PHARM PROCTORED EXAM
1. A nurse is collecting data from a client who takes daily medications and that he
wants to ask the provider for a prescription for SILDENAFIL. The nurse knows that
SILDENAFIL is contraindicated with which of the following client’s medication?
- ISOSORBIDE (IMDUR)
2. A nurse is reinforcing teaching with a client who has PVD. The nurse should
recognize that which of the following statement by the
client indicates a need for further teaching?
- I WILL WEAR STOCKINGS WITH ELASTIC TOP
3. A nurse is collecting data from a client who has right-sided heart failure. Which of
the following should the nurse expect?
- Peripheral edema
4. The nurse is reinforcing teaching regarding diet to a client who has had a myocardial
infarction. Which of the following diet choices by the
client indicates an understanding of the
teaching?
- Baked turkey and salad
5. A nurse is reviewing the laboratory findings of a client who experienced an acute
myocardial infarction 6 years ago. Which of the
following laboratory values should the nurse expect to remain elevated at this time?
- Troponin T
6. A nurse is collecting data from an older adult client who has been taking digoxin for
the past several months. For which of the
following manifestations of digoxin toxicity should the nurse
monitor?
- Anorexia
7. A nurse is caring for an older adult client who has left sided heart failure. Which of
the following findings should the nurse expect?
- Frothy sputum
,PHARM PROCTORED EXAM
8. A nurse is assisting with the care of a client 2 hr postoperative following a cardiac
catheterization. Which of the following actions
should the nurse take?
- Check the client’s distal pulses in both legs
9. A nurse is reinforcing discharge teaching with an older adult client who has peripheral
artery disease (PAD). Which of the following
instructions should the nurse include in the teaching?
- Adjust the thermostat so that the environment is warm
10. A nurse in an outpatient clinic is collecting data from a client who tells
the nurse. “I have pain in my legs when I begin to walk, but the pain
stops when I stop walking.” Which of the following
conditions should the nurse suspect?
- Peripheral vascular problems in both legs
11. A nurse administered nitroglycerin sublingually to a client who has
angina pectoris and experienced chest pain. The client states that his
chest pain is relieved but now he has a headache. Which of the
following responses by the nurse is appropriate?
- “A headache is a common adverse effect of this medication, but it
i. will probably occur less often over time.
12. A nurse is reinforcing teaching with a client who uses a nitroglycerine
13. patch to treat angina. The client now has a new prescription for nitroglycerine
sublingual tablets. Which of the following
instructions should the nurse include?
- Take the medication at first indication of chest pain
14. A client who is 7 days postpartum calls the provider’s office and reports pain,
swelling, and redness of her left calf. Besides the client
seeing the provider. Which of the following interventions should the nurse
suggest?
- Elevate the leg.
, PHARM PROCTORED EXAM
15. A nurse is preparing to administer digoxin to a client who has heart failure. For which
of the following findings should the nurse withhold
the medication and report to the provider?
- Report of blurred vision
16. A nurse is assisting in the plan of care for a client who has a suspected myocardial
infarction. Which of the following medication should
the nurse plan to administer first?
- Oxygen
17. A nurse is administering nicardipine to a client who has a BP of 180/120 mm Hg.
Which of the following actions should the nurse take
first?
- Monitor the clients BP every 5 minutes.
18. A nurse is preparing to administer digoxin to a client who has heart failure. Before
administering this medication, which of the
following actions should the nurse take?
- Measure the client’s apical pulse.
19. A nurse is assisting with the plan of care for a client who has a new deep-vein
thrombosis (DVT) in his leg. Which of the following
interventions should the nurse include in the plan?
- Keep the client’s affected leg elevated.
20. A nurse is caring for a client who is receiving warfarin therapy to prevent a
deep vein thrombosis. Which of the following
medications should the nurse have available in the event of an
overdose?
- Vitamin K
21. A nurse is assisting with a presentation about caring for clients who are receiving diuretic
therapy. The nurse should explain that which of
the following medications can put clients at risk for
hyperkalemia?
- Spironolactone
22. A nurse is caring for a client who has thrombophlebitis and is receiving
a continuous heparin infusion. Which of the following medication
1. A nurse is collecting data from a client who takes daily medications and that he
wants to ask the provider for a prescription for SILDENAFIL. The nurse knows that
SILDENAFIL is contraindicated with which of the following client’s medication?
- ISOSORBIDE (IMDUR)
2. A nurse is reinforcing teaching with a client who has PVD. The nurse should
recognize that which of the following statement by the
client indicates a need for further teaching?
- I WILL WEAR STOCKINGS WITH ELASTIC TOP
3. A nurse is collecting data from a client who has right-sided heart failure. Which of
the following should the nurse expect?
- Peripheral edema
4. The nurse is reinforcing teaching regarding diet to a client who has had a myocardial
infarction. Which of the following diet choices by the
client indicates an understanding of the
teaching?
- Baked turkey and salad
5. A nurse is reviewing the laboratory findings of a client who experienced an acute
myocardial infarction 6 years ago. Which of the
following laboratory values should the nurse expect to remain elevated at this time?
- Troponin T
6. A nurse is collecting data from an older adult client who has been taking digoxin for
the past several months. For which of the
following manifestations of digoxin toxicity should the nurse
monitor?
- Anorexia
7. A nurse is caring for an older adult client who has left sided heart failure. Which of
the following findings should the nurse expect?
- Frothy sputum
,PHARM PROCTORED EXAM
8. A nurse is assisting with the care of a client 2 hr postoperative following a cardiac
catheterization. Which of the following actions
should the nurse take?
- Check the client’s distal pulses in both legs
9. A nurse is reinforcing discharge teaching with an older adult client who has peripheral
artery disease (PAD). Which of the following
instructions should the nurse include in the teaching?
- Adjust the thermostat so that the environment is warm
10. A nurse in an outpatient clinic is collecting data from a client who tells
the nurse. “I have pain in my legs when I begin to walk, but the pain
stops when I stop walking.” Which of the following
conditions should the nurse suspect?
- Peripheral vascular problems in both legs
11. A nurse administered nitroglycerin sublingually to a client who has
angina pectoris and experienced chest pain. The client states that his
chest pain is relieved but now he has a headache. Which of the
following responses by the nurse is appropriate?
- “A headache is a common adverse effect of this medication, but it
i. will probably occur less often over time.
12. A nurse is reinforcing teaching with a client who uses a nitroglycerine
13. patch to treat angina. The client now has a new prescription for nitroglycerine
sublingual tablets. Which of the following
instructions should the nurse include?
- Take the medication at first indication of chest pain
14. A client who is 7 days postpartum calls the provider’s office and reports pain,
swelling, and redness of her left calf. Besides the client
seeing the provider. Which of the following interventions should the nurse
suggest?
- Elevate the leg.
, PHARM PROCTORED EXAM
15. A nurse is preparing to administer digoxin to a client who has heart failure. For which
of the following findings should the nurse withhold
the medication and report to the provider?
- Report of blurred vision
16. A nurse is assisting in the plan of care for a client who has a suspected myocardial
infarction. Which of the following medication should
the nurse plan to administer first?
- Oxygen
17. A nurse is administering nicardipine to a client who has a BP of 180/120 mm Hg.
Which of the following actions should the nurse take
first?
- Monitor the clients BP every 5 minutes.
18. A nurse is preparing to administer digoxin to a client who has heart failure. Before
administering this medication, which of the
following actions should the nurse take?
- Measure the client’s apical pulse.
19. A nurse is assisting with the plan of care for a client who has a new deep-vein
thrombosis (DVT) in his leg. Which of the following
interventions should the nurse include in the plan?
- Keep the client’s affected leg elevated.
20. A nurse is caring for a client who is receiving warfarin therapy to prevent a
deep vein thrombosis. Which of the following
medications should the nurse have available in the event of an
overdose?
- Vitamin K
21. A nurse is assisting with a presentation about caring for clients who are receiving diuretic
therapy. The nurse should explain that which of
the following medications can put clients at risk for
hyperkalemia?
- Spironolactone
22. A nurse is caring for a client who has thrombophlebitis and is receiving
a continuous heparin infusion. Which of the following medication
