CMS PHARMACOLOGY PROCTORED EXAM 2
STUDY GUIDE 2026 QUESTIONS WITH
COMPLETE SOLUTIONS
◉ A nurse is caring for a group of clients. Which of the following
situations requires an incident report?
A. Client experiences a seizure.
B. A client vomits after receiving an oral medication.
C. A client receives their insulin 1 hours before scheduled.
D. A client receives their meal tray 20 min late. Answer: C. A client
receives their insulin 1 hour before scheduled.
◉ A nurse is assessing a client who has received oxycodone. The
nurse notes that the client's respiratory rate is 8/min. The nurse
should identify that which of the following is the pathophysiology
for the client's respiratory rate?
A. Oxycodone blocks the sodium channel suspending nerve
conduction.
B. Oxycodone promotes vasodilation of cranial arteries.
C. Oxycodone causes central nervous system depression.
,D. Oxycodone inhibits prostaglandin synthesis.. Answer: C.
Oxycodone causes central nervous system depression.
◉ A nurse is preparing to administer cefazolin 1 g in 0.9% sodium
chloride 100 ml- via intermittent IV bolus over 30 min. The drop
factor of the manual IV tubing is I5 gtt/mL. The nurse should set the
manual IV infusion to deliver how many gtt/min? (Round the
answer to the nearest whole number. Use a leading zero if it applies.
Do not use a trailing zero.). Answer: 50gtt/min
◉ A nurse is preparing to transcribe a prescription for a client that
reads "ondansetron 8 mg by mouth every 12 hr PRN." Which of the
following parts of the prescription should the nurse clarify with the
provider?
A. Dose
B. Route
C. Frequency
D. Reason. Answer: D. Reason
◉ 1. A nurse is caring for a client who has a prescription for
nifedipine. Which of the following findings should the nurse assess
prior to administration of the medication?
A. Blood pressure
,B. Respiratory rate
C. Temperature
D. Oxygen saturation. Answer: A. Blood pressure
◉ A nurse is providing teaching to a client who has a new
prescription for carbamazepine for the treatment of seizures. The
nurse should instruct the client to monitor for which of the following
adverse effects?
A. Blurred vision
B. Insomnia
C. Metallic taste
D. Tachypnea. Answer: A. Blurred vision
◉ A nurse is reviewing the laboratory data of a client who is
receiving filgrastim. Which of the following laboratory values should
the nurse monitor to evaluate the effectiveness of the treatment?
A. Potassium level
B. BUN
C. INR
D. WBC count. Answer: D. WBC count
, ◉ A nurse is caring for a client who is receiving parenteral nutrition
and identifies that the client has hypoglycemia. Which of the
following actions should the nurse take?
A. Discontinue the infusion.
B. Administer IV dextrose.
C. Warm formula to room temperature.
D. Obtain arterial blood gases.. Answer: B. Administer IV dextrose.
◉ A nurse is assessing a client who has septic shock and is receiving
dopamine by continuous IV infusion. Which of the following findings
indicates that the nurse should increase the rate of infusion?
A. Headache
B. Hypotension
C. Chest pain
D. Extravasation. Answer: B. Hypotension
◉ A nurse is caring for a client who is taking warfarin and reports
taking several new herbal supplements. The nurse should identify
which of the following supplements is contraindicated for
concurrent use with warfarin?
A. Ginkgo biloba
STUDY GUIDE 2026 QUESTIONS WITH
COMPLETE SOLUTIONS
◉ A nurse is caring for a group of clients. Which of the following
situations requires an incident report?
A. Client experiences a seizure.
B. A client vomits after receiving an oral medication.
C. A client receives their insulin 1 hours before scheduled.
D. A client receives their meal tray 20 min late. Answer: C. A client
receives their insulin 1 hour before scheduled.
◉ A nurse is assessing a client who has received oxycodone. The
nurse notes that the client's respiratory rate is 8/min. The nurse
should identify that which of the following is the pathophysiology
for the client's respiratory rate?
A. Oxycodone blocks the sodium channel suspending nerve
conduction.
B. Oxycodone promotes vasodilation of cranial arteries.
C. Oxycodone causes central nervous system depression.
,D. Oxycodone inhibits prostaglandin synthesis.. Answer: C.
Oxycodone causes central nervous system depression.
◉ A nurse is preparing to administer cefazolin 1 g in 0.9% sodium
chloride 100 ml- via intermittent IV bolus over 30 min. The drop
factor of the manual IV tubing is I5 gtt/mL. The nurse should set the
manual IV infusion to deliver how many gtt/min? (Round the
answer to the nearest whole number. Use a leading zero if it applies.
Do not use a trailing zero.). Answer: 50gtt/min
◉ A nurse is preparing to transcribe a prescription for a client that
reads "ondansetron 8 mg by mouth every 12 hr PRN." Which of the
following parts of the prescription should the nurse clarify with the
provider?
A. Dose
B. Route
C. Frequency
D. Reason. Answer: D. Reason
◉ 1. A nurse is caring for a client who has a prescription for
nifedipine. Which of the following findings should the nurse assess
prior to administration of the medication?
A. Blood pressure
,B. Respiratory rate
C. Temperature
D. Oxygen saturation. Answer: A. Blood pressure
◉ A nurse is providing teaching to a client who has a new
prescription for carbamazepine for the treatment of seizures. The
nurse should instruct the client to monitor for which of the following
adverse effects?
A. Blurred vision
B. Insomnia
C. Metallic taste
D. Tachypnea. Answer: A. Blurred vision
◉ A nurse is reviewing the laboratory data of a client who is
receiving filgrastim. Which of the following laboratory values should
the nurse monitor to evaluate the effectiveness of the treatment?
A. Potassium level
B. BUN
C. INR
D. WBC count. Answer: D. WBC count
, ◉ A nurse is caring for a client who is receiving parenteral nutrition
and identifies that the client has hypoglycemia. Which of the
following actions should the nurse take?
A. Discontinue the infusion.
B. Administer IV dextrose.
C. Warm formula to room temperature.
D. Obtain arterial blood gases.. Answer: B. Administer IV dextrose.
◉ A nurse is assessing a client who has septic shock and is receiving
dopamine by continuous IV infusion. Which of the following findings
indicates that the nurse should increase the rate of infusion?
A. Headache
B. Hypotension
C. Chest pain
D. Extravasation. Answer: B. Hypotension
◉ A nurse is caring for a client who is taking warfarin and reports
taking several new herbal supplements. The nurse should identify
which of the following supplements is contraindicated for
concurrent use with warfarin?
A. Ginkgo biloba
