Pharmacology CMS Practice A
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1. 1. A nurse is instructing a client on the application of B. "I will take the patch
nitroglycerin transdermal patches. Which of the fol- off right after my evening
lowing statements by the client indicates an under- meal."
standing of the teaching?
A. "I should apply a patch every 5 minutes if I develop Clients should remove the
chest pain." patch each evening for a
B. "I will take the patch off right after my evening medication free time of 12
meal." to 14 hr before applying
C. "I will leave the patch off at least 1 day each week." a new patch to avoid de-
D. "I should discard the used patch by flushing it down veloping a tolerance to the
the toilet." medication's effects.
2. 2. A nurse receives a verbal order from the provider B. Morphine 5 mg sub-
to administer morphine five milligrams every 4 hours cut every 4 hr PRN severe
subcutaneously for severe pain as needed. The nurse pain
should identify which of the following entries as
the correct format for the medication administration The nurse should identi-
record (MAR)? fy this entry as the cor-
A. MSO4 5 mg subcut every 4 hr PRN severe pain rect format for the MAR.
B. Morphine 5 mg subcut every 4 hr PRN severe pain The medication name is
C. MSO4 5 mg SQ every 4 hr PRN severe pain spelled out and there
D. Morphine 5.0 mg subcutaneously every 4 hr PRN are not any abbreviations
severe pain from The Joint Commis-
sion's "Do Not Use" list in-
cluded in the transcription.
3. 3. A nurse is caring for a client who is taking acetazo- A. Tingling of fingers
lamide for chronic open-angle glaucoma. For which of
the following adverse effects should the nurse instruct The nurse should instruct
the client to monitor and report? the client to report the ad-
A. Tingling of fingers verse effect of paresthe-
B. Constipation sia, a tingling sensation in
, Pharmacology CMS Practice A
Study online at https://quizlet.com/_djb9aq
C. Weight gain the extremities, when tak-
D. Oliguria ing acetazolamide.
4. 4. A nurse administers a dose of metformin to a client C. Check the client's blood
instead of the prescribed dose of metoclopramide. glucose.
Which of the following actions should the nurse take
first? The first action the nurse
A. Report the incident to the charge nurse. should take using the
B. Notify the provider. nursing process is to as-
C. Check the client's blood glucose. sess the client. The client
D. Fill out an incident report. is at risk for hypoglycemia.
The nurse should monitor
the client's blood glucose
and provide the client with
a snack to reduce the risk
for hypoglycemia.
5. 5. A nurse is caring for a client who has cancer and is A. Constipation
taking oral morphine and docusate sodium. The nurse
should instruct the client that taking the docusate sodi- Constipation is a common
um daily can minimize which of the following adverse adverse effect of morphine
effects of morphine? that can be minimized by
A. Constipation taking docusate sodium, a
B. Drowsiness stool
C. Facial flushing softener that promotes
D. Itching easier evacuation of stool
by increasing water and fat
in the intestine.
6. 6. A nurse is assessing a client's vital signs prior to the C. Heart rate
administration of PO digoxin. The client's BP is 144/86
mm Hg, heart rate is 55/min, and respiratory rate is Digoxin slows the conduc-
20/min. The nurse should withhold the medication and tion rate through the SA
, Pharmacology CMS Practice A
Study online at https://quizlet.com/_djb9aq
contact the and AV nodes, thereby de-
provider for which of the following findings? creasing the heart rate.
A. Diastolic BP The nurse should withhold
B. Systolic BP the medication and noti-
C. Heart rate fy the provider for a heart
D. Respiratory rate rate of 55/min because
this is an early indication of
digoxin toxicity.
7. 7. A nurse is caring for a client who received 0.9% B. 0.9% sodium chloride 1
sodium chloride 1 L over 4 hr instead of over 8 hr as L IV infused over 4 hr. Vital
prescribed. Which of the following information should signs stable, provider noti-
the nurse enter as a complete documentation of the fied.
incident?
A. IV fluid infused over 4 hr instead of the prescribed 8 The nurse should docu-
hr. Client tolerated fluids well, provider notified. ment the type and amount
B. 0.9% sodium chloride 1 L IV infused over 4 hr. Vital of fluid, how long it took to
signs stable, provider notified. infuse, provider notifica-
C. 1 L of 0.9% sodium chloride completed at 0900. tion, and the client's phys-
Client denies shortness of breath. ical status.
D. IV fluid initiated at 0500. Lungs clear to auscultation.
8. 8. A nurse is providing teaching to a client who has pep- C. Forms a protective bar-
tic ulcer disease and is to start a new prescription for rier over ulcers
sucralfate. Which of the following actions of sucralfate
should the nurse include in the teaching? Secretions by the parietal
A. Decreases stomach acid secretion and chief cells, hydrochlo-
B. Neutralizes acids in the stomach ric acid and pepsin, can
C. Forms a protective barrier over ulcers further irritate the ulcer-
D. Treats ulcers by eradicating H. pylori ated areas. Sucralfate, a
mucosal protectant, forms
a gel-like substance that
Study online at https://quizlet.com/_djb9aq
1. 1. A nurse is instructing a client on the application of B. "I will take the patch
nitroglycerin transdermal patches. Which of the fol- off right after my evening
lowing statements by the client indicates an under- meal."
standing of the teaching?
A. "I should apply a patch every 5 minutes if I develop Clients should remove the
chest pain." patch each evening for a
B. "I will take the patch off right after my evening medication free time of 12
meal." to 14 hr before applying
C. "I will leave the patch off at least 1 day each week." a new patch to avoid de-
D. "I should discard the used patch by flushing it down veloping a tolerance to the
the toilet." medication's effects.
2. 2. A nurse receives a verbal order from the provider B. Morphine 5 mg sub-
to administer morphine five milligrams every 4 hours cut every 4 hr PRN severe
subcutaneously for severe pain as needed. The nurse pain
should identify which of the following entries as
the correct format for the medication administration The nurse should identi-
record (MAR)? fy this entry as the cor-
A. MSO4 5 mg subcut every 4 hr PRN severe pain rect format for the MAR.
B. Morphine 5 mg subcut every 4 hr PRN severe pain The medication name is
C. MSO4 5 mg SQ every 4 hr PRN severe pain spelled out and there
D. Morphine 5.0 mg subcutaneously every 4 hr PRN are not any abbreviations
severe pain from The Joint Commis-
sion's "Do Not Use" list in-
cluded in the transcription.
3. 3. A nurse is caring for a client who is taking acetazo- A. Tingling of fingers
lamide for chronic open-angle glaucoma. For which of
the following adverse effects should the nurse instruct The nurse should instruct
the client to monitor and report? the client to report the ad-
A. Tingling of fingers verse effect of paresthe-
B. Constipation sia, a tingling sensation in
, Pharmacology CMS Practice A
Study online at https://quizlet.com/_djb9aq
C. Weight gain the extremities, when tak-
D. Oliguria ing acetazolamide.
4. 4. A nurse administers a dose of metformin to a client C. Check the client's blood
instead of the prescribed dose of metoclopramide. glucose.
Which of the following actions should the nurse take
first? The first action the nurse
A. Report the incident to the charge nurse. should take using the
B. Notify the provider. nursing process is to as-
C. Check the client's blood glucose. sess the client. The client
D. Fill out an incident report. is at risk for hypoglycemia.
The nurse should monitor
the client's blood glucose
and provide the client with
a snack to reduce the risk
for hypoglycemia.
5. 5. A nurse is caring for a client who has cancer and is A. Constipation
taking oral morphine and docusate sodium. The nurse
should instruct the client that taking the docusate sodi- Constipation is a common
um daily can minimize which of the following adverse adverse effect of morphine
effects of morphine? that can be minimized by
A. Constipation taking docusate sodium, a
B. Drowsiness stool
C. Facial flushing softener that promotes
D. Itching easier evacuation of stool
by increasing water and fat
in the intestine.
6. 6. A nurse is assessing a client's vital signs prior to the C. Heart rate
administration of PO digoxin. The client's BP is 144/86
mm Hg, heart rate is 55/min, and respiratory rate is Digoxin slows the conduc-
20/min. The nurse should withhold the medication and tion rate through the SA
, Pharmacology CMS Practice A
Study online at https://quizlet.com/_djb9aq
contact the and AV nodes, thereby de-
provider for which of the following findings? creasing the heart rate.
A. Diastolic BP The nurse should withhold
B. Systolic BP the medication and noti-
C. Heart rate fy the provider for a heart
D. Respiratory rate rate of 55/min because
this is an early indication of
digoxin toxicity.
7. 7. A nurse is caring for a client who received 0.9% B. 0.9% sodium chloride 1
sodium chloride 1 L over 4 hr instead of over 8 hr as L IV infused over 4 hr. Vital
prescribed. Which of the following information should signs stable, provider noti-
the nurse enter as a complete documentation of the fied.
incident?
A. IV fluid infused over 4 hr instead of the prescribed 8 The nurse should docu-
hr. Client tolerated fluids well, provider notified. ment the type and amount
B. 0.9% sodium chloride 1 L IV infused over 4 hr. Vital of fluid, how long it took to
signs stable, provider notified. infuse, provider notifica-
C. 1 L of 0.9% sodium chloride completed at 0900. tion, and the client's phys-
Client denies shortness of breath. ical status.
D. IV fluid initiated at 0500. Lungs clear to auscultation.
8. 8. A nurse is providing teaching to a client who has pep- C. Forms a protective bar-
tic ulcer disease and is to start a new prescription for rier over ulcers
sucralfate. Which of the following actions of sucralfate
should the nurse include in the teaching? Secretions by the parietal
A. Decreases stomach acid secretion and chief cells, hydrochlo-
B. Neutralizes acids in the stomach ric acid and pepsin, can
C. Forms a protective barrier over ulcers further irritate the ulcer-
D. Treats ulcers by eradicating H. pylori ated areas. Sucralfate, a
mucosal protectant, forms
a gel-like substance that
