ADULT HEALTH II PHARMACOLOGY
CMS STUDY SET EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
A nurse is caring for a pt about to begin captopril therapy. Which of the
following adverse effects should the nurse instruct the pt to report because it
can indicate a need to dc therapy?
a. dry cough
b. constipation
c. photophobia
d. blurry vision - CORRECT ANSWERSa. dry cough
An older adult pt is to receive IV gentamicin. Which diagnostic finding indicates
the pt may have difficulty eliminating the medicine?
a. reduced peristalsis
b. gastric acid reflux
c. protein deficiency
d. borderline renal function - CORRECT ANSWERSd. borderline renal function
A pt is discharged from the hospital with a new prescription for furosemide. One
week later, during a follow-up visit with the HCP, the pt reports experiencing the
following findings. Which finding is most likely?
,a. constipation
b. muscle cramps
c. increased urine production
d. occasional lightheadedness - CORRECT ANSWERSb. muscle cramps
A nurse is monitoring the lab values of a pt receiving weekly treatments of
methotrexate via IV infusion. Which lab values should the nurse report to HCP?
a. BUN 14 mg/dl
b. Hgb 13.7 g/dl
c. K 3.7 mg/dl
d. Platelets 89,000 mm3 - CORRECT ANSWERSd. Platelets 89k
A nurse is transfusing a unit of packed red blood cells (PRBCs) to a pt who has
anemia due to chemotherapy. The pt reports a sudden headache and chills.
The pt's temp is 2F higher than baseline. In addition to notifying the provider,
what else should be done? (SATA)
a. stop transfusion
b. place pt in an upright position with feel down
c. remove blood bag and tubing from the IV catheter
d. obtain urine specimen
e. infuse dextrose 5% in water through IV - CORRECT ANSWERSa, c, and d
, A nurse is teaching a pt about a transdermal patch. Which of the following
statements should the nurse indicate the pt understands the teaching?
a. "I will clean the site with an alcohol swab before I apply the patch."
b." I will rotate the application 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 older patch." - CORRECT
ANSWERSc. "I will apply the patch to an area of skin with no hair."
A peak and trough level is ordered for your pt, who is scheduled to a receive IV
gentamicin at 0800. The medication is to infuse over 60 minutes. When should
the nurse draw the trough level?
a. at 0500 with daily labs
b. 0745
c. 0830
d. 0930 - CORRECT ANSWERSb. 0745
A nurse is caring for an older adult pt who has hypothyroidism and a new
prescription for levothyroixine. Which of the following dosage schedules should
the nurse expect?
a. the pt will start at a high dosage, and the amount will be tapered as needed
b. the pt will remain on the initial dosage during the course of treatment
CMS STUDY SET EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
A nurse is caring for a pt about to begin captopril therapy. Which of the
following adverse effects should the nurse instruct the pt to report because it
can indicate a need to dc therapy?
a. dry cough
b. constipation
c. photophobia
d. blurry vision - CORRECT ANSWERSa. dry cough
An older adult pt is to receive IV gentamicin. Which diagnostic finding indicates
the pt may have difficulty eliminating the medicine?
a. reduced peristalsis
b. gastric acid reflux
c. protein deficiency
d. borderline renal function - CORRECT ANSWERSd. borderline renal function
A pt is discharged from the hospital with a new prescription for furosemide. One
week later, during a follow-up visit with the HCP, the pt reports experiencing the
following findings. Which finding is most likely?
,a. constipation
b. muscle cramps
c. increased urine production
d. occasional lightheadedness - CORRECT ANSWERSb. muscle cramps
A nurse is monitoring the lab values of a pt receiving weekly treatments of
methotrexate via IV infusion. Which lab values should the nurse report to HCP?
a. BUN 14 mg/dl
b. Hgb 13.7 g/dl
c. K 3.7 mg/dl
d. Platelets 89,000 mm3 - CORRECT ANSWERSd. Platelets 89k
A nurse is transfusing a unit of packed red blood cells (PRBCs) to a pt who has
anemia due to chemotherapy. The pt reports a sudden headache and chills.
The pt's temp is 2F higher than baseline. In addition to notifying the provider,
what else should be done? (SATA)
a. stop transfusion
b. place pt in an upright position with feel down
c. remove blood bag and tubing from the IV catheter
d. obtain urine specimen
e. infuse dextrose 5% in water through IV - CORRECT ANSWERSa, c, and d
, A nurse is teaching a pt about a transdermal patch. Which of the following
statements should the nurse indicate the pt understands the teaching?
a. "I will clean the site with an alcohol swab before I apply the patch."
b." I will rotate the application 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 older patch." - CORRECT
ANSWERSc. "I will apply the patch to an area of skin with no hair."
A peak and trough level is ordered for your pt, who is scheduled to a receive IV
gentamicin at 0800. The medication is to infuse over 60 minutes. When should
the nurse draw the trough level?
a. at 0500 with daily labs
b. 0745
c. 0830
d. 0930 - CORRECT ANSWERSb. 0745
A nurse is caring for an older adult pt who has hypothyroidism and a new
prescription for levothyroixine. Which of the following dosage schedules should
the nurse expect?
a. the pt will start at a high dosage, and the amount will be tapered as needed
b. the pt will remain on the initial dosage during the course of treatment
