CMS PROCTORED EXAM 2025/2026
BANK VERSION A, B, C AND PRACTICE
TEST QUESTION BANK COMPLETE
QUESTIONS AND 100% CORRECT
DETAILED ANSWERS/ BRAND NEW!!
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 - ANSWERA. One
,(Medications with long half-lives remain at
their therapeutic levels between doses for long
periods of time. The nurse should expect to
administer this medication once a day.)
A staff educator is reviewing medication
dosages and factors that influence medication
metabolism with a group of nurses 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 secretion
B. Increased medication-metabolizing
enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same
pathway metabolizes - ANSWERC. Liver
failure
E. Concurrent use of medication the same
pathway metabolizes
,C. Liver failure decreases metabolism and thus
increases the concentration of a medication.
This requires decreasing the dosage.
E. When the same pathway metabolizes two
medications, they compete for metabolism,
thereby increasing the concentration of one or
both medications. This requires decreasing the
dosage of one or both
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 her side.
B. Ask the client to look up at the ceiling.
C. Tell the client to blink when the drops enter
her eye.
D. Drop the medication into the center of the
client's conjunctival sac.
E. Instruct the client to close her eye gently
after instillation - ANSWERB. Ask the client
to look up at the ceiling.
, D. Drop the medication into the center of the
client's conjunctival sac.
E. Instruct the client to close her eye gently
after instillation
(B. The client should look upward to keep the
drops from falling onto her cornea.
D. The nurse should drop the medication into
the
center of the conjunctival sac to promote
distribution.
E. The client should close her eye gently to
promote distribution of the medication)
A nurse is completing discharge teaching for a
client who has a new prescription for
transdermal patches. Which of the following
statements should the nurse identify as an
indication that the client understands the
instructions?
A. "I will clean the site with an alcohol swab
before I apply the patch."
B. "I will rotate the application sites weekly."