CMS pharmacology Proctored 2021
Study online at https://quizlet.com/_h8hu59
1. A nurse is reviewing a client's 0800 Laboratory values at 1100. The nurse
notes that the client received heparin at 1100. Which of the following labora-
tory values warrants an incident report ?: aPTT 90 seconds
2. A nurse is caring for a client who develops an anaphylactic reaction to
IV antibiotic administration. After assessing a client's respiratory status and
stopping the medication infusion, which of the following actions should the
nurse take next?: Administer Epinephrine IM
3. A nurse is caring for a client who is taking triamterene. For which of the
following laboratory values should the nurse withhold the medication?: Potas-
sium 5.3 mEq/ L
4. A nurse is preparing to administer digoxin orally to a client. Identify the
sequence of steps the nurse should take. (Move the steps into the box on the
right, placing them in the order of performance. Use all the steps): Obtain the
client's apical heart rate
Remove the medication from the dispensing system
Open the medication package
Compare the client's wristband to the medication administration record
Document administration of the medication
5. A nurse is reviewing the list of current medications for a client who is to
start a new prescription for carbamazepine. The nurse should identify which of
the following medications interacts with carbamazepine?: estrogen-containing
contraceptives
6. A nurse is providing teaching to a client who has a new prescription for
clozapine. Which of the following statements should the nurse include in the
teaching?: Notify your provider if you develop a fever while taking this medication"
you should have your WBC monitor every week
7. A nurse is reviewing the medication list of a client who has erectile dys-
function and is requesting for prescription for sildenafil. the nurse should
identify which of the following medications is a contraindication for receiving
medication?: nitroglycerin
8. A nurse in a medical surgical unit is preparing to administer an influenza
vaccine to a client. The client tells the nurse I no longer want this vaccine.
Which of the following responses should the nurse make?: the influenza vac-
cine this strongly and coverage but I understand you would like to decline right now
9. A nurse is discussing adverse reactions to pain medications in older adults
clients with a newly licensed nurse. Which of the following findings should
the nurse include as risk factors for an adverse drug reaction? select all that
applies: multiple health problems
, CMS pharmacology Proctored 2021
Study online at https://quizlet.com/_h8hu59
decrease percentage of body fat
decreased renal function
10. A nurse is reviewing a client's medical record before administering aceta-
minophen 650 mg by mouth every 6 hours. Which of the following findings
indicate a need for the nurse to notify the provider?: history of alcohol use
disorder
11. a nurse is caring for a client who has hyponatremia and is receiving an
infusion of a prescribed hypertonic solution. Which of the following findings
should indicate to the nurse that the treatment is effective?: improve cognition
12. A nurse is reviewing the laboratory results of a client who is receiving
genital medicine for Staphylococcus. Which of the following findings should
the nurse report to there immediately?: fasting blood glucose 130 mg
13. A nurse is reviewing the laboratory results of a client who is receiving
Heparin by continuous IV infusion. Which of the following Results indicates
the nurse should decrease the infusion rate?: aPTT 90 sec
14. The nurse is caring for a client who has diabetes mellitus and is taking
Pioglitazone. The nurse should plan to monitor the client for which of the
following adverse effects?: orthostatic hypotension
15. A nurse is caring for a client who is receiving ceftriaxone intravenously.
Which of the following manifestations should the nurse identify as an allergic
reaction?: Hypotension
16. A nurse is reviewing the laboratory results of a client who received a dose
of sodium polystyrene sulfonate. Which of the following findings should a
nurse identify as an indication that the medication has been effective?: calcium
8 mg- under normal range
potassium 4.6 meq- in normal range
17. A nurse is caring for a client who has heart failure and is taking hy-
drochlorothiazide. The nurse should monitor the client for which of the follow-
ing manifestations has an adverse effect of the medication?: hypokalemia
18. A nurse recently administered filgrastim intravenously to a client who has
cancer and is receiving cytotoxic chemotherapy. For which of the following
data, discovered after the medication was administered, should the nurse file
an incident report?: The medication vial sat at room temperature for 2 hours before
it was administered.
19. A nurse in a provider's office is assessing a client who has hypothyroidism
and has been taking levothyroxine for 2 months. Which of the following state-
ments by the client indicate a therapeutic response to the medication?: I have
noticed I'm not as cold as I used to be
Study online at https://quizlet.com/_h8hu59
1. A nurse is reviewing a client's 0800 Laboratory values at 1100. The nurse
notes that the client received heparin at 1100. Which of the following labora-
tory values warrants an incident report ?: aPTT 90 seconds
2. A nurse is caring for a client who develops an anaphylactic reaction to
IV antibiotic administration. After assessing a client's respiratory status and
stopping the medication infusion, which of the following actions should the
nurse take next?: Administer Epinephrine IM
3. A nurse is caring for a client who is taking triamterene. For which of the
following laboratory values should the nurse withhold the medication?: Potas-
sium 5.3 mEq/ L
4. A nurse is preparing to administer digoxin orally to a client. Identify the
sequence of steps the nurse should take. (Move the steps into the box on the
right, placing them in the order of performance. Use all the steps): Obtain the
client's apical heart rate
Remove the medication from the dispensing system
Open the medication package
Compare the client's wristband to the medication administration record
Document administration of the medication
5. A nurse is reviewing the list of current medications for a client who is to
start a new prescription for carbamazepine. The nurse should identify which of
the following medications interacts with carbamazepine?: estrogen-containing
contraceptives
6. A nurse is providing teaching to a client who has a new prescription for
clozapine. Which of the following statements should the nurse include in the
teaching?: Notify your provider if you develop a fever while taking this medication"
you should have your WBC monitor every week
7. A nurse is reviewing the medication list of a client who has erectile dys-
function and is requesting for prescription for sildenafil. the nurse should
identify which of the following medications is a contraindication for receiving
medication?: nitroglycerin
8. A nurse in a medical surgical unit is preparing to administer an influenza
vaccine to a client. The client tells the nurse I no longer want this vaccine.
Which of the following responses should the nurse make?: the influenza vac-
cine this strongly and coverage but I understand you would like to decline right now
9. A nurse is discussing adverse reactions to pain medications in older adults
clients with a newly licensed nurse. Which of the following findings should
the nurse include as risk factors for an adverse drug reaction? select all that
applies: multiple health problems
, CMS pharmacology Proctored 2021
Study online at https://quizlet.com/_h8hu59
decrease percentage of body fat
decreased renal function
10. A nurse is reviewing a client's medical record before administering aceta-
minophen 650 mg by mouth every 6 hours. Which of the following findings
indicate a need for the nurse to notify the provider?: history of alcohol use
disorder
11. a nurse is caring for a client who has hyponatremia and is receiving an
infusion of a prescribed hypertonic solution. Which of the following findings
should indicate to the nurse that the treatment is effective?: improve cognition
12. A nurse is reviewing the laboratory results of a client who is receiving
genital medicine for Staphylococcus. Which of the following findings should
the nurse report to there immediately?: fasting blood glucose 130 mg
13. A nurse is reviewing the laboratory results of a client who is receiving
Heparin by continuous IV infusion. Which of the following Results indicates
the nurse should decrease the infusion rate?: aPTT 90 sec
14. The nurse is caring for a client who has diabetes mellitus and is taking
Pioglitazone. The nurse should plan to monitor the client for which of the
following adverse effects?: orthostatic hypotension
15. A nurse is caring for a client who is receiving ceftriaxone intravenously.
Which of the following manifestations should the nurse identify as an allergic
reaction?: Hypotension
16. A nurse is reviewing the laboratory results of a client who received a dose
of sodium polystyrene sulfonate. Which of the following findings should a
nurse identify as an indication that the medication has been effective?: calcium
8 mg- under normal range
potassium 4.6 meq- in normal range
17. A nurse is caring for a client who has heart failure and is taking hy-
drochlorothiazide. The nurse should monitor the client for which of the follow-
ing manifestations has an adverse effect of the medication?: hypokalemia
18. A nurse recently administered filgrastim intravenously to a client who has
cancer and is receiving cytotoxic chemotherapy. For which of the following
data, discovered after the medication was administered, should the nurse file
an incident report?: The medication vial sat at room temperature for 2 hours before
it was administered.
19. A nurse in a provider's office is assessing a client who has hypothyroidism
and has been taking levothyroxine for 2 months. Which of the following state-
ments by the client indicate a therapeutic response to the medication?: I have
noticed I'm not as cold as I used to be
