PHARM PROCTORED EXAM
1. A nurse is providing discharge dietary teaching to a client who has a something and
is taking medication theophylline and to provide general instructions the nurse should
include?
A. Avoid caffeinated beverages
B. Take the medication with meals
C. Restrict milk products
D. Limit sodium intake - Answer - A
2. the nurse is mixing regular insulin and NPH into a syringe for a client who has
diabetes mellitus. Which of the following actions should the nurse take first?
A. Withdrawal NPH from the vial
B. Inject air into the NPH vial
C. Inject air into the regular vial
D. Withdrawal regular insulin from the vial - Answer - B
3. a nurse is teaching a client who has a new prescription of Alendronate for
osteoporosis. What instructions should the nurse include?
A. Take the medication immediately after breakfast
B. Take the medication with an antacid
C. Sit upright for at least 30 mins after taking the medication
D. Drink orange juice with the medication - Answer - C
4. a nurse is caring for a client who is postoperative following a thyroidectomy and is
receiving morphine for pain. Which of the following findings should the nurse recognize
as an adverse effect of morphine?
A. Bladder distention
B. Productive cough
C. Gastrointestinal bleeding
D. Decrease deep tending reflexes - Answer - BLADDER DISSENTION
5. nurse is teaching a client who has pernicious anemia to self-administer
cyanocobalamin. Which of the following information should the nurse include in the
teaching?
A. Use nasal decongestion 15 mins before the medication if you have a stuffy nose
B. Lie down for 1 hour after administering the medication
C. Administer the medication into one nostril once per week
D. Plan to self-administer this medication for the next 6 months - Answer - C
6. a nurse is teaching a newly license nurse about medication reconciliation. The nurse
should instruct the newly license nurse for medication reconciliation for which of the
following clients?
A. Client who is transported to radiology
B. A client who has a consultation for ....
, C. A client who has a referral for social services
D. A client who has been transferred to a step-down unit - Answer - D
7. a nurse is assessing a client how received a dinoprostone gel to stimulate the
cervical ripening. Which of the following is the nurses priority?
A. Back pain
B. Flushing
C. nausea
D. Uterine tachysystole - Answer - UTERINE TACHYSYSTOLE
8. a nurse is performing a return demonstration of an enoxaparin administration. Which
of the following client actions indicates an understanding of the teaching?
A. Messages the site to enhance absorption
B. Injections the medication into a muscle
C. Administers the medication into the abdomen
D. Aspirates the medication after injection - Answer - C
9. a nurse is assessing a client how has been taking digoxin and ...... which of the
following findings to the nurse indicates this client has developed digoxin toxicity?
A. Ringing in the ears
B. Hyperkalemia
C. Blurred vision
D. hypertension - Answer - BLURRED VISION
10. a nurse is caring for a client who received neostigmine 1 hour ago and is
experiencing muscarinic response. Which if the following manifestations should the
nurse expect?
A. Headache
B. Excessive salivation
C. Fever
D. Myoclonic seizure - Answer - EXCESSIVE SALIVATING
11. a nurse in the emergency department is reviewing a medication record for client
who reports vomiting blood. The nurse should anticipate the provider will discontinue
which of the following medications?
A. NPH insulin
B. Clopidogrel
C. Furosemide
D. Pantoprazole - Answer - CLOPIDOGREL
12. a nurse is assessing a who is receiving clindamycin. Which of the following findings
should the nurse identify as an adverse effect of this medication?
A. Agitation
B. Report of blurred vision
C. Hypertension
D. Watery diarrhea - Answer - Watery Diarrhea
1. A nurse is providing discharge dietary teaching to a client who has a something and
is taking medication theophylline and to provide general instructions the nurse should
include?
A. Avoid caffeinated beverages
B. Take the medication with meals
C. Restrict milk products
D. Limit sodium intake - Answer - A
2. the nurse is mixing regular insulin and NPH into a syringe for a client who has
diabetes mellitus. Which of the following actions should the nurse take first?
A. Withdrawal NPH from the vial
B. Inject air into the NPH vial
C. Inject air into the regular vial
D. Withdrawal regular insulin from the vial - Answer - B
3. a nurse is teaching a client who has a new prescription of Alendronate for
osteoporosis. What instructions should the nurse include?
A. Take the medication immediately after breakfast
B. Take the medication with an antacid
C. Sit upright for at least 30 mins after taking the medication
D. Drink orange juice with the medication - Answer - C
4. a nurse is caring for a client who is postoperative following a thyroidectomy and is
receiving morphine for pain. Which of the following findings should the nurse recognize
as an adverse effect of morphine?
A. Bladder distention
B. Productive cough
C. Gastrointestinal bleeding
D. Decrease deep tending reflexes - Answer - BLADDER DISSENTION
5. nurse is teaching a client who has pernicious anemia to self-administer
cyanocobalamin. Which of the following information should the nurse include in the
teaching?
A. Use nasal decongestion 15 mins before the medication if you have a stuffy nose
B. Lie down for 1 hour after administering the medication
C. Administer the medication into one nostril once per week
D. Plan to self-administer this medication for the next 6 months - Answer - C
6. a nurse is teaching a newly license nurse about medication reconciliation. The nurse
should instruct the newly license nurse for medication reconciliation for which of the
following clients?
A. Client who is transported to radiology
B. A client who has a consultation for ....
, C. A client who has a referral for social services
D. A client who has been transferred to a step-down unit - Answer - D
7. a nurse is assessing a client how received a dinoprostone gel to stimulate the
cervical ripening. Which of the following is the nurses priority?
A. Back pain
B. Flushing
C. nausea
D. Uterine tachysystole - Answer - UTERINE TACHYSYSTOLE
8. a nurse is performing a return demonstration of an enoxaparin administration. Which
of the following client actions indicates an understanding of the teaching?
A. Messages the site to enhance absorption
B. Injections the medication into a muscle
C. Administers the medication into the abdomen
D. Aspirates the medication after injection - Answer - C
9. a nurse is assessing a client how has been taking digoxin and ...... which of the
following findings to the nurse indicates this client has developed digoxin toxicity?
A. Ringing in the ears
B. Hyperkalemia
C. Blurred vision
D. hypertension - Answer - BLURRED VISION
10. a nurse is caring for a client who received neostigmine 1 hour ago and is
experiencing muscarinic response. Which if the following manifestations should the
nurse expect?
A. Headache
B. Excessive salivation
C. Fever
D. Myoclonic seizure - Answer - EXCESSIVE SALIVATING
11. a nurse in the emergency department is reviewing a medication record for client
who reports vomiting blood. The nurse should anticipate the provider will discontinue
which of the following medications?
A. NPH insulin
B. Clopidogrel
C. Furosemide
D. Pantoprazole - Answer - CLOPIDOGREL
12. a nurse is assessing a who is receiving clindamycin. Which of the following findings
should the nurse identify as an adverse effect of this medication?
A. Agitation
B. Report of blurred vision
C. Hypertension
D. Watery diarrhea - Answer - Watery Diarrhea
