Pharm Proctored Exam
1. A nurse is providing teaching to a client who is to receive a series of allergy tests. The nurse should
instruct the client to avoid which of the following medications for up to 4 weeks before the
procedure?
a. Acetaminophen
b. Albuterol
c. Pseudoepedrine hydrochloride
d. Diphenhydramine
2. A nurse is reviewing the medication administration record of a client who is to receive phenytoin
300 mg PO daily. The medication sent by the pharmacy is a vial of phenytoin 50 mg/ml for
injection. Which of the following actions should the nurse take?
a. Ask the client what route he usually takes the medication
b. Refer to the original medication order
c. Administer 6 ml of the medication intravenously
d. Check medication calculations with a second nurse
3. A nurse is teaching a client who has stable angina and a new prescription for nitroglycerin
transdermal patches 0.8 mg/hr daily. Which of the following statements by the cline indicated an
understanding of the teaching?
a. I can put a second patch on if I have chest pain
b. I can cut the patches in half to save money
c. I will apply a new patch to the same site whenever I replace it
d. I will take the patch off after dinner every night
4. A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of
atropine, which of the following findings should indicate to the nurse that the treatment has been
effective?
a. Increase salivation
b. Blood pressure 90/50mmHg
c. Heart rate 90/min
d. Hyperactive bowel sounds
5. A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following
findings should the nurse identify as an early indication of medication toxicity?
a. Sudden weight gain
b. Visual disturbances
c. Insomnia
d. Potassium 4.4 mEq/L
6. A nurse is reviewing medication prescriptions for a client. For which of the following entries on the
client medication administration record should the nurse request clarification?
a. Levothyroxine 100 mcg PO every morning
b. Acetaminophen 500 mg every 4 hr PRN for fever
c. Morphine 4 mg IV every 4 hr PRN for pain
d. Simvastatin 40 mg PO at bedtime
7. A nurse is assessing a client who is receiving oxytocin via continuous IV infusion for labor
augmentation. The nurse notes six contractions in a 10 min. period w/ a non-reassuring FHR.
Which of the following actions should the nurse take first?
a. Turn the clinet to her lef t side
, Pharm Proctored Exam
b. Apply oxygen at 10 L/min via face mask
c. Discontinue the oxytocin IV infusion
d. Administer terbutaline .025 mg suncutaneously
8. A nurse is planning to teach a clinet who has gout about allopurinol. Which of the following
instrictions should the nurse include in the teaching?
a. Take an iron supplement
b. Take after meals
c. Increase calcium intake
d. Limit daily fluid intake to 1 liter
9. A nurse is cating for a client who has tB and is taking isoniazid and rifampin. Which of the following
outcomes indicates that the clinet is adhering to the the medication regimen?
a. The client’s liver function results are with in the expected reference range
b. The client tests negative for HIV
c. The client has a positive purified protein deviated test
d. The client has a negative sputum culture
10. A nurse is providing teaching to a client who has new prescription for bumetanide for heart failure.
Which of the following instructions should the nurse include in the teaching?
a. “You should monitor for hearing difficulties” --??
b. “You should decrease your intake of foods high in potassium”
c. “You should take the medication on an empty stomach”
d. “You should take the medication at bedtime”
11. A nurse is caring for a client who reports taking propranolol for several years but has recently
stopped for financial reasons. The nurse should assess the client for which of the following
findings?
a. Hyperkalemia
b. Rhinitis
c. Bradypnea
d. Tachycardia
12. A nurse is caring for a client who is receiving ondansetron IV. Which of the following findings in an
indication that the ondansetron is effective?
a. Absence of peripheral neuropathy
b. Reduced dizziness
c. Increased urinary output
d. Decreased nausea kj
13. A nurse is caring for a client who has peptic ulcer disease and is starting antacid therapy. Which of
the following information should the nurse give the client? -??
a. Take antacids within 30 min of other medications
b. Take antacids 1 hr after meals, 3 hr after meals, and at bedtime
c. Take chewable tablets rather than suspensions
d. Take antacids to help inactivate Helicobacter pylori
14. A nurse is preparing to administer enoxaparin 1 mg/kg subcutaneously every 12 hr. the client’s
weight is 121 lb. available is enoxaparin 60 mg/0.6 mL. How many mL should the nurse administer
per dose? 0.55mL
1. A nurse is providing teaching to a client who is to receive a series of allergy tests. The nurse should
instruct the client to avoid which of the following medications for up to 4 weeks before the
procedure?
a. Acetaminophen
b. Albuterol
c. Pseudoepedrine hydrochloride
d. Diphenhydramine
2. A nurse is reviewing the medication administration record of a client who is to receive phenytoin
300 mg PO daily. The medication sent by the pharmacy is a vial of phenytoin 50 mg/ml for
injection. Which of the following actions should the nurse take?
a. Ask the client what route he usually takes the medication
b. Refer to the original medication order
c. Administer 6 ml of the medication intravenously
d. Check medication calculations with a second nurse
3. A nurse is teaching a client who has stable angina and a new prescription for nitroglycerin
transdermal patches 0.8 mg/hr daily. Which of the following statements by the cline indicated an
understanding of the teaching?
a. I can put a second patch on if I have chest pain
b. I can cut the patches in half to save money
c. I will apply a new patch to the same site whenever I replace it
d. I will take the patch off after dinner every night
4. A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of
atropine, which of the following findings should indicate to the nurse that the treatment has been
effective?
a. Increase salivation
b. Blood pressure 90/50mmHg
c. Heart rate 90/min
d. Hyperactive bowel sounds
5. A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following
findings should the nurse identify as an early indication of medication toxicity?
a. Sudden weight gain
b. Visual disturbances
c. Insomnia
d. Potassium 4.4 mEq/L
6. A nurse is reviewing medication prescriptions for a client. For which of the following entries on the
client medication administration record should the nurse request clarification?
a. Levothyroxine 100 mcg PO every morning
b. Acetaminophen 500 mg every 4 hr PRN for fever
c. Morphine 4 mg IV every 4 hr PRN for pain
d. Simvastatin 40 mg PO at bedtime
7. A nurse is assessing a client who is receiving oxytocin via continuous IV infusion for labor
augmentation. The nurse notes six contractions in a 10 min. period w/ a non-reassuring FHR.
Which of the following actions should the nurse take first?
a. Turn the clinet to her lef t side
, Pharm Proctored Exam
b. Apply oxygen at 10 L/min via face mask
c. Discontinue the oxytocin IV infusion
d. Administer terbutaline .025 mg suncutaneously
8. A nurse is planning to teach a clinet who has gout about allopurinol. Which of the following
instrictions should the nurse include in the teaching?
a. Take an iron supplement
b. Take after meals
c. Increase calcium intake
d. Limit daily fluid intake to 1 liter
9. A nurse is cating for a client who has tB and is taking isoniazid and rifampin. Which of the following
outcomes indicates that the clinet is adhering to the the medication regimen?
a. The client’s liver function results are with in the expected reference range
b. The client tests negative for HIV
c. The client has a positive purified protein deviated test
d. The client has a negative sputum culture
10. A nurse is providing teaching to a client who has new prescription for bumetanide for heart failure.
Which of the following instructions should the nurse include in the teaching?
a. “You should monitor for hearing difficulties” --??
b. “You should decrease your intake of foods high in potassium”
c. “You should take the medication on an empty stomach”
d. “You should take the medication at bedtime”
11. A nurse is caring for a client who reports taking propranolol for several years but has recently
stopped for financial reasons. The nurse should assess the client for which of the following
findings?
a. Hyperkalemia
b. Rhinitis
c. Bradypnea
d. Tachycardia
12. A nurse is caring for a client who is receiving ondansetron IV. Which of the following findings in an
indication that the ondansetron is effective?
a. Absence of peripheral neuropathy
b. Reduced dizziness
c. Increased urinary output
d. Decreased nausea kj
13. A nurse is caring for a client who has peptic ulcer disease and is starting antacid therapy. Which of
the following information should the nurse give the client? -??
a. Take antacids within 30 min of other medications
b. Take antacids 1 hr after meals, 3 hr after meals, and at bedtime
c. Take chewable tablets rather than suspensions
d. Take antacids to help inactivate Helicobacter pylori
14. A nurse is preparing to administer enoxaparin 1 mg/kg subcutaneously every 12 hr. the client’s
weight is 121 lb. available is enoxaparin 60 mg/0.6 mL. How many mL should the nurse administer
per dose? 0.55mL
