bananas or drink orange juice every day."
C. "Drink lots of fluids to get rid of the annoying cough."
D. "If you feel dizzy while taking the medication, skip one dose."
A. "Use a reliable method of birth control while on this medication."
Rationale:Valsartan, an angiotensin II receptor blocker (ARB), can cause harm to a developing
fetus and is contraindicated during pregnancy. Clients of childbearing age should be advised to
use effective birth control methods while taking this medication.
Option B is incorrect because valsartan can increase potassium levels, and consuming
potassium-rich foods like bananas and orange juice may lead to hyperkalemia.
Option C is incorrect as valsartan is not typically associated with a persistent cough; this side
effect is more common with ACE inhibitors.
Option D is incorrect because skipping doses can lead to ineffective blood pressure control. If
dizziness occurs, the client should consult their healthcare provider instead.
An adult client with multiple sclerosis is prescribed baclofen. The client asks why they are on
this medication.Which statements should the nurse include in the teaching plan? Select all that
apply.
A. "This medication relaxes the muscles that make your movements spastic."
B. "Baclofen is used to prevent your seizures."
C. "This medication will help you be alert during the day."
D. "The medication will allow you to sleep."
E. "The medication will prevent your gastroesophageal reflux."
F. "Baclofen will allow you to move more easily and purposefully."
