Pharm CMS practice questions and answers 2023;CMS
practice questions from ATI book edition 8.0 with complete
solution
A provider prescribes phenobarbital for a client who has a seizure disorder. The
medication has a long half-life of 4 days. How many times per day should the
nurse expect to administer this medication?
A. One
B. Two
C. Three
D. Four
A. One
A nurse educator is reviewing medication metabolism at an in-service
presentation. Which of the following factors should the educator include as a
reason to administer lower medication dosages? (select all that apply)
A. increased renal excretion
B. increased medication-metabolizing enzymes
C. liver failure
D. peripheral vascular disease
E. concurrent use of medication the same pathway metabolizes
C. Liver failure
E. Concurrent use of medication the same pathway metabolizes
A nurse is preparing to administer eye drops to a client. Which of the following
actions should the nurse take? (select all that apply)
A. Have the client lie on one side
B. Ask the client to look up at the ceiling
C. Tell the client to blink when the drops enter the eyes
D. Drop the medication into the clients conjunctival sac
E. Instruct the client to close the eye gently after instillation
B. Ask the client to look up at the ceiling
D. Drop the medication into the clients conjunctival sac
E. Instruct the client to close the eye gently after instillation
A nurse is teaching a client about transdermal patches. Which of the following
statements should the nurse identify as an indication that the client understands?
A. "I will clean the site with an alcohol swab before i apply the patch"
B. "I will rotate the application sites weekly"
C. "I will apply the patch to an area of skin with no hair"
D. "I will place the new patch on the site of the old patch"
C. "I will apply the patch to an area of skin with no hair"
A nurse reviewing a client's medical record notes a new prescription for verifying
the trough level of the client's medication. Which of the following actions should
the nurse take?
A. Obtain a blood specimen immediately prior to administering the next dose of
medication.
B. Verify that the client has been taking the medication for 24 hr before obtaining
,a blood specimen.
C. Ask the client to provide a urine specimen after the next dose of medication.
D. Administer the medication,and obtain a blood specimen 30 min late
A. Obtain a blood specimen immediately prior to administering the next dose of
medication.
A nurse is preparing a client's medications. Which of the following actions should
the nurse take in following legal practice guidelines? (Select all that apply)
A. Teach the client about the med
B. Determine the dosage
C. Monitor for adverse effects
D. Lock compartments for controlled substances
E. Determine the clients insurance status
A. Teach the client about the med
C. Monitor for adverse effects
D. Lock compartments for controlled substances
The nurse is preparing to administer digoxin to a client who states, "I don't want
to take that medication. I do not want one more pill." Which of the following
responses should the nurse make?
A. Your physician prescribes it for you, so you really should take it
B. Well, lets just get it over quickly then
C. Okay, ill just give you your other medications
D. Tell me your concerns about taking this medication
D. Tell me your concerns about taking this medication
The nurse is reviewing a client's prescribed medications. Which of the following
situations represents a contraindication to med administrations?
A. The client drank grapefruit juice, which could reduce a medications
effectiveness
B. The medication has orthostatic hypotension as an adverse effect
C. A medication is approved for ages 12 and older, and the client is 8 years old
D. An antianxiety medication has an adverse effect of drowsiness is prescribed
as a preoperative sedative
C. A medication is approved for ages 12 and older, and the client is 8 years old
The nurse is assessing a client before administering medications. Which of the
following data should the nurse obtain? (select all the apply)
A. Use of herbal products
B. Daily fluid intake
C. Ability to swallow
D. Previous surgical history
E. Allergies
A. Use of herbal products
C. Ability to swallow
E. Allergies
A nurse is working with a newly hired nurse who is administering medications to
clients. Which of the following actions by the newly hired nurse indicates an
understanding of medication error prevention.
A. Taking all medications out of the unit- dose wrappers before entering the
,clients room
B. Checking with the provider when a single dose requires administration of
multiple tablets
C. Administering a medication, then looking up the usual dosage range.
D. Relying on another nurse to clarify a medication prescription.
B. Checking with the provider when a single dose requires administration of multiple
tablets
A nurse is caring for a client experiencing IV extravasation. The facility requires
the administration of an antidote for the prescribed IV solution. After stopping the
IV infusion, which of the following actions should the nurse take first?
A. Remove the IV catheter
B. Withdraw the solution from the IV access
C. Administer the antidote to the vesicant
D. Insert a new IV access in a different extremity
B. Withdraw the solution from the IV access
A nurse is preparing to initiate IV therapy for an older adult client. Which of the
following actions should the nurse plan to take?A. Use a disposable razor to
remove excess hair on the extremity
B. Select the back of the client's hand to insert the IV catheter
C. Distend the veins by using a blood pressure cuff
D. Direct the client to raise their arm above their heart
C. Distend the veins by using a blood pressure cuff
A nurse assessing the IV catheter insertion site for a client receiving a non
vesicant solution and notes swelling at the site with decreased skin temperature.
Which of the following actions should the nurse take? (select all that apply)
A. Stop the infusion
B. Start a new IV access distal to this site
C. Apply warm compresses to the insertion site
D. Elevate the client's arm
E. Obtain a specimen for culture at the insertion site
A. Stop the infusion
C. Apply warm compresses to the insertion site
D. Elevate the client's arm
A nurse in a clinic is caring for a group of clients. The nurse should contact the
provider about a potential contraindication to a medication for which of the
following clients? SELECT ALL THAT APPLY.
A. A client at 8 weeks of gestation who asks for an influenza immunization.
B. A client who takes prednisone and has a possible fungal infection.
C. A client who has chronic liver disease and reports he is taking hydrocodone.
D. A client who has peptic ulcer disease and takes sucralfate and tells the nurse
she has started taking over-the-counter aluminum hydroxide.
E. A client who has a prosthetic heart valve who takes warfarin and reports a
suspected pregnancy.
B. A client who takes prednisone and has a possible fungal infection.
C. A client who has chronic liver disease and reports he is taking hydrocodone.
, E. A client who has a prosthetic heart valve who takes warfarin and reports a suspected
pregnancy.
A nurse is preparing to administer an IM dose of penicillin to a client who has a
new prescription. The client states she took penicillin 3 years ago and developed
a rash. Which of the following is an appropriate nursing action?
A. Administer the prescribed dose.
B. Withhold the medication.
C. Ask the provider to change the prescription to an oral form.
D. Administer an oral antihistamine at the same time.
B. Withhold the medication
A nurse is providing discharge instructions for a client who has a new
prescription for an antihypertensive medication. Which of the following is an
appropriate statement by the nurse?
A. "Be sure to limit your potassium intake while taking the medication.
"B. "You should check your blood pressure every 8 hr while taking this
medication.
"C. "Your medication dosage will be increased if you develop tachycardia.
"D. "Change positions slowly when you move from sitting to standing."
D. "Change positions slowly when you move from sitting to standing."
A nurse is reviewing a client's health record and notes that the client experiences
permanent extrapyramidal effects caused by a previous medication. The nurse
recognizes that the medication affected the client's:
A. cardiovascular system.
B. immune system.
C. central nervous system.
D. gastrointestinal system.
C. central nervous system.
A nurse is caring for a client who is taking oral oxycodone. The client states he is
also taking ibuprofen in three recommended doses daily. The interaction between
these two medications will cause which of the following?
A. A decrease in serum levels of ibuprofen, possibly leading to a need for
increased doses of the medication.
B. A decrease in serum levels of oxycodone, possibly leading to a need for
increased doses of this medication.
C. An increase in the expected therapeutic effect of both medications.
D. An increase in expected adverse effects for both medications.
C. An increase in the expected therapeutic effect of both medications.
A nurse is preparing to administer meds to a 4-month-old infant. Which of the
following pharmacokinetic principles should the nurse consider when
administering? (select all that apply)
A) Infants have a more rapid gastric emptying time
B) Infants have immature liver function
C) Infants' blood-brain barrier is poorly developed
D) Infants have an increased ability to absorb topical medications
E) Infants have an increased number of protein binding sites
practice questions from ATI book edition 8.0 with complete
solution
A provider prescribes phenobarbital for a client who has a seizure disorder. The
medication has a long half-life of 4 days. How many times per day should the
nurse expect to administer this medication?
A. One
B. Two
C. Three
D. Four
A. One
A nurse educator is reviewing medication metabolism at an in-service
presentation. Which of the following factors should the educator include as a
reason to administer lower medication dosages? (select all that apply)
A. increased renal excretion
B. increased medication-metabolizing enzymes
C. liver failure
D. peripheral vascular disease
E. concurrent use of medication the same pathway metabolizes
C. Liver failure
E. Concurrent use of medication the same pathway metabolizes
A nurse is preparing to administer eye drops to a client. Which of the following
actions should the nurse take? (select all that apply)
A. Have the client lie on one side
B. Ask the client to look up at the ceiling
C. Tell the client to blink when the drops enter the eyes
D. Drop the medication into the clients conjunctival sac
E. Instruct the client to close the eye gently after instillation
B. Ask the client to look up at the ceiling
D. Drop the medication into the clients conjunctival sac
E. Instruct the client to close the eye gently after instillation
A nurse is teaching a client about transdermal patches. Which of the following
statements should the nurse identify as an indication that the client understands?
A. "I will clean the site with an alcohol swab before i apply the patch"
B. "I will rotate the application sites weekly"
C. "I will apply the patch to an area of skin with no hair"
D. "I will place the new patch on the site of the old patch"
C. "I will apply the patch to an area of skin with no hair"
A nurse reviewing a client's medical record notes a new prescription for verifying
the trough level of the client's medication. Which of the following actions should
the nurse take?
A. Obtain a blood specimen immediately prior to administering the next dose of
medication.
B. Verify that the client has been taking the medication for 24 hr before obtaining
,a blood specimen.
C. Ask the client to provide a urine specimen after the next dose of medication.
D. Administer the medication,and obtain a blood specimen 30 min late
A. Obtain a blood specimen immediately prior to administering the next dose of
medication.
A nurse is preparing a client's medications. Which of the following actions should
the nurse take in following legal practice guidelines? (Select all that apply)
A. Teach the client about the med
B. Determine the dosage
C. Monitor for adverse effects
D. Lock compartments for controlled substances
E. Determine the clients insurance status
A. Teach the client about the med
C. Monitor for adverse effects
D. Lock compartments for controlled substances
The nurse is preparing to administer digoxin to a client who states, "I don't want
to take that medication. I do not want one more pill." Which of the following
responses should the nurse make?
A. Your physician prescribes it for you, so you really should take it
B. Well, lets just get it over quickly then
C. Okay, ill just give you your other medications
D. Tell me your concerns about taking this medication
D. Tell me your concerns about taking this medication
The nurse is reviewing a client's prescribed medications. Which of the following
situations represents a contraindication to med administrations?
A. The client drank grapefruit juice, which could reduce a medications
effectiveness
B. The medication has orthostatic hypotension as an adverse effect
C. A medication is approved for ages 12 and older, and the client is 8 years old
D. An antianxiety medication has an adverse effect of drowsiness is prescribed
as a preoperative sedative
C. A medication is approved for ages 12 and older, and the client is 8 years old
The nurse is assessing a client before administering medications. Which of the
following data should the nurse obtain? (select all the apply)
A. Use of herbal products
B. Daily fluid intake
C. Ability to swallow
D. Previous surgical history
E. Allergies
A. Use of herbal products
C. Ability to swallow
E. Allergies
A nurse is working with a newly hired nurse who is administering medications to
clients. Which of the following actions by the newly hired nurse indicates an
understanding of medication error prevention.
A. Taking all medications out of the unit- dose wrappers before entering the
,clients room
B. Checking with the provider when a single dose requires administration of
multiple tablets
C. Administering a medication, then looking up the usual dosage range.
D. Relying on another nurse to clarify a medication prescription.
B. Checking with the provider when a single dose requires administration of multiple
tablets
A nurse is caring for a client experiencing IV extravasation. The facility requires
the administration of an antidote for the prescribed IV solution. After stopping the
IV infusion, which of the following actions should the nurse take first?
A. Remove the IV catheter
B. Withdraw the solution from the IV access
C. Administer the antidote to the vesicant
D. Insert a new IV access in a different extremity
B. Withdraw the solution from the IV access
A nurse is preparing to initiate IV therapy for an older adult client. Which of the
following actions should the nurse plan to take?A. Use a disposable razor to
remove excess hair on the extremity
B. Select the back of the client's hand to insert the IV catheter
C. Distend the veins by using a blood pressure cuff
D. Direct the client to raise their arm above their heart
C. Distend the veins by using a blood pressure cuff
A nurse assessing the IV catheter insertion site for a client receiving a non
vesicant solution and notes swelling at the site with decreased skin temperature.
Which of the following actions should the nurse take? (select all that apply)
A. Stop the infusion
B. Start a new IV access distal to this site
C. Apply warm compresses to the insertion site
D. Elevate the client's arm
E. Obtain a specimen for culture at the insertion site
A. Stop the infusion
C. Apply warm compresses to the insertion site
D. Elevate the client's arm
A nurse in a clinic is caring for a group of clients. The nurse should contact the
provider about a potential contraindication to a medication for which of the
following clients? SELECT ALL THAT APPLY.
A. A client at 8 weeks of gestation who asks for an influenza immunization.
B. A client who takes prednisone and has a possible fungal infection.
C. A client who has chronic liver disease and reports he is taking hydrocodone.
D. A client who has peptic ulcer disease and takes sucralfate and tells the nurse
she has started taking over-the-counter aluminum hydroxide.
E. A client who has a prosthetic heart valve who takes warfarin and reports a
suspected pregnancy.
B. A client who takes prednisone and has a possible fungal infection.
C. A client who has chronic liver disease and reports he is taking hydrocodone.
, E. A client who has a prosthetic heart valve who takes warfarin and reports a suspected
pregnancy.
A nurse is preparing to administer an IM dose of penicillin to a client who has a
new prescription. The client states she took penicillin 3 years ago and developed
a rash. Which of the following is an appropriate nursing action?
A. Administer the prescribed dose.
B. Withhold the medication.
C. Ask the provider to change the prescription to an oral form.
D. Administer an oral antihistamine at the same time.
B. Withhold the medication
A nurse is providing discharge instructions for a client who has a new
prescription for an antihypertensive medication. Which of the following is an
appropriate statement by the nurse?
A. "Be sure to limit your potassium intake while taking the medication.
"B. "You should check your blood pressure every 8 hr while taking this
medication.
"C. "Your medication dosage will be increased if you develop tachycardia.
"D. "Change positions slowly when you move from sitting to standing."
D. "Change positions slowly when you move from sitting to standing."
A nurse is reviewing a client's health record and notes that the client experiences
permanent extrapyramidal effects caused by a previous medication. The nurse
recognizes that the medication affected the client's:
A. cardiovascular system.
B. immune system.
C. central nervous system.
D. gastrointestinal system.
C. central nervous system.
A nurse is caring for a client who is taking oral oxycodone. The client states he is
also taking ibuprofen in three recommended doses daily. The interaction between
these two medications will cause which of the following?
A. A decrease in serum levels of ibuprofen, possibly leading to a need for
increased doses of the medication.
B. A decrease in serum levels of oxycodone, possibly leading to a need for
increased doses of this medication.
C. An increase in the expected therapeutic effect of both medications.
D. An increase in expected adverse effects for both medications.
C. An increase in the expected therapeutic effect of both medications.
A nurse is preparing to administer meds to a 4-month-old infant. Which of the
following pharmacokinetic principles should the nurse consider when
administering? (select all that apply)
A) Infants have a more rapid gastric emptying time
B) Infants have immature liver function
C) Infants' blood-brain barrier is poorly developed
D) Infants have an increased ability to absorb topical medications
E) Infants have an increased number of protein binding sites
